Table 3.
Study Criterion | Structural | System | Organisational | Individual |
---|---|---|---|---|
Enablers | None | None | Co-worker support and peer mentorship (8) [19,34,38,39,40,42,46,48]. Culturally safe workplace (4) [41,42,47,48]. Access to clinical and cultural supervision (4) [37,40,42,48]. Professional development opportunities (4) [39,40,42,48]. Job security and adequate remuneration (2) [37,40]. |
Making a difference for Indigenous health (5) [39,41,42,47,48]. |
Barriers | Racism (5) [35,40,41,47,48] | Limited organisational funding and inadequate remuneration (8) [9,36,37,40,41,42,47,48]. Limited career pathways (2) [36,48]. |
Heavy workloads and demands (10) [9,35,36,37,38,40,41,42,47,48]. Lack of support from management and lack of mentoring (8) [34,35,37,38,41,46,47,48]. Lack of professional development opportunities (5) [9,36,37,38,41]. |
Proximity to community (8) [35,36,37,40,41,42,47,48]. |
Recommendations | None | Recognition of the Indigenous health professional role (8) [9,19,37,38,40,41,45,47]. Increased remuneration and salary parity (7) [9,19,37,39,40,41,48]. Work with educational systems to improve curriculum structure and facilitate career progression (4) [19,36,39,45]. |
Implement mentoring, clinical supervision and support systems (10) [9,19,34,35,37,39,41,42,45,46]. Embed cultural respect in the workplace (7) [19,34,36,37,41,45,47]. Professional development opportunities (7) [19,39,40,41,42,45,47]. Flexible working arrangements (3) [19,40,41]. |
None. |
* Numbers in round brackets refer to number of relevant articles identifying this factor.