Philippines losing its nurses, and now maybe its doctors

Choo, Vivien

doi:10.1016/s0140-6736(03)13094-2

Cited by 15 publications

(11 citation statements)

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“…Evidence exists that Canada (Sibbald 2003) is facing a pending crisis and that there is a tightening nursing labour market in Scotland (Buchan 2002). These events in turn have generated international concern regarding nurse migration to fill vacancies owing to the hardships experienced by donor countries and the ethical issues which arise (Choo 2003, Kline 2003).…”

Section: Discussionmentioning

confidence: 99%

The nurse manager: job satisfaction, the nursing shortage and retention

Andrews¹,

Dziegielewski²

2005

J Nurs Manag

119

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A critical shortage of registered nurses exists in the United States and this shortage is expected to worsen. It is predicted that unless this issue is resolved, the demand for nursing services will exceed the supply by nearly 30% in 2020. Extensive analysis of this pending crisis has resulted in numerous recommendations to improve both recruitment and retention. The purpose of this article is to clearly outline the issues contributing to this problem, and to provide the nurse manager with information regarding specific influences on job satisfaction as it relates to job turnover and employee retention. To accomplish this, an analysis of the literature using both national and international sources is used to formulate the lessons learned as well as strategies and future courses of action designed to address this shortage.

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Section: Discussionmentioning

confidence: 99%

The nurse manager: job satisfaction, the nursing shortage and retention

Andrews¹,

Dziegielewski²

2005

J Nurs Manag

119

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“…(), there are no data on what they are doing outside the profession. One possible explanation comes from the chairman of the board of conveners of the Asia‐Pacific Research Network, who explained that the declining trend in the number of Filipino nurses registered to practice is due primarily to the emigration of nurses either to work as nurses in other countries or because some nurses ‘deskill to emigrate to more affluent countries as caregivers or even domestic aides' (Choo , 1356). This hypothesis corroborates research by Browne, Braun and Arnsberger () and Bourgeault and colleagues () who found an overrepresentation of nurses in domestic work and personal care aide sectors.…”

Section: Nurse and Domestic Worker Migration From The Philippinesmentioning

confidence: 99%

The downward occupational mobility of internationally educated nurses to domestic workers

Salami

Nelson

2013

Nursing Inquiry

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Despite the fact that there is unmet demand for nurses in health services around the world, some nurses migrate to destination countries to work as domestic workers. According to the literature, these nurses experience contradictions in class mobility and are at increased risk of exploitation and abuse. This article presents a critical discussion of the migration of nurses as domestic workers using the concept of 'global care chain'. Although several scholars have used the concept of global care chains to illustrate south to north migration of domestic workers and nurses, there is a paucity of literature on the migration of nurses to destination countries as domestic workers. The migration of nurses to destination countries as domestic workers involves the extraction of reproductive and skilled care labor without adequate compensatory mechanisms to such skilled nurses. Using the case of the Canadian Live-in Caregiver Program, the study illustrates how the global movement of internationally educated nurses as migrant domestic workers reinforces inequities that are structured along the power gradient of gender, class, race, nationality, and ethnicity, especially within an era of global nursing shortage.

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“…In response to an unprecedented global demand for nurses, the Philippines has experienced the phenomenon of trained male doctors retraining as nurses in order to obtain positions overseas (Choo, 2003). Although, these changes suggest a trend towards balancing female/male distribution in nurse training, and indeed our respondents across the Philippines re ected a dominance of nurses, male or female, a gender analysis of health worker migration in the Philippines tends to focus on women as nurse migrants.…”

Section: Indiamentioning

confidence: 91%

Hiding in Plain Sight: Gendered Dimensions of Health Worker Migration from ‘Source’ Country Perspectives

Bourgeault

Runnels

Atanackovic

et al. 2020

Preprint

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Background: Gender roles affect health worker migration and their migration experiences, but policy responses have rarely considered the gender dimensions of health worker migration. This invisibility and lack of attention can lead to social, health and labour market inequities. Methods: A Canadian-led research team with co-investigators in the Philippines, South Africa, and India studied the international migration of health workers from these ‘source’ countries through documentary, interview and survey data with workers and country-based stakeholder interviews. Our particular focus was to examine the causes, consequences and policy responses to health worker migration. Here we undertake an explicit gender-based analysis highlighting the gender-related influences and implications that emerged from the literature, policy documents and empirical data. Results: Our data from nurses, physicians, and other health workers reveal that gender mediates health workers’ access and participation in health worker training, employment, and migration, and the impact of health worker migration is gendered, depending on country context. Female migrant health workers were “preferred” for “innate” personal characteristics and cultural reasons. Female nurse migration in particular is greatly influenced and linked to personal relationships and social networks including friends in the diaspora. Remittances by female nurses to family back home may play a large role in the decision to migrate. Migration may improve social status of women nurses, but it also exposes them to deskilling, sexism and racialization. Regardless of these apparent differences in migration decision-making and experiences for women and men health workers, gender is rarely considered either as an important contextual influence or analytic category in the policy responses.Conclusion: An explicit gender-based analysis on health worker migration offers useful insights for health workers considering migration and those that ultimately migrate, the workplaces and families they leave behind, and social and health policy of their countries.

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Philippines losing its nurses, and now maybe its doctors

Cited by 15 publications

References 0 publications

The nurse manager: job satisfaction, the nursing shortage and retention

The nurse manager: job satisfaction, the nursing shortage and retention

The downward occupational mobility of internationally educated nurses to domestic workers

Hiding in Plain Sight: Gendered Dimensions of Health Worker Migration from ‘Source’ Country Perspectives

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