A Contemporary Model for Improving RN Job Outcomes

Area of Science:

• Nursing Workforce Research
• Healthcare Management
• Health Equity Studies

Background:

• The COVID-19 pandemic exacerbated existing nursing workforce issues, including high turnover, compromised wellbeing, and significant equity concerns.
• Existing frameworks often fail to capture the interconnectedness of turnover, wellbeing, and equity within the nursing profession.
• A holistic approach is necessary to address the complex challenges facing registered nurses (RNs).

Purpose of the Study:

• To propose a comprehensive model for understanding the interplay between nursing turnover, wellbeing, and equity.
• To provide a framework for a more inclusive understanding of professional outcomes for RNs.
• To guide research and practice in developing effective retention and support strategies.

Main Methods:

• Conceptual model development based on existing literature and pandemic-induced workforce dynamics.
• Integration of systems, societal, contextual, and individual factors influencing nursing outcomes.
• Focus on equity for underrepresented groups within the nursing workforce.

Main Results:

• The proposed model integrates job outcomes, individual wellbeing, and equity considerations for RNs.
• It emphasizes the influence of systemic, societal, and contextual factors on nurses' experiences.
• The model highlights the importance of individual responses to dynamic work and life conditions.

Conclusions:

• The developed framework offers a more inclusive perspective on RN professional outcomes.
• It can inform the creation of targeted interventions to improve nurse retention and support.
• Addressing turnover, wellbeing, and equity is crucial for a sustainable nursing workforce.