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Being and becoming a mentor: personal and professional growth in a Swedish-Norwegian multicenter nurse mentorship intervention
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0001-5639-8829
2025 (English)Doctoral thesis, comprehensive summary (Other academic)Alternative title
Att vara och bli mentor : personlig och professionell utveckling i en svensk–norsk multicenter-mentorskapsintervention för sjuksköterskor (Swedish)
Abstract [en]

Background: Mentoring in nursing is recognized as a strategy to improve the retention and workplace well-being of registered nurses. However, while nurse mentors play a crucial role in the mentoring process, their experiences and development are underexplored in research. Global concerns regarding registered nurses’ retention and deteriorating working environments, highlighted by organizations such as the World Health Organization, underscore the need for sustainable strategies that foster supportive work cultures. Within the Swedish-Norwegian action research project Becoming a Professional Nurse (BePROF), a mentorship intervention was developed and tested in the northern regions of both countries. This thesis, which exists within the BePROF framework, explores mentoring from the perspectives of nurse mentors.

Aim: The aim of this thesis was to explore mentoring within the nursing profession by examining registered nurses’ job satisfaction, professional competence, and self-efficacy at different work experience levels, and by exploring nurse mentors’ experiences, development, and the prerequisites for mentoring in the context of a mentoring intervention.

Methods: This thesis applied quantitative, qualitative, and mixed methods to explore complementary approaches to knowledge creation. The studies contributed to the overarching action research project’s phases problem identification and evaluation. Study I was a multicenter cross-sectional survey of 1137 registered nurses, comparing self-rated job satisfaction, professional competence, and self-efficacy across work experience groups. Data were analyzed with descriptive and comparative statistics. Study II was a qualitative interview study with 21 registered nurses describing their experiences of being a mentor, analyzed with qualitative content analysis. Study III used a mixed-methods design to explore nurse mentors’ clinical teaching behavior, self-efficacy, and role development. Data were collected from 52 participants before the intervention, 30 at post-test I, and 17 at post-test II, along with focus group interviews involving 19 nurse mentors post-intervention. Quantitative data were analyzed with descriptive and comparative statistics, and qualitative data with qualitative content analysis; results were triangulated to identify convergence and divergence. Study IV was a qualitative study based on focus group interviews with 19 nurse mentors, exploring their perspectives on the prerequisites for mentoring, analyzed with qualitative content analysis.

Results: Nurse mentors demonstrated strong motivation and ability to take on mentoring roles. However, the results from both the pre- and post-intervention phases underscored a clear need for enhanced organizational support for nurse mentors. Results in Study I showed that job satisfaction was lowest among registered nurses with medium-term work experience, compared to newly qualified nurses and registered nurses with long-term work experience. Professional competence and self-efficacy were highest among registered nurses with long-term work experience. In Study II, the results further showed that being a nurse mentor meant fostering safety within complex working environments. Study III showed that during the intervention, the nurse mentors experienced both personal and professional growth, particularly in terms of relationship-building, mentoring skills, and role clarity. Consistently high ratings were reported regarding clinical teaching behavior and self-efficacy, with a post-intervention increase in clinical teaching behavior scores. The results in Study IV further emphasized that nurse mentors require organizational structure and the support of leaders in order to facilitate the mentoring process.

Conclusions: Being and becoming a nurse mentor is a relational, reflective, and developmental process that fosters nurse mentors’ professional identities, and contributes to a positive workplace culture. When it is embedded into daily clinical practice, nurse mentors can support the transition of newly qualified nurses into the profession, thereby enhance retention, and promote lifelong learning. It can strengthen leadership, communication, and reflection skills, while also reinforce a sense of purpose and belonging in nurse mentors. For mentoring to be both sustainable and impactful, it must be supported by unit leaders through structured routines and continuous guidance. Future studies should explore the long-term sustainability and impact of mentoring in nursing longitudinally. Key areas for future research include how mentoring influences professional development over time; the role of organizational culture and leadership in successful mentoring implementation; assessing the economic impact of such implementations; and the potential of interprofessional mentoring to support collaborative practice across disciplines.

Place, publisher, year, edition, pages
Umeå: Umeå University, 2025. , p. 89
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 2374
Keywords [en]
Intervention, job satisfaction, nurse mentors, organizational culture, professional competence, professional role, registered nurses, self-efficacy, workplace.
National Category
Nursing
Identifiers
URN: urn:nbn:se:umu:diva-246064ISBN: 978-91-8070-807-4 (print)ISBN: 978-91-8070-808-1 (electronic)OAI: oai:DiVA.org:umu-246064DiVA, id: diva2:2011662
Public defence
2025-12-05, Aula Biologica, Linnaeus väg 7, Umeå, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2025-11-14 Created: 2025-11-05 Last updated: 2025-11-05Bibliographically approved
List of papers
1. Job satisfaction, professional competence, and self-efficacy: a multicenter cross-sectional study among registered nurses in Sweden and Norway
Open this publication in new window or tab >>Job satisfaction, professional competence, and self-efficacy: a multicenter cross-sectional study among registered nurses in Sweden and Norway
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2024 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 24, no 1, article id 734Article in journal (Refereed) Published
Abstract [en]

Background: Healthcare organizations worldwide face persistent challenges relating to turnover and intention to leave the nursing profession among registered nurses. Factors contributing to their retention and well-being at work include high job satisfaction, professional competence, and self-efficacy. Few multicenter studies have investigated these factors in relation to work experience in a Nordic context. Therefore, this study aimed to investigate job satisfaction, professional competence, and self-efficacy among registered nurses.

Methods: This multicenter cross-sectional study survey was part of a larger overarching Swedish-Norwegian project, and was conducted among registered nurses (n = 1137) in September 2021. The participants worked in a variety of health care units, e.g., hospital units, primary health care, and home care. Data was subjected to descriptive and comparative statistical analysis; chi-square test, one-way between-groups analysis of variance (ANOVA) and Kruskal-Wallis test.

Results: The findings show that job satisfaction is reported as lowest in registered nurses with medium-term work experience as compared to newly qualified and long-term work-experienced registered nurses. Professional competence and self-efficacy are reported as higher among registered nurses with long-term work experience as compared to those with medium-term work experience and newly qualified registered nurses. However, the participants reported their professional competence as highest in relation to the same factor – “Value-based nursing care” – regardless of their work experience.

Conclusions and implications: This study underscores the need for continuous support and professional development for registered nurses throughout their careers. Proactive support for newly qualified nurses may improve job satisfaction as they progress to being registered nurses with medium-term work experience. Tailored interventions to address the distinct needs of both newly qualified and medium-term work-experienced registered nurses are crucial for nurturing a sustainable nursing workforce.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
Keywords
Job satisfaction, Norway, Professional competence, Registered nurses, Self-efficacy, Sweden
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-226804 (URN)10.1186/s12913-024-11177-8 (DOI)001248065200006 ()38877558 (PubMedID)2-s2.0-85195915233 (Scopus ID)
Funder
Västerbotten County Council
Available from: 2024-06-20 Created: 2024-06-20 Last updated: 2025-11-05Bibliographically approved
2. Exploring registered nurses’ perspectives as mentors for newly qualified nurses: a qualitative interview study
Open this publication in new window or tab >>Exploring registered nurses’ perspectives as mentors for newly qualified nurses: a qualitative interview study
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2024 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 14, no 5, article id e082940Article in journal (Refereed) Published
Abstract [en]

Objective: Existing research has focused mostly on mentees’ experiences of mentoring rather than mentors’ experiences. Therefore, this study describes registered nurses’ experiences of being a mentor for newly qualified nurses.

Design: A qualitative interview study based on semistructured individual interviews. Interviews were analysed using qualitative content analysis.

Participants and setting: A purposive sample of experienced registered nurses (n=21) from healthcare units in northern Sweden and northern Norway. Inclusion criteria were to have been a mentor to at least one newly qualified nurse, hold permanent employment of 75%–100% as a registered nurse and to be able to communicate in Swedish or Norwegian.

Results: Our study’s findings suggest that being a mentor plays a crucial role in establishing safety in complex work environments. The main theme consists of three themes: feeling motivated in being a mentor; continuously developing the learning environment; and navigating obstacles and cultivating support.

Conclusion: Being a mentor is a complicated role for registered nurses. The mentoring role is beneficial—ie, positive and rewarding—if facilitated sufficiently in the context of a structured organisation. This study brings a more profound understanding of and provides new insights into registered nurses’ perspectives and needs regarding being a mentor and the study’s findings make an important contribution to the field of nursing regarding the facilitation of mentoring.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2024
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-225090 (URN)10.1136/bmjopen-2023-082940 (DOI)001300458500001 ()38803253 (PubMedID)2-s2.0-85194526587 (Scopus ID)
Funder
Umeå University
Available from: 2024-05-27 Created: 2024-05-27 Last updated: 2025-11-05Bibliographically approved
3. Advancing nurse mentors’ development through a mentoring intervention: a mixed methods study
Open this publication in new window or tab >>Advancing nurse mentors’ development through a mentoring intervention: a mixed methods study
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(English)Manuscript (preprint) (Other academic)
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-246123 (URN)
Available from: 2025-11-03 Created: 2025-11-03 Last updated: 2025-11-05Bibliographically approved
4. The need for organisational structure and leadership support: a qualitative study on nurse mentors' perspectives on the prerequisites for effective mentoring
Open this publication in new window or tab >>The need for organisational structure and leadership support: a qualitative study on nurse mentors' perspectives on the prerequisites for effective mentoring
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2025 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Article, review/survey (Refereed) Epub ahead of print
Abstract [en]

Background: Research consistently underscores the importance of mentoring and a supportive work environment for nurse retention and well-being. Previous research on nurse mentoring has primarily focused on mentees' perspectives. Research is scarce on the prerequisites for mentoring from the perspective of mentors—experienced registered nurses who guide and support their new colleagues, mentees.

Aim: To explore nurse mentors' perspectives on the prerequisites for mentoring, following their participation in a mentoring intervention.

Design: Qualitative study design with an inductive approach using focus group interviews as a data collection method.

Methods: A total of 19 experienced registered nurses, appointed as mentors, were interviewed in four focus groups and one individual interview, in May and June 2022, following the conclusion of the intervention period. Focus groups consisted of three to six participants. The transcribed interview data were analysed using qualitative content analysis.

Results: The main theme identified in the results was that mentors needed organisational structure and leaders' support to facilitate the mentoring process. Participants underscored the necessity of a comprehensive support system that spans the entire mentoring process, as described in three themes: creating foundations for mentoring; navigating mentoring challenges in everyday work routines; and post-mentoring reflection and learning.

Conclusions: This study underscores the importance of integrating mentoring into daily healthcare routines by addressing barriers and facilitators, such as organisational structure and support from first line leaders. Key results highlight the need for pre- and post-mentoring phases to create a sustainable, continuous learning process. Further research should focus on developing sustainable frameworks for implementing mentoring.

Implications for the Profession: Policies should explicitly support the dual role of experienced registered nurses as both caregivers and mentors, acknowledging the demands on their time and responsibilities. Policymakers should integrate mentoring frameworks into nursing roles. This could play a critical role in stabilising the work environment.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025
Keywords
evaluation research, focus groups, mentors, nurse roles, professional development, qualitative approaches
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-237039 (URN)10.1111/jan.16948 (DOI)40159667 (PubMedID)2-s2.0-105001825008 (Scopus ID)
Funder
Region Västerbotten, 232100‐0222Umeå University, 202100-2874
Available from: 2025-04-01 Created: 2025-04-01 Last updated: 2025-11-05

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Kallerhult Hermansson, Stina

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