Retention strategies and barriers for millennial nurses: a scoping review.
Journal
JBI evidence synthesis
ISSN: 2689-8381
Titre abrégé: JBI Evid Synth
Pays: United States
ID NLM: 101764819
Informations de publication
Date de publication:
01 01 2022
01 01 2022
Historique:
entrez:
18
1
2022
pubmed:
19
1
2022
medline:
2
2
2022
Statut:
ppublish
Résumé
The objectives of this scoping review were to explore the existing literature related to millennial nurse-retention strategies and barriers, to examine and conceptually map the evidence, to extract any differences between Generation Y and Generation Z nurses, and to identify any gaps in the literature. The millennial generation has become the largest group of nurses in the workforce. As nursing leaders grow to understand this generation's tendency to change employers frequently, organizations need to identify and implement strategies and reduce barriers to retain this generation as employees. Studies and reports including registered nurses born between 1980 and 2000 with any level of education preparation and in any setting or geographical location were included. Studies and reports that examined nurse-retention barriers and strategies were considered for inclusion. This review considered experimental and quasi-experimental study designs, analytical observational studies, case-control studies, analytical cross-sectional studies, descriptive observational studies, systematic reviews and meta-analyses, qualitative studies, and text and opinion papers. The review was conducted in accordance with the JBI methodology for scoping reviews. Studies and reports written in English after 2010 were included. The databases searched included MEDLINE, CINAHL, Embase, Scopus, Ovid HealthStar, and PsycINFO. The search for unpublished studies and reports included MedNar and ProQuest Dissertations and Theses. Eligible studies and reports underwent data extraction by two independent reviewers using a tool created by the authors. Along with a narrative summary, results are presented in a diagrammatic format that aligns with the review objectives and questions. Thirty-eight publications were included in the review. Strategies for millennial nurse retention were provided in 21 publications, barriers were provided in two publications, and 15 publications provided both strategies and barriers. No publications provided information on the differences between Generation Y and Generation Z. The findings from this scoping review were grouped into five concepts, with strategies and barriers for millennial retention identified for each of the concepts. Concepts identified included leadership, work environment, professional growth, professional fatigue, and self-actualization. The current evidence base shows that barriers to and strategies for millennial nurse retention commonly focus on the work environment and the relationships between nursing leadership and the bedside nurse. A preliminary scan of the evidence indicates that creating a healthy work environment that is collaborative, fair, flexible, challenging, and provides opportunities for growth may keep millennial nurses engaged. Having nursing leadership that models these values and leads by example may help millennial nurses to feel safe and supported; however, due to the methodology employed in this review, further rigorous research is needed to confirm this.
Identifiants
pubmed: 35039468
doi: 10.11124/JBIES-20-00577
pii: 02174543-202201000-00005
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
121-157Informations de copyright
Copyright © 2022 JBI.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Bugajski A, Lengerich A, Marchese M, Hall B, Yackzan S, Davies C, et al. The importance of factors related to nurse retention. J Nurs Adm 2017;47 (6):308–312.
World Health Organization. Health workforce: data and statistics [internet]. World Health Organization; n.d. [cited 2019 Dec 31]. Available from: http://www.euro.who.int/en/health-topics/Health-systems/health-workforce.
Currie EJ, Hill RAC. What are the reasons for high turnover in nursing? A discussion of presumed causal factors and remedies. Int J Nurs Stud 2012;49 (9):1180–1189.
Dimock M. Defining generations: where millennials end and Generation Z begins [internet]. Pews Research; 2019 [cited 2020 Jun 19]. Available from: https://www.pewresearch.org/fact-tank/2019/01/17/where-millennials-end-and-generation-z-begins/.
Chung S. Moving up millennials to leadership roles. Am Nurs Today 2012;11 (12):9.
O’Hara M, Burke D, Ditomassi M, Lopez RP. Assessment of millennial nurses’ job satisfaction and professional practice environment. J Nurs Adm 2019;49 (9):411–417.
Andrews DR. Expectations of millennial nurse graduates transitioning into practice. Nurs Adm Q 2013;37 (2):152–159.
Ulep K. The nurse leader's pivotal role in retaining millennial nurses. J Nurs Adm 2018;48 (12):604–608.
Flinkman M, Salantera S. Early career experiences and perceptions-a qualitative exploration of the turnover of young registered nurses and intention to leave the nursing profession in Finland. J Nurs Manag 2015;23:1050–1057.
Tyndall D, Scott E. Changing new graduate nurse profiles and retention recommendations for nurse leaders. J Nurs Adm 2019;49 (2):93–98.
Koppel J, Deline M, Virkstis K. The case for focusing on millennial retention. J Nurs Adm 2017;47 (7/8):361–363.
Choi SP-P, Pang SM-C, Cheung K, Wong TK-S. Stabilizing and destabilizing forces in the nursing work environment: a qualitative study on turnover intention. Int J Nurs Stud 2011;48 (10):1290–1301.
Wieck KL, Dols J, Landrum P. Retention priorities for the intergenerational nurse workforce. Nurs Forum 2010;45 (1):7–17.
Brunetto Y, Farr-Wharton R, Shacklock K. Communication, training, well-being, and commitment across nurse generations. Nurs Outlook 2012;60 (1):7–15.
Kovner CT, Brewer CS, Fatehi F, Jun J. What does nurse turnover rate mean and what is the rate? Policy Polit Nurs Pract 2014;15 (3–4):64–71.
Keepnews DM, Brewer CS, Kovner CT, Shin JH. Generational differences among newly licensed registered nurses. Nurs Outlook 2010;58 (3):155–163.
Duffield CM, Roche MA, Blay N, Stasa H. Nursing unit managers, staff retention and the work environment. J Clin Nurs 2010;20 (1–2):23–33.
2019 Magnet application manual. Silver Spring, MD: American Nurses Credentialing Centre; 2017.
Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Aromataris E, Munn Z. Chapter 11: Scoping Reviews. JBI Manual for Evidence Synthesis [internet]. Adelaide: JBI; 2020; [cited 2020 Jun 20]. Available from:https://synthesismanual.jbi.global
McClain AR, Arnold A, Palokas M, Christian R. Retention strategies and barriers for millennial nurses: a scoping review protocol. JBI Evid Synth 2020;19 (4):867–873.
Munn Z, Aromataris E, Tufanaru C, Stern C, Porritt K, Farrow J, et al. The development of software to support multiple systematic review types: the Joanna Briggs Institute System for the Unified Management, Assessment and Review of Information (JBI SUMARI). Int J Evid Based Healthc 2019;17 (1):36–43.
Moher D, Liberati A, Tetzlaff J, Altman DG. The PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009;151 (4):264.
American Association of Critical-Care Nurses. Strategies for retaining millennial staff. AACN Bold Voices 2017;9 (2):16.
University of Phoenix, Anselmo-Witzel S. Job satisfaction as experienced by Generation Y nurses: a phenomenological study [dissertation]. 2015.
Anselmo-Witzel S, Orshan SA, Heitner KL, Bachand J. Are Generation Y nurses satisfied on the job? Understanding their lived experiences. J Nurs Adm 2017;47 (4):232–237.
Campbell CM, Patrician PA. Generational preferences in the nursing work environment: a dimensional concept analysis. J Nurs Manag 2020;28 (4):927–937.
Chachula KM. Letting go: how newly graduated registered nurses in western Canada decide to exit the nursing profession [thesis]. Edmonton, Canada: University of Alberta; 2014.
Chung SM, Fitzsimons V. Knowing Generation Y: a new generation of nurses in practice. Bri J Nurs 2013;22 (20):1173–1179.
Churchill LA. An examination of transformational leadership and newly licensed registered nurses’ intent to leave current job [dissertation]. Prescott Valley, Arizona: Northcentral University; 2018.
Clendon J, Walker L. ‘Being young’: a qualitative study of younger nurses’ experiences in the workplace. Int Nurs Rev 2012;59 (4):555–561.
Cottingham MD, Erickson RJ, Diefendorff JM, Bromley G. The effect of manager exclusion on nurse turnover intention and care quality. West J Nurs Res 2013;35 (8):970–985.
Curtis BJ. Supervisor behavior: its role in the working relationship and retention of millennial nurses [PhD]. Minnesota: Capella University; 2015.
Dols J, Landrum P, Wieck KL. Leading and managing an intergenerational workforce. Creat Nurs 2010;16 (2):68–74.
Edge R, Cockerham J, Correale C, Dion B, Figueroa-Altmann A, Geetter C. Is your facility struggling with millennial nurse retention? Nurs Manage 2011;42 (6):19–23.
Fallatah F, Laschinger HKS. The influence of authentic leadership and supportive professional practice environments on new graduate nurses’ job satisfaction. J Res Nurs 2016;21 (2):125–136.
Farr-Wharton R, Brunetto Y, Shacklock K. The impact of intuition and supervisor-nurse relationships on empowerment and affective commitment by generation. J Adv Nurs 2012;68 (6):1391–1401.
Hutchinson D, Brown J, Longworth K. Attracting and maintaining the Y Generation in nursing: a literature review. J Nurs Manag 2012;20 (4):444–450.
Jamieson I, Kirk R, Wright S, Andrew C. Generation Y New Zealand registered nurses’ views about nursing work: a survey of motivation and maintenance factors. Nurs Open 2015;2 (2):49–61.
Jobe LL. Generational differences in work ethic among 3 generations of registered nurses. J Nurs Adm 2014;44 (5):303–308.
Koppel J, Deline M, Virkstis K. A two-pronged approach to retaining millennial nurses. J Nurs Adm 2017;47 (12):597–598.
Lampe K, Stratton K, Welsh JR. Evaluating orientation preferences of the generation Y new graduate nurse. J Nurses Staff Dev 2011;27 (4):E6–9.
Lavoie-Tremblay M, Leclerc E, Marchionni C, Drevniok U. The needs and expectations of generation Y nurses in the workplace. J Nurses Staff Dev 2010;26 (1):2–10.
Lavoie-Tremblay M, Paquet M, Duchesne MA, Santo A, Gavrancic A, Courcy F, et al. Retaining nurses and other hospital workers: an intergenerational perspective of the work climate. J Nurs Scholarsh 2010;42 (4):414–422.
Mancuso G. Job satisfaction and turnover among millennial nurses in public hospitals [PhD]. Minneapolis, MN: Walden University; 2020.
Piper LE. Generation Y in healthcare: leading millennials in an era of reform. Front Health Serv Manage 2012;29 (1):16–28.
Price S, McGillis Hall L, Angus J, Peter E. The social context of career choice among millennial nurses: implications for interprofessional practice. J Interprof Care 2013;27 (6):509–514.
Saber D. Generational differences of the frontline nursing workforce in relation to job satisfaction: what does the literature reveal? Health Care Manag 2013;32 (4):329–335.
Shacklock K, Brunetto Y. The intention to continue nursing: work variables affecting three nurse generations in Australia. J Adv Nurs 2012;68 (1):36–46.
Smith US. Organizational commitment and job satisfaction: a study of multi-generational nurses in a magnet hospital [thesis]. Minneapolis, MN: Capella University; 2013.
Stevanin S, Palese A, Bressan V, Vehviläinen-Julkunen K, Kvist T. Workplace-related generational characteristics of nurses: a mixed-method systematic review. J Adv Nurs 2018;74 (6):1245–1263.
Sullivan Havens D, Warshawsky NE, Vasey J. RN work engagement in generational cohorts: the view from rural US hospitals. J Nurs Manag 2013;21 (7):927–940.
Tourangeau AE, Thomson H, Cummings G, Cranley LA. Generation-specific incentives and disincentives for nurses to remain employed in acute care hospitals. J Nurs Manag 2013;21 (3):473–482.
Towns DM. Retaining the millennial nurse in public health, Calgary Zone Alberta Health Services [MA]. Colwood, Canada: Royal Roads University; 2011.
Vess KR, Russell JA. Engage new nurses with CARING. Nurs Manag 2018;49 (7):14–20.
Waltz LA, Muñoz L, Weber Johnson H, Rodriguez T. Exploring job satisfaction and workplace engagement in millennial nurses. J Nurs Manag 2020;28 (3):673–681.