The roles, responsibilities and job satisfaction of health advisers in the UK and Ireland
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Transcript of The roles, responsibilities and job satisfaction of health advisers in the UK and Ireland
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The roles, responsibilities and job satisfaction of health advisers in
the UK and Ireland
Chris McGarvey
SSHA conference 2006
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C.McGarvey (2006)
Objectives
• To describe current HA roles & responsibilities • To describe current levels of job satisfaction &
identify factors which positively or negatively influence this
• To determine the extent to which the SpN & HA roles overlap
• To determine the extent to which the SHS recommendations for HAs have been implemented
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C.McGarvey (2006)
Methodology
• Questionnaire designed• 27 questions divided into three sections• Application to LREC• SSHA members (n=365) as target population • Pilot (n=7)• Questionnaires posted via Amicus • 169 questionnaires were returned
(46.3% response rate; 160 useable 43.8%)• Data analysed using SPSS
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C.McGarvey (2006)
What is your job title?(n=160)
2%22%
55%
1%
7% 6% 7% principal
senior
HA
trainee
HA & SpN
HA & manager
other
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Type of pay scale(n=147)
60%16%
5%
19%
nursing grade
AfC band
SMP band
A&C grade
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Please state the grade or band of your post (Nursing grades)
(n=87; 59.2%)
1% 16%
54%
21%
2% 6% E
F
G
H
I
Unspecified
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C.McGarvey (2006)
Please state the grade or band of your post (AfC band)
(n=24; 16.3%)
4%
63%
29%
4%
5
6
7
8
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C.McGarvey (2006)
Please state the grade or band of your post (SMP grade)(n=8; 5.4%)
13%
38%49%
18
20
24
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C.McGarvey (2006)
Please state the grade or band of your post (A&C grade)(n=28; 19.0%)
4%
39%
57%
5
6
7
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How long have you been on this pay level?(n=156)
9%11%
22%
30%
13%
15% < 6 months
6-11 months
1-2 yrs
3-5 yrs
6-9 yrs
10 yrs +
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How many years have you worked in your current post? (n=159)
15%
16%
33%
18%
18%<1
1_2
2_5
5_10
10+
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Have your roles & responsibilities changed since you've been in post?
35%
65%
No
Yes
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Ways in which roles & responsibilities had changed
• Increase in managerial responsibility (31%, n=35)
• Role has grown or developed
(20.4%, n=23)
• Increased workload & administerial duties (9.7%, n=11)
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Do you have current professional registration? If so, is this with…
(n=170 responses)
70%3%
7%
4%16%
NMC
SCC
BACP
Other
Not answered
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Does your clinic have any written protocols/guidelines specific to health adviser
activity? (n=157)
79%
21%
Yes
No
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In the last 12 months, has your service conducted any audit or research to monitor/evaluate the effectiveness of HA interventions e.g. partner
notification outcomes? (n=159)
59%
37%
4%
Yes
No
Don't know
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05
1015202530354045
Percentage of responses
Nos
. HA
sin
crea
sed
Rol
e of
HA
deve
lope
d
Pro
file
of P
N in
com
mun
ity
Don
't kn
ow
No
impl
emen
tatio
n
Responses to SHS
Have any of the following recommendations of the SHS (2001) been implemented? (n=221 responses)
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'During the past 12 months, how much training have you
had, either paid for or organised by your employer? (Include only training away from your normal place of work, but it
could be on or off site)'
(n=158)
15%
8%
31%23%
23% None
1 day or less
2-4 days
5-9 days
10 days +
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Working with SpNs
• 66% of respondents work alongside SpNs
• The only significant overlap in roles were:– HIV testing of low risk patients
(32.4%, p=0.005)– Provision of ongoing support for HIV patients
(18.0%, p=0.003)– Issuing medication under PGDs
(20.0%, p=0.001)
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Respondents’ attitudes to & satisfaction with their jobs
• ‘I only work as hard as I have to’ 0.6% (n=1)
• ‘I work hard but not so that it interferes with the rest of my life’58.1% (n=93)
• ‘I make a point of doing the best work I can, even if it sometimes interferes with the rest of my life’41.3% (n=66)
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Job satisfaction
• Sense of achievement derived from the work
(83.1% satisfied vs. 6.9% dissatisfied)• Amount of influence over their job
(57.5% vs. 21.2%)
and clinic policies
(55.0% vs. 20.6%)• Respect from line managers
(56.9% vs. 23.8%)
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How likely is it that you will try to find a job with another organisation within the next 12 months?
(n=160)
16%
17%
37%
29%1%
very likely
likely
unlikely
very unlikely
not answered
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In the last two years, my job satisfaction has…(n=159)
38%
26%
36%increased
not changed
decreased
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Main reasons cited for increased job satisfaction (49.4%, n=85):
• Attaining a new position with an existing employer or moving to another
(18.9%, n=16)
• Having gained more experience, knowledge & confidence
(12.9%, n=11)
• Having increased responsibility, involvement & influence within the service (9.4%, n=8)
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Main reasons for decreased job satisfaction (50.6%, n=87):
• Increase in patient & administrative workload (18.4%, n=16)
• Feeling unsupported (10.3%, n=9)
• Ineffective management or clinical leadership (8.0%, n=7)
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Factors with potential influence on job satisfaction (1)
1. The balance & variety of HA workload
2. Work life balance
3. Clinical supervision
4. Working in a clinic where SpNs are in post
5. Having regular & dedicated clerical support for the HAs
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Factors with potential influence on job satisfaction (2)
6. Having protocols & guidelines specific to HA activity in place
7. Working in a clinic that monitors & evaluates the effectiveness of HA interventions through research & audit
8. Feeling supported, that contributions are valued & that the HA role is respected & understood
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Summary of Recommendations
1. Improving the profile of health advisers - State registration
- Presentations / communication
- Clear protocols & standardised practice
- Involvement in audit & research at local & national level
2. Regular & dedicated clerical support- Creation of administration assistant posts
- Template job descriptions
3. Locum health advisers
4. Health advisers in the community