Importing Nurses: Combating the Nursing Shortage in America

Chandra, Ashish; Willis, William K.

doi:10.3200/htps.83.2.33-37

Cited by 7 publications

(5 citation statements)

References 7 publications

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“…The literature delineates that one of the most serious problems which immigrant nurses encounter in their new community and workplace is that of racism and its resulting discrimination (Chandra and Willis, 2005; Schilgen et al , 2017).…”

Section: Discussionmentioning

confidence: 99%

The integration of immigrant nurses at the workplace in Malta: a case study

Buttiġieġ

Agius

Pace

et al. 2018

IJMHSC

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Purpose The purpose of this paper is to identify the extent to which immigrant nurses have integrated within the Maltese healthcare system. Design/methodology/approach This research consisted of a qualitative case study approach which was conducted within Malta’s four public entities in the secondary care sector. In this case study, data were collected through 34 semi-structured interviews with ten nursing managers, 12 Maltese nurses and 12 immigrant nurses. The data were analysed using content analysis. Data were collected between June 2015 and July 2015. Findings Four themes emerged from the data. These were: human resources management, language barrier, cultural differences and discrimination. The recruitment of nurses to Malta from other countries translated into several positive and favourable outcomes, such as the sharing of knowledge. However, a number of negative and unfavourable outcomes are also indicated in the data including language barrier and discrimination. Research limitations/implications This paper presents a discussion of the issues experienced within a healthcare system in relation to the mobility of nurses. Increasingly, the nursing workforce across the globe comprises of professionals from various nationality, origin, training, culture and professional ethos. The findings are presented in an effort to inform policy makers, management and administrative structures regarding the issues pertaining to the prevalent growing reality of mobility in nurse populations. Originality/value This research study provides a unique contribution to the literature regarding the phenomenon of nurse mobility because it embraces the integration of nurses as a two-way process. Since data was collected from immigrant nurses as well as from local nurses and nursing managers, this study hopes to offer a different point of view from previous studies which largely focused on the views of immigrant nurses only.

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Section: Discussionmentioning

confidence: 99%

The integration of immigrant nurses at the workplace in Malta: a case study

Buttiġieġ

Agius

Pace

et al. 2018

IJMHSC

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“…It is interesting to note that gender or one’s own economic situation were not significant factors impacting the intention to migrate. This combination of factors suggests that workforce migration has entered a second phase, where an already established (family) network and language skills are considered more important [ 34 ]. Better fitted to a theoretical outlook are, therefore, not a neo-classical dual-economy model or a clearcut push–pull factor model, but a translational social spaces model [ 28 ] or a migration change model [ 30 ], which imagines the future migrant as more agentic and aware of the acculturation process, rather than simply an individual looking for a higher economic status, regardless of their working conditions.…”

Section: Limitations and Discussionmentioning

confidence: 99%

“…At the individual level, factors such as age, family ties, employment opportunities, and existing cultural similarities do play a role in the decision to migrate [ 33 ]. There are also barriers to migration which need to be taken into account: the physical costs of moving, professional accreditation, learning a new language and the professional terminology in a new language, learning new clinical practices, and learning to address patients’ needs being expressed with a different set of nonverbal and cultural cues [ 34 , 35 ].…”

Section: Introductionmentioning

confidence: 99%

Shifting Horizons: The Impact of Global Events on the Intention to Migrate of the Next Generation Romanian Nurses

Popescu,

Junjan,

Buzoianu

et al. 2024

Healthcare

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Background: This article investigates the determinants of the intention to migrate of nursing students at a major medical university in Romania and relates them to major international developments, specifically the Brexit referendum and the COVID-19 pandemic. Methods: An online survey about the intention to migrate was made available to nursing students at the University of Medicine and Pharmacy “Iuliu Hațieganu”, Cluj-Napoca, Romania, in 2016 (before Brexit) and again in 2016 (after Brexit), 2017, 2018, and 2021 and 2022 (during the pandemic). A total of 549 students responded (response rate: 84.6%). Results: Before the Brexit referendum, 62.6% of the respondents had a plan to seek employment abroad, whereas after the Brexit referendum, only 34.7% indicated that they had such a plan after graduation. Before the pandemic, 43.6% of the students expressed an intention to work abroad, while during the pandemic, only 19.8% had such plans. Conclusions: This study documented the effect of significant international developments—such as the Brexit referendum and the COVID-19 pandemic—on decreasing the intention to migrate. As expected, the change in preference for the UK as a destination country changed dramatically. Additionally, the study provides both theoretical and empirical insights into the types of and the consistency of preparation for migration of nursing students.

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“…[1] In the year 2000, the national supply of full-time equivalent (FTE) registered nurses (RNs) was estimated at 1.89 million whereas the demand was estimated at two million, causing a shortage of 110,000 nurses (6%). [2,3] While the recent shortage seems to have eased as many nurses returned to work during the great recession, it is projected that the demand for RNs will soon surpass their supply. [4,5] The projected shortage of nurses is estimated to increase to 260,000 RNs FTEs by year 2025 even though the supply of RNs FTEs would reach approximately 2.8 million in 2025.…”

Section: Introductionmentioning

confidence: 99%

“…[6] Other potential contributors to this shortage include an aging nursing workforce and inadequate investment into creating a sustainable workforce. [2,[4][5][6] This lack of resources is resulting in insufficient numbers of new nursing graduates entering the labor market every year. [7] Thus, creating an imbalance between the number of nurses entering the workforce and the number approaching retirement.…”

Section: Introductionmentioning

confidence: 99%

Hiring internationally educated nurses in hospitals: role of competition and resource availability

Gupta

Epané

Weech‐Maldonado

2015

JHA

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Objective: This study used Porter's Five Forces Model and the Resource Dependence Theory (RDT) to examine the association of competition and other market factors with the hospital's decision to hire internationally educated nurses. Methods: A panel design was used comprising a national sample of nonfederal, acute care hospitals (n = 4,116) in the United States. Data, for the years 2008-2012, were derived from American Hospital Association's Annual Survey and Area Health Resource File. Logistic regression with hospital random effects and state and year fixed effects was conducted to test the above mentioned association. Results: The study findings suggest that hospitals hire internationally educated nurses as a strategy to meet their staffing needs in more competitive and diverse markets. Moreover, hospitals that hire internationally educated nurses are system-affiliated, larger, and see more Medicare patients than those that do not hire them. Conclusions: Findings of this study could help health care managers to understand the influence of market factors on utilization of internationally educated nurses to fulfill their hospitals' nurse staffing needs. Furthermore, the study findings can inform policymakers in crafting policies on the use of internationally educated nurses as a strategy to address nursing shortages.

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Importing Nurses: Combating the Nursing Shortage in America

Cited by 7 publications

References 7 publications

The integration of immigrant nurses at the workplace in Malta: a case study

The integration of immigrant nurses at the workplace in Malta: a case study

Shifting Horizons: The Impact of Global Events on the Intention to Migrate of the Next Generation Romanian Nurses

Hiring internationally educated nurses in hospitals: role of competition and resource availability

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