Workforce Development, Retention, and Clinical Preparedness
Abstract
Abstract
Healthcare systems worldwide continue to face significant challenges related to workforce shortages, high turnover, and inconsistent levels of clinical preparedness among healthcare professionals. Workforce development, retention, and clinical preparedness are interconnected components essential to ensuring sustainable, high-quality, and safe healthcare delivery. This comprehensive review examines the conceptual foundations, educational strategies, organizational factors, and policy influences that shape workforce development and retention, with a particular focus on preparing clinicians for real-world practice. The article explores transition-to-practice challenges, competency-based education, experiential learning, mentorship, and leadership development as key strategies for enhancing clinical readiness and professional satisfaction. Additionally, barriers such as burnout, resource limitations, and misalignment between education and practice are discussed. Future directions emphasize technology-enhanced learning, resilience and well-being initiatives, integrated academic–practice partnerships, and data-driven workforce planning. This review underscores the importance of a holistic and strategic approach to strengthening workforce sustainability and clinical preparedness across healthcare systems.
References
Hynes L, Geraghty S, McChlery S, et al. Nurses’ and midwives’ job satisfaction and retention during COVID-19: a scoping review. BMC Nurs. 2025;24:299. doi:10.1186/s12912-025-02908-1.
Bae SH. Comprehensive assessment of factors contributing to the actual turnover of newly licensed registered nurses working in acute care hospitals: a systematic review. BMC Nurs. 2023;22:31. doi:10.1186/s12912-023-01190-3.
Lake ET. Nurse retention: a review of strategies to create and enhance positive practice environments in clinical settings. J Adv Nurs. 2013;69(12):2549-2562.
Organisational factors associated with healthcare workforce development, recruitment, and retention in the United Kingdom: a systematic review. BMC Nurs. 2024;23:604.
Lesnik T, Hauser-Oppelmayer A. Turnover intention among intensive care nurses and the influence of the COVID-19 pandemic: a scoping review. Hum Resour Health. 2025;23:23.