An integrative review of the factors influencing new graduate nurse engagement in interprofessional collaboration

J Adv Nurs. 2014 Jan;70(1):4-20. doi: 10.1111/jan.12195. Epub 2013 Jul 1.


Aim: To analyse critically the barriers and facilitators to new graduate nurse engagement in interprofessional collaboration.

Background: The acculturation of new graduate nurses must be considered in strategies that address the global nursing shortage. Interprofessional collaboration may support the transition and retention of new graduate nurses.

Design: Whittemore and Knafl's revised framework for integrative reviews guided the analysis.

Data sources: A comprehensive multi-step search (published 2000-2012) of the North American interprofessional collaboration and new graduate literature indexed in the CINAHL, Proquest, Pubmed, PsychINFO and Cochrane databases was performed. A sample of 26 research and non-research reports met the inclusion criteria.

Review methods: All 26 articles were included in the review. A systematic and iterative approach was used to extract and reduce the data to draw conclusions.

Results: The analysis revealed several barriers and facilitators to new graduate engagement in interprofessional collaboration. These factors exist at the individual, team and organizational levels and are largely consistent with conceptual and empirical analyses of interprofessional collaboration conducted in other populations. However, knowledge and critical thinking emerged as factors not identified in previous analyses.

Conclusion: Despite a weak-to-moderate literature sample, this review suggests implications for team and organizational development, education and research that may support new graduate nurse engagement in IPC.

Keywords: barriers; facilitators; integrative review; interprofessional collaboration; new graduate nurse.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Acculturation
  • Communication Barriers
  • Cooperative Behavior
  • Humans
  • Interprofessional Relations*
  • Nurses / psychology*
  • Patient Care Team
  • Professional Competence
  • Professional Practice
  • Self Concept
  • Social Support