Evidence map›Paper›PMID 40778678›Full record

ArticleThe Australian journal of rural health2025

Rural Nursing Workforce Sustainability in Australia: A Scoping Review of Global Retention Strategies.

Atabong A Fortabong, Kate Kloot, Natasha Reedy, Blake Peck, Daniel Terry

Abstract readScoping Review
In one paragraph

Article in The Australian journal of rural health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Atabong A FortabongSchool of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Queensland, Australia.ORCID 0000-0001-7591-8869
Kate KlootSchool of Medicine, Faculty of Health, Deakin University, Warrnambool, Victoria, Australia.ORCID 0000-0003-2889-9639
Natasha ReedySchool of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Queensland, Australia.
Blake PeckInstitute of Health and Well-Being, Federation University Australia, Ballarat, Victoria, Australia.
Daniel TerrySchool of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Queensland, Australia.ORCID 0000-0002-1969-8002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe global nursing shortage significantly impacts healthcare sustainability, particularly in rural Australia, where geographic isolation, professional remoteness and resource constraints amplify challenges.

objectiveTo map and synthesise evidence on factors influencing rural nursing workforce sustainability across individual, organisational and systemic levels.

designA scoping review following PRISMA-ScR guidelines was conducted. Five databases and grey literature were searched for English-language publications (1995-2024) on rural nursing workforce sustainability. A micro-meso-macro conceptual framework guided the analysis of 33 publications, focusing on baccalaureate-prepared Registered Nurses.

findingsKey determinants were identified across three levels. Micro-level factors included personal characteristics, professional identity and safety considerations. Meso-level factors, addressed in 32 studies, encompassed health services programmes, organisational culture, management approaches and professional development opportunities. Macro-level factors included community engagement, educational pathways, scope of practice policies and government initiatives. Significant interconnections existed between factors across all levels. DISCUSSION: While targeted interventions show promise, programmes need systematic evaluation using standardised frameworks. Research priorities include longitudinal effectiveness studies, economic impact analyses and the development of practical implementation tools.

conclusionA sustainable rural nursing workforce requires integrated approaches that simultaneously address individual, organisational and systemic factors. Success depends on evidence-based collaboration between healthcare organisations, educational institutions and government bodies to strengthen rural healthcare delivery through coordinated multilevel strategies.

Indexed as

Rural Health ServicesRural NursingAustraliaHumanshealth workforcemultilevel frameworkorganisational cultureprofessional developmentrecruitment barriersshortagessystems

Identifiers

PMID40778678
PMCPMC12333323

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.