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The roles, responsibilities and job satisfaction of health advisers in the UK and Ireland

The roles, responsibilities and job satisfaction of health advisers in the UK and Ireland. Chris McGarvey SSHA conference 2006. Objectives. To describe current HA roles & responsibilities

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The roles, responsibilities and job satisfaction of health advisers in the UK and Ireland

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  1. The roles, responsibilities and job satisfaction of health advisers in the UK and Ireland Chris McGarvey SSHA conference 2006

  2. 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 C.McGarvey (2006)

  3. 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 C.McGarvey (2006)

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  13. 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) C.McGarvey (2006)

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  19. 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) C.McGarvey (2006)

  20. 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) C.McGarvey (2006)

  21. 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%) C.McGarvey (2006)

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  24. 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) C.McGarvey (2006)

  25. 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) C.McGarvey (2006)

  26. Factors with potential influence on job satisfaction (1) • The balance & variety of HA workload • Work life balance • Clinical supervision • Working in a clinic where SpNs are in post • Having regular & dedicated clerical support for the HAs C.McGarvey (2006)

  27. 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 C.McGarvey (2006)

  28. 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 C.McGarvey (2006)

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