The Process, Structure and Contribution of Work-Based Learning (WBL) to Nursing or Health

Abstract

Background: Nurses and midwives’ contribution to the health workforce is commended globally. Continuous professional guidelines for nurses and midwives are in place to enhance life-long learning. However, literature on Work-Based Learning in healthcare settings is limited. It is important to document evidence on how nurses learn at their places of work to strengthen life-long learning. Aim: To identify existing evidence on the process, structure and contribution of WBL to nursing or health care outcomes. Design: we used scoping review approach. Data sources: EBSCOhost, Wiley Online University, and Science Direct. Google was used as a general search engine. Review Methods: Screening was by reading abstracts and full texts. Contextualization and thematic analysis were employed. The John Hopkins Nursing Evidence-Based Practice appraisal tools were used to determine the level and quality of evidence. Results: A total of 14 articles were reviewed. Identifying the problem, assessing the environment, having a learning action plan and documentation are key steps for WBL. A positive workplace culture, collaboration between the learner, organization, regulation and education institutions in addition to learning resources make a strong structure for WBL. Individual and institutional growth and visibility that contribute to improved quality of care are outcomes of WBL. Conclusion: The literature reviewed suggests that nurses ought to engage in a step wise process for effective WBL. Efficient collaboration between the learner, workplace, education and regulatory institutions are needed to support WBL. WBL plays an important role in improving nursing and health care outcomes.