Exploring nurses' experiences: Abandoning the profession and migrating for improved opportunities

Galbany-Estragués, Paola; Giménez-Lajara, Miquel Àngel; Jodar-Solà, Glòria; Casañas, Rocio; Romeu-Labayen, Maria; Gomez-Gamboa, Encarnación; Canet-Vélez, Olga

doi:10.1016/j.apnr.2024.151787

Applied Nursing Research

2024

DOI: 10.1016/j.apnr.2024.151787

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Exploring nurses' experiences: Abandoning the profession and migrating for improved opportunities

Paola Galbany-Estragués,

Miquel Àngel Giménez-Lajara,

Glòria Jodar-Solà

et al.

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2024

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Cited by 3 publications

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A Comparative Study of the Perspectives of Long‐Stay Immigrants, Nurses and Cultural Mediators on Intercultural Communication: A Secondary Qualitative Analysis

Ramos‐Roure,

Feijoo‐Cid,

Manresa‐Dominguez

et al. 2024

Nursing Open

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AimTo compare the perspective of nurses, long‐stay immigrants and cultural mediators on intercultural communication in care encounters.DesignQualitative secondary analysis of data obtained in two primary studies.MethodsTwo sets of data from two primary studies on nurses and long‐stay immigrants (including in total two focus groups and 15 in‐depth interviews) were merged. The sample was extended to include a focus group of cultural mediators. An amplified analysis was conducted using Charmaz's approach to grounded theory.ResultsThe results are structured under the core category “Agreements and discrepancies in intercultural communication,” split into two subcategories: (1) Communication and the role of culture; (2) (Non) equitable and culturally (in)sensitive care. Immigrant patients and mediators detect barriers associated with generic aspects of communication, while nurses and mediators value culture. Nurses recognise paternalistic attitudes, while long‐stay immigrants sometimes detect biased treatment that mediators do not see. Immigrant patients and mediators value informal conversation as a strategy for cultural learning and building mutual trust, while nurses request regulated training.ConclusionThe findings show that there are always discrepancies in this relationship. Changes to health care should be based on the participation of all actors. Communication skills training programs should be implemented.Implications for the Profession and/or Patient CareThe convergences and divergences of nurses, immigrants and mediators expose new ways to approach care. Communication skills training programs should be implemented. Changes to health care should be based on the participation of all actors, including immigrant patients and mediators, and allow them to voice their opinions and make decisions.ImpactThis study addresses intercultural communication from three different perspectives: nurses, long‐stay immigrants and cultural mediators. Nurses, long‐stay immigrants and cultural mediators sometimes show convergence but never completely agree. The research may have an impact on primary‐care nursing by making it more culturally competent.Patient or Public ContributionEach participating long‐stay immigrant, nurse and cultural mediator reviewed their own interview. The findings were reviewed by a verifier member of each group (a nurse, patient and mediator).

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A Comparative Study of the Perspectives of Long‐Stay Immigrants, Nurses and Cultural Mediators on Intercultural Communication: A Secondary Qualitative Analysis

Ramos‐Roure,

Feijoo‐Cid,

Manresa‐Dominguez

et al. 2024

Nursing Open

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Optimizing Health Care Resource Allocation, Workforce “Right-Sizing,” and Stakeholder Collaboration

Young,

Asgar,

Goldsweig

et al. 2024

Journal of the Society for Cardiovascular Angiography & Int

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Engaging, Binding and Retaining Nurses: The Success Formula of an Exemplary Ward

Spoolder,

van Duijn,

Schreuder-Cats

et al. 2024

SAGE Open Nursing

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Background Nurse staffing remains an ongoing issue in healthcare worldwide. However, a Dutch urology ward has hardly any staffing difficulties. Nevertheless, it remains challenging to grasp what exactly is the success formula of the ward. Investigating a practical example of a successful ward will facilitate a deeper understanding of the application of current knowledge. Furthermore, novel concepts offer potential solutions to current problems. There is a need of putting the knowledge into practice. Objective The objective is to identify the factors that contribute to the success of the urology ward in engaging, binding, and retaining nurses, to provide practical insights and opportunities for other wards. Methods The Dutch Model for Excellent Care forms the basis of a prospective, qualitative research study with focus groups. Twelve nurses were divided into three focus groups, based on work experience. They were asked about why they love working on the ward. Analysis was performed using Braun and Clarke's method for thematic analysis. Emerged themes were presented, substantiated by quotes. Results Four themes and twelve subthemes became apparent: (a) Supportive structures: nursing governance, professional development, and quality of leadership. (b) Optimal work environment: working with skilled nurses, a professional relationship with physicians and professional autonomy. (c) Team culture: feeling seen, good ambiance, and equality. (d) Specialty of urology: variation in work, workload, and the type of patient. Conclusions Nurses are uniquely positioned to provide invaluable insight into their needs. They illuminated the crucial importance of fostering a work environment that prioritizes both professional as well as personal needs.

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Exploring nurses' experiences: Abandoning the profession and migrating for improved opportunities

Cited by 3 publications

References 30 publications

A Comparative Study of the Perspectives of Long‐Stay Immigrants, Nurses and Cultural Mediators on Intercultural Communication: A Secondary Qualitative Analysis

A Comparative Study of the Perspectives of Long‐Stay Immigrants, Nurses and Cultural Mediators on Intercultural Communication: A Secondary Qualitative Analysis

Optimizing Health Care Resource Allocation, Workforce “Right-Sizing,” and Stakeholder Collaboration

Engaging, Binding and Retaining Nurses: The Success Formula of an Exemplary Ward

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