Improving mental health of student and novice nurses to prevent dropout: A systematic review

Ellen J M Bakker*, Jos H A M Kox, Cécile R L Boot, Anneke L Francke, Allard J van der Beek, Pepijn D D M Roelofs

*Corresponding author for this work

    Research output: Contribution to journalReview articleAcademicpeer-review

    12 Citations (Scopus)
    66 Downloads (Pure)

    Abstract

    AIMS: To provide: (a) an overview of interventions aimed at improving mental health of student or novice nurses; and (b) an evaluation of their effectiveness on dropout-related outcomes.

    DESIGN: Systematic review.

    DATA SOURCES: Research papers published between January 1971-February 2019 were identified from the following databases: Embase, Medline, PsycInfo, CINAHL, ERIC, the Cochrane Library, Web of Science, and Google Scholar.

    REVIEW METHODS: We followed the procedures recommended by the Editorial Board of the Cochrane Collaboration Back Review Group. We included peer-reviewed articles with a quantitative research design, examining interventions aimed at improving mental health of student and novice nurses and their effect on dropout-related outcomes. The large variation in studies prohibited statistical pooling and a synthesis without meta-analysis of studies was performed.

    RESULTS: We identified 21 studies with three areas of focus: managing stress or stressors (N = 4); facilitating the transition to nursing practice (N = 14); and a combined approach (N = 3). Five studies showed a statistically significant effect on dropout-related outcomes. The overall risk of bias was high.

    CONCLUSION: A wide range of interventions are available, but the evidence for their effectiveness is limited. There is a need for high-quality studies in this field, preferably with a randomized controlled design.

    Original languageChinese
    Pages (from-to)2494-2509
    Number of pages16
    JournalJournal of Advanced Nursing
    Volume76
    Issue number10
    Early online date15-Jun-2020
    DOIs
    Publication statusPublished - 1-Oct-2020

    Keywords

    • attrition
    • dropout
    • mental health
    • novice nurse
    • nursing
    • student nurse
    • systematic review
    • turnover
    • NEWLY GRADUATED NURSES
    • STRESS-MANAGEMENT
    • RESIDENCY PROGRAM
    • OCCUPATIONAL STRESS
    • NURSING-STUDENTS
    • SICKNESS ABSENCE
    • TRANSITION
    • RETENTION
    • ATTRITION
    • WORK

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