Table 3: Summary of reviews presenting interventions with multiple strands.

Intervention type Effect
Review authors’
summary of findings
Supporting evidence
Type, number, and quality of included studies as reported by the review author(s) Review quality score Review reference
First Author
- Nursing practice models
- Teamwork approach
- Leadership practice
- Organisational strategies
- Individual strategies.
Most studies reported improved retention as a result of the intervention. Team work and individually targeted strategies including mentoring, leadership interest and in depth orientation increased job satisfaction and produced higher retention results.
Retention was highest when multiple interventions were used.
Total number 12
Quantitative 12
Experimental (quasi) 2
Observational 10-
Quality assessment tool adapted from Estabrooks et al (2003)a
“All included studies were rated as medium or high in the quality assessment.” b, page 1030
- Preceptor programme
- Needs-based orientation programme
- Residency programme
- New graduate internship programme
- Externship before graduation from a basic RN programme
Based on the strongest evidence, the highest retention rates were associated with retention strategies that used a preceptor programme model that focused on the NGN as well as a programme length of 3 to 6 months. Total number 16
Quantitative 16^^
^^Type of quantitative studies included not discussed
Quality assessment tool adapted from several existing frameworks (Cummings and Estabrooks 2003c, Estabrooks et al 2001d);
“Eleven studies in the review were considered moderate, 3 were high, and 2 were weak.”e, page 288

a [53], b [33], c [54], d [55], e [35]