Evidence map›Paper›PMID 42634287›Full record

ReviewJournal of nursing management2026

A Multifactorial Model for Building Professional Confidence in New Graduate Nurses: Integrative Review of Influential Strategies and Contexts.

Justin Fontenot, Fuqin Liu, Jincy Immanuel

Abstract readReview
In one paragraph

Review 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. Review
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

3 authors.

Justin FontenotProgram of Nursing, Tulane University School of Medicine, New Orleans, Louisiana, USA, tulane.edu.ORCID https://orcid.org/0000-0002-3224-3360
Fuqin LiuCollege of Nursing, Texas Woman's University, Denton, Texas, USA, twu.edu.ORCID https://orcid.org/0000-0002-3381-7231
Jincy ImmanuelCollege of Nursing, Texas Woman's University, Denton, Texas, USA, twu.edu.ORCID https://orcid.org/0000-0003-2020-4791

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo synthesize evidence on strategies and contextual factors that influence confidence development among newly graduated nurses in acute care settings and to propose an integrated conceptual framework to guide practice, policy, and research.

designIntegrative literature review.

methodsThis integrative review followed Whittemore and Knafl's framework and PRISMA 2020 reporting guidance. Two reviewers screened studies, extracted data, and applied design-specific JBI critical appraisal tools. Disagreements were resolved by consensus and consultation with a third reviewer. Data were synthesized through constant comparison and coded by outcome tier (direct confidence/self-efficacy, related capacity, and proxy transition outcomes). DATA SOURCES: Five databases (Academic Search Complete, PubMed/Medline, CINAHL Complete, and PsycINFO) were searched from inception through June 30, 2024, with an updated search in May 2025.

resultsForty studies met the inclusion criteria, representing qualitative, quantitative, and mixed methods designs. Five mechanism-based domains were identified: support, skill development, reflection, integration, and organizational culture. Organizational culture functions as a conditioning context that can strengthen or constrain mentorship, skill development, reflection, and integration. These findings informed a conceptual framework illustrating the cyclical and dynamic relationships between individual strategies and organizational conditions.

conclusionConfidence-building is a multifaceted and ongoing process influenced by mentorship, targeted training, reflection, team integration, and organizational culture. A comprehensive approach is necessary to help newly graduated nurses transition successfully into acute care practice. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers play a central role in shaping the conditions that allow newly graduated nurses to develop professional confidence during transition to practice. The findings from this review suggest that confidence-building strategies are most effective when supported by psychologically safe unit cultures, protected preceptor time, constructive feedback, manageable workloads, and structured opportunities for reflection and team integration. Rather than treating confidence as an individual trait, nursing management should approach it as a workforce outcome influenced by staffing, leadership practices, mentorship infrastructure, and organizational socialization. Strengthening these conditions may improve transition experiences, support retention, and contribute to safer, more stable acute care environments.

Indexed as

NursesSelf EfficacyHumansOrganizational Culture

Identifiers

PMID42634287
PMCPMC13501013

What OpenQuestion holds

Textmetadata
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.