Facilitators, Barriers, and Educational Preparedness of Early-Career Nursing Graduates Entering Practice in Rural and Remote Areas: A Mixed-Method Study.

Background/Objective: A nurse staffing crisis is a high-profile issue in the healthcare system. The challenge accelerates when considering the status of the nursing workforce in rural and remote (R&R) areas, where recruitment and retention are mounting problems. The primary focus of this study was t...

Descripción completa

Detalles Bibliográficos
Publicado en:Nursing Reports Vol. 15; no. 11; pp. 410 - 433
Autores principales: Loughery, Joanne, Gudi, Sai Krishna, Harrigan, Tom, Duff, Elsie
Formato: research tables/charts Journal Article
Publicado: MDPI Nov2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189677068&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 189677068
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        2039439X
        EGNT
      jtl: Nursing Reports
      issn: 2039439X
      maglogo: N
    pubinfo:
      dt: Nov2025
      vid: 15
      iid: 11
      pid: 97109
      pub: MDPI
    artinfo:
      ui:
        189677068
        189677068
        189677068
        10.3390/nursrep15110410
        189677068
      ppf: 410
      ppct: 23
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Facilitators, Barriers, and Educational Preparedness of Early-Career Nursing Graduates Entering Practice in Rural and Remote Areas: A Mixed-Method Study.
      aug:
        au:
          Loughery, Joanne
          Gudi, Sai Krishna
          Harrigan, Tom
          Duff, Elsie
        affil: Department of Nursing, School of Health Sciences & Community Services, Red River College Polytechnic, Winnipeg, MB R3H 0J9, Canada
      sug:
        subj:
          Rural Areas Manitoba
          New Graduate Nurses
          Entry Into Practice
          Clinical Competence
          Human
          Multimethod Studies
          Manitoba
          Interviews
          Chi Square Test
          Work Environment
          Organizational Culture
          Cross Sectional Studies
          Questionnaires
          Summated Rating Scaling
          Data Analysis Software
          Content Analysis
          Thematic Analysis
          Purposive Sample
          Funding Source
      ab: Background/Objective: A nurse staffing crisis is a high-profile issue in the healthcare system. The challenge accelerates when considering the status of the nursing workforce in rural and remote (R&R) areas, where recruitment and retention are mounting problems. The primary focus of this study was to evaluate facilitators and barriers to entry into R&R nursing practice, alongside understanding educational preparedness to practice in these settings in Manitoba. Methods: A sequential explanatory mixed-methods survey and qualitative interviews were used as a study design to explore this emerging problem. Study participants include registered nurses (RNs) and Licensed Practical Nurses (LPNs) practicing in Manitoba's R&R areas within three years of graduation from a nursing program. Results: A total of 77 nurses (56-RNs and 21-LPNs) participated in the survey, while 16 nurses were interviewed subsequently. Having a positive workplace culture (70%), being born or residing in an R&R area before practicing as a nurse (66%), and having a good clinical variety of patients (65%) were identified as key facilitators. Unmanageable workload with inadequate staffing (50%) and inadequate resources and infrastructure (46%) were identified as key barriers to entering R&R nursing practice in Manitoba. Through qualitative interpretive descriptions, the generalist role, autonomy, rural life, and organizational culture were identified as facilitators, while resources, staffing, geography, and expanded roles were identified as barriers. Conclusions: Preparing new nursing graduates for the realities they face in R&R areas is paramount. The current study findings help inform R&R curriculum in undergraduate nursing programs and consider strategies to enhance employment opportunities for new nurses in these dynamic settings.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N