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

Br J Nurs. 2023 Mar 9;32(5):252-258. doi: 10.12968/bjon.2023.32.5.252.

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.

Keywords: Clinical placement; Hub and spoke; Nurse placement; Nurse training.

Publication types

  • Systematic Review

MeSH terms

  • Education, Nursing*
  • Education, Nursing, Baccalaureate* / methods
  • Humans
  • Students, Nursing*