Aims: To provide: (a) an overview of interventions aimed at improving mental health of student or novice nurses; and (b) an evaluation of their effectiveness on dropout-related outcomes. Design: Systematic review. Data sources: Research papers published between January 1971–February 2019 were identified from the following databases: Embase, Medline, PsycInfo, CINAHL, ERIC, the Cochrane Library, Web of Science, and Google Scholar. Review methods: We followed the procedures recommended by the Editorial Board of the Cochrane Collaboration Back Review Group. We included peer-reviewed articles with a quantitative research design, examining interventions aimed at improving mental health of student and novice nurses and their effect on dropout-related outcomes. The large variation in studies prohibited statistical pooling and a synthesis without meta-analysis of studies was performed. Results: We identified 21 studies with three areas of focus: managing stress or stressors (N = 4); facilitating the transition to nursing practice (N = 14); and a combined approach (N = 3). Five studies showed a statistically significant effect on dropout-related outcomes. The overall risk of bias was high. Conclusion: A wide range of interventions are available, but the evidence for their effectiveness is limited. There is a need for high-quality studies in this field, preferably with a randomized controlled design.

Additional Metadata
Keywords attrition, dropout, mental health, novice nurse, nursing, student nurse, systematic review, turnover
Persistent URL dx.doi.org/10.1111/jan.14453, hdl.handle.net/1765/128924
Journal Journal of Advanced Nursing
Citation
Bakker, E.J.M, Kox, J.H.A.M, Boot, C.R.L, Francke, A.L, van der Beek, A.J, & Roelofs, P.D.D.M. (2020). Improving mental health of student and novice nurses to prevent dropout: A systematic review. Journal of Advanced Nursing. doi:10.1111/jan.14453