Nurse and midwife navigator resilience, well-being, burnout, and turnover intent: A multi-methods study

PurposeTo explore levels of Navigator resilience, well-being, burnout, and turnover intent.DesignA longitudinal, multi-methods study concurrently collected quantitative and qualitative data over three years.MethodsA survey and Action Learning Groups.FindingsNo statistically significant change in resilience, well-being, burnout, or turnover intent. Supports, self-care and leaving the position, were used to maintain well-being.ConclusionsWhile quantitative measures did not change, qualitative data demonstrated how adaptive coping mechanisms maintain well-being. Recommendations for nurses working in Navigator, or similar community/public health roles include work-based programs targeting support, good leadership, governance systems including their impact on turnover intent.Clinical evidenceJob turnover intent can be used as a mechanism to monitor resilience and well-being.

Automated summary

This study explores the levels of resilience, well-being, burnout, and turnover intent among navigators, and finds no significant changes over a three-year period. The qualitative data suggests that adaptive coping mechanisms, such as support, self-care, and leaving the position, are important in maintaining well-being. Recommendations for nurses in similar roles include work-based programs targeting support, good leadership, and examining the impact on turnover intent.