The (mis)management of migrant nurses in the UK: a sociological study

Adhikari, Radha; Melia, Kath M.

doi:10.1111/jonm.12141

Cited by 44 publications

(78 citation statements)

References 9 publications

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“…The excluded studies that were read in full did not report data on working conditions or health-related outcomes in a defined working population ( n = 53); three were duplicates, and two were historical studies of asbestos and mesothelioma [ 92 , 93 ]. Twenty-one studies [ 94 – 114 ] did not report relevant quantitative measures of exposure or health. Thus, 82 studies were included in this review (see the flow chart in Fig.…”

Section: Resultsmentioning

confidence: 99%

A systematic review of working conditions and occupational health among immigrants in Europe and Canada

et al. 2018

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BackgroundA systematic attempt to summarize the literature that examines working conditions and occupational health among immigrant in Europe and Canada.MethodsWe established inclusion criteria, searched systematically for articles included in the Medline, Embase and Social Sciences Citation Index databases in the period 2000–2016 and checked the reference lists of all included papers.ResultsEighty-two studies were included in this review; 90% were cross-sectional and 80% were based on self-report. Work injuries were consistently found to be more prevalent among immigrants in studies from different countries and in studies with different designs. The prevalence of perceived discrimination or bullying was found to be consistently higher among immigrant workers than among natives. In general, however, we found that the evidence that immigrant workers are more likely to be exposed to physical or chemical hazards and poor psychosocial working conditions is very limited. A few Scandinavian studies support the idea that occupational factors may partly contribute to the higher risk of sick leave or disability pension observed among immigrants. However, the evidence for working conditions as a potential mediator of the associations between immigrant status and poor general health and mental distress was very limited.ConclusionSome indicators suggest that immigrant workers in Europe and Canada experience poorer working conditions and occupational health than do native workers. However, the ability to draw conclusions is limited by the large gaps in the available data, heterogeneity of immigrant working populations, and the lack of prospectively designed cohort studies.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5703-3) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

A systematic review of working conditions and occupational health among immigrants in Europe and Canada

et al. 2018

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“…The UK health system had major pull factors for both nurses and doctors for career advancement [ 22 – 29 ], training [ 22 , 23 , 26 , 27 , 30 , 31 ], safety and security of the NHS [ 22 – 24 , 26 , 27 , 30 , 31 ] and economic benefits [ 23 – 26 , 29 – 35 ]. This was promoted by active recruitment, relocation packages for nurses and doctors from the EU [ 22 , 30 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…The push factors of source country were corruption [ 24 , 25 , 34 ], poor health infrastructure [ 25 , 30 ] and lack of career advancement and training [ 27 , 30 , 35 ]. Access to the internet in the source countries facilitated nurses’ migration, by providing insight into wider nursing practices and online application to registration and employment in the UK [ 23 , 27 ].…”

Section: Resultsmentioning

confidence: 99%

Migration motives and integration of international human resources of health in the United Kingdom: systematic review and meta-synthesis of qualitative studies using framework analysis

2018

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ObjectiveThe aim of this review was to examine the migration motives, the barriers to and facilitators of integration of international dental graduates, compared with nurses and doctors in the United Kingdom.MethodsElectronic databases Ovid MEDLINE, EMBASE, PubMed, Web of Knowledge and OECD publications were systematically searched for English language publications from January 2000 to January 2017. A total of 31 qualitative studies were selected and quality appraised and meta-synthesis of the qualitative data was carried out using framework synthesis. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were applied to present the findings.ResultsThere were no studies on migration motives and one study on integration experiences of international dentists in the UK. The nursing literature had the highest volume and quality of evidence on nursing workforce, whilst there was limited literature on international doctors in the UK.Migration of health professionals to the UK is determined by personal and professional factors, together with source country-specific and UK drivers. Active recruitment, post graduate training and financial gain act as strong common macro, meso and micro drivers that perpetuate migration into the UK, but the extent to which each of these drivers influence nurses’ and doctors’ migration is different.Integration experiences for international nurses and doctors differed based on their source country experiences and the work environment they entered. Nurses reported a wider knowledge and skills gap, more multi-level discrimination and less career progression compared to the doctors. The migrants’ integration experiences depend on their cultural awareness, discrimination exposure, English language and communication skills, social and professional support networks, social integration and personal attributes.ConclusionMigration of international health professionals is motivated by macro, meso and micro drivers at the international, national, professional and personal levels. The UK has strong common macro pull factors which attract nurses, doctors and dentists and may impact on the effectiveness of policies to restrict their migration. The integration experiences of nurses and doctors differ and further research is required to understand the integration experiences of dentists, in order to retain these professionals by tailoring policies to each of these professions.Electronic supplementary materialThe online version of this article (10.1186/s12960-018-0293-9) contains supplementary material, which is available to authorized users.

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“…A study of Asian nurses in Australia found that although most of the participants were satisfied with their working conditions, deficits in the majority language coupled with differences in culture could create misunderstandings (Takeno, ). Studies from multicultural nursing homes point to discrimination by residents, managers or colleagues (Dahle & Seeberg, ; Huang, Yeoh, & Toyota, ; Näre, ; Timonen & Doyle, ), while others identify deskilling (Adhikari & Melia, ; Iredale, ; Likupe, ; Riemsdijk, ; Seeberg, ). Deskilling in this context is defined as the undervaluing of immigrants’ skills, education and experience, which results in various workplace disadvantages (Creese & Wiebe, , p. 58).…”

Section: Introductionmentioning

confidence: 99%

Challenging the ethnic pyramid: Golden rules and organisational measures towards a more inclusive work environment

Munkejord

2019

J Nurs Manag

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Aim To contribute to knowledge of how healthcare managers can promote connection and ethnic equality among staff in multicultural organisations. Background The increase in migrant care workers often leads to deskilling, discrimination, communication difficulties and harsh working conditions. Methods A constructivist grounded theory approach was used to examine the work experiences of healthcare workers in a strategically selected nursing home unit with minority and majority workers well balanced across positions. Results Three golden rules were identified: (a) take responsibility for the quality of care in the unit, (b) should engage in all aspects of the care work within scope of practice and (c) collaborate and help each other. Organisational measures supporting these norms were also identified. Conclusion It is possible, by means of golden rules and organisational measures, to foster connection and cooperation among nursing home staff and to promote an inclusive work environment where the workers’ skills and competences are recognized across educational and migration backgrounds. Implications for Nursing Management Healthcare managers can contribute to challenge the ethnic pyramid often identified in multicultural institutions by implementing diversity‐sensitive measures. This may increase the quality of care and the well‐being of residents.

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The (mis)management of migrant nurses in the UK: a sociological study

Abstract: We offer a management strategy to bring policies for the migrant workforce into line with the wider workforce plans by supporting nurses in finding jobs relevant to their expertise and providing career pathways.

Cited by 44 publications

References 9 publications

A systematic review of working conditions and occupational health among immigrants in Europe and Canada

A systematic review of working conditions and occupational health among immigrants in Europe and Canada

Migration motives and integration of international human resources of health in the United Kingdom: systematic review and meta-synthesis of qualitative studies using framework analysis

Challenging the ethnic pyramid: Golden rules and organisational measures towards a more inclusive work environment

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