Aims And Objectives: To explore evidence on how local nurse leaders can positively influence nurse retention.
Background: Nurse turnover and retention is a wicked problem with multiple interrelated factors and no one solution. Local nurse leadership has the potential to positively influence nurse intent to stay directly or via various factors.
Design: A realist review.
Methods: Having designed a search strategy based on a tentive programme theory, 1386 initial hits in three databases were screened and reduced to 48 research articles published between 2010-2021. The articles' content were coded for findings that supported, refined or contradicted four ContextMechanismOutcome configurations.
Results: Sufficient evidence was found to support four guiding lights encouraging local nurse leaders to: (1) foster relational connectedness; (2) enable professional practice autonomy; (3) cultivate healthful workplace cultures; (4) support professional growth and development. Mutuality and reciprocity is also key if leaders themselves are to experience wellbeing and growth.
Conclusions: Person-centred, transformational and resonant local nurse leaders can positively influence nurse intent to stay within the workplace or organisation.
Reporting Method: Conform JCN guideline 'What to cover in the main tekst by article type' for reviews.
Patient Or Public Contribution: No Patient or Public Contribution.
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| http://dx.doi.org/10.1111/jocn.16813 | DOI Listing |
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