Evidence map›Paper›PMID 42050821›Full record

ArticleJournal of nursing management2026

Effective Onboarding for Front-Line Nurse Managers in Healthcare: A Descriptive Qualitative Study.

Markus Hakkarainen, Teresa Kunnari, Suvi Kuha, Tarja Hulkko, Outi Kanste

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Markus HakkarainenFaculty of Medicine, Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland, oulu.fi.
Teresa KunnariFaculty of Medicine, Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland, oulu.fi.
Suvi KuhaFaculty of Medicine, Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland, oulu.fi.ORCID https://orcid.org/0000-0003-3344-9333
Tarja HulkkoWellbeing Services County of North Ostrobothnia, Oulu, Finland.
Outi KansteFaculty of Medicine, Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland, oulu.fi.ORCID https://orcid.org/0000-0001-8634-0628

Funding

FinELibOulun Yliopisto
6 · The paper itself

Abstract

aimTo describe nurse managers' perceptions of effective onboarding for front-line nurse managers in healthcare.

backgroundMany front-line nurse managers are retiring, resulting in a loss of expertise. New competence requirements and widespread turnover intention among front-line nurse managers are challenging healthcare organisations. Organisational support and effective onboarding are needed; however, qualitative research on the content of onboarding for front-line nurse managers is lacking.

designA qualitative descriptive study.

methodsIn 2023, data were collected remotely through six semistructured group and five individual interviews with 18 nurse managers in Finland. The participants worked in specialist and emergency care, primary healthcare and medical services within a single healthcare region. The data were analysed using inductive content analysis.

resultsThe data yielded 33 subcategories and 12 categories that describe nurse managers' views on effective onboarding for front-line nurse managers in healthcare. The main categories were developing leadership growth through onboarding, clarifying leadership foundations in onboarding, designing a high-standard and up-to-date onboarding process, ensuring well-rounded onboarding support and strengthening workplace bonds through onboarding.

conclusionsFront-line nurse manager onboarding requires systematic execution that includes personal, organisational and social aspects. Onboarding should focus on developing managers' leadership qualities. Ensuring a structured and comprehensive onboarding programme that highlights the professional requirements of front-line nurse managers, as well as the relevant theoretical and practical aspects of managerial work, can support a smooth transition into the new role. A primary limitation of this study is the potential influence of researcher subjectivity in data interpretation and analysis. To mitigate this, multiple researchers were involved in the analysis process to enhance credibility and reduce individual bias. IMPLICATIONS FOR NURSING MANAGEMENT: Individual onboarding should help new front-line nurse managers grow into and develop attachments to the manager role while receiving support from top management, supervisors, colleagues and employees. IMPACT: This study highlights the need for a structured, personalised onboarding process for front-line nurse managers, focussing on leadership development and multidimensional support. A well-designed onboarding programme can enhance leadership skills, facilitate integration into the work community and support smoother transitions, ultimately contributing to improved organisational performance and healthcare outcomes.

Indexed as

Nurse AdministratorsAdultAttitude of Health PersonnelFemaleFinlandFrontline WorkersHumansInterviews as TopicLeadershipMaleMiddle AgedQualitative Researchcontent analysisfront-line nurse managerhealthcareinterviewonboarding

Identifiers

PMID42050821
PMCPMC13125340

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.