Nursing Perception and Attitude towards Transformational to New Health Holding Contracts: A Systematic Review

Abstract

Background: This paper has highlighted the use of transformational healthcare holding contracts as an important concept in reforming the existing healthcare systems. Thus, knowledge of how the contracts are perceived by the nurses and the reaction that it prompts among the nursing staff can be greatly insightful, since the overall success of such reforms depends on the participants’ view of the contracts.

Aim: This systematic review is to investigate registered nurses’ perceptions and attitude towards new transforming healthcare holding contracts and to evaluate it within their professional practice.

Method: The initial step involved a systematic review of literature in which articles published within the year 2020-2024 have been considered. Included in the review, the research focused on quantitative and qualitative studies that investigated the impressions of the healthcare employees subjected to the effects of transformational contracts; the research employed different data-gathering tools such as surveys, interviews, and focus groups.

Results: The study shows that the integrated work of the nurses produces multiple mesoscale patterns of acceptance and resistance to transformational contracts. As found in the current study, perception of contracts’ benefits, overall communication in workplace, and managers’ support influenced the nurses’ attitudes. Several works revealed that, in fact, the number of positive perceptions increased when nurse themselves become involved in implementation process, ultimately increasing job satisfaction and patient care quality.

Conclusion: It will also be important to stress the importance of paying attention to the perception nurses have to transformational healthcare holding contracts. Nursing staff needs to be involved through communication and support in these reforms because problems, if encountered, have to be positively addressed.