Nurse and midwife navigator resilience, well-being, burnout, and turnover intent: A multi-methods study.

Purpose: To explore levels of Navigator resilience, well-being, burnout, and turnover intent.

Design: A longitudinal, multi-methods study concurrently collected quantitative and qualitative data over three years.

Methods: A survey and Action Learning Groups.

Findings: No statistically significant change in resilience, well-being, burnout, or turnover intent. Supports, self-care and leaving the position, were used to maintain well-being.

Conclusions: While quantitative measures did not change, qualitative data demonstrated how adaptive coping mechanisms maintain well-being. Recommendations for nurses working in Navigator, or similar community/public health roles include work-based programs targeting support, good leadership, governance systems including their impact on turnover intent.

Clinical Evidence: Job turnover intent can be used as a mechanism to monitor resilience and well-being.