Doctoral Student, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge.
Operating Theatre Manager, Oxford University Hospitals NHS Trust, Oxford.
Br J Nurs. 2020 Nov 12;29(20):1192-1197. doi: 10.12968/bjon.2020.29.20.1192.
The reasons for nurse shortages are the ageing healthcare workforce, increasing demand for services, employee dissatisfaction, life-work imbalance and burnout.
To review the literature to find out whether there is evidence to support preceptorship and clinical supervision programmes in retaining nurses, and particularly newly qualified nurses (NQNs), in clinical practice.
A search of databases, as well as other sources, was carried out, with six studies selected for data analysis.
Thematic analysis was used to synthesise the results and produced seven themes: increase satisfaction, gain competence and feel more confident; competencies of preceptors and supervisors; framework or model required; the challenge to the programmes; intention to stay and staff retention; voluntary withdrawal from the nursing profession; and further support for development.
Training (preceptorship and clinical supervision programmes) is effective in retaining NQNs, increasing satisfaction, improving skills and competency and staff engagement; however, more support for both preceptors/supervisors and NQNs is needed to maximise the success of these programmes in the future.
护士短缺的原因包括医疗保健劳动力老龄化、服务需求增加、员工不满、工作与生活失衡以及职业倦怠。
综述文献,以确定是否有证据支持导师制和临床监督计划在保留护士,特别是新入职护士(NQN)方面的作用。
对数据库和其他来源进行了检索,并选择了六项研究进行数据分析。
采用主题分析对结果进行综合,得出了七个主题:提高满意度、获得能力并增强信心;导师和监督者的能力;所需的框架或模式;计划面临的挑战;留职意愿和员工保留;自愿退出护理行业;以及进一步的发展支持。
培训(导师制和临床监督计划)在保留 NQN、提高满意度、提高技能和能力以及员工参与度方面是有效的;然而,需要为导师/监督者和 NQN 提供更多支持,以最大限度地提高这些计划在未来的成功。