Markowski, Marianne ORCID: 0000-0003-4652-3168 , Bower, Heather, Essex, Ryan ORCID: 0000-0003-3497-3137 and Yearley, Carole (2021) Peer learning and collaborative placement models in health care: a systematic review and qualitative synthesis of the literature. Journal of Clinical Nursing, 30 (11-12). pp. 1519-1541. ISSN 0962-1067 (Print), 1365-2702 (Online) (doi:https://doi.org/10.1111/jocn.15661)

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Abstract

Aims:
To summarize the international empirical literature to provide a comprehensive understanding of older nurses’ decision‐making surrounding the timing of their retirement.

Background:
The global nursing shortage is increasing. Among some countries it has become an economic imperative to consider raising the state pension age and to extend working lives.

Design:
An integrative literature review using an integrated design.

Data sources:
MEDLINE, CINAHL and Business Source Premier databases were searched for studies between January 2007 – October 2019.

Review Methods:
Quality appraisal of the studies was conducted. Findings were summarized, grouped into categories and themes extracted. Two models were developed for data representation.

Results:
A total of 132 studies were identified by the search strategy. Of these, 27 articles were included for appraisal and synthesis. Sixteen papers were quantitative, seven qualitative, and four mixed methods. The research took place in 13 different geographical locations. Most studies were of a questionnaire design, followed by interviews and focus groups. The total participant sample was 35,460. Through a synthesis of the studies, four themes were identified: Health, Well‐being, and Family factors; Employer factors; Professional factors; and Financial factors.

Conclusion:
This review not only revealed the heterogeneity of studies on this subject and confirmed previous findings but also established a ranking of criteria that influences nurses’ decision‐making: age, followed by personal and organizational factors. Four extracted themes of push and pull factors map onto these factors. No ‘one‐size‐fits‐all’ strategy exists to ensure the extension of older nurses’ working lives. Organizations need to foster an environment where older nurses feel respected and heard and where personal and professional needs are addressed.

Impact:
Organizations need to implement HR policies addressing nurses’ personal well‐being and retirement preparation. Older nurses are more likely to extend their working lives if they feel committed to their organization and when professional standards are maintained.

Item Type:	Article
Additional Information:	© 2021 The Authors. Journal of Clinical 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.
Uncontrolled Keywords:	peer learning, peer assisted learning, collaborative learning, collaborative practice placement models, practice placements, practice learning models, student experiences, 2:1 models, health care work placements
Subjects:	R Medicine > RT Nursing
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Professional Workforce Development Faculty of Education, Health & Human Sciences > School of Health Sciences (HEA)
Last Modified:	10 Nov 2021 12:30
URI:	http://gala.gre.ac.uk/id/eprint/31287

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