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Journal of Advanced Nursing - 2024 - Thennakoon - An Integrative Review of Specialised Nursing Career Frameworks to Develop395.41 kB
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Journal article
An Integrative Review of Specialised Nursing Career Frameworks to Develop a Nursing Career Framework for Registered Nurses Working in Aged Care
Journal of Advanced Nursing, Vol.81(8), pp.4447-4464
2025
PMID: 39696940
Abstract
Aim
The aim of this study is to synthesise literature on specialised nursing career frameworks to inform the development of an aged care nursing career framework.
Design
An integrative review was conducted.
Method
The review followed Whittemore and Knafl's five-step integrative review method. To appraise the quality of the studies, the Quality Appraisal for Diverse Studies tool for peer-reviewed articles and the ACCODS (Authority, Accuracy, Coverage, Objectivity, Date, and Significance) checklist for grey literature were used. Data were extracted and synthesised using the constant comparison method.
Data Source
The electronic databases of CINAHL, Medline, PsycINFO and Google Scholar were searched to identify peer-reviewed articles and grey literature reporting on specialised nursing career frameworks for registered nurses.
Results
Eight studies were reviewed, and the findings were presented corresponding to each of the three research questions of the review. First, the research methods adopted to develop specialised nursing career frameworks were described based on the research design, stakeholder involvement and data collection methods. Second, the key elements of specialised nursing career frameworks were identified as career pathways, nursing competencies and roles and progression between the career levels. Third, the findings suggested that the key purposes for developing specialised nursing career frameworks are to improve professional development, recruitment and retention and to promote consistency and quality in nursing practice.
Conclusion
The study highlights a significant gap in the evidence base of career frameworks for registered nurses in aged care, emphasising the need for future research. This review answered three research questions: methods for developing specialised nursing career frameworks, their key components and main purposes, providing insights to guide healthcare organisations and researchers. The findings indicate that career frameworks are primarily intended to promote knowledge and skills development and may also to bolster recruitment and retention rates, and support nurses' career advancement, but there is limited evidence on implementation, evaluation and sustainability.
Implications for the Profession
The findings will guide healthcare organisations and future researchers with methods and techniques to develop specialised nursing career frameworks. Implementing a specialised nursing career framework in aged care could enhance continuous professional development, recruitment, retention and career progression among nurses.
Impact
Nursing career frameworks have been widely applied to address professional development and retention objectives. However, there is limited evidence available to formulate a career framework for registered nurses working in aged care. The review identified the research methods adopted to develop specialised nursing career frameworks along with the key elements of specialised nursing career frameworks. These findings will guide employers and future researchers in developing evidence-based aged-care nursing career frameworks. Additionally, the findings will guide registered nurses in using career frameworks as a tool to facilitate career advancement and competency development. Furthermore, the review recognised the key purposes for developing specialised nursing career frameworks, suggesting that the meaningful adoption of career frameworks could be utilised as a strategic approach for enhancing retention and workforce development of the aged care workforce.
Reporting Method
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was used for reporting.
Patient or Public Contribution
No patient or public contribution.
Trial Registration
The integrative review protocol was registered in the PROSPERO international prospective register of systematic reviews database (registration no: CRD42022354728)
Details
- Title
- An Integrative Review of Specialised Nursing Career Frameworks to Develop a Nursing Career Framework for Registered Nurses Working in Aged Care
- Authors
- Sachini Thennakoon (Corresponding Author) - Edith Cowan UniversitySeng Giap Marcus Ang - Edith Cowan UniversityVictoria Traynor - Edith Cowan UniversityKaren Strickland - Edith Cowan University
- Publication details
- Journal of Advanced Nursing, Vol.81(8), pp.4447-4464
- Publisher
- Wiley-Blackwell Publishing Ltd.
- Date published
- 2025
- DOI
- 10.1111/jan.16674
- ISSN
- 1365-2648; 0309-2402
- PMID
- 39696940
- Copyright note
- © 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- Data Availability
- The data that support the findings of this study are available from the corresponding author upon reasonable request.
- Grant note
- This study is funded by the DVCR strategic doctoral research scholarship offered by Edith Cowan University.
- Organisation Unit
- Healthy Ageing Research Cluster; School of Health - Nursing
- Language
- English
- Record Identifier
- 991130085702621
- Output Type
- Journal article
Metrics
20 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Nursing
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites