Table 4.
Factor† | Gov (N = 46) n (%) |
CMO(N = 20) n (%) |
Overall (N = 67) n (%) |
---|---|---|---|
Attitudes of clinicians / Workplace culture | 16 (34.8%) | 6 (30.0%) | 22 (32.8%) |
Role not valued by others | 15 (32.6%) | 4 (20.0%) | 19 (28.4%) |
Lack of understanding of the role | 11 (23.9%) | 4 (20.0%) | 15 (22.4%) |
Poor management | 7 (15.2%) | 6 (30.0%) | 13 (19.4%) |
Poor pay / Lack of parity in pay / Not enough working hours | 7 (15.2%) | 5 (25.0%) | 12 (17.9%) |
Workplace structures preventing optimal practice | 6 (13.0%) | 4 (20.0%) | 10 (14.9%) |
High workload / unrealistic expectations | 7 (15.2%) | 2 (10.0%) | 9 (13.4%) |
Isolation/ exclusion | 7 (15.2%) | 1 (5.0%) | 8 (11.9%) |
Stigma and discrimination / Bullying | 4 (8.7%) | 4 (20.0%) | 8 (11.9%) |
Emotional challenges / Supporting consumers experiencing high levels of distress | 6 (13.0%) | 1 (5.0%) | 7 (10.4%) |
Lack of role clarity | 6 (13.0%) | 1 (5.0%) | 7 (10.4%) |
Poor team dynamics | 4 (8.7%) | 3 (15.0%) | 7 (10.4%) |
Distress about the treatment of consumers in the service | 6 (13.0%) | 0 (0.0%) | 6 (9.0%) |
Lack of peer workers / small workforce / high turnover | 5 (10.9%) | 0 (0.0%) | 5 (7.5%) |
Nothing | 4 (8.7%) | 1 (5.0%) | 5 (7.5%) |
Organisational structures - Travel / Location | 5 (10.9%) | 0 (0.0%) | 5 (7.5%) |
Lack of career path / opportunities for advancement | 3 (6.5%) | 1 (5.0%) | 4 (6.0%) |
Limitations in scope of role | 2 (4.3%) | 2 (10.0%) | 4 (6.0%) |
Job instability / insecurity | 1 (2.2%) | 2 (10.0%) | 3 (4.5%) |
Organisational structures - meetings / mandatory training | 3 (6.5%) | 0 (0.0%) | 3 (4.5%) |
Powerless to raise issues | 2 (4.3%) | 1 (5.0%) | 3 (4.5%) |
Reporting lines / lack of appropriate supervision | 3 (6.5%) | 0 (0.0%) | 3 (4.5%) |
Notes: There were no significant differences proportions of respondents identifying any aspects between government and community managed organisation respondents (i.e., all Pearson’s chi square, p > 0.05). Gov = Participants employed in government services; CMO = Participants employed in community managed organisations. Participants could identify more than one aspect. Up to eight aspects could be coded