Pandemic perspectives: A scoping review of undergraduate nursing students' motivations in the age of COVID-19

Abstract

Background and objective: The COVID-19 pandemic intensified global nursing shortages, underscoring the urgency to understand the evolving motivations of undergraduate nursing students (UNS). While intrinsic and extrinsic factors are known to influence career choices, the pandemic's impact necessitates a closer examination of these motivations. This scoping review maps and explores primary research on the multifaceted motivations influencing UNS career decisions during and after the COVID-19 pandemic, providing a comprehensive overview of the factors shaping the future nursing workforce.

Methods: Guided by Arksey and O'Malley's framework and PRISMA-ScR guidelines, a systematic search across five databases (CINAHL, PsycInfo, MEDLINE, Embase, Scopus) identified relevant studies published between January 2020 and January 2024. Rigorous screening and data extraction were followed by qualitative synthesis to identify key motivational themes.

Results: Thirteen studies from diverse regions (Asia, Middle East, United States, Europe) revealed a complex interplay of intrinsic (e.g., personal fulfillment, altruism) and extrinsic (e.g., financial security, job prospects) motivations. The pandemic amplified concerns about occupational risks and work-life balance while highlighting the profession's societal value. Gender disparities emerged, with distinct motivations and barriers observed among male and female students.

Conclusions: This review provides a nuanced understanding of UNS career motivations in the pandemic era, emphasizing the need for tailored recruitment and retention strategies that address both intrinsic aspirations and extrinsic concerns. By recognizing the multifaceted nature of motivations and their regional variations, stakeholders can foster a resilient and adaptable nursing workforce equipped to meet the challenges of the evolving healthcare landscape.