What influences newly graduated registered nurses’ intention to leave the nursing profession? An integrative review

Lyu, Xiao-Chen; Huang, Shuang-Shuang; Ye, Xiaoming; Zhang, Luyu; Zhang, Peng; Wang, Yajuan

doi:10.21203/rs.3.rs-2078921/v1

Cited by 3 publications

(5 citation statements)

References 44 publications

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“…Sodeify et al (2013) found that positive support led to organizational commitment, productivity, and high self-esteem. In addition, a supporting workplace led to job satisfaction and had a positive effect on the treatment of patients (Ghawadra et al, 2019), and reduces patient mortality among novice nurses consequently (Lyu et al, 2022). Many researchers also believe in individual and organizational support for new graduates at the beginning of their work (Ebrahimi et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Support Experiences for Novice Nurses in the Workplace: A Qualitative Analysis

Najafi

Nasiri

2023

SAGE Open Nursing

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Introduction Since novice nurses need support at the beginning of their work, knowing workplace support resources can help them to experience fewer challenges at the beginning of their work and improve the quality of patient care. Objective(s) The present qualitative study aimed to explore novice nurses’ experiences of supporting the workplace at the beginning of their work. Design This qualitative study was performed using a content analysis method. Methods This qualitative study was conducted with 14 novice nurse participants using the conventional content analysis method, unstructured in-depth interviews were used to collect data. All data were recorded, transcribed, and analyzed based on the Graneheim and Lundman method. Results Two major categories and four subcategories were extracted during data analysis as follows: (1) An intimate work environment with subcategories of cooperative work atmosphere and empathetic behaviors, (2) Educational support available for improvement contains subcategories conducting orientation courses and holding retraining courses. Conclusion The present study showed that such experiences as an intimate work environment, and educational support help novice nurses to have a supportive workplace and improve their performance. A welcoming and supportive atmosphere should be created for newcomers to ease their anxiety and frustration. Furthermore, they can improve their performance and provide quality care by giving themselves the motivation and spirit of improvement. Relevance to Clinical Practice This research highlights the need for new nurses to have support resources in the work environment, and healthcare managers can improve the quality of care by allocating sufficient support resources to this group of nurses.

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Section: Introductionmentioning

confidence: 99%

Support Experiences for Novice Nurses in the Workplace: A Qualitative Analysis

Najafi

Nasiri

2023

SAGE Open Nursing

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“…Another recently published review highlights the primary factors influencing newly graduated registered nurses’ intention to leave: demographic variables (eg, age, educational level, years of experience, professional title, employment status, health status, shift work, hospital location and size); support from supervisors and peers; workplace challenges; cognitive and affective responses to work; work environment factors (eg, collegial nurse–physician relationships, staffing level, person–work environment fit); gender stereotypes; autonomous motivation; role models; and resilience 5 …”

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confidence: 99%

“…shift work, hospital location and size); support from supervisors and peers; workplace challenges; cognitive and affective responses to work; work environment factors (eg, collegial nurse-physician relationships, staffing level, person-work environment fit); gender stereotypes; autonomous motivation; role models; and resilience. 5 Although the nursing profession is exceptionally demanding and often does not receive commensurate salary recognition, the education provided to these professionals is thorough. Nurses benefit from meticulously structured curricula offered by educational institutions, which distinguish them as highly skilled professionals with unique human capabilities and a strong ethical compass.…”

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confidence: 99%

The future of nursing: attrition, innovation, and the path ahead

Silva,

Sampaio,

Ventura

et al. 2024

JBI Evidence Synthesis

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The future of nursing: attrition, innovation, and the path ahead C urrently, the nursing profession is facing a global crisis, exacerbated by the deep disillusionment experienced by nurses following the COVID-19 era. Nurses had anticipated significant advancements in terms of better working conditions, increased staffing levels, enhanced professional recognition, and improved compensation. However, these expectations have largely gone unmet, leading to profound concerns within the profession. Coinciding with these concerns, International Nurses Day 2024, observed on May 12, has adopted the theme "Our nurses. Our future. The economic power of care." 1 This occasion offers a pivotal opportunity to reflect on the status of nurses, their expectations, and the economic power of nursing care in addressing global health challenges. In response, the International Council of Nurses (ICN) has introduced the Charter for Change, which includes 10 policy actions underscoring that strategic investments in nursing can yield significant economic and social benefits. 1 Now, more than ever, it is crucial to acknowledge the significant economic contribution that nursing makes to the field of health care and to society at large. 1 These recommendations are in line with the globally recognized issue of nursing attrition. Studies indicate that turnover rates among nurses may exceed 40%, and are particularly evident in those with less than three years' postgraduate experience. 2,3 For instance, a 2013 cross-sectional study conducted across 10 European countries found that 9% of the nurses intended to leave the profession, ranging from 5% to 17% across different countries. 4 A scoping review in this issue of JBI Evidence Synthesis identifies the individual and environmental factors that influence registered nurses' and midwives' decisions to stay or leave their professions. 3 The review reveals that factors such as professional self-image, identity, pride in the profession, support from nurse managers, and the transition from academia to practice are crucial for retaining newly qualified professionals. 3 Another recently published review highlights the primary factors influencing newly graduated registered nurses' intention to leave: demographic variables (eg, age, educational level, years of experience, professional title, employment status, health status,

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“…Moreover, because of the global nursing shortage17 and the attrition of staff resulting from demanding work conditions,24 newly graduated nurses are expected to demonstrate leadership shortly after graduation 25,26. Substantial findings indicate that they encounter challenges in adapting to rapidly expected leadership roles 27,28.…”

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confidence: 99%

“…Therefore, leadership is required of all nurses, not just managers, 20 and its development should start at and continue throughout undergraduate education. [21][22][23] Moreover, because of the global nursing shortage 17 and the attrition of staff resulting from demanding work conditions, 24 newly graduated nurses are expected to demonstrate leadership shortly after graduation. 25,26 Substantial findings indicate that they encounter challenges in adapting to rapidly expected leadership roles.…”

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confidence: 99%

Systematic Review on Characteristics and Effects of Leadership Development Interventions for Nursing Students

Akdeniz,

Duygulu

2023

Nurse Educator

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Background: Effective nursing leadership improves health care quality, patient well-being, and nursing staff outcomes. Newly graduated nurses face challenges in transitioning into leadership roles. Thus, examining the leadership development interventions for nursing students is critical. Purpose: This systematic review examined the characteristics and effectiveness of leadership development interventions designed for and implemented with undergraduate nursing students. Methods: A comprehensive search covered Scopus, CINAHL Ultimate, ScienceDirect, MEDLINE, WOS Core Collection, Journals@Ovid, JSTOR Journals, and ERIC databases. Included studies were assessed using the Mixed Methods Appraisal Tool. Results: The final review comprised 19 studies showcasing positive impacts on leadership development. The interventions varied in leadership approach, design and content, structure, qualifications, student involvement, and outcomes. Conclusions: Leadership development interventions are effective in enhancing nursing students' leadership. Nevertheless, future interventions should prioritize well-structured content, and studies must incorporate robust methodologies.

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What influences newly graduated registered nurses’ intention to leave the nursing profession? An integrative review

Cited by 3 publications

References 44 publications

Support Experiences for Novice Nurses in the Workplace: A Qualitative Analysis

Support Experiences for Novice Nurses in the Workplace: A Qualitative Analysis

The future of nursing: attrition, innovation, and the path ahead

Systematic Review on Characteristics and Effects of Leadership Development Interventions for Nursing Students

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