VOLUME 05 ISSUE 08 AUGUST 2026
Victoria Gbemisola Ojesanya
Aberystwyth University, Wales, United Kingdom Department of Business Management
DOI : https://doi.org/10.58806/ijsshmr.2026.v5i8n28Google Scholar Download Pdf
ABSTRACT
Background: The problem of workforce shortages, migration, burnout and increasing care complexity have placed the issue of hospital retention on the frontlines. Wellbeing programmes have been presented as part of the solution, yet the evidence is dispersed and not necessarily interpreted in a manner that can be helpful in lower-resource contexts. Objective: To review the evidence on hospital wellbeing programmes and their relationship with workforce retention, with a specific focus on low- and middle-income countries (LMICs). Methods: This narrative review was drawn from targeted search of peer-reviewed articles, WHO reports and reference lists, with a focus on systematic reviews, large-scale hospital studies, and LMIC or African evidence published between 2010 and January 2026. Results: Short-term psychological outcomes may be enhanced by individual interventions (mindfulness, resilience training and brief psychoeducational programmes), although the best retention indicators are found in more organisational interventions: supportive leadership, healthier practice environments, sufficient staffing, early-career transition support, schedule control, recognition and professional development. The evidence in LMICs is less and methodologically imbalanced but it is also consistent that poor working conditions, burnout, fatigue and low job satisfaction are associated with intention to leave. Conclusion: Wellbeing programmes are most likely to aid retention when they are part of staffing, supervision, workload management and career support, as opposed to being an independent add-on.
KEYWORDS:wellbeing programmes, workforce retention, hospitals, burnout, job satisfaction, LMICs, health systems. Abbreviations: HCWs, healthcare workers; LMICs, low- and middle-income countries; NRP, nurse residency programme; TI, turnover intention; WHO, World Health Organisation.
REFERENCES1) World Health Organization. Health workforce [Internet]. Geneva: WHO; 2026 [cited 2026 Apr 14]. Available from: https://www.who.int/teams/health-workforce
2) World Health Organization. State of the world's nursing 2025 [Internet]. Geneva: WHO; 2025 [cited 2026Apr14]. Available from: https://www.who.int/publications/i/item/9789240110236
3) Leveck ML, Jones CB. The nursing practice environment, staff retention, and quality of care. Res Nurs Health. 1996;19(4):331-43. doi:10.1002/(SICI)1098-240X(199608)19:4<331::AID-NUR7>3.0.CO;2-J.
4) Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA. 2002;288(16):1987-93. doi:10.1001/jama.288.16.1987.
5) West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016;388(10057):2272-81. doi:10.1016/S0140-6736(16)31279-X.
6) Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, et al. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med. 2017;177(2):195-205. doi:10.1001/jamainternmed.2016.7674.
7) Schalk DMJ, Bijl MLP, Halfens RJG, Hollands L, Cummings GG. Interventions aimed at improving the nursing work environment: a systematic review. Implement Sci. 2010;5:34. doi:10.1186/1748-5908-5-34.
8) Gutiérrez-Fernández E, Amo-Setién F, Leal-Costa C, Salcedo-Sampedro C, Martín-Melón R, Molina-Mula J, et al. Effectiveness of intervention programs aimed at improving the nursing work environment: a systematic review. Int Nurs Rev. 2024;71(1):148-59. doi:10.1111/inr.12826.
9) Fadel M, Roquelaure Y, Descatha A. Interventions on well-being, occupational health, and aging of healthcare workers: a scoping review of systematic reviews. Saf Health Work. 2023;14(1):135-40. doi:10.1016/j.shaw.2022.12.003.
10) Unjai S, Forster EM, Mitchell AE, Creedy DK. Interventions to promote resilience and passion for work in health settings: a mixed-methods systematic review. Int J Nurs Stud Adv. 2024;7:100242. doi:10.1016/j.ijnsa.2024.100242.
11) Belita E, Neil-Sztramko SE, Seale C, Zhou F, Ongolo Zogo C, Boamah S, et al. Organizational interventions to support and promote the mental health of healthcare workers during pandemics and epidemics: a systematic review. BMC Health Serv Res. 2025;25:731. doi:10.1186/s12913-025-12888-2.
12) Brook J, Aitken L, Webb R, MacLaren J, Salmon D. Characteristics of successful interventions to reduce turnover and increase retention of early career nurses: a systematic review. Int J Nurs Stud. 2019;91:47-59. doi:10.1016/j.ijnurstu.2018.11.003.
13) Mohamed Z, Al-Hmaimat N. The effectiveness of nurse residency programs on new graduate nurses' retention: systematic review. Heliyon. 2024;10(5):e26272. doi:10.1016/j.heliyon.2024.e26272.
14) Gensimore MM, Maduro RS, Morgan MK, McGee GW, Zimbro KS. The effect of nurse practice environment on retention and quality of care via burnout, work characteristics, and resilience: a moderated mediation model. J Nurs Adm. 2020;50(10):546-53. doi:10.1097/NNA.0000000000000932.
15) Rutledge DN, Douville S, Winokur EJ. Chronic fatigue predicts hospital nurse turnover intentions. J Nurs Adm. 2022;52(4):241-7. doi:10.1097/NNA.0000000000001139.
16) Zheng J, Feng S, Feng Y, Wang L, Gao R, Xue B. Relationship between burnout and turnover intention among nurses: a network analysis. BMC Nurs. 2024;23:921. doi:10.1186/s12912-024-02624-2.
17) Ayalew E, Workineh Y, Semachew A, Woldgiorgies T, Kerie S, Gedamu H, et al. Nurses' intention to leave their job in sub-Saharan Africa: a systematic review and meta-analysis. Heliyon. 2021;7(6):e07382. doi:10.1016/j.heliyon.2021.e07382.
18) Dubale BW, Friedman LE, Chemali Z, Denninger JW, Mehta DH, Alem A, et al. Systematic review of burnout among healthcare providers in sub-Saharan Africa. BMC Public Health. 2019;19:1247. doi:10.1186/s12889-019-7566-7.
19) Jinah N, Adnan IK, Bakit P, Sharin IA, Lee KY. Retention strategies for medical doctors in low- and middle-income countries (LMICs): are they effective? A scoping review. BMC Health Serv Res. 2024;24:1662. doi:10.1186/s12913-024-12154-x.
20) Poku CA, Donkor E, Naab F. Impacts of nursing work environment on turnover intentions: the mediating role of burnout in Ghana. Nurs Res Pract. 2022;2022:1310508. doi:10.1155/2022/1310508.
21) Poku CA, Bayuo J, Agyare VA, Sarkodie NK, Bam V. Work engagement, resilience and turnover intentions among nurses: a mediation analysis. BMC Health Serv Res. 2025;25:71. doi:10.1186/s12913-025-12242-6.
22) Kiptulon EK, Zrínyi M, Siket AU. Intentions to leave the job and nursing profession among nurses in Kenya's referral hospitals: exploring the effects of organizational culture, work-related stress and job satisfaction. BMC Nurs. 2025;24:823. doi:10.1186/s12912-025-03422-0.
23) Nwosu ADG, Ossai E, Onwuasoigwe O, Ezeigweneme M, Okpamen J. Burnout and presenteeism among healthcare workers in Nigeria: implications for patient care, occupational health and workforce productivity. J Public Health Res. 2021;10(1):1900. doi:10.4081/jphr.2021.1900.
24) Ike OO, Chuke NN, Nnamchi OC. Organizational cynicism and turnover intention among nurses: do perceived organizational support moderates the relationship. SAGE Open Nurs. 2024;10:23779608241251717. doi:10.1177/23779608241251717.
25) Pattali S, Sankar JP, Al Qahtani H, Menon N, Faizal S, et al. Effect of leadership styles on turnover intention among staff nurses in private hospitals: the moderating effect of perceived organizational support. BMC Health Serv Res. 2024;24:199. doi:10.1186/s12913-024-10674-0.
26) Ren H, Xue Y, Li P, Yin X, Xin W, Li H, et al. Prevalence of turnover intention among emergency nurses worldwide: a meta-analysis. BMC Nurs. 2024;23:645. doi:10.1186/s12912-024-02284-2.
27) Lu X, Yang J, Bai D, Cai M, Wang W, He J, et al. The effect of psychological contract on turnover intention among nurses: a meta-analytic review. BMC Nurs. 2023;22:358. doi:10.1186/s12912-023-01496-2.
28) van Kraaij J, de Vries N, Wessel H, Vermeulen H, van Oostveen C, RN2Blend Consortium. Enhancing work environments and reducing turnover intention: a multicenter longitudinal cohort study on differentiated nursing practices in Dutch hospitals. BMC Nurs. 2025;24:39. doi:10.1186/s12912-024-02681-7.
Cite this Article: Ojesanya, V. G. (2026). Wellbeing Programmes and Workforce Retention in Hospitals: Evidence, Gaps, And Relevance for Health Systems in Low- And Middle-Income Countries. INTERNATIONAL JOURNAL OF SOCIAL SCIENCE HUMANITY & MANAGEMENT RESEARCHS, 5(8), 2355-2361. https://doi.org/10.58806/ijsshmr.2026.v5i8n28