Table 2.
Category of intervention | Effective interventions for nurse retention | Strength of evidence* |
---|---|---|
A. Education and continuous professional development interventions |
-Recruitment from, and training in, rural areas |
Moderate [26]# |
-Targeted admission of students from rural background |
Moderate [28]# |
|
-Early and increased exposure to rural practice during undergraduate studies |
|
|
-Support for continuous professional development | ||
B. Regulatory interventions |
-Increased opportunities for recruitment to civil service |
Low [25]# |
-Recognizing overseas qualifications | ||
-Producing different types of health workers | ||
C. Financial incentives |
-Direct and indirect financial incentives (direct payments, service-requiring scholarships, educational loans with service requirements, loan repayment programs) |
Moderate [24]# |
Low [25] | ||
D. Personal and professional support |
-General improvement in rural infrastructure (housing, roads, phones, water supplies, radio communication, etc.) |
Strong [25] |
-Supportive supervision (mentorship, preceptorship, clinical supervision) |
Moderate [26]# |
|
-Measures to reduce health workers’ feeling of isolation (professional/specialist networks, telemedicine and telehealth) | Moderate [27]# |
*Strength of evidence based on review authors’ conclusions.
#Indirect evidence: the original studies on which authors based their conclusions are not specific to nurse retention.