University College London Hospitals NHS Foundation Trust, London, UK.
J Nurs Manag. 2022 Oct;30(7):2845-2853. doi: 10.1111/jonm.13786. Epub 2022 Sep 22.
This article reports the results of a scoping review to identify initiatives for improving recruitment and retention of nurses in health care and ascertain their effectiveness.
The global shortage of nurses has results in greater competition for vacant posts and an increased need to retain existing post holders. While there are a large number of publications discussing ways to improve recruitment and retention, the effectiveness of these needs to be established.
Thirteen papers met the inclusion criteria. There was no literature identified focusing on recruitment and only one paper reported a formal evaluation of a retention initiative.
Five themes summarized the initiatives for retaining nurses: leadership and support, ongoing professional development, recognition, work environment and flexible scheduling.
While strategies have been proposed to retain nurses, there is a dearth of evidence supporting the effectiveness of these.
Although there is a lack of evaluations of retention strategies, the review identified a number of initiatives that warrant consideration. With the launch of the National Health Service People Plan in England in 2021, which is recommending initiatives identified in this review without robust evidence, an integrated programme of research evaluating this is recommended.
本文报告了一项范围综述的结果，旨在确定改善医疗保健护士招聘和留用的举措，并确定其效果。
全球护士短缺导致对空缺职位的竞争加剧，对现有职位持有者的保留需求也增加。虽然有大量文献讨论了改善招聘和留用的方法，但需要确定这些方法的有效性。
符合纳入标准的论文有 13 篇。没有专门针对招聘的文献，只有一篇论文报告了对保留举措的正式评估。
总结了留住护士的五项举措：领导力和支持、持续的专业发展、认可、工作环境和灵活的工作安排。
尽管已经提出了一些留住护士的策略，但缺乏这些策略有效性的证据。
尽管缺乏对保留策略的评估，但该综述确定了一些值得考虑的举措。随着 2021 年英格兰国民保健服务人员计划的推出，该计划推荐了本综述中确定的、没有可靠证据的举措，建议制定一个综合的研究计划来评估这些举措。
