Individual and environmental factors that influence longevity of newcomers to nursing and midwifery : A scoping review

Journal article


Brown, Janie Alison, Capper, Tanya, Hegney, Desley, Donovan, Helen, Williamson, Moira, Calleja, Pauline, Solomans, Terena and Wilson, Sally. (2023). Individual and environmental factors that influence longevity of newcomers to nursing and midwifery : A scoping review. JBI Evidence Synthesis. pp. 1-37. https://doi.org/10.11124/JBIES-22-00367
AuthorsBrown, Janie Alison, Capper, Tanya, Hegney, Desley, Donovan, Helen, Williamson, Moira, Calleja, Pauline, Solomans, Terena and Wilson, Sally
Abstract

Objective:
The objective of this review was to identify the literature and map the individual and environmental factors that influence registered nurses’ and midwives’ decision to stay or leave their professions within the first 3 years of practice.

Introduction:
Nursing and midwifery workforce sustainability is an international concern. One aspect is the retention of new registered nurses and midwives in their first years of practice. Several factors are thought to influence the decisions of new registered nurses and midwives to leave or stay in their professions. This review sought to identify and map those factors to enable further research for workforce sustainability development strategies.

Inclusion criteria:
The study cohort included registered nurses and midwives in their first 3 years of practice, which we called newcomers. Nurses who were required to work under the supervision of registered nurses and midwives (eg, enrolled nurses, licensed practical nurses, and licensed vocational nurses) were excluded. Papers were only included if they explored individual or environmental factors influencing nurses’ decision to stay in or leave the professions of nursing or midwifery. Studies could be from any country or care environment, and participants were newcomers providing direct clinical care. Newcomers employed in other health roles, such as education, research, administration, and non-nursing/midwifery roles were excluded. All research designs and peer-reviewed papers were included; policy documents were excluded. The date of inclusion was from the earliest publication on this topic, which was 1974 to the date of the search.

Methods:
The JBI methodology for scoping reviews was followed, and reporting followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidance. The search strategy aimed to locate published and unpublished primary studies, reviews, and text and opinion papers. The initial search of relevant databases was conducted in January 2020 and updated in January 2022. Reference lists of included articles were also screened. Following data extraction, descriptive qualitative content analysis was undertaken.
Results:
Twelve articles from 11 studies were included in this review. They were published between 2005 and 2020 and originated from 5 countries. Two studies were observational, 3 were cross-sectional, 5 were longitudinal studies, 1 was a pre- and post-program evaluation, and 1 was a scoping review. All studies focused on registered nurses: no publications on registered midwives met the inclusion criteria. Individual factors we identified that impact newcomers’ intention to stay in or leave the profession included physical and psychological health, professional identity, professional commitment, and development. Environmental factors included workplace culture, engagement, and management.

Conclusions:
Professional self-image, identity, and a sense of pride in the profession are important components of newcomer retention. Strategies that positively support transition and create realistic expectations were highlighted. Managers play an important role in registered nurse retention as they can influence many of the newcomers’ experiences. It is concerning that no studies about newcomer midwives were found. Many studies explored turnover or intention to leave the job/employer rather than the profession. These are important considerations for future research.

Keywordsmidwife; new graduate nurse; nurses; personnel retention; personnel turnover
Year2023
JournalJBI Evidence Synthesis
Journal citationpp. 1-37
PublisherLippincott Williams & Wilkins
ISSN2689-8381
Digital Object Identifier (DOI)https://doi.org/10.11124/JBIES-22-00367
PubMed ID37661721
Page range1-37
Output statusIn press
Publication dates
Online2023
Publication process dates
Deposited09 Nov 2023
Permalink -

https://acuresearchbank.acu.edu.au/item/8zyv0/individual-and-environmental-factors-that-influence-longevity-of-newcomers-to-nursing-and-midwifery-a-scoping-review

  • 80
    total views
  • 0
    total downloads
  • 2
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Financial hardship and Australian midwifery students : A scoping review and thematic analysis
Moran, Lynnelle, Capper, Tanya, Gupta, Meenakshi, Meedya, Shahla and Mendez, Sarah. (2024). Financial hardship and Australian midwifery students : A scoping review and thematic analysis. Women and Birth. 37(5), pp. 1-12. https://doi.org/10.1016/j.wombi.2024.101640
Optimising mother–baby outcomes of pregnancy and childbirth in prison requires both individual and systems review [Commentary]
Baldwin, Adele and Capper, Tanya. (2023). Optimising mother–baby outcomes of pregnancy and childbirth in prison requires both individual and systems review [Commentary]. Evidence-Based Nursing. 26(1), pp. 39-39. https://doi.org/10.1136/ebnurs-2022-103561
The impact of social media influencers on pregnancy, birth, and early parenting experiences : A systematic review
Chee, Rachelle M., Capper, Tanya S. and Muurlink, Olav T.. (2023). The impact of social media influencers on pregnancy, birth, and early parenting experiences : A systematic review. Midwifery. 120, p. Article 103623. https://doi.org/10.1016/j.midw.2023.103623
Midwifery care and social media [Commentary]
Chee, Rachelle, Capper, Tanya and Muurlink, Olav. (2023). Midwifery care and social media [Commentary]. British Journal of Midwifery. 31(2), pp. 112-115. https://doi.org/10.12968/bjom.2023.31.2.112
How is cultural safety understood and translated into midwifery practice? A scoping review and thematic analysis
Capper, Tanya S., Williamson, Moira and Chee, Rachelle. (2023). How is cultural safety understood and translated into midwifery practice? A scoping review and thematic analysis. Nurse Education in Practice. 66, p. Article 103507. https://doi.org/10.1016/j.nepr.2022.103507
How do new midwives’ early workforce experiences influence their career plans? An integrative review of the literature
Capper, Tanya S., Haynes, Kelly and Williamson, Moira. (2023). How do new midwives’ early workforce experiences influence their career plans? An integrative review of the literature. Nurse Education in Practice. 70, p. Article 103689. https://doi.org/10.1016/j.nepr.2023.103689
Social media influencers' impact during pregnancy and parenting : A qualitative descriptive study
Chee, Rachelle M., Capper, Tanya S. and Muurlink, Olav T.. (2023). Social media influencers' impact during pregnancy and parenting : A qualitative descriptive study. Research in Nursing and Health. pp. 1-10. https://doi.org/10.1002/nur.22350
A qualitative descriptive inquiry into factors influencing early weaning and breastfeeding duration among first-time mothers in Papua New Guinea’s rural eastern highlands
Maviso, McKenzie Ken, Ferguson, Bridget, Kaforau, Lillian Maye and Capper, Tanya. (2022). A qualitative descriptive inquiry into factors influencing early weaning and breastfeeding duration among first-time mothers in Papua New Guinea’s rural eastern highlands. Women and Birth. 35(1), pp. e68-e74. https://doi.org/10.1016/j.wombi.2021.01.006
Promoting nurses’ and midwives’ ethical responsibilities towards vulnerable people : An alignment of research and clinical practice
Baldwin, Adele, Capper, Tanya, Harvey, Clare, Willis, Eileen, Ferguson, Bridget and Browning, Natalie. (2022). Promoting nurses’ and midwives’ ethical responsibilities towards vulnerable people : An alignment of research and clinical practice. Journal of Nursing Management. 30(7), pp. 2442-2447. https://doi.org/10.1111/jonm.13764
Workplace violence in the Australian and New Zealand midwifery workforce : A scoping review
Capper, Tanya S., Thorn, Megan and Muurlink, Olav T.. (2022). Workplace violence in the Australian and New Zealand midwifery workforce : A scoping review. Journal of Nursing Management. 30(6), pp. 1831-1842. https://doi.org/10.1111/jonm.13766
The parents are watching : Midwifery students’ perceptions of how workplace bullying impacts mothers and babies
Capper, Tanya S., Muurlink, Olav T. and Williamson, Moira J.. (2021). The parents are watching : Midwifery students’ perceptions of how workplace bullying impacts mothers and babies. Midwifery. 103, p. Article 103144. https://doi.org/10.1016/j.midw.2021.103144
Midwifery students’ perceptions of the modifiable organisational factors that foster bullying behaviours whilst on clinical placement. A qualitative descriptive study
Capper, Tanya S., Muurlink, Olav T. and Williamson, Moira J.. (2021). Midwifery students’ perceptions of the modifiable organisational factors that foster bullying behaviours whilst on clinical placement. A qualitative descriptive study. Women and Birth. 34(6), pp. e608-e615. https://doi.org/10.1016/j.wombi.2020.12.005
Social culture and the bullying of midwifery students whilst on clinical placement : A qualitative descriptive exploration
Capper, Tanya, Muurlink, Olav and Williamson, Moira. (2021). Social culture and the bullying of midwifery students whilst on clinical placement : A qualitative descriptive exploration. Nurse Education in Practice. 52, p. Article 103045. https://doi.org/10.1016/j.nepr.2021.103045
Online learning and teaching approaches used in midwifery programs : A scoping review
Downer, Terri, Gray, Michelle and Capper, Tanya. (2021). Online learning and teaching approaches used in midwifery programs : A scoping review. Nurse Education Today. 103, p. Article 104980. https://doi.org/10.1016/j.nedt.2021.104980
Pregnant in prison : An integrative literature review
Baldwin, Adele, Sobolewska, Agnieszka and Capper, Tanya. (2020). Pregnant in prison : An integrative literature review. Women and Birth. 33(1), pp. 41-50. https://doi.org/10.1016/j.wombi.2018.12.004
Midwifery student's perceptions of completing a portfolio of evidence for initial registration : A qualitative exploratory study
Gray, Michelle, Downer, Terri and Capper, Tanya. (2020). Midwifery student's perceptions of completing a portfolio of evidence for initial registration : A qualitative exploratory study. Nurse Education in Practice. 43, p. Article 102696. https://doi.org/10.1016/j.nepr.2020.102696
Midwifery students’ experiences of bullying and workplace violence : A systematic review
Capper, Tanya, Muurlink, Olav and Williamson, Moira. (2020). Midwifery students’ experiences of bullying and workplace violence : A systematic review. Midwifery. 90, p. Article 102819. https://doi.org/10.1016/j.midw.2020.102819
Individual and environmental factors that influence longevity of newcomers to nursing and midwifery : A scoping review protocol
Capper, Tanya, Brown, Janie, Donovan, Helen, Hegney, Desley, Williamson, Moira, Cusack, Lynette, Solomans, Terena and Wilson, Sally. (2020). Individual and environmental factors that influence longevity of newcomers to nursing and midwifery : A scoping review protocol. JBI Evidence Synthesis. 18(6), pp. 1271-1277. https://doi.org/10.11124/JBIES-20-00003
Being bullied as a midwifery student : Does age matter?
Capper, Tanya, Muurlink, Olav and Williamson, Moira. (2020). Being bullied as a midwifery student : Does age matter? British Journal of Midwifery. 28(3), pp. 166-171. https://doi.org/10.12968/bjom.2020.28.3.166
The Australian Birth Charter
Capper, Tanya and Baldwin, Adele. (2020). The Australian Birth Charter. Australian Midwifery News. 21(1), pp. 32-34.
Midwifery students helping incarcerated fathers : M2 Midwives for Men pilot project
Ferguson, Bridget, Baldwin, Adele and Capper, Tanya. (2020). Midwifery students helping incarcerated fathers : M2 Midwives for Men pilot project. Australian Midwifery News. 22(1), pp. 50-51.
Transitioning across professional boundaries in midwifery models of care : A literature review
Baldwin, Adele, Harvey, Clare, Willis, Eileen, Ferguson, Bridget and Capper, Tanya. (2019). Transitioning across professional boundaries in midwifery models of care : A literature review. Women and Birth. 32(3), pp. 195-203. https://doi.org/10.1016/j.wombi.2018.08.003
Australian midwifery student's perceptions of the benefits and challenges associated with completing a portfolio of evidence for initial registration : Paper based and ePortfolios
Gray, Michelle, Downer, Terri and Capper, Tanya. (2019). Australian midwifery student's perceptions of the benefits and challenges associated with completing a portfolio of evidence for initial registration : Paper based and ePortfolios. Nurse Education in Practice. 39, pp. 37-44. https://doi.org/10.1016/j.nepr.2019.07.003
The implementation of a feedback tool for mothers that have participated in the continuity of Care journey with midwifery students at Central Queensland University
Capper, Tanya. (2019). The implementation of a feedback tool for mothers that have participated in the continuity of Care journey with midwifery students at Central Queensland University. Australian Midwifery News. 19(2), pp. 26-26.
Midwifery care of HIV positive mothers in Australia
Capper, Tanya. (2019). Midwifery care of HIV positive mothers in Australia. Australian Midwifery News. 19(3), pp. 35-36.
From the ground up : Improving pregnancy and birth experiences through the provision of extraordinary learning opportunities in Australia
Baldwin, Adele, Capper, Tanya, Rogers, Lucy and Wood, Elspeth. (2018). From the ground up : Improving pregnancy and birth experiences through the provision of extraordinary learning opportunities in Australia. Journal of Forensic Nursing. 14(2), pp. 80-87. https://doi.org/10.1097/JFN.0000000000000200
Midwifery students go to prison
Capper, Tanya. (2017). Midwifery students go to prison. Australian Midwifery News. 17(3), pp. 24-24.