Workforce Integration of Philippine-Educated Nurses who Migrate to Canada through the Live-in Caregiver Program

Health Soc Care Community

Duggleby

Rajani

2016

Self Cite

In high-income countries, migrant live-in caregivers are increasingly in demand to provide health and social care in the home. While there is a wide range of research on the perspectives of live-in caregivers (including domestic workers) in destination countries, few studies address the perspective of families who hire them. The aim of this study was to explore the extent, range and nature of international literature on the needs and experiences of employers/families and care recipients of live-in caregivers. We undertook a scoping review of the literature on this topic using Arksey and O'Malley's five stages. With the assistance of a health science librarian, a comprehensive search of nine databases was undertaken from April to July 2014. Two research assistants independently reviewed 2493 articles. The data were analysed through data charting, numerical summary and thematic analysis. Thirteen articles met the inclusion criteria for the scoping review. Many of these studies (n = 7) were conducted in Israel, and the majority (n = 8) focus on elderly care recipients. The findings reveal the diverse roles live-in caregivers perform, including emotional and physical care; changes in family dynamics and roles upon hiring a live-in caregiver; the negative experiences, including abuse, of live-in caregivers and elderly care recipients; the positive outcomes for families with a live-in caregiver; and families' common perception that live-in caregivers are like kin, a part of the family. Furthermore, evidence points to some degree of bi-directional emotional support between caregivers and employers/families, which adds complexity to their relations and the negotiation of power.

“…monitoring of blood pressure or diabetes) and informal care (e.g. cleaning), depending on their level of skill and the care recipients’ needs (Salami ).…”

Section: Background and Literature Reviewmentioning

confidence: 99%

The perspective of employers/families and care recipients of migrant live-in caregivers: a scoping review

Health Soc Care Community

Duggleby

Rajani

2016

Self Cite

“…) and often work as lower‐skilled care workers in destination countries (Cuban ; Hawkins ; Salami et al. ,b; Wojczewski et al. ).…”

Section: Introductionmentioning

confidence: 99%

“…The international research available on IENs who work below their skill level focuses mainly on those working as unregulated healthcare professionals such as live‐in caregivers, carers, domestic workers and healthcare aides (Cuban ; Salami et al. ,b). There remains limited international research on the experience of baccalaureate‐prepared IENs who are working as LPNs in destination countries.…”

Section: Introductionmentioning

confidence: 99%

Downward occupational mobility of baccalaureate‐prepared, internationally educated nurses to licensed practical nurses

International Nursing Review

Meherali

Covell

2017

“…Previous research by the author confirms that nurses who migrate to Canada through the Live-in Caregiver Program experience several challenges with workforce integration (Salami, Nelson, McGillis-Hall, Muntaner, & Hawthorne, 2014). Notably, many of these nurses have international experience; in fact, many of them worked in the Middle East before migrating as a nurse to Canada (Salami, Nelson, Hawthorne, Muntaner, & McGillis-Hall, 2014).…”

Section: Experience Of Nurses Who Migrate To Canada As Live-in Caregimentioning

confidence: 85%

“…Notably, many of these nurses have international experience; in fact, many of them worked in the Middle East before migrating as a nurse to Canada (Salami, Nelson, Hawthorne, Muntaner, & McGillis-Hall, 2014). Thus, they engage in step-wise migration pathways, mainly in an attempt to gain Canadian citizenship for their family (Hawkins, 2013; Salami, Nelson, McGillis-Hall, et al., 2014; Walton-Roberts & Hennebry, 2012). In their interviews with 15 nurses who migrated to Canada through the Live-in Caregiver Program and nine stakeholders (i.e., nurse educators, recruiters, support groups, and policy makers), Salami, Nelson, Hawthorne, et al.…”

Section: Experience Of Nurses Who Migrate To Canada As Live-in Caregimentioning

confidence: 99%

Migrant Nurses and Federal Caregiver Programs in Canada

2016

Can J Nurs Res

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Despite the links between health human resources policy, immigration policy, and education policy, silos persist in the policy-making process that complicate the professional integration of internationally educated nurses in Canada. Drawing on the literature on nurse migration to Canada through the Live-in Caregiver Program, this paper sheds light on the contradictions between immigration and health human resources policy and their effect on the integration of internationally educated nurses in Canada. The analysis reveals a series of paradoxes within and across immigration and health human resources policy that affect the process of professional integration of this group of health professionals into the nursing workforce in Canada. I will further link the discussion to the recently implemented Caregiver Program, which provides a unique pathway for healthcare workers, including nurses, to migrate to Canada. Given recent introduction of the Canadian Caregiver Program, major policy implications include the need to bridge the gap between health human resources policy and immigration policy to ensure the maximum integration of migrant nurses in Canada.