Motivations for choosing an allied health profession career: findings from a scoping review
Abstract
Fourteen professions are recognised as AHPs in England representing the third largest workforce in health and care. Although there is a need to significantly grow the AHP workforce in England, recruitment to many AHP courses is an issue. To increase course applications and encourage individuals to choose AHP careers, we need to understand the decision-making process in choosing an AHP career. The aim of this scoping review was to examine the nature and breadth of evidence internationally regarding the motivations for choosing an AHP career as well as any sources of influence and barriers. A comprehensive search identified 61 relevant studies. Findings revealed inconsistency in the evidence base and the literature focused on a select number of professions and countries. No relevant studies were found for three professions. Whilst many motivations and sources of influence were identified, barriers to entering an AHP career were explored less. The opportunity to help people was a key motivation with financially based motivations less important. Personal influences, such as a relative working in healthcare, were the most influential source to choosing this career pathway, media was the least. The main barrier to choosing an AHP career identified was a lack of awareness of the profession. There is a need to further investigate career choice motivations, sources of influence and barriers for all AHPs; gaining this knowledge will help tailor future healthcare career promotion and advice for each profession and assist with overall AHP recruitment.
References
Arksey, H., & O'Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19-32. https://doi.org/10.1080/1364557032000119616
Bamba, A., Bamba, V., Chen, Y., Deng, Y., Li, L., Ruan, W., Zhang, Y., & Caruana, E. (2008). Why do students choose the medical radiation science profession? The Radiographer, 55(2), 27-33. https://doi.org/10.1002/j.2051-3909.2008.tb00084.x
Barfield, J. P., Cobler, D. C., Lam, E. T. C., Zhang, J., & Chitiyo, G. (2012). Differences between African-American and Caucasian students on enrolment influences and barriers in kinesiology-based allied health education programs. Advances in Physiology Education, 36(2), 164-169. https://doi.org/10.1152/advan.00129.2011
Bonsaksen, T., Kvarsnes, H., & Dahl, M. (2016). Who wants to go to occupational therapy school? Characteristics of Norwegian occupational therapy students. Scandinavian Journal of Occupational Therapy, 23(4), 297-303. http://doi.org/10.3109/11038128.2015.1105293
Boyd, S., & Hewlett, N. (2001). The gender imbalance among speech and language therapists and students. International Journal of Language & Communication Disorders, 36(s1), 167-172. https://doi.org/10.3109/13682820109177878
Brodsky, M. B., & Cooke, P. A. (2000). Influences in the decision-making process for careers as a speech-language pathologist or an audiologist. Journal of Employment Counseling, 37(3), 178-189. https://doi.org/10.1002/j.2161-1920.2000.tb00484.x
Byrne, N. (2007). Factors influencing the selection of speech pathology as a career: A qualitative analysis utilising the systems theory framework. Australian Journal of Career Development, 16(3), 11-18. https://doi.org/10.1177/103841620701600304
Byrne, N. (2015). Exposure to occupational therapy as a factor influencing recruitment to the profession. Australian Occupational Therapy Journal, 62(4), 228-237. https://doi.org/10.1111/1440-1630.12191
Campbell, N., McAllister, L., & Eley, D. S. (2012). The influence of motivation in recruitment and retention of rural and remote allied health professionals: a literature review. Rural and Remote Health, 12(2), 1900. https://www.rrh.org.au/journal/article/1900
Carrick-Sen, D., Moore, A., Davidson, P., Gendong, H., & Jackson, D. (2019). International perspectives of nurses, midwives and allied health professionals Clinical academic roles: Are we at tipping point? International Journal of Practice-based Learning in Health and Social Care, 7(2), 1-15. https://doi.org/10.18552/ijpblhsc.v7i2.639
Chief Allied Health Professions Officer’s Team. (2017). Allied health professionals into action: Using Allied health professionals to transform health care and wellbeing. NHS England. https://www.england.nhs.uk/wp-content/uploads/2017/01/ahp-action-transform-hlth.pdf
Clarke, C., de Visser, R., Martin, M., & Sadlo, G. (2014). Role-emerging placements: A useful model for occupational therapy practice education? A review of the literature. International Journal of Practice-based Learning in Health and Social Care, 2(2), 14-26. https://doi.org/10.11120/pblh.2014.00020
Cooke, A., Smith, D., & Booth, A. (2012). Beyond PICO: The SPIDER Tool for Qualitative Evidence Synthesis. Qualitative Health Research, 22(10), 1435-1443. https://doi.org/10.1177/1049732312452938
Coombs, C. R., Park, J. R., Loan-Clarke, J., Arnold, J., Preston, D., & Wilkinson, A. J. (2003). Perceptions of radiography and the National Health Service: a qualitative study. Radiography, 9(2), 109-122. https://doi.org/10.1016/S1078-8174(03)00044-0
Cooperstein, K. R., & Schwartz, K. B. (1992). Reasons for choosing occupational therapy as a profession: Implications for recruitment. The American Journal of Occupational Therapy, 46(6), 534-539. https://doi.org/10.5014/ajot.46.6.534
Craik, C., & Alderman, J. J. (1998). What attracts mature students to occupational therapy? British Journal of Occupational Therapy, 61(10), 473-477. https://doi.org/10.1177/030802269806101013
Craik, C., Gissane, C., Douthwaite, J., & Philp, E. (2001). Factors influencing the career choice of first-year occupational therapy students. British Journal of Occupational Therapy, 64(3), 114-120. https://doi.org/10.1177/030802260106400302
Craik, C., & Zaccaria, J-M. (2003). The career choice of first-year occupational therapy students: A follow-up study. British Journal of Occupational Therapy, 66(11), 531-534. https://doi.org/10.1177/030802260306601107
Define & Health Education England (2017). Smaller and Specialist Allied Health Professions: Qualitative Research [manuscript unpublished].
Dorning, H., & Bardsley, M. (2014). Focus on: Allied health professionals can we measure quality of care? Quality Watch, September 2014. The Health Foundation and Nuffield Trust. https://www.health.org.uk/sites/default/files/QualityWatch_FocusOnAlliedHealthPRofessionals.pdf
Fleming, J., Gilbert, J., McKenna, K., & Heath, T. (1997). First year occupational therapy students: Profile and perceptions. Australian Occupational Therapy Journal, 44(3), 107-118. https://doi.org/10.1111/j.1440-1630.1997.tb00763.x
Gotlib, J., Białoszewski, D., Opavsky, J., Garrodd, R., Fuertese, N. E., Pérez-Gallardo, L., Paz-Lourido, B., Monterde, S., Suárez-Serrano, C., Sacco, M., & Kunickak, I. (2012). Attitudes of European physiotherapy students towards their chosen career in the context of different educational systems and legal regulations pertaining to the practice of physiotherapy: Implications for university curricula. Physiotherapy, 98(1), 76-85. https://doi.org/10.1016/j.physio.2011.02.003
Greenwood, N., & Bithell, C. (2005). Perceptions of physiotherapy compared with nursing and medicine amongst minority ethnic and white UK students: Implications for recruitment. Physiotherapy, 91(2), 69-78. https://doi.org/10.1016/j.physio.2004.07.011
Greenwood, N., Wright, J. A., & Bithell, C. (2006). Perceptions of speech and language therapy amongst UK school and college students: implications for recruitment. The International Journal of Language & Communication Disorders, 41(1), 83-94. https://doi.org/10.1080/13682820500177604
Harris, J., Grafton, K., & Cooke, J. (2020). Developing a consolidated research framework for clinical allied health professionals practising in the UK. BMC Health Services Research, 20, Article 852. https://doi.org/10.1186/s12913-020-05650-3
Health Education England. (2020a). Current placement expectations of AHP Regulators and Professional Bodies. Retrieved June 1, 2021, from https://www.hee.nhs.uk/our-work/allied-health-professions/increase-capacity/ahp-practice-based-learning/current-placement-expectations-ahp-regulators-professional-bodies
Health Education England. (2020b). Helping to ensure an essential supply of Allied Health Professions (AHP) Practice Placements: challenges and solutions. https://www.hee.nhs.uk/sites/default/files/documents/Ensuring%20an%20essential%20supply%20-%20Oct2020.pdf
Hughes, R., & Desbrow, B. (2005). Aspiring dietitians study: A pre-enrolment study of students motivations, awareness and expectations relating to careers in nutrition and dietetics. Nutrition and Dietetics, 62(2-3), 106-109. https://doi.org/10.1111/j.1747-0080.2005.00015.x
Jue, J., & Ha, J. H. (2018). The professional identity, career commitment and subjective well-being of art therapy students. The Arts in Psychotherapy, 57(February), 27-33. https://doi.org/10.1016/j.aip.2017.10.007
Julka-Anderson, N., Barker, E., Johnson, S., & Tuke, K. (2020). Inspiring the next generation of therapeutic radiographers – our story. Radiography, 26(1), S27. https://doi.org/10.1016/j.radi.2019.11.067
Kimball, T., Roberts, L., & Hagan, D. W. (1993). Factors affecting a dietitian’s career choice: What singles out dietetics over nursing or medicine? Journal of the American Dietetic Association, 93(9 Supplement 1), A82. https://doi.org/10.1016/0002-8223(93)91278-X
Kobel, K. A. (1997). Influences on the selection of dietetics as a career. Journal of the American Dietetic Association, 97(3), 254-257. https://doi.org/10.1016/S0002-8223(97)00066-7
Lass, N. J., Ruscello, D. M., Pannbacker, M. D., Middleton, G. F., Schmitt, J. F., & Scheuerle, J. F. (1995). Career selection and satisfaction in the professions. ASHA, 37(4), 48-51.
Liaw, S. Y., Wu, L. T., Chow, Y. L., Lim, S., & Tan, K. K. (2017). Career choice and perceptions of nursing among healthcare students in higher educational institutions. Nurse Education Today, 52(May), 66-72. https://doi.org/10.1016/j.nedt.2017.02.008
Litosseliti, L., & Leadbeater, C. (2013). Speech and language therapy/pathology: perspectives on a gendered profession. The International Journal of Language & Communication Disorders, 48(1), 90-101. https://doi.org/10.1111/j.1460-6984.2012.00188.x
Lordly, D., & Dubé, N. (2012). The who, what, when, and how: Of choosing a dietetics career. Canadian Journal of Dietetic Practice and Research, 73(4), 169-175. https://doi.org/10.3148/73.4.2012.169
Markley, E. J., & Huyck, N. I. (1992). Factors affecting a student's choice of dietetics as a profession. Journal of the American Dietetic Association, 92(8), 933-937. https://doi.org/10.1016/S0002-8223(21)00829-4
McKellips, F., Keely, E., Afkham, A., & Liddy, C. (2017). Improving access to allied health professionals through the Champlain BASE™ eConsult service: a cross-sectional study in Canada. British Journal of General Practice, 67(664), e757-e763. https://doi.org/10.3399/bjgp17X693125
Meredith, P., Merson, K., & Strong, J. (2007). Differences in adult attachment style, career choice and career satisfaction for occupational therapy and commerce students. British Journal of Occupational Therapy, 70(6), 235-242. https://doi.org/10.1177/030802260707000603
Mkondo T., Mudzi, W., & Mbambo, N. P. (2007). Factors influencing Zimbabwean physiotherapy students in choosing physiotherapy as a career. SA Journal of Physiotherapy, 63(3), 26-31. https://doi.org/10.4102/sajp.v63i3.140
NHS. (2019). The NHS Long Term Plan. https://www.longtermplan.nhs.uk/publication/nhs-long-term-plan/
NHS & HEE. (2018). Allied health professions: At the forefront of improving care - a year in review 2017/2018. https://www.hee.nhs.uk/sites/default/files/documents/AHP%20National%20Report%202017-18.pdf
NHS, NHS Improvement & HEE. (2020). We are the NHS: People Plan 2020/21 - action for us all. https://www.england.nhs.uk/wp-content/uploads/2020/07/We-Are-The-NHS-Action-For-All-Of-Us-FINAL-March-21.pdf
NHSI. (2019). Interim NHS People Plan. https://www.longtermplan.nhs.uk/wp-content/uploads/2019/05/Interim-NHS-People-Plan_June2019.pdf
O’Brien, K. K., Colquhoun, H., Levac, D., Baxter L., Tricco, A. C., Straus, S., Wickerson, L., Nayar, A. Moher, D., & O’Malley, L. (2016). Advancing scoping study methodology: a web-based survey and consultation of perceptions on terminology, definition and methodological steps. BMC Health Services Research, 16, Article 305. https://doi.org/10.1186/s12913-016-1579-z
Office for Students (2019). Recruitment of Mature Students to Nursing, Midwifery and Allied Health Courses – Research. https://www.officeforstudents.org.uk/media/14f84fe4-47c4-47c3-a125-559feed1f712/mature-students-and-nmah-courses-report.pdf
Office for Students (2020). Male participation in nursing and allied health higher education courses. https://www.officeforstudents.org.uk/publications/male-participation-in-nursing-and-allied-health-higher-education-courses/
Öhman, A., Stenlund, H., & Lars, D. (2001). Career choice, professional preferences and gender? The case of Swedish physiotherapy students. Advances in physiotherapy, 3(3), 94-107. https://doi.org/10.1080/140381901750475348
Öhman, A., Solomon, P., & Finch, E. (2002). Career choice and professional preferences in a group of Canadian physiotherapy students. Advances in physiotherapy, 4(1), 16-22. https://doi.org/10.1080/140381902317303177
Oppegard, K. S., Elkins, D. E., Abbenante, J., & Bangley, B. B. (2005). Choosing art therapy as a career. Art Therapy, 22(2), 92-100. https://doi.org/10.1080/07421656.2005.10129444
Pagnin, D., De Queiroz, V., De Oliveira Filho, M. A., Gonzalez, N. V. A., Salgado, A. E. T., Cordeiro Oliveira, B. C. E., Lodi, C. S., & Da Silva Melo, R. M. (2013). Burnout and career choice motivation in medical students. Medical Teacher, 35(5), 388-94. https://doi.org/10.3109/0142159X.2013.769673
Park, J. R., Coombs, C., Wilkinson, A. J., Loan-Clarke, J., Arnold, J., & Preston, D. (2003). Attractiveness of physiotherapy in the National Health Service as a career choice: Qualitative study. Physiotherapy, 89(10), 575-583. https://doi.org/10.1016/S0031-9406(05)60056-9
Pham, M. T., Rajić, A., Greig, J. D., Sargeant, J. M., Papadopoulos, A., & McEwen, S. A. (2014). A scoping review of scoping reviews: advancing the approach and enhancing the consistency. Research Synthesis Methods, 5(4), 371-385. https://doi.org/10.1002/jrsm.1123
Price, S. L., McGillis Hall, L., Angus, J. E., & Peter, E. (2013). Choosing nursing as a career: a narrative analysis of millennial nurses’ career choice of virtue. Nursing Inquiry, 20(4), 305-316. https://doi.org/10.1111/nin.12027
Pruthi, S., Pandey, R., Singh, S., Aggarwal, A., Ramavat, A., & Goel, A. (2013). Why does an undergraduate student choose medicine as a career. The National Medical Journal of India, 26(3), 147-149. http://archive.nmji.in/archives/Volume-26/Issue-3/Short-Report-Why-choose-medicine-as-career.pdf
Rastrick S. (2020). Allied health professional workforce diversity. https://www.england.nhs.uk/blog/allied-health-professional-workforce-diversity/
Roney, A., Meredith, P., & Strong, J. (2004). Attachment styles and factors affecting career choice of occupational therapy students. British Journal of Occupational Therapy, 67(3), 133-141. https://doi.org/10.1177/030802260406700307
Ross, L., Hannah, J., & Van Huizen, P. (2016). What motivates students to pursue a career in paramedicine? Australasian Journal of Paramedicine, 13(1). https://doi.org/10.33151/ajp.13.1.484
Rozier, C. K., Gilkeson, G. E., & Hamilton, B. L., (1992). Why students choose occupational therapy as a career. American Journal of Occupational Therapy, 46(7), 626-632. https://doi.org/10.5014/ajot.46.7.626
Ryan, S-J., & Morris, J. (2016). Physiotherapy students and practice-based educators’ experiences of using placement passports during their practice-based education. The 4th European Congress of the ER-WCPT / Physiotherapy 102(S1), e231. https://doi.org/10.1016/j.physio.2016.10.286
Scutter, S. (1990). Why do students enrol in the physiotherapy course? A study of students at SAIT. Australian Journal of Physiotherapy, 36(1), 23-28. https://doi.org/10.1016/S0004-9514(14)60517-1
Szarpak, L., Patynowska, A. M., Ziemba, R., Madziała, M., & Dec, M. (2013). The sense of orientation in life and reasons for choosing the profession of paramedic. Military Pharmacy and Medicine, VI(1), 53– 58.
Suarez, V. V., & Shanklin, C. W. (2002). Minority interns’ experiences during their dietetics education and their recommendations for increasing diversity in dietetics: Findings from structured interviews. Journal of the American Dietetic Association, 102(11), 1674-1677. https://doi.org/10.1016/S0002-8223(02)90357-3
Tétreault, S., Bétrisey, C., Gulfi, A., Brisset, C., Kühne, N., & Leanza, Y. (2020). Perceptions, competencies and motivation for study choice: Occupational therapy and social work student perspectives. International Journal of Practice-based Learning in Health and Social Care, 8(1), 15-30. https://doi.org/10.18552/ijpblhsc.v8i1.519
Veyvoda, M., & Howerton-Fox, A. (2020). “I don’t love language; I love children”: Students’ knowledge, attitudes, and beliefs about linguistics and their choice to major in speech-language pathology. Excelsior: Leadership in Teaching and Learning, 12(2), 80-114. https://doi.org/10.14305/jn.19440413.2020.12.2.01
Vosper, M. R., Price, R. C., & Ashmore, L. A. (2005). Careers and destinations of radiography students from the University of Hertfordshire. Radiography, 11(2), 79-88. https://doi.org/10.1016/j.radi.2004.10.001
Whaley, G. A., & Wright Hosig, K. (2000). Male dietitians in 5 Southern states: Some perspectives on the profession. Journal of the American Dietetic Association, 100(12), 1535-1537. https://doi.org/10.1016/s0002-8223(00)00425-9
Whitehouse, A. J. O., Hird, K., & Cocks, N. (2007). The recruitment and retention of speech and language therapists: What do university students find important? Journal of Allied Health, 36(3), 131-136. https://www.ingentaconnect.com/contentone/asahp/jah/2007/00000036/00000003/art00003
Wilkes, L., Cowin, L., & Johnson, M. (2015). The reasons students choose to undertake a nursing degree. Collegian, 22(3), 259-265. https://doi.org/10.1016/j.colegn.2014.01.003
Wordsworth, S. (2015). Student choice in operating department practice. Journal of Operating Department Practitioners, 3(2), 89-95. https://doi.org/10.12968/jodp.2015.3.2.89
Wortley, J. (2020). Understanding perceptions and expectations of studying radiotherapy: mature students compared to school-leavers. Radiography, 26(S1), S6. https://doi.org/10.1016/j.radi.2019.11.017
Yeowell, G. (2013). ‘Oh my gosh I’m going to have to undress’: potential barriers to greater ethnic diversity in the physiotherapy profession in the United Kingdom. Physiotherapy, 99(4), 323-327. https://doi.org/10.1016/j.physio.2013.03.002
Yitt, H. S., Muthusamy, S., & Subramaniam, A. (2019). Why I Choose to Study Physiotherapy Course as My Career? An Asian Perspective. Indian Journal of Physiotherapy and Occupational Therapy, 13(3), 166-170.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Lucy Wallis, Dr Rachel Locke, Dr Steven Ryall, Professor Beverley Harden
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons License "Attribution-NonCommercial No Derivs 4.0 International" (CC BY-NC-ND 4.0) which permits others to use the publication as long as the authors are appropriately cited.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The Author grants to Coventry University an irrevocable, royalty-free, worldwide, non-exclusive licence to publish this article in this journal in addition to the licence granted at paragraph 1 of this copyright notice.