Migrations of nurses and doctors from Poland: data for the years 2014-2020 based on the sample of capital city of Warsaw

Szpakowski, Rafał; Dykowska, Grażyna; Fronczak, Adam; Zając, Patrycja; Czerw, Aleksandra

doi:10.5114/aoms.2017.70331

Cited by 13 publications

(18 citation statements)

References 6 publications

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“…Another important problem described by Szpakowski et al. (2019) to be considered regarding the chronic shortage of health workers and the migration of nurses, which may be crucial in the near future, is that the migration from Poland is not monitored in a reliable way.…”

Section: Discussionmentioning

confidence: 99%

“…It should be emphasized that urgent actions are needed to reduce the shortage by making the profession more attractive to young people in Poland. Another important problem described by Szpakowski et al (2019) should be considered due to the chronic shortage of health workers and the migration of nurses, which may be crucial in the near future, but this migration from Poland is not monitored in a reliable way.…”

Section: Discussionmentioning

confidence: 99%

“…In Poland, the shortage of nursing staff is caused, among other things, by low wages and emigration to countries with higher earnings (Marć et al., 2019). The fact is that the migration of the new generation of Polish nurses should now become a significant component of human resources policy in the Polish health service (Szpakowski et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

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Factors affecting work ability index among polish nurses working in hospitals – A prospective observational survey

et al. 2020

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Aims To assess the ability to work of Polish nurses by age groups. Background The ability to work is widely discussed in the literature in the context of nurses' productivity; thus, it is necessary to identify the ability to work when facing an increasing demand for services. Methods The observational study involved 349 professionally active nurses aged 46.9 ± 9.7 years, with a length of service of 23.5 ± 9.6 years. The Work Ability Index (WAI) was used to assess the nurses' ability to work. Results The ability to work decreases with age (rs = −0.324, p < .000) and with seniority (rs = −0.257; p < .000). Nurses with higher education presented higher Work Ability Index scores. Also, the age (B = −0.25, p < .001), work seniority (B = −0.19, p < .001) and education (masters' degree: B = 1.41, p = .012; ref. secondary) affect work ability. Conclusions The ageing process and seniority of nurses negatively affect their ability to work. A lack of programmes to maintain physical condition for nurses can result in a shortage of staff. Implications for nursing management Programmes can be developed to create or improve healthy working environments to increase productivity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors affecting work ability index among polish nurses working in hospitals – A prospective observational survey

et al. 2020

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“…The validation study carried out by Szpakowski et al (2019) among the nursing/midwifery staff (N = 103) indicated that the internal consistency of the 12 safety culture dimensions of Polish version of the HSOPSC was lower than the original US version (Duffy et al, 2018) and many European versions of the questionnaire (Smits et al, 2008;Hammer et al, 2011;Sarac et al, 2011;Robida, 2013;Perneger et al, 2014;Waterson et al, 2019). The reliability coefficients ranged from 0.38 for the subscale of "Organizational learning-continuous improvement and Communication Openness" to 0.89 for the subscale of "Frequency of events reported" (Szpakowski et al, 2019). The factors of safety culture with Cronbach's alpha around or greater than 0.70 is considered as satisfactory.…”

Section: The Hsopsc Instrumentmentioning

confidence: 99%

Rationing of Nursing Care and Patient Safety

et al. 2021

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Background: Nursing care has a significant impact on patient safety, which affects clinical outcomes, patients’ satisfaction with the care received and nursing personnel’s satisfaction with the care provided. This study aimed to determine the extent of nursing care rationing and its relationship with patient safety including identification of the specific reasons.Methods: This cross-sectional study involved 245 nurses and was performed between April–June 2019 in four hospitals in Wrocław, Poland. The standardized and relevant research tools such as Hospital Survey on Patient Safety Culture (HSOPSC) and the Perceived Implicit Rationing of Nursing Care (PIRNCA) were used. The data was submitted to hierarchical multiple regression analysis. The study was approved by the Bioethics Committee and was followed with the STROBE guidelines.Results: The PIRNCA scores were negatively correlated with the HSOPSC subscales, which indicates that more frequent rationing of nursing care was associated with lower levels of patient safety parameters. It was shown that the highest level of unfinished nursing care was associated with decreases in patient safety factors linked with supervisor manager expectations actions promoting safety (rs = −0.321, p < 0.001), teamwork within hospital units (rs = −0.377, p < 0.001), feedback and communication about error (rs = −0.271, p < 0.001), teamwork across hospital units (rs = −0.221, p < 0.01), and hospital handoffs transitions (rs = −0.179, p < 0.01). Moreover, the strongest association was observed between the PIRNCA scores with patient safety grade (rs = 0.477, p < 0.001). Also, the PIRNCA scores among the internal unit were significantly higher than in the intensive care and surgical units.Conclusion: Our study indicated the presence of nursing care rationing. Regarding patient safety, we found insufficient numbers of medical personnel and excessive personnel workload for providing safe care to patients, a lack of transparency in handling adverse event reports and analyses, and a lack of cooperation between hospital units regarding patient safety.

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“…Poland has one of the lowest number of nurses (5.1) per 1000 inhabitants in the European Union and the migration of nurses in Poland has a negative impact on human resources (Organisation for Economic Cooperation and Development (OECD) 2020 ). The Polish healthcare system will not be able to meet the future health needs of the aging population partly because of the migration of nurses (Szpakowski et al 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Human Rights and Bioethical Considerations of Global Nurse Migration

Stokes

Iskander

2021

Bioethical Inquiry

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There is a global shortage of nurses that affects healthcare delivery, which will be exacerbated with the increasing demand for healthcare professionals by the aging population. The growing shortage requires an ethical exploration on the issue of nurse migration. In this article, we discuss how migration respects the autonomy of nurses, increases cultural diversity, and leads to improved patient satisfaction and health outcomes. We also discuss the potential for negative impacts on public health infrastructures, lack of respect for cultural diversity, and ethical concerns related to autonomy and justice, including coercion and discrimination. This analysis is written from a rights-based ethics approach by referring to rights held by nurses and patient populations. Nurse migration highlights conflicts between nurses and between nurses and healthcare systems. Increased awareness of ethical challenges surrounding nurse migration must be addressed to enhance the well-being of nurses and patient populations.

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Migrations of nurses and doctors from Poland: data for the years 2014-2020 based on the sample of capital city of Warsaw

Cited by 13 publications

References 6 publications

Factors affecting work ability index among polish nurses working in hospitals – A prospective observational survey

Factors affecting work ability index among polish nurses working in hospitals – A prospective observational survey

Rationing of Nursing Care and Patient Safety

Human Rights and Bioethical Considerations of Global Nurse Migration

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