Nursing Professionals within the Intergenerational Context during the 20th and 21st Centuries: an Integrative Review


  • Susana Rollan Oliveira Universidad de Alicante
  • José Siles González Universidad de Alicante



veterans, intergeneration interval, nurses, delivery of health care


Objective. To describe the generational differences and similarities existing among nursing professionals of the 20th and 21st centuries and how these have influenced on the evolution of the profession.

Methods. Integrative review according to the methodology by Whittemore and Knafl. The key words used for the search were: nurses, intergenerational relations, Veterans, Baby Boom, X generation, and Millennials.

Results. The electronic search process yielded 10 documents (eight articles and two theses), all within the Anglo-Saxon environment (4 in Canada, 5 in the United States, and 1 in Australia). The documents recovered determined three principal themes: the intergenerational nursing workforce (n = 7), recruiting and retention within an intergenerational workforce (n = 2), and tutoring within an intergenerational nursing workforce (n = 1). The four generations of nursing professionals (X, Y, Baby Boomers, and Veterans) have different aptitudes, social and cultural setting, that coexist within the same work staff.

Conclusion. This study establishes the legitimacy of the intergenerational differences as an important variable of social categorization. The findings have the potential to improve generational comprehension and promote a more cohesive culture in clinical practice settings, besides conserving the legacy of the four generations of nursing professionals contributing to outline the identity of the nurses through the conservation of social, cultural, and professional experiences.

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Author Biographies

Susana Rollan Oliveira, Universidad de Alicante

Nurse, PhD candidate. Universidad de Alicante, Spain. Email:

José Siles González, Universidad de Alicante

Nurse, PhD. Professor. Universidad de Alicante, Spain. Email:


1. Wieck KL. Motivating an intergenerational workforce: scenarios for success. Orthop. Nurs. 2007; 26(6):366–71.

2. Gordon PA. Exploring generational cohort work satisfaction in hospital nurses. Leadersh. Health Serv. (Bradf Engl). 2017; 30(3):233-48.

3. Hahn JA. Managing multiple generations: scenarios from the workplace. Nurs Forum. 2011; 46(3):119-27.

4. McNamara SA. Incorporating generational diversity. AORN J. 2005;81(6):1149–52.

5. Shacklock K, Brunetto Y. The intention to continue nursing: work variables affecting three nurse generations in Australia. J. Adv. Nurs. 2012; 68(1):36–46.

6. Christensen SS, Wilson BL, Edelman LS. Can I relate? A review and guide for nurse managers in Leading generations. J. Nurs. Manag. 2018; 26(6):689–95.

7. Sherman RO. Leading a multigenerational nursing workforce: Issues, challenges and strategies. Online J. Issues Nurs. 2006; 11(2):3-3.

8. Eggensperger B. The Generations in the Workplace. Trustee. 2014; 67(4). Available from

9. Welcher BP. Generational conflict between nurses in the workforce: A phenomenological study. ProQuest Dissertations Publishing; 2011.

10. Anderson LB, Morgan M. An Examination of Nurses’ Intergenerational Communicative Experiences in the Workplace: Do Nurses Eat Their Young? Commun. Q. 2017; 65(4):377–401.

11. Brunetto Y, Farr-Wharton R, Shacklock K. Communication, training, well-being, and commitment across nurse generations. Nurs. Outlook. 2012; 60(1):7–15.

12. Hu J, Herrick C, Hodgin KA. Managing the multigenerational nursing team. Health Care Manag. (Frederick). 2004 ;23(4):334–40.

13. Sullivan D, Warshawsk NE, Vasey J. RN work engagement in generational cohorts: the view from rural US hospitals. J. Nurs. Manag. 2013; 21(7):927–40.

14. Hendricks JM, Cope VC. Generational diversity: what nurse managers need to know. J. Adv. Nurs. 2013; 69(3):717–25.

15. American Hospital Association. Managing an intergenerational workforce: Strategies for health care transformation. Health Serv Res, Chicago, IL; 2014.

16. Sánchez de la Yncera I. “La sociología ante el problema generacional”: anotaciones al trabajo de Karl Mannheim. Rev. Esp Invest Sociol. 1993; (62):147-92.

17. Palese A, Pantali G, Saiani L. La gestión de un equipo de enfermería multigeneracional con diferentes calificaciones: un estudio cualitativo. Health Care Manag (Frederick). 2006; 25 (2): 173-83.

18. Baker JD. The Multigenerational Perioperative Nursing Workforce: A Celebration for Labor Day. AORN J. 2012; 96(3):231–4.

19. Moore JM, Everly M, Bauer R. Multigenerational challenges: Team-building for positive clinical workforce outcomes. Online J. Issues Nurs. 2016; 21(2):3.

20. Hutchinson D, Brown J, Longworth K. Attracting and maintaining the Y Generation in nursing: a literature review: Attracting and maintaining the Y generation in nursing. J. Nurs. Manag. 2012; 20(4):444–50.

21. Foley V, Myrick F, Yonge O. Generational clashpoints in nursing preceptorship. J. Nurs. Educ. 2012; 51(10):556–62.

22. Phillips M. Embracing the multigenerational nursing team. Medsurg. Nurs. 2016; 25(3):197-9.

23. Arsenault PM. Validating generational differences: A legitimate diversity and leadership issue. Leader Organ. Dev. J. 2004; 25(2):124–41

24. Strauss W, Howe N. The cycle of generations. Am. Demogr. 1991; 13(4): 24-33.

25. McCrindle M. The forces of change. AP & L. 2016;19(3):20.

26. Stanley D. Multigenerational workforce issues and their implications for leadership in nursing. J. Nurs. Manag. 2010; 18(7):846–52.

27. Hisel ME. Measuring work engagement in a multigenerational nursing workforce. J. Nurs. Manag. 2020; 28(2):294–30.

28. Stutzer K. Generational Differences and Multigenerational Teamwork. Crit. Care Nurse. 2019; 39(1):78–81.

29. Crowther A, Kemp M. Generational attitudes of rural mental health nurses. Aust. J. Rural Health. 2009; 17(2):97–101.

30.MacDonnell JA, Buck-McFadyen E. How Activism Features in the Career Lives of Four Generations of Canadian Nurses. Policy Polit. Nurs. Pract. 2016; 17(4):218–30.

31. Stevanin S, Voutilainen A, Bressan V, Vehviläinen-Julkunen K, Rosolen V, Kvist T. Nurses’ Generational Differences Related to Workplace and Leadership in Two European Countries. West J. Nurs. Res. 2020; 42(1):14–23.

32. Gan I. A scoping review of the nursing workforce’s changing demography: Supporting Baby‐Boomer nurses. J. Nurs. Manag. 2020; 28(7):1473–80.

33. Stewart DW. Generational Mentoring. Contin. Educ. Nurs. 2006; 37(3):113–20.

34. Blazeviciene A, Jakusovaite I. Value priorities and their relations with quality of life in the Baby Boomer generation of Lithuanian nurses: a cross-sectional survey. BMC Nurs. 2007; 6:10.

35. Weston M. Integrating generational perspectives in nursing. Online J. Issues Nurs. 2006; 11(2):2.

36. Sparks AM. Psychological empowerment and job satisfaction between Baby Boomer and Generation X nurses: Psychological empowerment and job satisfaction. J. Nurs. Manag. 2012; 20(4):451–60.

37. Wilson B, Squires M, Widger K, Cranley L, Tourangeau A. Job satisfaction among a multigenerational nursing workforce. J. Nurs. Manag. 2008; 16(6):716–23.

38. Farag AA, Tullai‐Mcguinness S, Anthony MK. Nurses’ perception of their manager’s leadership style and unit climate: are there generational differences? J. Nurs. Manag. 2009; 17(1):26–34

39. Blythe J, Baumann A, Zeytinoglu IU, Denton M, Akhtar-Danesh N, Davies S, et al. Nursing Generations in the Contemporary Workplace. Public. Pers. Manag. 2008; 37(2):137–59.

40. Leiter MP, Price SL, Spence Laschinger HK. Generational differences in distress, attitudes and incivility among nurses. J. Nurs. Manag. 2010; 18(8):970-80.

41. Leiter MP, Jackson NJ, Shaughnessy K. Contrasting burnout, turnover intention, control, value congruence and knowledge sharing between Baby Boomers and Generation X. J. Nurs. Manag. 2009; 17(1):100–9.

42. Carver, Lara; Candela, Lori. Attaining organizational commitment across different generations of nurses. J Nurs Manag. 2008; 16(8): 984-91.

43. Huber P, Schubert H. Attitudes about work engagement of different generations—A cross‐sectional study with nurses and supervisors. J. Nurs. Manag. 2019; 27(7):1341–50.

44. Tourangeau AE, Wong M, Saari M, Patterson E. Generation‐specific incentives and disincentives for nurse faculty to remain employed. J. Adv. Nurs. 2015; 71(5):1019–31.

45. Waltz LA, Muñoz L, Weber Johnson H, Rodriguez T. Exploring job satisfaction and workplace engagement in millennial nurses. J. Nurs. Manag. 2020; 28(3):673–81.

46. Moye JP, Swan BA. Growing ambulatory care nurse leaders in a multigenerational workforce. Nurs. Econ. 2009; 27(6):408–15.

47. Stevanin S, Palese A, Bressan V, Vehviläinen‐Julkunen K, Kvist T. Workplace‐related generational characteristics of nurses: A mixed‐method systematic review. J. Adv. Nurs. 2018; 74(6):1245–63.

48. Keepnews DM, Brewer CS, Kovner CT, Shin JH. Generational differences among newly licensed registered nurses. Nurs. Outlook. 2010; 58(3):155–63.

49. Earle V, Myrick F, Yonge O. Preceptorship in the intergenerational context: An integrative review of the literature. Nurse Educ. Today. 2011 ;31(1):82–7

50. Shelley A. Embracing generational diversity: reducing and managing workplace conflict. Can. Oper. Room Nurs. J. 2018; 36(4):13.

51. Lockhart JS, Oermann MH, Kronk R, Schreiber JB. Newly licensed nurse resiliency and interventions to promote resiliency in the first year of hire: an integrative review. J. Contin. Educ. Nurs. 2019; 50(4):153-61.

52. Price SL, McGillis Hall L, Angus JE, Peter E. Choosing nursing as a career: a narrative analysis of millennial nurses’ career choice of virtue. Nurs. Inq. 2013; 20(4):305–1

53. Steinkuehler RS. Organizational attraction: Differentiation of multigenerational nursing cohorts. ProQuest Dissertations Publishing; 2009.

54. Campbell CM, Patrician PA. Generational preferences in the nursing work environment: A dimensional concept analysis. J. Nurs. Manag. 2020; 28(4):927–37.

55. Kapoor C, Solomon N. Understanding and managing generational differences in the workplace. Worldw. Hosp. Tour. Themes. 2011; 3(4):308–18.

56. Hawker S, Payne S, Kerr C, Hardey M, Powell J. Appraising the Evidence: Reviewing Disparate Data Systematically. Qual. Health Res. 2002; 12(9):1284–99.

57. Whittemore R, Knafl K. The integrative review: updated methodology. J. Adv. Nurs. 2005; 52(5):546–53

58. Soares CB, Hoga LA, Peduzzi M, Sangaleti C, Yonekura T, Silva DR. Revisão integrativa: conceitos e métodos utilizados na enfermagem [Integrative review: concepts and methods used in nursing]. Rev. Esc. Enferm. USP. 2014; 48(2):335-45.

59. Rosenkoetter MM, Nardi DA. American Academy of Nursing Expert Panel on Global Nursing and Health: White Paper on Global Nursing and Health: Academia Americana de Enfermería, Panel de Expertos en Enfermería Global y Salud: Documento de Opinión en Enfermería Global y Salud. J. Transcult. Nurs. 2007; 18(4):305–15.



How to Cite

Rollan Oliveira, S., & Siles González, J. (2021). Nursing Professionals within the Intergenerational Context during the 20th and 21st Centuries: an Integrative Review. Investigación Y Educación En Enfermería, 39(3).




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