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What interventions and programmes are available to support older nurses in the workplace? A literature review of available evidence

BACKGROUND: High exit rates, stalling entry rates, population ageing, and, most recently, the COVID-19 pandemic have placed significant strain on the world's nursing workforce. Both developed and developing countries face similar predicaments. Evidence-based programmes to support older nurses i...

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Autores principales: Montayre, Jed, Knaggs, Gilbert, Harris, Celia, Li, Weicong, Tang, Liyaning (Maggie), de Almeida Neto, Abílio, Antoniou, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9862664/
https://www.ncbi.nlm.nih.gov/pubmed/36746012
http://dx.doi.org/10.1016/j.ijnurstu.2023.104446
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author Montayre, Jed
Knaggs, Gilbert
Harris, Celia
Li, Weicong
Tang, Liyaning (Maggie)
de Almeida Neto, Abílio
Antoniou, Mark
author_facet Montayre, Jed
Knaggs, Gilbert
Harris, Celia
Li, Weicong
Tang, Liyaning (Maggie)
de Almeida Neto, Abílio
Antoniou, Mark
author_sort Montayre, Jed
collection PubMed
description BACKGROUND: High exit rates, stalling entry rates, population ageing, and, most recently, the COVID-19 pandemic have placed significant strain on the world's nursing workforce. Both developed and developing countries face similar predicaments. Evidence-based programmes to support older nurses in the workplace are urgently needed to ensure the sustainability of a career in nursing for this group of healthcare professionals. OBJECTIVES: To scope and synthesise available evidence on evaluated programmes and interventions implemented to support the ageing nursing workforce's health, wellbeing, and retention. DESIGN: A literature review of available evidence using a systematic approach. METHOD: Medline, Scopus, PsycINFO and CINAHL were searched for relevant peer-reviewed evidence. Data from the peer-reviewed literature were extracted separately into purpose designed-extraction spreadsheets. Information relevant to study design, intervention design, outcome constructs, intervention outcomes, and barriers and enablers to intervention success were collected. The protocol for this review was registered in PROSPERO [CRD42021274491]. RESULTS: Eighteen published studies were included in this review. We identified a range of interventions and programmes that have been implemented to support older nurses, which included flexible and reduced work arrangements, mentoring programmes, exercise and lifestyle interventions, continued professional development and purpose-designed remote retreats. We found limited evidence of evaluated outcomes from workplace support interventions that addresses the actual challenges faced by ageing nurses as reported in previous literature reviews. Interventions that were designed to promote a sense of purpose at work resulted in positive outcomes and appeared to more directly address the stated needs of older nurses. Holistic programmes and interventions that could potentially promote both physical well-being and psychological well-being required a broader, whole-of-organisation approach rather than more piecemeal interventions addressing individual physical and mental health concerns. Interventions which acknowledged older nurses' clinical expertise and experience (e.g., mentoring programmes) were linked to positive outcomes. CONCLUSION: Future intervention efforts should acknowledge and balance intervention participation opportunities against existing everyday workload constraints faced by older nurses. Our review suggests the need for further intervention studies assessing specific outcomes such as psychological and emotional health, as well as interventions that more directly address the most pressing concerns that ageing nurses report at personal and organisational levels. A paradigm shift in productivity measurement in clinical nursing work is required in order to increase the value placed on the unique contribution of older nurses working clinically, particularly in sharing their acquired knowledge, skill, and expertise.
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spelling pubmed-98626642023-01-23 What interventions and programmes are available to support older nurses in the workplace? A literature review of available evidence Montayre, Jed Knaggs, Gilbert Harris, Celia Li, Weicong Tang, Liyaning (Maggie) de Almeida Neto, Abílio Antoniou, Mark Int J Nurs Stud Article BACKGROUND: High exit rates, stalling entry rates, population ageing, and, most recently, the COVID-19 pandemic have placed significant strain on the world's nursing workforce. Both developed and developing countries face similar predicaments. Evidence-based programmes to support older nurses in the workplace are urgently needed to ensure the sustainability of a career in nursing for this group of healthcare professionals. OBJECTIVES: To scope and synthesise available evidence on evaluated programmes and interventions implemented to support the ageing nursing workforce's health, wellbeing, and retention. DESIGN: A literature review of available evidence using a systematic approach. METHOD: Medline, Scopus, PsycINFO and CINAHL were searched for relevant peer-reviewed evidence. Data from the peer-reviewed literature were extracted separately into purpose designed-extraction spreadsheets. Information relevant to study design, intervention design, outcome constructs, intervention outcomes, and barriers and enablers to intervention success were collected. The protocol for this review was registered in PROSPERO [CRD42021274491]. RESULTS: Eighteen published studies were included in this review. We identified a range of interventions and programmes that have been implemented to support older nurses, which included flexible and reduced work arrangements, mentoring programmes, exercise and lifestyle interventions, continued professional development and purpose-designed remote retreats. We found limited evidence of evaluated outcomes from workplace support interventions that addresses the actual challenges faced by ageing nurses as reported in previous literature reviews. Interventions that were designed to promote a sense of purpose at work resulted in positive outcomes and appeared to more directly address the stated needs of older nurses. Holistic programmes and interventions that could potentially promote both physical well-being and psychological well-being required a broader, whole-of-organisation approach rather than more piecemeal interventions addressing individual physical and mental health concerns. Interventions which acknowledged older nurses' clinical expertise and experience (e.g., mentoring programmes) were linked to positive outcomes. CONCLUSION: Future intervention efforts should acknowledge and balance intervention participation opportunities against existing everyday workload constraints faced by older nurses. Our review suggests the need for further intervention studies assessing specific outcomes such as psychological and emotional health, as well as interventions that more directly address the most pressing concerns that ageing nurses report at personal and organisational levels. A paradigm shift in productivity measurement in clinical nursing work is required in order to increase the value placed on the unique contribution of older nurses working clinically, particularly in sharing their acquired knowledge, skill, and expertise. Elsevier Ltd. 2023-03 2023-01-21 /pmc/articles/PMC9862664/ /pubmed/36746012 http://dx.doi.org/10.1016/j.ijnurstu.2023.104446 Text en © 2023 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Montayre, Jed
Knaggs, Gilbert
Harris, Celia
Li, Weicong
Tang, Liyaning (Maggie)
de Almeida Neto, Abílio
Antoniou, Mark
What interventions and programmes are available to support older nurses in the workplace? A literature review of available evidence
title What interventions and programmes are available to support older nurses in the workplace? A literature review of available evidence
title_full What interventions and programmes are available to support older nurses in the workplace? A literature review of available evidence
title_fullStr What interventions and programmes are available to support older nurses in the workplace? A literature review of available evidence
title_full_unstemmed What interventions and programmes are available to support older nurses in the workplace? A literature review of available evidence
title_short What interventions and programmes are available to support older nurses in the workplace? A literature review of available evidence
title_sort what interventions and programmes are available to support older nurses in the workplace? a literature review of available evidence
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9862664/
https://www.ncbi.nlm.nih.gov/pubmed/36746012
http://dx.doi.org/10.1016/j.ijnurstu.2023.104446
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