Who Cares for Those Who Care? A Systematic Literature Review of Factors Behind Nursing Excellence
DOI:
https://doi.org/10.64612/ijiv.v2i8.204Keywords:
nursing excellence, nurse empowerment, clinical leadership, professional development, quality of careAbstract
Nursing excellence depends not only on individual clinical competence but also on the organizational conditions in which nurses work, learn, lead, and participate in patient care. This systematic literature review synthesized 17 substantive nursing sources supplied for the revised manuscript to examine nurse empowerment, nursing leadership, professional development, work engagement, workforce well-being, professional identity, cultural values, and community engagement. The literature includes studies and reviews from the Philippines and international settings published from 2021 to 2026. The synthesis identified five interconnected areas: nurse empowerment and participation; nursing leadership and professional support; professional development, education, and incentives; work engagement, well-being, and workforce sustainability; and professional identity, cultural values, collaboration, and community engagement. The reviewed literature indicates that empowerment is associated with professional and organizational outcomes, while supportive leadership and continuing development strengthen nurses’ capacity to respond to changing healthcare needs. Evidence also emphasizes the importance of healthy work environments, rewards, professional identity, cultural responsiveness, and collaboration. The review concludes that nursing excellence is best understood as an organizational and professional system in which nurses are empowered, supported, continuously developed, and enabled to contribute to quality nursing practice.
References
Abhicharttibutra, K., Wichaikum, O. A., Nantsupawat, A., Kunnaviktikul, W., & Turale, S. (2024). Total rewards preferences: A cross‐sectional study among two generations of nurses in rural and remote Thailand. International nursing review, 71(4), 758-765. https://doi.org/10.1111/inr.12905
Al Sabei, S. D., Al‐Rawajfah, O., AbuAlRub, R., Labrague, L. J., & Burney, I. A. (2022). Nurses' job burnout and its association with work environment, empowerment and psychological stress during COVID‐19 pandemic. International Journal of Nursing Practice, 28(5), e13077. https://doi.org/10.1111/ijn.13077
Alkhawaldeh, A., & Albashtawy, M. (2025). Reforming Incentives in Nursing: A mini Review on the Necessity and Rationale. Social Medicine, 18(3), 251-257. https://doi.org/10.71164/socialmedicine.v18i3.2025.1989
Avila, A. B., Aldaba, F. O. M., Almonte, M. L. T., Alzate, E. B., Amita, T. B., Avila, M. A. M., ... & Cruz, T. J. C. D. (2026). A Cultural Values Model of Pakikipag-ugnayan: Examining Hiya, Pakikisama, and Pakikipag-ugnayan among Filipino Generation Z Nurses. Acta Medica Philippina, 60(9), 91. https://doi.org/10.47895/amp.vi0.12040
Bilgin, N., Kara, H., & Çetinkaya, A. (2026). Psychological Empowerment as a Predictor of Nurses’ Job Satisfaction: The Mediating Role of Professional Identity. International Nursing Review, 73(1), e70160. https://doi.org/10.1111/inr.70160
Cariaga, R. (2025). Writing Literature Reviews as Scholarly Knowledge Production: An Integrative Review. International Journal of Educational Viewpoints, 1(1), 34–39. https://doi.org/10.64612/ijev.v1i1.73
Ejupi, V., Squires, A., & Skela-Savič, B. (2025, March). Exploring influential factors shaping nursing as a profession and science in healthcare system—A systematic literature review. In Healthcare (Vol. 13, No. 6, p. 668). MDPI. https://doi.org/10.3390/healthcare13060668
Falguera, C. C., De los Santos, J. A. A., Firmo, C. N., & Batidor, P. (2025). Post-pandemic implications of the nursing students’ clinical learning environment and its relationship to academic grit, self-esteem, and caring behaviors: A cross-sectional study. Acta Medica Philippina, 59(18), 71. https://doi.org/10.47895/amp.vi0.12031
Falguera, C. C., Labrague, L. J., Firmo, C. N., De los Santos, J. A. A., & Tsaras, K. (2023). Relationship of work engagement with nurse work and patient outcomes among nurses in Central Philippines. Acta Medica Philippina, 57(4), 24. https://doi.org/10.47895/amp.vi0.4426
Haddad, A. (2025). The characteristics of the ‘good nurse’: A scoping literature review. Nursing Research and Practice, 2025(1), 8460996. https://doi.org/10.1155/nrp/8460996
Hernandez, M. A. A., Paguio, J. T., & Bonito, S. R. (2024). Development of an online nursing leadership program for global health in the Western Pacific Region. Acta Medica Philippina, 58(12), 48. https://doi.org/10.47895/amp.v58i12.9397
Kourkouta, L., Iliadis, C., Akram, M., Pantelidou, P., Sapountzi-Krepia, D., Krepia, V., & Leontaridou, J. (2021). Continuing education and incentives for nurses. International Journal of Caring Sciences, 14(2), 1533-1538.
Labrague, L. J. (2024). The impact of job burnout on nurses' caring behaviors: Exploring the mediating role of work engagement and job motivation. International Nursing Review, 71(3), 653-660. https://doi.org/10.1111/inr.12899
Nurmeksela, A., Tervo‐Heikkinen, T., Junttila, K., Heikkilä, A., Kaunonen, M., Kortteisto, T., ... & Kvist, T. (2025). Excellent nursing leadership towards magnet culture among nurse leaders: An interview study. Journal of Advanced Nursing, 81(8), 4910-4922. https://doi.org/10.1111/jan.16662
Reyes, M. S. P., Campo, M. B., Santos, M. R. M. D., Sumpay, A. B., Gatchalian, M. C. M., Lim, M. J. F., ... & Laurenciana, A. T. (2024). Nurse empowerment in a tertiary university hospital during pandemic crisis. Acta Medica Philippina, 58(16), 117. https://doi.org/10.47895/amp.v58i16.5530
Sumile, E. F. R., Santos, J. V. T. D., Hernandez, M. A. A., Tomanan, K. J. L., & Parial, L. L. B. (2024). “Lusog-Linang”: Utilizing Community-engaged Research towards Capacity Building in Health of an Underserved Community. Acta Medica Philippina, 58(12), 93. https://doi.org/10.47895/amp.v58i12.9472
Tan, H. V. D., & Conde, A. R. (2021). Nurse empowerment—Linking demographics, qualities and performances of empowered Filipino nurses. Journal of nursing management, 29(5), 1302-1310. https://doi.org/10.1111/jonm.13270
Yesilbas, H., & Kantek, F. (2024). Relationship between structural empowerment and job satisfaction among nurses: A meta‐analysis. International Nursing Review, 71(3), 484-491. https://doi.org/10.1111/inr.12968
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