Recommendations for nursing practice CONCLUSION ∙

The gap

Evidence profile

Stated in the recommendations section of the source papers, classified as general, spanning 2 journals.

Supporting evidence — 8 representative gaps

• Lived Experiences of Staff Nurses in Handling Palliative Care Patients (2026) · International Journal of Nursing, Healthcare and Hospital Administration · doi

  In light of the study's conclusions, several recommendations are proposed for nursing practice. Healthcare institutions are encouraged to establish structured emotional support programs, including regular debriefing sessions, counseling services, and stress management workshops. Mentorship programs should be strengthened to support novice nurses as they navigate the emotional and ethical challenges of palliative care. Additionally, adequate staffing, proper workload distribution, and sufficient rest periods should be ensured to minimize physical exhaustion and workplace fatigue. ACKNOWLEDGMENTS I would like to express my deepest gratitude to the following individuals for their invaluable support in improving this study. To my SBLC and Graduate School, respectively, for the faith and support they have provided while I complete this journey. AI DECLARATION STATEMENT AI-supported tools helped with grammar and structure in creating this article. No AI tools were used to collect, analyze, or interpret data; all authors are credited for their academic contributions. https://epublications.myeduheart.com/index.php/ijnhha/index 84 INTERNATIONAL JOURNAL OF NURSING, HEALTHCARE AND HOSPITAL ADMINISTRATION VOL. 1 NO. 1 REFERENCES Amante, A. J. E., Awitan, C. D. T., Baesa, K. L. V., Bango, P. U., Bantilan, K. S. T., & Bullecer, E. C. E. (2025). Stress coping strategies in Filipino staff nurses: The role of personality type. Iranian Journal of Health Sciences, 13(3), 195–202. https://jhs.mazums.ac.ir/article-1-1001-en.pdf Bisht, R. (2025). What is purposive sampling? Methods, techniques, and examples. Researcher.Life. https://researcher.life/blog/article/what-is-purposive-samplingmethods-techniques-and-examples Bloomfield, J. G., O’Neill, B., & Gillett, K. (2015). Enhancing nurses communication during end-of-life care: A pilot study. Palliative & Supportive Care, 13(6), 1651–1661. https://doi.org/10.1017/S147895151500022X Chang, S. J., Moon, S., & Lee, N. K. (2025). End-of-life care preparedness and educational needs among nursing staff of long-term care facilities: A cross-sectional study. BMC Nursing, 24, 608.

  generalstated in recommendationsevidence 5/5
  Keywords: https care nursing support index life nurses article healthcare emotional programs stress palliative tools epublications
• The Influence of Preceptors on The Professional Skills, Personality Development, and Growth of Novice Renal Nurses at Selected Dialysis Centers in Davao Del Norte (2026) · International Journal of Nursing, Healthcare and Hospital Administration · doi

  Continuously provide preceptors with guidance, feedback, and support via mentoring. Preceptors will require training, and new nurses need to be actively involved in learning and receiving feedback. Policymakers can establish standards for preceptorship practice, and warrant more extensive sampling of preceptors in multiple environments for future studies. ACKNOWLEDGMENTS To everyone who provided assistance with this project, I want to thank them from the bottom of my heart! To my colleagues, family, and friends who provided words of support https://epublications.myeduheart.com/index.php/ijnhha/index E-ISSN: 3116-5974 P-ISSN: 3116-5966 281 and feedback during this journey, there are no words to express my gratitude. All of you played a key role in the success of this research. AI DECLARATION STATEMENT AI tools were used only for editing, summarizing, and improving clarity of the manuscript. The researcher remains fully responsible for all data, analysis, and final content. AI was not used to generate or modify research data or results. REFERENCES Bandura, A. (1977). Social learning theory. Prentice-Hall Benner, (1982).

  generalstated in recommendationsevidence 5/5
  Keywords: preceptors feedback support learning provided words index issn used continuously provide guidance mentoring require training
• Traditional vs. Technology-Based Mentoring: Perspectives and Influence on Clinical Performance Among Generation (2026) · International Journal of Nursing Healthcare and Hospital Administration · doi

  Healthcare institutions are encouraged to implement the proposed Strategic Hybrid Mentorship Program to strengthen the clinical competence and professional development of Generation Z nurses. Future studies may evaluate its effectiveness across different healthcare settings to further support evidence-based mentoring practices. ACKNOWLEDGMENTS Sincerely expresses gratitude to the hospital administration and all Generation Z nurses who participated in this study for their valuable cooperation. Appreciation is likewise extended to the research adviser, panel members, and Graduate School faculty for their guidance and support throughout the study, as well as to the researcher's family for their constant encouragement. AI DECLARATION STATEMENT AI-supported tools helped with grammar and structure in creating this article. No AI tools were used to collect, analyze, or interpret data; all authors are credited for their academic contributions. REFERENCES Berdida, D. J. E. (2023). Filipino nursing students' use of low-cost simulators during the COVID-19 pandemic: A summative content analysis of YouTube videos. Teaching and https://doi.org/10.1016/j.teln.2022.08.004 Learning in Nursing, 18(1), 134–143. Constantino, C. S., Genuino, R. F., Kilem, N. K. P., Perias, G. A. S., & Ang, G. G. T. (2025). A scoping review on the status of clinical simulation in healthcare education in the Philippines. Acta Medica Philippina, 59(6), 9–23. https://doi.org/10.47895/amp.v59i6.11554 Jiang, J., Liu, Y., Han, P., Zhao, J., Shi, Y., & Zhuang, Y. (2024). Perceptions and experiences of Generation Z nursing students during their practicum in an intensive care unit: A qualitative study. Heliyon, 10(4), Article e26205. https://doi.org/10.1016/j.heliyon.2024.e26205 Keinänen, A. L., Lähdesmäki, R., Mikkonen, K., & Kääriäinen, M. (2023). Effectiveness of mentoring education on health care professionals' mentoring competence: A systematic review. Nurse Education Today, 121, Article 105709. https://doi.org/10.1016/j.nedt.2023.105709 Liu, Y., Sun, X., Zhang, P., Han, P., Shao, H., Duan, X., & Jiang, J. (2023). Generation Z nursing students' online learning experiences during the COVID-19 epidemic: A https://epublications.myeduheart.com/index.php/ijnhha/index

  generalstated in recommendationsevidence 5/5
  Keywords: https generation nursing healthcare mentoring article students education clinical competence nurses effectiveness support tools covid
• Factors Affecting the Delivery of Quality Nursing Care and the Clinical Competencies of Newly Hired Nurses in Selected Hospitals in Quezon City: Basis for Enhancement of Orientation Program. (2026) · International Journal of Nursing, Healthcare and Hospital Administration · doi

  The healthcare institution must increase the effectiveness of orientation and transition-to-practice programs, incorporating mentors, coached clinical https://epublications.myeduheart.com/index.php/ijnhha/index E-ISSN: 3116-5974 P-ISSN: 3116-5966 21 experiences, and ongoing competency assessment of new registered nurses. Hospital leadership needs to promote supportive workplace environments by providing resources, staffing, and professional development, and by fostering opportunities for collaboration. Nursing educators can assist the transition by incorporating additional simulation-based education and competency-driven clinical instruction into their curricula. Future research needs large sample sizes, as well as data that cross healthcare institutions. ACKNOWLEDGMENTS I thank the participating hospital and the newly hired nurses for their generous cooperation throughout the study. Appreciation is also extended to the research adviser, panel members, faculty members, colleagues, family members, and all who, in any way and in any form, provided assistance, encouragement, support, and motivation that made the completion of the present research work possible. AI DECLARATION STATEMENT AI-supported tools helped with grammar and structure in creating this article. No AI tools were used to collect, analyze, or interpret data; all authors are credited for their academic contributions. REFERENCES Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ. Prantice Hall. O‟ Connel, P., Pepler, D., and Craig, W. (1999). Peer involvement in bullying: insight and challenges for intervention. Journal of Adolescence, 22, 0238. Benner, Patricia. From Novice to Expert. AJN, American Journal of Nursing 82(3): p 402-407, March 1982. Donabedian, A (2005). "Evaluating the quality of medical care. 1966". The Milbank Quarterly. 83 (4): 691–729. doi:10.1111/j.1468-0009.2005. 00397.x. PMC 2690293. PMID 16279964. Gadin, R.-A. A. (2024). Newly Hired Nurses: Learning needs, challenges, satisfaction, and the clinical setting. Asia Pacific Journal of Health support strategies In Management, 19(3). https://doi.org/10.24083/apjhm.v19i3.1623 Mugerwa, P. & Iwu-Jaja, Chinwe & Jordan, Portia. (2022). A Quantitative Study to Explore Clinical Competence of Newly Qualified Registered Nurses in Eastern Cape Province of South Africa. Africa Journal of Nursing and Midwifery. 24. 10.25159/2520- 5293/9252. Van Hecke, A., Decoene, E., Embo, M., Beeckman, D., Bergs, J., Courtens, A., ... & Goossens, E. (2025). Development of a competency framework for advanced practice nurses: A 353- process. Journal co‐design 365.https://lirias.kuleuven.be/retrieve/758131 nursing, 81(1), advanced of Weller-Newton, J. M., Murray, M., Phillips, C., Laging, B., & McGillion, A. (2022). Transition to pr

  generalstated in recommendationsevidence 5/5
  Keywords: nurses journal clinical nursing transition https competency needs newly members healthcare practice incorporating index issn
• Mentorship and Work Empowerment Among Newly Hired Nurses In a Selected Provincial Hospital System In Rizal: Basis for Onboard Program Enhancement (2026) · International Journal of Nursing, Healthcare and Hospital Administration · doi

  Based on the findings and conclusions of the study, to institutionalize a comprehensive onboarding enhancement program integrates structured mentorship and work empowerment. They should allocate sufficient resources, establish clear policies, support mentor training, and regularly evaluate onboarding outcomes to improve nurse retention, organizational performance, and quality of patient care. that ACKNOWLEDGMENTS My heartfelt gratitude goes to my RPHS Family for their unwavering support, camaraderie, kindness, and encouragement throughout my thesis journey. I sincerely thank Dr. John Joel Dela Merced, my thesis adviser. My family and I offer our deepest gratitude to Almighty God for His wisdom, strength, guidance, grace, and countless blessings. AI DECLARATION STATEMENT AI-supported tools helped with grammar and structure in creating this article. No AI tools were used to collect, analyze, or interpret data; all authors are credited for their academic contributions. REFERENCES Joseph, H. B., Issac, A., George, A. G., Gautam, G., Jiji, M., & Mondal, S. (2022). Transitional Challenges and Role of Preceptor among New Nursing Graduates. Journal of Caring Sciences, 11(2), 56–63. https://doi.org/10.34172/jcs.2022.16 Martina, G., Louise, M., Claire, M., Anna, C., Lorelli, N., Marie, K., Aoife, L., & Owen, D. (2025). The Reported Evidence of Nursing and Midwifery Mentorship Programs Internationally: A Scoping Meta‐Review Providing a Comprehensive Overview of Mentorship Programs. Journal of Advanced Nursing. https://doi.org/10.1111/jan.17028 https://epublications.myeduheart.com/index.php/ijnhha/index

  generalstated in recommendationsevidence 5/5
  Keywords: mentorship nursing https comprehensive onboarding support gratitude family thesis tools journal programs index based conclusions
• Exploring Challenges Among Newly Hired Nurses in Maintaining Quality of Care Amidst Work Transition: Insights for Training and Supervision (2026) · International Journal of Nursing, Healthcare and Hospital Administration · doi

  Hospitals should strengthen transition-to-practice programs through comprehensive orientation, mentoring, competency-based training, and supportive supervision. Nursing educators should continue enhancing students’ clinical preparedness through simulation and transition-focused learning experiences. Future studies may include larger samples from multiple healthcare institutions to further validate and expand the findings. ACKNOWLEDGMENTS https://epublications.myeduheart.com/index.php/ijnhha/index 196 INTERNATIONAL JOURNAL OF NURSING, HEALTHCARE AND HOSPITAL ADMINISTRATION VOL. 1 NO. 2 The author sincerely expresses gratitude to St. Bernadette of Lourdes College, the Graduate School faculty, the research adviser, panel members, the participating hospital, and all newly hired nurses who generously shared their experiences. Special appreciation is also extended to my family and colleagues for their invaluable encouragement and support throughout the completion of this study, above all to Almighty God. AI DECLARATION STATEMENT AI-supported tools helped with grammar and structure in creating this article. No AI tools were used to collect, analyze, or interpret data; all authors are credited for their academic contributions. REFERENCES Alharbi, A., et al. (2023). Transition challenges among newly graduated nurses: A systematic review. BMC Nursing, 22(1), 214. https://doi.org/10.3390/healthcare11142048 Hojjati, H., & Benner, P. (2025). From knowing to being: Reclaiming the art of nursing through Benner's theory. Journal of Nursing Advances in Clinical Sciences. https://doi.org/10.32598/JNACS.2506.1173⁠ Hallaran AJ, Edge DS, Almost J, Tregunno D. (2025). New Nurses’ Perceptions on Transition to Practice: A Thematic Analysis. Canadian Journal of Nursing Research. 55(1):126-136. doi:10.1177/08445621221074872 Jerpseth H, Jensen KT. (2025). Newly Graduated Nurses’ Experiences Regarding Job Readiness and Their Development of Professional Authority: A Qualitative Study. SAGE Open Nursing. ;11. doi:10.1177/23779608251330041 Hojjati, H., & Benner, P. (2025). From knowing to being: Reclaiming the art of nursing through Benner's theory. Journal of Nursing Advances in Clinical Sciences. https://doi.org/10.32598/JNACS.2506.1173⁠ https://epublications.myeduheart.com/index.php/ijnhha/index

  generalstated in recommendationsevidence 5/5
  Keywords: nursing https transition index journal nurses benner clinical experiences healthcare newly practice epublications myeduheart ijnhha
• Influence of Clinical Exposure and Specialization Preferences of Level IV Nursing Students: A Proposed Clinical Placement Program. (2026) · International Journal of Nursing, Healthcare and Hospital Administration · doi

  Based on the findings, the researcher proposed a program to address the specific problems identified by the respondents. CARE PROGRAM, which stands for (Clinical Advancement & Readiness Enhancement Program) ACKNOWLEDGMENTS All praise and thanks be to Allah for his guidance, strength, and endless blessings throughout this study. To my beloved three children, thank you for being my greatest inspiration and motivation. To everyone who supported me, thank you for your prayers, support, and encouragement. Alhamdulliah. AI DECLARATION STATEMENT AI-supported tools helped with grammar and structure in creating this article. No AI tools were used to collect, analyze, or interpret data; all authors are credited for their academic contributions. REFERENCES Anyango, E., Ngune, I., Brown, J., & Adama, E. (2024). The influence of individual factors on the career preferences and specialty choices of final-year nursing students. Journal of Professional Nursing, 54, 126-133. Anyango, E., Adama, E., Brown, J., & Ngune, I. (2024). The impact of final-year clinical placements on nursing students' career planning for the graduate year and beyond. Nurse education in practice, 76, 103944. Atakro, C. A. (2022). Gerontological nursing in Ghana: preferences and perceptions of nursing students. Gerontology & geriatrics education, 43(4), 482-498 https://epublications.myeduheart.com/index.php/ijnhha/index

  generalstated in recommendationsevidence 5/5
  Keywords: nursing program year students clinical thank supported tools anyango ngune brown adama career preferences final
• Work Satisfaction, Intention to Stay and Hindering Factors Among Staff Nurses in Military Hospital in Saudi Arabia, A Proposed Action Plan (2026) · International Journal of Nursing, Healthcare and Hospital Administration · doi

  Healthcare administrators should strengthen leadership practices, optimize staffing levels, expand career development opportunities, and implement formal employee recognition systems to improve satisfaction and retention. Military healthcare organizations are further encouraged to adopt the Nurse Retention and Satisfaction Enhancement Program (NRSEP) as an evidence-based quality improvement initiative to address the organizational barriers identified in this study. Future research should evaluate the effectiveness of the NRSEP across diverse healthcare settings and larger nurse populations. ACKNOWLEDGMENTS The researchers express gratitude to all who contributed to this study, including colleagues, friends, and family, for their support and encouragement. AI DECLARATION STATEMENT AI-supported tools helped with grammar and structure in creating this article. No AI tools were used to collect, analyze, or interpret data; all authors are credited for their academic contributions. REFERENCES Alqahtani, N., et al. (2024). Nurse retention in Saudi Arabia: Factors influencing turnover intention. Saudi Journal of Nursing Science, 12(1), 45–56. Amankwa, E. (2025). Intrinsic motivation and intent to stay among healthcare workers. Journal of Workplace Behavioral Health, 40(1), 22–38. Holter, A. (2022). Job satisfaction, self-efficacy, and turnover intention among nurses. Journal of Nursing Research, 30(2), 98–110. Idahosa, I. (2025). Burnout, workload, and organizational support among nurses during COVID-19. Journal of Advanced Nursing, 81(2), 345–360. Mozolova, V., et al. (2026). Job satisfaction, engagement, and intention to stay among nurses. Journal of Nursing Scholarship, 58(1), 12–25. https://epublications.myeduheart.com/index.php/ijnhha/index E-ISSN: 3116-5974 P-ISSN: 3116-5966 305 Onyema, K. (2025). Job satisfaction and turnover intention among nurses. Journal of Healthcare Leadership, 17(1), 33–45. Press Ganey. (2024, July 17). Employee engagement in 2024: Trends, challenges, and opportunities. Press Ganey. https://www.pressganey.com/resources/blog/employee- engagement-in-2024-trends/ Tsapnidou, E., et al. (2025). Toxic leadership and nursing staff retention: A thematic review. Journal of Nursing Ethics, 32(1), 15–30. https://epublications.myeduheart.com/index.php/ijnhha/index

  generalstated in recommendationsevidence 5/5
  Keywords: journal nursing healthcare satisfaction among retention intention nurses index leadership employee nurse turnover engagement https

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