A systematic scoping review of undergraduate nursing hub-and-spoke placement models

Abstract

Background:While nursing education has been forecast to continue to grow, placement capacity is now the key factor precluding growth in supply.Aims:To provide a comprehensive understanding of hub-and-spoke placements and their ability to increase placement capacity.Method:A systematic scoping review and narrative synthesis were used ( Arksey and O'Malley, 2005 ). PRISMA checklist and ENTREQ reporting guidelines were followed.Findings:The search returned 418 results. After a first and second screen 11 papers were included. Results suggest that hub-and-spoke models were generally evaluated favourably by nursing students, with a range of benefits reported. However, many of the studies included in the review were small and of low quality.Conclusion:Given the exponential increase in applications to study nursing, hub-and-spoke placements appear to have the potential to better meet these increased demands, while also providing a number of benefits.