Factors influencing the recruitment and retention of registered nurses in adult community nursing services: an integrative literature review

Chamanga, Edwin and Dyson, Judith and Loke, Jennifer and McKeown, Eamonn (2020) Factors influencing the recruitment and retention of registered nurses in adult community nursing services: an integrative literature review. Primary Health Care Research & Development, 21. ISSN 1463-4236

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Abstract

Background: Adult community nursing services are evolving around the world in response to government policies and changing patient demographics. Amidst these changes, recruitment and retention of community nursing staff are proving a challenge. An integrative literaturereview has identified multiple factors that influence nurse retention in adult community nursing with sparse information on recruitment factors. Although factors impacting retention of community nurses have been identified, their generalisability around the world is a challenge as they are context and co-dependent. Indicating the need for this area of study to be explored at a local level, as the same factors present with different findings globally. Aim: To establish factors influencing recruitment and retention of registered nurses in adult community nursing services. Design: Integrative literature review. Data sources: Four electronic databases were searched in August 2019 from January 2008 to December 2018: CINAHL Complete, Web of Science, MEDLINE and PROQUEST. Both qualitative and quantitative studies focusing on factors influencing community nursing recruitment and retention were included. Review methods: An integrative literature review methodology by Whittemore and Knafl (The integrative review: updated methodology. Journal of Advanced Nursing 52, 546–553) was followed,supported by Cochrane guidelines on data synthesis and analysis using a narrative synthesis method. The Center for Evidence-Based Management (CEBMa) critical appraisal tools were used for study quality assessment. Results: Ten papers met the study inclusion criteria. Data synthesis and analysis revealed individual and organisational factors influencing the retention of community nurses with the following three dominant themes: (1) work pressure, (2) working conditions and (3) lack of appreciation by managers. Conclusion: The review identified context dependent factors that influence adult community nurses’ retention with limited generalisability. There is a lack of data on factors influencing recruitment into adult community nursing; further research is needed to explore factors affiliated to community nursing recruitment.

Item Type: Article
Identification Number: https://doi.org/10.1017/S1463423620000353
Date: 11 September 2020
Uncontrolled Keywords: community nursing community nurses integrated literature review recruitment retention
Subjects: B700 Nursing
Divisions: Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR) > Health Sciences
Depositing User: Judith Dyson
Date Deposited: 16 Aug 2021 13:48
Last Modified: 16 Aug 2021 13:49
URI: http://www.open-access.bcu.ac.uk/id/eprint/12077

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