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Nursing Workforce Sustainability: An Evolutionary Concept Analysis
Simon Paul P Navarro1, Allison A Norful, Gregory L Alexander
1Doctoral Student (Navarro); Assistant Professor of Nursing (Dr Norful); Centennial Professor of Health Policy (Dr Alexander), School of Nursing, Columbia University, New York.
Objective:
To clarify the concept of sustainability in the nursing workforce and identify its attributes, antecedents, and potential consequences.
Background:
While the term "nursing workforce sustainability" has been used to emphasize the critical implications of ensuring the efficiency of healthcare systems worldwide, a delineated understanding of the concept remains ambiguous in extant literature, causing uncertainty about its conceptual underpinnings.
Methods:
Rodger's evolutionary approach was applied.
Results:
The authors identified "nursing workforce sustainability" as an evolving concept with four interrelated attributes: recruitment, retention, regulation, and recognition. The antecedents included demographic, occupational, and structural issues. Consequences include policy and systemic advancements, a diverse and inclusive workforce, enhanced workforce well-being, and improved patient safety and organizational effectiveness.
Conclusions:
A conceptual definition and framework of nursing workforce sustainability have been developed, offering groundwork for future research and policy development in workforce planning and management.
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