Ethical Concerns in Nurse Migration

McElmurry, Beverly J.; Solheim, K; Kishi, Rieko; Coffia, Marcia A.; Woith, Wendy M.; Janepanish, Poolsuk

doi:10.1016/j.profnurs.2006.03.006

Cited by 44 publications

(43 citation statements)

References 20 publications

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“…The WHO estimated that overseas healthcare workers sent approximately $70 billion to their source countries in 1995 [8]. Unfortunately, however, much of the money is not reinvested back into the healthcare system [22]. Although overseas nurses sent back large sums of money to their home countries, it was unable to offset the loss of skilled nurses.…”

Section: Effects Of Nurse Migration On the Source Countrymentioning

confidence: 99%

“…It is highly contentious whether recipient countries should be allowed to recruit nurses from abroad, particularly if they are developing countries or countries already experiencing a nursing shortage [4,9]. It is potentially unethical for recipient countries to exploit the nursing workforce from abroad to relieve their own shortage when the source countries have greatly destabilized healthcare systems or when the source countries have invested in the healthcare education of the nurses [22].…”

Section: Effects Of Migration On the Recipient Countrymentioning

confidence: 99%

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The benefits and caveats of international nurse migration

Nie

2014

International Journal of Nursing Sciences

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a b s t r a c tWorldwide, there is a dramatic shortage of nurses. An increase in the migration of nurses from their home countries to recipient countries is having a global effect on the healthcare system. This global phenomenon stems from historical, economical, social, and political factors. Migration has a significant impact on both the individual and national level. This article summarizes the factors that contribute to nurse migration form the perspective of the source and recipient countries. Additionally, the impacts and issues surrounding nurse migration were also analyzed.

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Section: Effects Of Nurse Migration On the Source Countrymentioning

confidence: 99%

Section: Effects Of Migration On the Recipient Countrymentioning

confidence: 99%

The benefits and caveats of international nurse migration

Nie

2014

International Journal of Nursing Sciences

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“…The emigration of trained professionals is driven by both unemployment or dismal wages at home and vigorous recruitment by developed countries struggling with work force shortages. 3,7,8 United States shortages, predicted to be 200,000 physicians and 800,000 nurses by 2020, dominate the international flow of health professionals. 7,9,10 It is widely agreed that current shortages in the United States, Canada and United Kingdom have resulted from setting inappropriate targets for training positions in the 1990's.…”

Section: Long-term Solutionsmentioning

confidence: 99%

“…Africa has more than 24% of the disease burden, 3% of the globe's health workers, and less than 1% of global financial health resources even when loans and grants are taken into account. D Although the ethics of this 'brain drain' has been deplored by many, 3,8,9,11 voluntary restraining measures have proved ineffective. 11 It has been suggested that receiving countries should at least be required to reimburse donor countries for the education cost of the professionals they receive, 8,13 but I am unaware that this ever occurs.…”

Section: Long-term Solutionsmentioning

confidence: 99%

“…D Although the ethics of this 'brain drain' has been deplored by many, 3,8,9,11 voluntary restraining measures have proved ineffective. 11 It has been suggested that receiving countries should at least be required to reimburse donor countries for the education cost of the professionals they receive, 8,13 but I am unaware that this ever occurs. Until such time as developed countries are training and retaining an adequate number of health professionals, the current drain from developing countries will persist.…”

Section: Long-term Solutionsmentioning

confidence: 99%

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Anesthesia and the role of short-term service delivery in developing countries

Froese

2007

Can J Anesth/J Can Anesth

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Purpose: To clarify the ongoing need for involvement of anesthesiologists in short-term surgical projects in developing countries, and provide information to guide the selection of, application for, and preparation for these rewarding experiences. Observations:The lack of safe anesthesia services severely limits the performance of needed surgical procedures in developing countries around the world. Even in countries where well-trained anesthesiologists are available in major urban centres, resources are often absent or limited for large numbers of people in rural or remote areas. Anesthesiologists are highly sought members of surgical teams. Internet sites provide extensive project information. Projects occur in Central and South America, Africa, Asia and Eastern Europe. Projects can bring specialized surgical expertise to an otherwise well-serviced urban area, or work in remote areas that have surgical services only when a team comes. Available equipment, drugs, housing, food and transportation vary markedly with project site. Flexibility, adaptability and problem-solving skills are essential. Translators provide language assistance. Anesthesiologists who have experience providing anesthetics in settings with less technological support can assist other anesthesiologists in adapting to less sophisticated settings. Conclusions:Severe shortages of trained health professionals plague developing countries, reflecting complex economic and political problems that will require decades for resolution. Until such time as surgical services are widely available and affordable in remote as well as urban areas of developing countries, anesthesiologists will continue to provide a valuable and personally rewarding contribution through short-term assistance.

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Moderating the Impact of Nurse Emigration on the Health Sector: The State and Policy Instrument Choice

Cabanda¹

2021

World Med & Health Policy

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This paper offers an unconventional approach to the migration‐development nexus by zooming in on the health sector. Although state strategies promoting nurse migration are widely studied, comprehension on how the state functions as a central actor in emigration is empirically deficient in accounting for the different development levels experienced by sending countries. Drawing from the literature on policy instrument choice, this paper examines how the Philippines as the leading nurse sending state in the world intervenes in the emigration of Filipino nurses and what are the effects of these interventions? Based on a key informant survey (N = 100), regression results show that the state's regulatory authority in the remittance market triggers the positive contribution of nurse remittances on health sector development. This paper concludes by discussing how the choice of policy instruments is a crucial decision point for nurse‐sending countries when maximizing the development impact of emigration on the health sector.

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Ethical Concerns in Nurse Migration

Cited by 44 publications

References 20 publications

The benefits and caveats of international nurse migration

The benefits and caveats of international nurse migration

Anesthesia and the role of short-term service delivery in developing countries

Moderating the Impact of Nurse Emigration on the Health Sector: The State and Policy Instrument Choice

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