Factors influencing the transition and retention of mental health nurses during the initial years of practice: Scoping review

Abstract Aim This review aims to identify the factors influencing the transition and retention of mental health nurses during the initial years of practice, recognize gaps in the literature and propose evidence‐based strategies. Background Mental health is a challenging specialty; recruitment, transition and retention of mental health nurses are known issues of concern. Evaluation The present study undertakes a scoping review to identify factors influencing the transition and retention of mental health nurses during the initial years of practice and the gaps in that research domain. A literature search was conducted using electronic databases. To gain an understanding of the topic of interest, the review of the literature extended from 2000 to 2022. Key issues Existing evidence focuses on specific perspectives of transition. There is limited literature on factors influencing transition and retention among mental health nurses. Findings suggested that personal and professional factors could influence the transition and retention of mental health nurses during the initial years of practice. The main themes identified were personal attributes and professional factors with a number of subthemes. Conclusion The scoping review identified only a few studies, which showed personal and professional factors related to the transition and retention of mental health nurses at the early stages of their career. Implications for nursing management Potential benefits of effective transition and support with the understanding of factors influencing transition and retention of early career mental health nurses will enhance staff morale, sustainability of the workforce and better patient outcomes. Additionally, a few recommendations for nurse managers and leaders to improve transitional experiences and retention of early career nurses are highlighted.

[1]  T. Ryan,et al.  Understanding the factors that affect retention within the mental health nursing workforce: a systematic review and thematic synthesis. , 2021, International journal of mental health nursing.

[2]  M. Olasoji,et al.  Transition Experiences of Indian Nurses Into Australian Mental Health System , 2021, Journal of transcultural nursing : official journal of the Transcultural Nursing Society.

[3]  A. Snowden,et al.  'It was quite a shock': A qualitative study of the impact of organisational and personal factors on newly qualified nurses' experiences. , 2021, Journal of clinical nursing.

[4]  Shu-hong Gong,et al.  The relationships of both transition shock, empathy, resilience and coping strategies with professional quality of life in newly graduated nurses , 2021, BMC Nursing.

[5]  E. Mayo-Wilson,et al.  The PRISMA 2020 statement: an updated guideline for reporting systematic reviews , 2021, BMJ.

[6]  I. Tzeng,et al.  Exploring factors influencing the retention of nurses in a religious hospital in Taiwan: a cross-sectional quantitative study , 2020, BMC Nursing.

[7]  A. Kaihlanen,et al.  Final clinical practicum, transition experience and turnover intentions among newly graduated nurses: A cross sectional study. , 2019, Nurse education today.

[8]  A. Kaihlanen,et al.  Increasing cultural awareness: qualitative study of nurses’ perceptions about cultural competence training , 2019, BMC Nursing.

[9]  A. E. van der Wath,et al.  Newly qualified nurses' perceptions of working at mental health facilities: A qualitative study. , 2019, Journal of psychiatric and mental health nursing.

[10]  E. Mohammadi,et al.  The Iranian Psychiatric Nurses' Perception of Transition in Psychiatric Wards: A Qualitative Study , 2019, Iranian journal of nursing and midwifery research.

[11]  J. Stichler,et al.  Effectiveness of a Psychiatric–Mental Health Nurse Residency Program on Retention , 2018, Journal of the American Psychiatric Nurses Association.

[12]  Yu-Fang Guo,et al.  The effects of resilience and turnover intention on nurses’ burnout: Findings from a comparative cross‐sectional study , 2018, Journal of clinical nursing.

[13]  J. Buchan,et al.  A critical moment: NHS staffing trends, retention and attrition , 2019 .

[14]  R. Bhagwan,et al.  An empirical study of the challenging roles of psychiatric nurses at in-patient psychiatric facilities and its implications for nursing education , 2018 .

[15]  S. Jun,et al.  The Clinical Experience of Adaptation as Novice Psychiatric Nurses In Hospital , 2018 .

[16]  Sharon L. Chappy,et al.  The Effectiveness of Nurse Residency Programs on Retention: A Systematic Review , 2017, AORN journal.

[17]  J. Mills,et al.  Retaining early career registered nurses: a case study , 2016, BMC Nursing.

[18]  A. O’Brien,et al.  Graduate nurses' experiences of mental health services in their first year of practice: An integrative review. , 2016, International journal of mental health nursing.

[19]  J. Buchan,et al.  The rate and cost of nurse turnover in Australia. , 2015, Collegian.

[20]  Raja Ahmed Jamil,et al.  Antecedents of Employees’ Turnover Intentions: Evidence from Private Educational Institutions , 2015 .

[21]  C. Kovner,et al.  What Does Nurse Turnover Rate Mean and What Is the Rate? , 2014, Policy, politics & nursing practice.

[22]  B. Hung,et al.  The working experiences of novice psychiatric nurses in Taiwanese culture: a phenomenological study. , 2014, Journal of psychiatric and mental health nursing.

[23]  A. Rajić,et al.  A scoping review of scoping reviews: advancing the approach and enhancing the consistency , 2014, Research synthesis methods.

[24]  V. Parker,et al.  New graduate nurses' experiences in their first year of practice. , 2014, Nurse education today.

[25]  R. Janke,et al.  Best practices of formal new graduate nurse transition programs: an integrative review. , 2013, International journal of nursing studies.

[26]  M. Lynn,et al.  Lessons Learned From 10 Years of Research on a Post-Baccalaureate Nurse Residency Program , 2013, The Journal of nursing administration.

[27]  C. Kovner,et al.  A multi-state assessment of employer-sponsored quality improvement education for early-career registered nurses. , 2013, Journal of continuing education in nursing.

[28]  N. North,et al.  Nurse turnover: a literature review - an update. , 2012, International journal of nursing studies.

[29]  R. Rossiter,et al.  Encounters with the ‘dark side’: New graduate nurses’ experiences in a mental health service , 2011 .

[30]  M. Lavoie-Tremblay,et al.  New nurses' experience of their role within interprofessional health care teams in mental health. , 2011, Archives of psychiatric nursing.

[31]  M. Lavoie-Tremblay,et al.  Relational dimensions of a positive integration experience for new mental health nurses. , 2011, Archives of psychiatric nursing.

[32]  M. Cleary,et al.  Evaluation of a transition to practice programme for mental health nursing. , 2009, Journal of advanced nursing.

[33]  K. Karlowicz,et al.  Issues influencing psychiatric nurse retention during the first year of employment: a case analysis. , 2009, Journal of nursing management.

[34]  M. Krugman,et al.  The National Post-Baccalaureate Gradua te Nurse Residency Program: A Model for Excellence in Transition to Practice , 2006, Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization.

[35]  B. Kable Mental health. , 2005, Australian family physician.

[36]  Gerard J Fitzsimmons,et al.  From the Australian Institute of Health and Welfare , 2014, Communicable diseases intelligence quarterly report.

[37]  A. Bandura Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[38]  Graduate nurses. , 1968, The Nursing journal of India.