Korean Nurses’ Experiences of Returning to Work After Parental Leave and Balancing Work and Childcare: A Qualitative Metasynthesis
Purpose: This study aimed to synthesize qualitative evidence on Korean nurses’ experiences of returning to work after parental leave and balancing work and childcare, and to identify the integrated meaning structure underlying these experiences. It also examined how personal, relational, occupational, and organizational conditions influenced nurses’ adaptation to the simultaneous demands of professional practice and parenting. Methods: A qualitative meta-synthesis was conducted using Noblit and Hare’s meta-ethnographic approach. Relevant studies were searched in four Korean databases: RISS, DBpia, KISS, and ScienceON. Eight qualitative studies addressing Korean nurses’ return to work after parental leave, childcare, parenting conflicts, and work–family balance met the eligibility criteria. The methodological quality of the included studies was appraised using the Critical Appraisal Skills Programme checklist. Following the seven phases of meta-ethnography, the researchers repeatedly read the studies, extracted key concepts and metaphors, compared findings across studies, translated the concepts into one another, and developed higher-order interpretations. The relationships among the synthesized themes were then examined to construct an integrated explanatory structure. Results: The overarching synthesis was identified as “negotiating work and childcare while navigating the dual roles of nurse and mother to sustain a nursing career.” Four interrelated themes were derived. The first, “regaining one’s place during the dual transition of returning to work and parenting,” reflected anxiety about readjustment, reduced confidence, and efforts to restore competence and belonging in the workplace. The second, “enduring a sense of parenting deficiency caused by the mismatch between shift work and childcare time,” described guilt, physical exhaustion, disrupted family routines, and conflict between unpredictable clinical schedules and children’s needs. The third, “building a foundation for endurance through family, colleagues, and organizational support,” showed that assistance from spouses, parents, coworkers, and managers provided practical and emotional resources that enabled nurses to remain employed. The fourth, “reconstructing the meaning of career continuity through professional identity and the need for organizational support,” illustrated how nurses understood continued employment as a source of professional identity, economic stability, self-worth, and career development. Across the studies, nurses continuously negotiated priorities, redistributed caregiving responsibilities, and sought recognition for both their professional and maternal identities. Insufficient support intensified emotional distress, work–family conflict, and intentions to leave nursing. Conclusion: Korean nurses’ return to work after parental leave and their efforts to balance work and childcare should not be framed primarily as matters of individual coping or family responsibility. These experiences represent organizational and workforce issues associated with nurse retention, professional sustainability, patient safety, and nursing quality. Healthcare organizations should establish phased return-to-work programs, flexible and predictable scheduling, equitable workload adjustment, accessible childcare support, and manager education to reduce stigma toward parenting nurses. A workplace culture that recognizes childcare as a shared organizational and social responsibility is essential for sustaining nurses’ careers and enabling them to fulfill both caregiving and professional roles.