Martina Giltenane, Louise Murphy, Claire McNamara, Anna Chatzi, Lorelli Nowell, Marie Kilduff, Aoife Lane, Owen Doody
Health Research Institute, School of Nursing and Midwifery, Faculty of EHS, Health Sciences Building, University of Limerick, Limerick, Ireland.
School of Nursing and Midwifery, Faculty of EHS, Health Sciences Building, University of Limerick, Limerick, Ireland.
J Adv Nurs. 2025 May 7. doi: 10.1111/jan.17028.
To synthesise and critically analyse existing reviews of evidence on mentorship in nursing and midwifery, providing a comprehensive overview of current knowledge.
A scoping meta-review.
The review was conducted using the scoping meta-review framework outlined by Sarrami-Foroushani et al. (2015), alongside the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines to ensure rigour and transparency. The following steps were included: (i) defining the problem, (ii) literature search and criteria, (iii) study selection and data extraction, (iv) data synthesis, (v) presentation of results and (vi) interpretation and recommendations.
A comprehensive search strategy was designed, utilising Boolean operators, truncation and predefined keywords across seven databases including MEDLINE, CINAHL, Embase, PsycINFO, Epistemonikos, ERIC and Google Scholar.
Following double-blind screening of 269 papers, 14 literature reviews were included. The findings provided a detailed overview of mentorship programme types (formal and informal), outcome measures used to evaluate mentorship effectiveness and recommendations for future programmes. Identified themes included skill development, job satisfaction, career progression and retention outcomes, together with challenges including time constraints and balancing clinical responsibilities with mentorship roles. Formal mentorship programmes that are adequately supported and integrated into the organisational culture can improve healthcare systems, workforce stability and patient outcomes. Informal mentorship continues to offer valuable, flexible support, particularly when used alongside formal structures. Implementation challenges exist, such as time constraints, limited organisational support, and mismatched mentor-mentee pairings.
This review highlights the critical role of mentorship in nursing and midwifery, offering insights into effective practices, challenges and potential areas for further research. The findings suggest that formal, structured mentorship programmes produce consistent benefits, including enhanced clinical skills, confidence and satisfaction among mentees, as well as leadership development and professional fulfilment for mentors, while positively impacting organisational efficiency and patient outcomes. Successful mentorship programmes require organisational commitment, with protected time, resources, and ongoing mentor training.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Mentorship programmes in nursing and midwifery enhance professional development, job satisfaction, and retention, enabling a stable healthcare workforce. Mentorship for mentors and mentees is linked to increased confidence, competency and readiness for advanced roles among nurses and midwives. Fostering mentorship in healthcare can lead to improved quality and continuity of care as mentees grow into more competent and confident practitioners.
Formal mentorship programmes that are adequately supported and integrated into the organisational culture can improve healthcare systems, workforce stability and patient outcomes. Policymakers responsible for healthcare workforce development can use these findings to advocate for mentorship as a strategic investment, potentially influencing policies related to nurse retention, professional development and funding allocations for mentorship initiatives. Structured mentorship improves job satisfaction, reduces turnover and fosters professional growth, thus reducing costs associated with recruitment and training.
The findings are reported in line with the PRISMA guidelines (Page et al., 2021) and through a narrative synthesis, summarising and analysing the results of various reviews to present a cohesive understanding of mentorship practices in nursing and midwifery. This method allowed for the integration of qualitative and quantitative findings and the identification of common themes and patterns across studies.
Patients or members of the public did not directly contribute to this review. However, by focusing on mentorship practices that support nurses and midwives, the study indirectly addresses public interests, as improved mentoring contributes to the quality of patient care. Future studies could benefit from patient or public feedback on desired qualities in care providers, further informing the development of mentorship programmes aligned with patient-centred care outcomes.
综合并批判性分析现有的关于护理和助产领域指导关系的证据综述,全面概述当前的知识。
范围综述。
本综述采用了Sarrami - Foroushani等人(2015年)概述的范围综述框架,并遵循系统评价和Meta分析的首选报告项目指南,以确保严谨性和透明度。包括以下步骤:(i)定义问题;(ii)文献检索及标准;(iii)研究选择和数据提取;(iv)数据综合;(v)结果呈现;(vi)解释与建议。
设计了全面的检索策略,利用布尔运算符、截词和预定义关键词,在七个数据库中进行检索,包括MEDLINE、CINAHL、Embase、PsycINFO、Epistemonikos、ERIC和谷歌学术。
在对269篇论文进行双盲筛选后,纳入了14篇文献综述。研究结果详细概述了指导计划的类型(正式和非正式)、用于评估指导效果的结果指标以及对未来计划的建议。确定的主题包括技能发展、工作满意度、职业发展和留任结果,以及包括时间限制和平衡临床职责与指导角色等挑战。得到充分支持并融入组织文化的正式指导计划可以改善医疗系统、劳动力稳定性和患者结局。非正式指导继续提供有价值的、灵活的支持,特别是与正式结构一起使用时。存在实施挑战,如时间限制、组织支持有限以及指导者与被指导者配对不匹配。
本综述强调了指导在护理和助产领域的关键作用,深入了解了有效实践、挑战以及进一步研究的潜在领域。研究结果表明,正式的、结构化的指导计划产生了一致的益处,包括提高被指导者的临床技能、信心和满意度,以及指导者的领导力发展和职业成就感,同时对组织效率和患者结局产生积极影响。成功的指导计划需要组织的承诺,包括有保障的时间、资源和持续的指导者培训。
对专业和/或患者护理的意义:护理和助产领域的指导计划可促进专业发展、工作满意度和留任率,形成稳定的医疗劳动力。对指导者和被指导者的指导与护士和助产士增强信心、能力以及承担高级角色的准备程度相关。在医疗保健中培养指导关系可随着被指导者成长为更有能力和自信的从业者而提高护理质量和连续性。
得到充分支持并融入组织文化的正式指导计划可以改善医疗系统、劳动力稳定性和患者结局。负责医疗劳动力发展的政策制定者可利用这些研究结果倡导将指导作为一项战略投资,这可能会影响与护士留任、专业发展和指导计划资金分配相关的政策。结构化指导可提高工作满意度、减少人员流动并促进专业成长,从而降低与招聘和培训相关的成本。
研究结果按照PRISMA指南(Page等人,2021年)报告,并通过叙述性综合,总结和分析各项综述的结果,以呈现对护理和助产领域指导实践的连贯理解。这种方法允许整合定性和定量研究结果,并识别各研究中的共同主题和模式。
患者或公众未直接参与本综述。然而,通过关注支持护士和助产士的指导实践,该研究间接涉及了公众利益,因为更好的指导有助于提高患者护理质量。未来的研究可受益于患者或公众对护理提供者所需品质的反馈,从而进一步为与以患者为中心的护理结局相一致的指导计划的制定提供信息。