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      Managing an ageing healthcare workforce: a systematic literature review


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          The aim of this paper is to review research conducted on managing the ageing healthcare workforce and identify gaps for further research.


          A systematic literature search of studies in the English language was carried out in Scopus and Web of Science databases.


          The study consists of an analysis of 75 published articles. The majority of the papers were published in recent years, indicating a growing interest in the field. The authors specified the following inclusion criteria: all years, articles/reviews, English language and full text in the Web of Science and Scopus databases. The authors of the paper illustrated seven major categories with different topics that were suggested for future research. It included: challenges of labor market in the healthcare field, age-related changes and their influence on work ability, training opportunities and lifelong learning among ageing health workforce, motives of early retirement, ageing and its relationship to Occupational Health and Safety. Longitudinal studies and case study strategy with mixed-methods approaches were suggested for future research by the authors.


          The paper summarizes knowledge related to the management of ageing health workforce, describes topics researched and as a result, presents findings on and conclusions about the most important future implications of the ageing workforce for management in the healthcare field providing lines for further research. To the authors' knowledge, no holistic systematic literature reviews have been published in academic journals targeted specifically to ageing healthcare workers.

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          Most cited references88

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          Supporting the Health Care Workforce During the COVID-19 Global Epidemic

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            Is Open Access

            Professional Quality of Life and Mental Health Outcomes among Health Care Workers Exposed to Sars-Cov-2 (Covid-19)

            The novel coronavirus disease 2019 (COVID-19) is a global pandemic spreading worldwide, and Italy represented the first European country involved. Healthcare workers (HCWs) facing COVID-19 pandemic represented an at-risk population for new psychosocial COVID-19 strain and consequent mental health symptoms. The aim of the present study was to identify the possible impact of working contextual and personal variables (age, gender, working position, years of experience, proximity to infected patients) on professional quality of life, represented by compassion satisfaction (CS), burnout, and secondary traumatization (ST), in HCWs facing COVID-19 emergency. Further, two multivariable linear regression analyses were fitted to explore the association of mental health selected outcomes, anxiety and depression, with some personal and working characteristics that are COVID-19-related. A sample of 265 HCWs of a major university hospital in central Italy was consecutively recruited at the outpatient service of the Occupational Health Department during the acute phase of COVID-19 pandemic. HCWs were assessed by Professional Quality of Life-5 (ProQOL-5), the Nine-Item Patient Health Questionnaire (PHQ-9), and the Seven-Item Generalized Anxiety Disorder scale (GAD-7) to evaluate, respectively, CS, burnout, ST, and symptoms of depression and anxiety. Females showed higher ST than males, while frontline staff and healthcare assistants reported higher CS rather than second-line staff and physicians, respectively. Burnout and ST, besides some work or personal variables, were associated to depressive or anxiety scores. The COVID-19 pandemic represents a new working challenge for HCWs and intervention strategies to prevent burnout and ST to reduce the risk of adverse mental health outcomes are needed.
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              Ageing in the European Union.

              The ageing of European populations presents health, long-term care, and welfare systems with new challenges. Although reports of ageing as a fundamental threat to the welfare state seem exaggerated, societies have to embrace various policy options to improve the robustness of health, long-term care, and welfare systems in Europe and to help people to stay healthy and active in old age. These policy options include prevention and health promotion, better self-care, increased coordination of care, improved management of hospital admissions and discharges, improved systems of long-term care, and new work and pension arrangements. Ageing of the health workforce is another challenge, and policies will need to be pursued that meet the particular needs of older workers (ie, those aged 50 years or older) while recruiting young practitioners. Copyright © 2013 Elsevier Ltd. All rights reserved.

                Author and article information

                Journal of Health Organization and Management
                Emerald Publishing
                11 October 2022
                04 April 2023
                : 37
                : 1
                : 116-132
                [1]Department of Business Administration, Tallinn University of Technology , Tallinn, Estonia
                Author notes
                Mari Kurashvili can be contacted at: mari.kurashvili@taltech.ee
                692960 JHOM-11-2021-0411.pdf JHOM-11-2021-0411
                © Emerald Publishing Limited
                : 16 November 2021
                : 11 August 2022
                : 21 September 2022
                : 23 September 2022
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 91, Pages: 17, Words: 8692
                Self URI (journal-page): http://www.emeraldinsight.com/journal/jhom
                e-literature-review, Literature review
                cat-HSC, Health & social care
                cat-HMAN, Healthcare management
                Custom metadata

                Health & Social care
                Older health workers,Health workers,Health workforce,Ageing,Managing health workforce


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