The Impact of Global Nursing Migration on Health Services Delivery

Buchan, James

doi:10.1177/1527154406291520

Cited by 52 publications

(40 citation statements)

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“…There was high turnover of patients and less number of nurses available. These findings are similar to those identified by Hussain and Buchan [16,17]. Another contributing factor identified in the current study was the pressure exerted on nurses by influential patients to attend to their needs on priority, which further hindered equitable patient care.…”

Section: Discussionsupporting

confidence: 90%

Ethical Issues Faced by Nurses during Nursing Practice in District Layyah, Pakistan

Hamid¹

2016

Divers Equal Health Care

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Health professionals face ethical challenges in their daily practice, especially the nurses, the largest workforce in health. They are required to provide autonomous and collaborative care to individuals of all ages, while adhering to the ethical principles. The situation becomes particularly complex for nurses who work under severe resource constraints. Ethical issues in the nursing practice attract little attention, resulting in the creation of moral distress, poor professional care, unproductivity and conflict.This study has described ethical issues encountered by Pakistani nurses of one district under three themes: compromised professional accountability to patient, uncooperative behaviour of peers and poor image of a nurse in society. Nurses despite being well aware of the ethical codes, were not able to practice it fully because of constraints. The findings showed that nurses were not the decision makers in many situations; they were subordinates in their working environment. The inadequate equipment and instruments, shortage of staff, stereotypes of the nursing profession, poor management and poor support to address the issues resulted in distress, poor professional care, stress, conflict, compromised nursing care and violation of the PNC code. AbstractDifferent Ethical issues encountered in daily nursing practice draw little consideration but can produce a stressful working environment for the nurses. This qualitative study was designed to explore the ethical issues confronted by nurses in their practice and to identify gaps using the Pakistan Nursing Council's (PNC) Ethical code framework. The study was conducted in six government hospitals of district Layyah, Pakistan. In all six focal group discussions (FGDs) with 6-8 participants in each were conducted. Content analysis identified three themes, namely; compromised professional accountability to patient, uncooperative behaviour of peers and poor image of a nurse in society. Nurses reported that they were unable to act on the PNC code fully because of many constraints in clinical practice. The reasons identified by the respondents were conflict in hospital admission procedures of patients, non-availability of medicines, conflict in informed and voluntary consent, false accusations by patients, care imbalance, compromised nursing care, and deficiency in amenities, patient's expectations and cultural barriers. In addition, poor teamwork, inequitable workload, and poor value of nursing profession added to the challenges at the workplace.To our knowledge, this is the first study that has specifically addressed ethical issues in the nursing practice of graduate nurses in District Layyah. Nurses were aware about their ethical ABSTRACTDifferent Ethical issues encountered in daily nursing practice draw little consideration but can produce a stressful working environment for the nurses. This qualitative study was designed to explore the ethical issues confronted by nurses in their practice and to identify gaps using the Pakistan Nursing Council's (PNC) Ethical...

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Section: Discussionsupporting

confidence: 90%

Ethical Issues Faced by Nurses during Nursing Practice in District Layyah, Pakistan

Hamid¹

2016

Divers Equal Health Care

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“…Although all of the participants alluded to these problems in the professional context, nurses working in public hospitals expressed less positive feelings and noticeably more negative feelings about the profession. Various authors (Basson & Van der Merwe 1994;Buchan 2006;Cavanagh 1997;Jackson, Clare & Mannix 2002;Mitchell 2003;Oulton 2006;Tusaie & Dyer 2004) reported on these and similar problems, whilst an emphasis seems to be on financial and managerial problems and lack of recognition or autonomy, a high workload and low morale (Buchan 2006). Fletcher (2001) found in a study with professional nurses that they love the work they do but hate their job, mainly because of adverse working conditions.…”

Section: Discussionmentioning

confidence: 99%

“…This shortage is partly due to emigration of nurses but also the result of low wages, heavy workloads, poor working and living conditions, lack of resources, limited career opportunities, poor management of health services, unstable work environments and economic instability, and the impact of HIV and AIDS (Bateman 2005;Buchan 2006). Previous research reported that professional nurses feel emotionally overloaded, stressed, fatigued, helpless, hopeless, angry, shocked, grieved, irritated, fearful, unsettled, frustrated, and were experiencing job dissatisfaction, moral distress and lack of personal accomplishment -and for these reasons often left the profession (Aiken, Clarke & Sloane 2001;Pillay 2009;Shisana et al 2004;Smit 2004;Van den Berg et al 2006).…”

Section: Introduction Problem Statementmentioning

confidence: 99%

The prevalence of resilience in a group of professional nurses

Koen

Eeden

Wissing

2011

Health SA Gesondheid

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The literature and practice show that many professional nurses feel emotionally overloaded and are experiencing job dissatisfaction, which often results in them leaving the profession. Paradoxically, some nurses choose to remain in nursing and survive, cope and even thrive despite their unique workplace adversities. It is, however, not known what the prevalence of resilience amongst nurses is, and what influence working in private versus public contexts has on this resilience. The aims of this study were to determine the prevalence of resilience in a group of professional nurses, to determine whether private versus public contexts played a role in nurses’ resilience, and to obtain an indication of participants’ views of their profession and resilience therein. A cross-sectional survey design was used where professional nurses (N = 312) working in public and private hospitals in South Africa voluntarily completed measures of psycho-social well-being as indicators of their degree of resilience. They also answered three open-ended questions on their profession. Results showed moderate-tohigh correlations amongst scales, indicating conceptual coherence as indicators of resilience. Prevalence of resilience was determined by normalising the mean scores of the measuring instruments. The total value of the normalised mean scores was given as a fraction (0−1), representing a level of resilience manifested by the participants across all scales. This indicated three levels of resilience: 10% of participants manifested low resilience, 47% moderate resilience and 43% high resilience. Nurses in private health care had significantly (small practical effect) higher levels of resilience than nurses in public health care.OpsommingDie literatuur en praktyk dui daarop dat baie professionele verpleegkundiges emosioneel uitgeput is, werksontevredenheid ervaar en dikwels die beroep verlaat. Paradoksaal kies sommige verpleegkundiges om in die beroep te bly, en floreer selfs ten spyte van hul unieke en moeilike werksomstandighede. Dit is egter nie bekend wat die voorkoms van veerkragtigheid in verpleegkundiges is nie, of wat die invloed van werk in privaat versus die openbare omgewing op veerkragtigheid is nie. Die doelwitte van die studie was om die voorkoms van veerkragtigheid in ‘n groep professionele verpleegkundiges te bepaal, om die rol van privaat versus openbare omgewings in veerkragtigheid te bepaal, en om ‘n aanduiding van deelnemers se siening oor hul professie en veerkragtigheid daarin, te bekom. ‘n Dwarsdeursnit ontwerp was gebruik waarin professionele verpleegkundiges (N = 312) werksaam in openbare of privaat hospitale in Suid-Afrika vrywillig vraelyste oor psigososiale welstand as aanduiders van die vlak van veerkragtigheid, voltooi het. Hulle het ook drie oop-einde vrae oor hul beroep beantwoord. Bevindinge het op matige tot hoë korrelasies tussen skale gewys wat dui op konseptuele koherensie tussen die indikatore van veerkragtigheid. Veerkragtigheid is bereken deur normalisering van die gemiddelde tellings vir die meetinstrumente van al die skale. Die totale waarde van genormaliseerde gemiddeldes was as ‘n fraksie (0−1) uitgedruk. Drie vlakke van veerkragtigheid het gemanifesteer, 10% van die deelnemers het met lae veerkragtigheid gemanifesteer, 47% met matige veerkragtigheid en 43% met hoё veerkragtigheid. Verpleegkundiges in privaat gesondheidsorg het beduidende (klein praktiese waarde) hoёr vlakke van veerkragtigheid getoon as verpleegkundiges in openbare gesondheidsorg.

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“…Given the small sample size, it is difficult to draw conclusions as to how migration has affected midwives and their abilities or willingness to remain in the profession. There is evidence that those trained as midwives in their native nation do not practice in the profession in their adopted country, but work rather as nurses or medical assistants (Buchan, 2006;Jeans, 2006). Likewise, while there is little evidence to support this postulation, it is reasonable to believe that those individual midwives choosing to remain in countries in which emigration occurs on a large-scale basis are required to work more extensively to fill the gap in provider availability caused by those who emigrate.…”

Section: Migrationmentioning

confidence: 91%