AIM:To identify and describe the barriers and enablers to nurses routinely screening for dysphagia in hospital and map these to domains in the Theoretical Domains Framework. DESIGN:Systematic review with meta-ethnography. DATA BASE SOURCES:CINAHL, Embase, PubMed, Scopus, Clinical Trials and World Health Organisation trials registry (database inception to November 2024). METHODS:The review protocol was registered on PROSPERO (CRD42024608080). Studies set in stroke and older adult wards were included. Data were coded as barriers or enablers, mapped to the original authors' themes and then synthesised into higher-level themes. Barrier and enabler codes were also mapped to domains in the Theoretical Domains Framework. RESULTS:From 6750 studies identified, six were included. None of the included papers were conducted in an older adult ward setting. Four high-level themes were developed: (i) The surrounding environment, (ii) Variation in practice, (iii) Influence of knowledge and skills, and (iv) The value of dysphagia screening. Identified barriers and enablers were predominantly mapped to 'Environmental context and resources,' 'Knowledge,' 'Beliefs about capabilities' and 'Beliefs about consequences' Theoretical Domains Framework domains. CONCLUSIONS:For successful dysphagia screening, nurses require adequate training, a standardised screening tool and sufficient environmental support. Further work is required to contextualise these findings specifically to older adult ward settings. IMPACT:To introduce routine nurse screening for dysphagia into different contexts, this paper provides guidance on how to set up and create a theory informed service. Mapping of barriers and enablers to the Theoretical Domains Framework can facilitate the development of a behaviour change intervention through the framework's linkage to a taxonomy of behaviour changes strategies. REPORTING METHOD:ENhancing Transparency in REporting the synthesis of Qualitative research. PATIENT OR PUBLIC CONTRIBUTION:Patient and public involvement focused on interpretation of findings, ensuring the review identified patient-relevant priorities. TRIAL REGISTRATION:PROSPERO registration number: CRD42024608080.
AIMS:To evaluate resilience, burnout, intent to leave and use of resiliency skills among new graduate nurses following the introduction of resiliency skills during a nurse residency programme. DESIGN:This programme evaluation used a quasi-experimental, repeated-measures design, with assessments conducted at baseline, 2 weeks and 3 months following the intervention. METHODS:Nurse residents participated in a 1-h, in-person introduction to the evidence-based Community Resiliency Model (CRM) as part of a didactic day away from bedside care. The CRM is a sensory-focused self-care approach to regulating the nervous system and is associated with improved healthcare worker well-being and work team engagement. Changes in resilience and burnout were evaluated over time, and relationships among resiliency skill use, resilience, burnout and intent to leave were examined. RESULTS:The training was well received based on post-intervention surveys. A total of 135 nurse residents were trained, and 68 provided evaluation data at baseline and 3 months. No significant changes in resilience, burnout or intent to leave scores were observed. However, 73% of new graduate nurse participants reported using the resiliency skills at least once during the 3 months following training. CONCLUSION:This evaluation suggests that the CRM training is feasible and acceptable as an addition to new graduate nurse professional development strategies. Although no significant changes in resilience, burnout or intent to leave were observed, the majority of participants reported using resiliency skills following training. Introducing sensory-based resiliency skills during the residency period may provide nurses with practical strategies for managing role transition and work-related stress that can be reinforced and further developed throughout their careers.
AIM:To compare the effectiveness of different intervention strategies for improving self-care maintenance, self-care management and self-care confidence in adults with heart failure. DESIGN:Systematic review and network meta-analysis. METHODS:Following PRISMA-NMA guidelines, randomised controlled trials evaluating heart failure self-care interventions were included. Self-care was assessed using the Self-Care of Heart Failure Index across the eligible studies. Interventions were classified as knowledge/cognition-oriented, skill/behaviour-oriented, monitoring/feedback-reinforcement, motivation/empowerment-oriented or multicomponent. Risk of bias was assessed with RoB 2. Pairwise meta-analyses and exploratory network meta-analyses were performed. DATA SOURCES:PubMed, Embase, Scopus, Web of Science, CENTRAL, CINAHL and PsycINFO were searched from inception to March 2025. RESULTS:Fifty-four trials involving 6508 participants were included, of which 32 contributed to the meta-analysis. In pairwise meta-analysis, motivation/empowerment-oriented and skill/behaviour-oriented interventions improved self-care maintenance, whereas knowledge/cognition-oriented, monitoring/feedback-reinforcement and motivation/empowerment-oriented interventions improved self-care management. Multicomponent interventions improved maintenance, management and confidence, but were not clearly superior to more focused strategies. Subgroup analyses suggested greater benefits from personalised provider feedback than from predominantly automated feedback. Exploratory network meta-analysis showed similar patterns, although rankings should be interpreted cautiously because the network was star-shaped and lacked direct comparisons between active interventions. CONCLUSIONS:Heart failure self-care interventions are not equally effective across domains. Motivation/empowerment-oriented approaches showed the clearest signal for self-care maintenance, whereas knowledge-based and personalised monitoring/feedback strategies appeared more relevant for self-care management. These findings support a more targeted approach to intervention design. IMPLICATIONS FOR THE PROFESSION:Healthcare professionals should tailor strategies to specific self-care goals, prioritising motivational techniques for maintenance, structured education and monitoring with personalised feedback for management. PATIENT OR PUBLIC CONTRIBUTION:No patient or public involvement. TRIAL NUMBER:CRD420250652676.
AIM:To identify latent profiles of perceived workplace violence climate (PWVC) among nurses in tertiary hospitals and explore central network characteristics across profile groups. DESIGN:A cross-sectional study. METHODS:A multicentre cross-sectional study was conducted from July to September 2023 among 2064 nurses from eight tertiary hospitals across eight provinces in China. Data were collected using the Nurses' PWVC Scale, Clinical Communication Ability Scale, and Emotional Intelligence Scale. Latent Profile Analysis (LPA) identified heterogeneous subgroups, multinomial logistic regression examined factors associated with profile membership, and network analysis explored central and bridge nodes. RESULTS:The prevalence of workplace violence (WPV) exposure was 82.4%. Three distinct PWVC profiles were identified: Vulnerable-Sensitive (17.0%), Stable-Perceptive (48.3%), and Resource-Empowered (34.7%). Nurses classified within the Resource-Empowered profile generally demonstrated higher emotional intelligence, stronger communication ability, better health status, and more frequent participation in violence-prevention training. Network analysis identified profile-specific central nodes, including violence-prevention visibility, management responsiveness, and post-incident managerial support, while individualised risk assessment emerged as a key bridge node across networks. CONCLUSION:PWVC among nurses demonstrates substantial heterogeneity across profile groups. Findings suggest that organisational strategies addressing management responsiveness, violence-prevention visibility, and individualised risk assessment may help strengthen perceived workplace safety, particularly among nurses with less favourable perception profiles. IMPACT:This study identifies distinct violence climate profiles among nurses and highlights several central network components that may represent potential organisational intervention targets. These findings may support the development of more tailored workplace violence prevention strategies within nursing management contexts. PATIENT OR PUBLIC CONTRIBUTION:No patient or public contribution.
AIM:To synthesize empirical evidence on decision-making factors and emotional outcomes among surrogate medical decision-makers for people with dementia. DESIGN:Integrative review. METHODS:A comprehensive search was conducted following Whittemore and Knafl's integrative review methodology. Eligible studies were appraised using the Mixed Methods Appraisal Tool and synthesized through inductive content analysis, guided by the Transactional Model of Stress and Coping. DATA SOURCES:PubMed, CINAHL, Embase, Scopus and PsycINFO were searched in August 2025. RESULTS:Eighteen studies representing 574 surrogate decision-makers for people with dementia were included. Surrogate decision-making unfolded as an iterative process of evaluating clinical and relational demands, mobilizing coping resources and reappraising earlier judgements as conditions changed, consistent with the Transactional Model of Stress and Coping. Decision-making was influenced by informational needs, communication quality, family dynamics, cultural values and organizational barriers. Emotional outcomes ranged from guilt, anxiety and regret to relief, acceptance and growth. CONCLUSION:Surrogate medical decision-making in dementia reflects an iterative process of appraisal, coping and reappraisal, shaped by contextual, relational and organizational factors that influence emotional outcomes. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE:Nurses should assess decision-making contexts and provide tailored informational, relational and emotional support throughout the dementia care trajectory. IMPACT:Dementia often requires family members and other surrogates to make complex medical decisions, yet limited synthesis has examined how they appraise and cope with these demands. This review found that surrogate decision-making is an iterative process shaped by evolving appraisals, coping resources and communication quality, leading to varied emotional outcomes. Findings highlight the need for research that examines how surrogate decision-makers with multiple competing roles appraise and cope with decisions across the dementia trajectory. REPORTING METHOD:This review adheres to the PRISMA 2020 reporting guidelines. PATIENT OR PUBLIC CONTRIBUTION:This study did not include patient or public involvement in its design, conduct or reporting.
AIM:To examine nursing academics' perceptions and experiences of artificial intelligence (AI) integration in nursing education. DESIGN:Scoping review. DATA SOURCES:MEDLINE, CINAHL, ERIC, Scopus, and Web of Science were searched in August 2025. METHODS:A scoping review using Joanna Briggs Institute methodology. Peer-reviewed original research and reviews published in English (2019-2025) were included if they examined nursing educators' perspectives, attitudes, or experiences with AI in nursing education across undergraduate, postgraduate, and professional contexts. The Substitution, Augmentation, Modification, Redefinition (SAMR) framework was used to classify pedagogical integration levels. RESULTS:Fifteen studies from eight countries, encompassing 2004 nursing academics, were included. A pattern described as an "adoption paradox" was identified: whilst most academics believe AI will revolutionise nursing education, implementation remains conservative. Two-thirds of applications operate at the augmentation level, with none achieving transformative redefinition. Nursing academics use AI selectively, predominantly for academic productivity and research writing but rarely for student assessment. Primary barriers included knowledge gaps, institutional policy vacuums, and pronounced global access inequities. Academics expressed concerns regarding critical thinking erosion and professional identity threats whilst acknowledging efficiency benefits. CONCLUSIONS:Nursing academics appear to adopt AI selectively, prioritising preservation of core professional values while embracing applications perceived to enhance, rather than replace, educational practice. The absence of transformative integration suggests perceived incompatibilities between artificial intelligence and nursing's relational foundations, signalling a need for more active pedagogical engagement to bridge this widening gap. IMPACT:This review addresses the critical gap in understanding how nursing academics integrate artificial intelligence while maintaining professional values. Despite high optimism, actual implementation remains basic, with multiple barriers limiting transformative adoption. Findings provide evidence for nursing education programs globally regarding faculty development, institutional policy frameworks, and curriculum design strategies integrating technological advancement whilst maintaining person-centred values. NO PATIENT OR PUBLIC CONTRIBUTION:Not applicable, as no patients or public were involved.
AIM:To explore the notion of post-humanism and the impact of artificial intelligence (AI) on society, nursing and healthcare. DESIGN:Discursive paper. METHODS:Critical reflection on concepts relating to post-humanism and the impact of AI, sourced from contemporary and established literature. DATA SOURCES:Information was drawn from a wide range of empirical and theoretical resources, including health services research through to sociology and philosophy, including newspapers, popular science as well as peer reviewed articles. RESULTS:At the extremes of opinion, AI is either feared as presaging the end of our current civilisation, or lauded as the beginning of a new leisure age. For many, reservations include: a lack of AI intervention transparency, rendering accurate description, replication and implementation impossible; the overwhelming presence of 'spin' overstating impacts for patients; the replacement of relationship-based person-centred fundamental care by 'algorithm-based care' in nursing defined by the language of precision diagnostics and treatment; AI as the new unchallenged "King, Priest and Feudal Lord", leading to professional infantilisation and a loss of critical thinking; the cementation of human exceptionalism and the right to exploit, or destroy, our world. CONCLUSION:AI not only presents a potential benefit but also a severe threat to a model of fundamental nursing care defined by patient/nurse relationships and patient-centredness, carried out by nurses applying the principles of critical reasoning. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE:Defending nursing in an age of AI will require nurses to reiterate anew the importance of relationship-based person-centred fundamental care. Where AI-based nursing interventions are proposed, nurses, whether registered or not, must remain critical thinkers, appraise the source data and guard against descending into unthinking subservience to machine-generated 'facts' of unchecked provenance. REPORTING METHOD:None required. PATIENT OR PUBLIC CONTRIBUTION:This article did not include patient or public involvement in its design, conduct, or reporting.
AIM:To develop and psychometrically validate the Reasons Employees Perceive Obstacles to Reporting (REPORT) Scale, a self-report instrument designed to identify barriers to incident reporting. DESIGN:Guided by the Theory of Planned Behaviour, this study used a descriptive, multiphase psychometric design. METHODS:Phase one used literature review and expert input to create an initial pool of items. Nursing staff (n = 1288) completed the preliminary scale and exploratory factor analysis (EFA) results identified conceptual gaps to address in subsequent rounds of item development. Phase two used focus groups and content validity index testing to refine and generate items for the next iteration of the scale. Phase three recruited a new nursing sample from the same institution (n = 1105) to complete the revised scale. This sample was randomly divided into three independent subsets for EFA, confirmatory factor analysis (CFA) and validity testing (convergent, discriminant, predictive). RESULTS:EFA factor loadings, together with theoretical and conceptual considerations, informed the development of six distinct factor groups representing the key barriers to reporting: reporting burden, leadership influence, personal and relational risks, reporting cynicism, knowledge and skill deficits, and normalization of events. The final 24-item scale (four items per factor group) demonstrated good model fit and strong validity. Findings were confirmed using the CFA sample subset and further validated with the remaining subset through convergent, discriminant and predictive validity testing. CONCLUSION:The REPORT Scale is a rigourously developed and validated instrument for identifying staff barriers to reporting adverse workplace events. Its sound psychometric properties support its use in research and practice settings to advance understanding of reporting behaviours. IMPLICATIONS FOR THE PROFESSION:This study helps to address the persistent problem of underreporting in healthcare by enabling leaders to measure and interpret the reasons why their employees do not report. IMPACT:By applying the REPORT Scale, organisations can target interventions to reduce barriers to reporting and strengthen safety cultures across healthcare settings. REPORTING METHOD:STROBE Checklist for Cross-Sectional Studies. PATIENT OR PUBLIC CONTRIBUTION:No patient or public involvement. CONTRIBUTION TO WIDER GLOBAL CLINICAL COMMUNITY:The underreporting of adverse workplace events is a global challenge and the REPORT Scale is a rigourously developed and validated instrument for identifying barriers to workplace incident reporting. The REPORT Scale is a practical resource for healthcare leaders across different care settings to identify attitudinal, organisational, cultural and procedural barriers to reporting, supporting targeted safety interventions.
AIMS:To examine longitudinal associations among maternal health literacy, psychological empowerment and health-promoting behaviours across pregnancy among rural pregnant women. DESIGN:Prospective cohort study. METHODS:Between 1 May 2023 and 15 January 2024, 694 rural pregnant women were assessed at 12, 24 and 32 gestational weeks (T1, T2 and T3). Descriptive, correlation and cross-lagged panel analyses were used. RESULTS:Significant reciprocal cross-lagged associations were observed among maternal health literacy, psychological empowerment and health-promoting behaviours across pregnancy. Maternal health literacy at T1 significantly predicted psychological empowerment at T2 (β = 0.183, B = 0.056, 95% CI [0.036, 0.075], p < 0.001), and psychological empowerment at T2 predicted health-promoting behaviours at T3 (β = 0.256, B = 0.373, 95% CI [0.246, 0.500], p < 0.001). Longitudinal indirect pathway analysis showed that maternal health literacy at T1 was indirectly associated with health-promoting behaviours at T3 through psychological empowerment at T2 (β = 0.047, B = 0.021, 95% CI [0.010, 0.031], p < 0.001). CONCLUSION:Maternal health literacy, psychological empowerment, and health-promoting behaviours were longitudinally and reciprocally associated across pregnancy. Psychological empowerment also carried the longitudinal indirect association between earlier maternal health literacy and later health-promoting behaviours. Early gestation may represent an intervention window. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE:Integrating literacy-sensitive and empowerment-based interventions into antenatal care may help rural pregnant women support sustained health-promoting behaviours throughout pregnancy. IMPACT:Clarifies the longitudinal role of maternal health literacy. Demonstrates a significant indirect longitudinal role of psychological empowerment. Supports early-stage capability-based interventions within rural maternal healthcare. REPORTING METHOD:This study is consistent with the STROBE statement for cohort studies. PATIENT OR PUBLIC CONTRIBUTION:This study did not include patient or public involvement in its design, conduct or reporting.
AIM(S):To evaluate how the documentation process was impacted by the implementation of the PACE Framework and its influence on the development of person-centred practice. DESIGN:A research evaluation was conducted using a two-phase sequential approach, underpinned by the Person-centred Nursing Framework. METHODS:The study was conducted in two phases. Phase one generated mainly quantitative data using the person-centred nursing KPIs. Phase two generated qualitative data using one-to-one interviews. The study was conducted in a region within the United Kingdom and involved a range of clinical practice settings within acute care, across five healthcare organisations. RESULTS:The study findings indicate that PACE provides a vehicle for registered nurses to engage in effective person-centred processes. The PACE documentation was also viewed as a means of promoting a holistic approach, shifting the attention of registered nurses from a primary focus on clinical care and associated tasks towards an appreciation of understanding other perspectives of the patient as a person. Additionally, within the PACE initiative, education sessions, follow-up support and resource materials, delivered by local facilitators, all contributed towards involving registered nurses in the process and reducing perceived barriers to implementation. CONCLUSION:This study's findings confirm that the implementation of PACE has had a positive impact on the development of person-centred practice and on the experience of care for patients, their significant others and for registered nursing staff. The findings also reflected the complex blending of the art and science of nursing, placing nurses in an ideal position to deliver person-centred care. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE:This research evaluation provides evidence that effective person-centred care planning has an impact on the quality of nursing care provided to patients. REPORTING METHOD:This study adhered to the GRAMMS guidelines, which are relevant to the reporting of mixed method studies. PATIENT OR PUBLIC CONTRIBUTION:The Research Team sought valued contributions from a Service User and Carer Group based in the School of Nursing and Midwifery Queen's University Belfast at various stages.
AIM(S):To propose the NeuroCommunity Ageing Framework as a nursing-centred theoretical model for integrated brain-health assessment towards diagnostic justice in minority ageing populations. DESIGN:Discursive theoretical paper presenting a conceptual framework derived from cross-disciplinary synthesis. METHODS:A structured theoretical synthesis integrated literature on gerontological nursing, dementia epidemiology, multidomain prevention, clinical pharmacology, family caregiving, culturally responsive care, service access and systemic factors relevant to blood-based Alzheimer's disease biomarkers. RESULTS:The framework integrates metabolic-vascular, cognitive-clinical, pharmacological, family-caregiving, cultural-linguistic and systemic-service determinants of brain health. It positions nurses to recognise cognitive vulnerability earlier, conduct culturally informed medication review, support caregivers, address language and stigma barriers and navigate service access. Hepatic calibration is presented strictly as a hypothesis-generating research construct for future biomarker validation in multimorbid older adults, not as a clinical interpretation rule. CONCLUSION:The framework offers a nursing-oriented model for culturally valid dementia assessment, medication safety, caregiver support and equitable service navigation. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE:The framework may support nurses in embedding brain-health case-finding within primary care, chronic disease and community settings. IMPACT:The paper addresses delayed dementia recognition among minority older adults and proposes a practical nursing framework advancing diagnostic justice. REPORTING METHOD:No specific reporting guideline directly applies to this discursive theoretical paper; it was prepared according to principles of transparent narrative synthesis. PATIENT OR PUBLIC CONTRIBUTION:This study did not include patient or public involvement in its design, conduct or reporting.
AIM:This study aimed to examine how changes in new graduate nurses' transition experience from the first to the second year of clinical practice mediate the relationship between readiness for practice and job embeddedness, from the perspective of the conservation of resources theory. DESIGN:A retrospective longitudinal design was employed. METHODS:The participants were 743 nurses who completed the New Nurse e-Cohort Panel Study 2 months before graduation (T1), 1 year after graduation (T2) and 2 years after graduation (T3); were employed in general hospitals; and were working in fixed units at both T2 and T3. Data were collected through an online questionnaire and analysed using PROCESS Macro Model 4 with 5000 bootstrap samples. RESULTS:Readiness for practice (T1) was positively correlated with the change in the transition experience (T3-T2) as well as job embeddedness (T3). Readiness for practice (T1) directly influenced job embeddedness (T3), while change in the transition experience (T3-T2) partially mediated this relationship, accounting for 24.8% of the total effect. CONCLUSION:Readiness for practice during nursing education exerts both direct and indirect effects on job embeddedness through early transition experiences. The findings provide longitudinal evidence linking pre-employment competency with subsequent workforce retention outcomes. IMPLICATIONS FOR THE PROFESSION:Strengthening readiness for practice and providing targeted transition support during the first 2 years of practice can promote job embeddedness and improve workforce stability among early-career nurses. IMPACT:This study identifies the first 2 years of practice as a crucial intervention window by revealing the link between early educational readiness and subsequent job embeddedness. REPORTING METHOD:STROBE. PATIENT OR PUBLIC CONTRIBUTION:No patient or public contribution.
AIMS:To identify existing and ideal practices for responding to patient-initiated workplace violence in the US Veterans Health Administration. DESIGN:Cross-sectional, descriptive qualitative design. METHODS:Qualitative interviews with staff (n = 31) in eight veteran healthcare facilities located in the western United States (2023-2024). Guided by Spelten et al.'s model of strategies to reduce patient-initiated workplace violence, thematic analysis examined post-incident interventions with patients and identified recommendations for improvement. RESULTS:Educating and setting limits with patients varied by facility. Most respondents were unaware of patient education/support that occurred post-incident. Respondents disagreed about the role that patients' clinical status should play; some wanted more leeway for certain patients (e.g., those diagnosed with dementia) and others wanted a consistent response (regardless of clinical status) to create a culture of respect. CONCLUSION:Patient education and limit-setting are important elements in addressing patient-initiated workplace violence, but they are inconsistently used. Offering resources to patients is underutilised. Staff have differing perspectives on what constitutes ideal post-incident interventions for medically complex patients. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE:When responding to patient violence, healthcare systems may benefit from clear and consistently implemented protocols and tailored educational interventions and support for different patient populations (e.g., dementia). Staff may benefit from guidance on balancing patient care with limit-setting during encounters with medically complex patients. IMPACT:We examined existing practices for responding to patient-initiated workplace violence and staff suggestions for improvement in a large healthcare system. Participants wanted additional and consistent patient interventions; opinions varied on how patient clinical status and intent should shape organisational responses. Staff can benefit from consistently implemented protocols for responding to patient violence. Healthcare systems may need to provide staff guidance on balancing patient care with limit-setting. REPORTING METHOD:SRQR guidelines for qualitative studies. PATIENT OR PUBLIC CONTRIBUTION:No patient or public contribution.
AIMS:This study examined the dynamic relationship between workplace violence and decent work perception among clinical nurses, specifically exploring the mediating role of psychological safety. DESIGN:A longitudinal study using a cross-lagged panel model. METHODS:A longitudinal follow-up survey was conducted in mainland China. A total of 534 nurses completed measures of workplace violence, decent work perception, and psychological safety. Data were analysed using SPSS 27.0, and structural equation modelling was performed with AMOS 24.0 to evaluate longitudinal causal relationships and mediation effects among the study variables. RESULTS:The results indicated that workplace violence, psychological safety, and decent work perception were significantly correlated across three time points (T1-T3). Moreover, workplace violence exerted a significant direct effect on decent work perception. Cross-lagged panel modelling further demonstrated that psychological safety at T2 significantly mediated the relationship between workplace violence at T1 and decent work perception at T3. CONCLUSION:This longitudinal study confirms that workplace violence diminishes nurses' decent work perception both directly and indirectly through the depletion of psychological safety. Psychological safety is identified as a key mechanism linking violence exposure to eroded work dignity. IMPLICATIONS:Policymakers should integrate 'decent work' indicators into hospital accreditation standards and mandate periodic psychological safety assessments. Institutional policies must transition from reactive statements to proactive systems that prioritise resource restoration and legal support for victimised nurses to ensure a sustainable workforce. PATIENT OR PUBLIC CONTRIBUTION:No patient or public involvement. REPORTING METHOD:This study adhered to the STROBE guidelines.
AIMS:To synthesize the empirical literature on mentorship and intention to stay in nursing. BACKGROUND:The global nursing profession faces a severe workforce crisis with escalating turnover rates and projected shortages. Nurse to nurse mentorship has emerged as a promising strategy to strengthen workforce stability. Intention to stay is a critical predictor of actual retention behaviour. DESIGN:Integrative review. DATA SOURCES:Five electronic databases were searched in April 2025: Education Research Complete, MEDLINE, CINAHL, Embase and PsycInfo. REVIEW METHODS:Two researchers independently screened 3055 records at title/abstract and full-text stages. Eighteen met the inclusion criteria. Quality of included studies was assessed using the Mixed Methods Appraisal Tool. Data extraction was conducted by one researcher and verified by a second. Thematic analysis was used to identify themes across the included studies. RESULTS:Studies consistently demonstrated a positive relationship between mentorship participation and registered nurses' intention to stay. Reported outcomes mainly applied to mentees. Direct measures showed mentorship interventions mitigated declining intention to stay among newly graduated registered nurses. Retention rates among mentored nurses ranged from 85% to 100%. Key mediating factors included enhanced job satisfaction, increased professional confidence and competence, and reduced stress and burnout. CONCLUSION:Evidence supports a positive relationship between mentorship participation and registered nurses' intention to stay in the profession. Mentorship represents a promising, evidence-based retention strategy, particularly for newly graduated nurses during critical transition periods. IMPACT:This review provides healthcare leaders and policymakers with evidence to inform the development and implementation of mentorship programmes as workforce retention strategies. Findings demonstrate that structured mentorship programmes can increase intention to stay during workplace transitions while generating economic benefits for healthcare organizations. NO PATIENT OR PUBLIC CONTRIBUTION:Not required, as the study synthesized evidence from previously published literature and did not include primary data.
