Factors that contribute to turnover and retention amongst emergency department nurses: A scoping review

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2024-04-06 DOI:10.1016/j.ienj.2024.101437

Nicholas McIntyre , Julia Crilly , Elizabeth Elder

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引用次数: 0

Abstract

Background

Internationally, the emergency nursing workforce shortage is of critical concern.

Aim

To synthesise the evidence and assess the scope of literature regarding factors that contribute to turnover and retention amongst emergency nurses.

Method

A scoping review using the Joanna Briggs Institute approach was undertaken. Five databases (Embase, MEDLINE, PsycINFO, CINAHL, and Business Source Complete) were searched for papers published in English between January 2011 and June 2023 where the population was nurses, context was the emergency department, and the concept was turnover or retention. A quality appraisal was performed on included studies.

Results

A total of 31 articles met the inclusion criteria. Twenty-six studies focussed on turnover and five studies focussed on retention. Factors that contribute to ED nursing turnover included workplace violence, personal aspects (e.g., burnout or depression), organisational characteristics, and environmental/ job characteristics. Factors that contributed to ED nursing retention included mentoring programs, the advancement in nursing skills, and the transition to practice speciality (emergency) programs.

Conclusions

A large body of literature exists regarding ED nurses’ reasons for leaving their area of practice, yet limited evidence exist on retention. Research exploring factors that promote retention of emergency nurses that leads to subsequent stability and growth in the emergency nursing workforce is needed.

查看原文本刊更多论文

导致急诊科护士流失和留任的因素：范围界定审查

背景在国际上，急诊护理人员的短缺是一个令人严重关切的问题。目的综合证据并评估有关导致急诊护士流失和留任的因素的文献范围。方法采用乔安娜-布里格斯研究所（Joanna Briggs Institute）的方法进行范围综述。我们在五个数据库（Embase、MEDLINE、PsycINFO、CINAHL 和 Business Source Complete）中检索了 2011 年 1 月至 2023 年 6 月间发表的英文论文，论文的研究对象为护士，研究背景为急诊科，研究概念为离职或留任。结果共有 31 篇文章符合纳入标准。其中 26 项研究侧重于人员流动，5 项研究侧重于人员保留。导致急诊室护理人员流失的因素包括工作场所暴力、个人因素（如职业倦怠或抑郁）、组织特征和环境/工作特征。有助于急诊科护士留任的因素包括指导计划、护理技能的提高以及向执业专科（急诊）计划的过渡。需要对促进急诊科护士留任的因素进行研究，从而促进急诊科护士队伍的稳定和发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.