Determinants of Nurse Turnover in Rural Primary Health Centres and Policies Adopted in India- A Systematic Integrative Review Protocol

Authors

Ponnambily Chandy Ms, Sathyabama College of Nursing, Sathyabama Institute of Science and TechnologyFollow
Bart Criel Dr, Institute of Tropical Medicine, BelgiumFollow
Lakshmi L Dr, Sathyabama College of Nursing, Sathyabama Institute of Science and TechnologyFollow

Designation

Ponnambily Chandy, Assistant Professor, Sathyabama College of Nursing, Sathyabama Institute of Science and Technology, Chennai, TN.

Abstract

Background: Nurses act as the major workforce of the primary health care delivery system by representing nearly half of all health professionals in India. Nurse turnover in rural Primary Health Centers (PHCs) is receiving a great deal of attention around the world in both professional publications and media. We have conducted a rapid literature review and from thereon developed an analytical framework on the determinants of nurse turnover in rural PHCs and policies adopted in India to overcome it. Literature reviews on studies addressing the turnover of registered nurses working in the rural PHCs are scarce. The current review aims to develop an interpretive framework for future research and policymaking on nurse turnover in rural PHCs in India.

Methods: The review includes policy documents, rural health statistics reports, quantitative, qualitative, and mixed studies on nurse turnover and policies adopted in rural PHCs in India. We will screen the articles published in the period from January 1, 2001, to October 31, 2021, available in the English language by searching through databases, grey literature, and tracking. The Mixed Methods Appraisal Tool (MMAT) 2018 will be used for screening and a PRISMA flowchart 2020 will report the search process. We will synthesize data on nurse turnover in two ways; first, present the magnitude of the problem; and second, identify the determinants of turnover and list the policies designed to overcome it through a thematic synthesis.

Discussion: The interpretive framework can be used for future research and policy informing by identifying exact-estimated, underestimated, overestimated, and non-estimated determinants and adopted policies on nurse turnover in rural PHCs in their context.

Systematic review registration: PROSPERO 2021 CRD42021288944.

Recommended Citation

Chandy, Ponnambily Ms; Criel, Bart Dr; and L, Lakshmi Dr (2023) "Determinants of Nurse Turnover in Rural Primary Health Centres and Policies Adopted in India- A Systematic Integrative Review Protocol," Manipal Journal of Nursing and Health Sciences: Vol. 9: Iss. 2, .
DOI:
Available at: https://impressions.manipal.edu/mjnhs/vol9/iss2/8