Experiences and dynamics of a multigenerational nursing workforce: a qualitative study

Background: As healthcare environments become increasingly multigenerational, understanding these differences is crucial for improving teamwork, patient care and addressing issues such as burnout. Cultural attitudes toward ageing, hierarchical workplace dynamics, and generational differences in values and communication styles can impact collaboration and knowledge exchange between younger and older nurses. Politically, workforce policies, retirement regulations and government initiatives aimed at addressing the ageing healthcare workforce influence the composition and interaction of different generations within nursing teams. Aims: This study explores the influence of generational differences on nursing practice and identify strategies to improve intergenerational collaboration and knowledge transfer, with the goal of enhancing teamwork and patient care. Methods: The qualitative study involved 13 nurses from various age groups working in multigenerational teams in Italy. Data were collected through interviews and analysed thematically, resulting in four key categories: political and social context; personnel management; social networks; and individual characteristics. Findings: Generational differences were noted in perceptions and practices. Senior nurses expressed concerns about junior nurses' practical skills, while younger nurses emphasised the need for lifelong learning. Both groups agreed on the need for improved communication to strengthen teamwork. Conclusions and implications for practice: Creating an inclusive environment where generational differences are valued can reduce burnout and improve resilience in healthcare systems, fostering long-term professional growth, improving quality of patient care.