Work

How local, first‐line nurse leaders can positively influence nurse intent to stay and retention: A realist review

Year: 2023

Type: review

Abstract: AIMS AND OBJECTIVES: To explore evidence on how local nurse leaders can positively influence nurse retention. BACKGROUND: Nurse turnover and retention is a wicked problem with multiple interrelated factors and no one solution. Local nurse leadership has the potential to positively influence nurse intent to stay directly or via various factors. DESIGN: A realist review. METHODS: Having designed a search strategy based on a tentive programme theory, 1386 initial hits in three databases were screened and reduced to 48 research articles published between 2010-2021. The articles' content were coded for findings that supported, refined or contradicted four ContextMechanismOutcome configurations. RESULTS: Sufficient evidence was found to support four guiding lights encouraging local nurse leaders to: (1) foster relational connectedness; (2) enable professional practice autonomy; (3) cultivate healthful workplace cultures; (4) support professional growth and development. Mutuality and reciprocity is also key if leaders themselves are to experience wellbeing and growth. CONCLUSIONS: Person-centred, transformational and resonant local nurse leaders can positively influence nurse intent to stay within the workplace or organisation. REPORTING METHOD: Conform JCN guideline 'What to cover in the main tekst by article type' for reviews. PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Source: Journal of Clinical Nursing

DOI: 10.1111/jocn.16813

Authors: Shaun Cardiff, Olga Gershuni, Anne Giesbergen‐Brekelmans

Institution: Fontys University of Applied Sciences

Language: English

Topic: Nursing education and management

Subfield: Research and Theory

Field: Nursing

Domain: Health Sciences

SDGs: Good health and well-being, Decent work and economic growth

Open Access status: hybrid

Estimated APC paid: $4,940