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Developing a community-based nursing and midwifery career pathway – A narrative systematic review
- Source :
- PLoS ONE, Vol 14, Iss 3, p e0211160 (2019), PLoS ONE
- Publication Year :
- 2019
- Publisher :
- Public Library of Science (PLoS), 2019.
-
Abstract
- Introduction Community nursing and midwifery is changing in response to a shift in care from hospital to home, brought about by increasing costs to care because of an aging population and increasing chronicity. Until now, community nursing positions and scope of practice has been dependent on service focus and location, which has led to the role being unclearly defined. Lack of appeal for a career in community practice and a looming workforce shortage necessitates a review into how community nursing and midwifery transition to practice is supported. Methods This review sought to identify, assess and summarize available evidence relating to transitioning into community nursing and midwifery practice as a speciality. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach. A narrative synthesis was then undertaken on papers that examined community nursing and midwifery pathway perspectives which define, and enable or inhibit a contemporary pathway. Thematic analysis used a theoretical framework developed for early career and rapid transition to nursing specialty practice. Results There is a paucity of research that identifies community nursing and midwifery as a discreet scope of practice. Twelve papers were eventually included in the review. Verbatim findings were extracted from the papers and clustered into categories based on the chosen theoretical framework. Major themes were ‘the self’ (professional and personal); ‘transition processes’; and, a ‘sense of belonging’. Sub themes included narrative identifying inhibitors and enablers in each theme. Discussion No definition of community practice or pathway was identified in nursing, although midwifery was clearly defined. Community nursing practice was described as generalist in nature although specialist knowledge is required. Being part of the community in the professional sense and personal sense was considered important. The importance of transition was identified where pre-entry exposure to community practice was seen as important. Stages in transition to practice were recognised as pre-entry; incomer; insider; and, a sense of belonging. The process of transition should be planned and individualised acknowledging past experience whilst acknowledging the specialist nature of community-based practice.
- Subjects :
- Scope of practice
Economics
Health Care Providers
Nurses
Social Sciences
Graduates
Midwives
Database and Informatics Methods
0302 clinical medicine
Medicine and Health Sciences
Medical Personnel
030212 general & internal medicine
Database Searching
Allied Health Care Professionals
Narration
Multidisciplinary
Careers
030504 nursing
Obstetrics
Research Assessment
Community Health Nursing
Professions
Systematic review
Community Medicine
Educational Status
Medicine
Clinical Competence
Thematic analysis
0305 other medical science
Psychology
Research Article
Employment
medicine.medical_specialty
Systematic Reviews
Science
Specialty
Appeal
MEDLINE
Midwifery
Research and Analysis Methods
Nurse's Role
Nursing Science
03 medical and health sciences
medicine
Humans
Narrative
Health Care
Labor Economics
People and Places
Community practice
Population Groupings
Subjects
Details
- ISSN :
- 19326203
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- PLOS ONE
- Accession number :
- edsair.doi.dedup.....90bafc4d12dc32358be9f708345ddb1f