Situational Analysis of Career Choices among Indonesian Nurses Returnees

Efendi, Ferry; Nursalam, Nursalam; Ulfiana, Elida; Fauziningtyas, Rista

doi:10.5958/0976-5506.2019.00305.x

Cited by 6 publications

(7 citation statements)

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“…2,22 On the other side, skills deterioration and difficulty to transfer returnees' skills required further investigations. 13,26 Successful international migration of the health workforce brings positive impact in reinforcement in human, financial, and social capital. 32 The health professional can acquire various skills through training or practice in health care services while working in developed countries.…”

Section: Discussionmentioning

confidence: 99%

“…Benefits of financial capital were shown from the contribution of financial gain by returnees to the economic sector in their home country, such as through establishment of private businesses, pensions/remuneration/allowances, scholarship funding, and provision of diagnostic and/or medical education facilities. 13,22,26 Change in better wealth and higher social status of individual or families of return health workers was also evident in Ghana. 22 In terms of social capital, such benefits may include provision of social support to families and relatives, supports to charitable community organizations, helping others through creation of employment opportunities, cultural adaptation, and health system events in home countries, especially if the returnees were domestically trained.…”

Section: Impacts On Human Financial and Social Capitalmentioning

confidence: 98%

“…Some studies discussed benefits of return migration of nurses, such as in human capital gaining clinical skills and knowledge, 2,22 financial, 13,22,26 and social capital. 22,24,27,28 Gaining human and financial capital may contribute to improvements in the health sector of the home country.…”

Section: Impacts On Human Financial and Social Capitalmentioning

confidence: 99%

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Experiences of Healthcare Worker Returnees in Their Home Countries: A Scoping Review

Efendi¹,

McKenna²,

Reisenhofer³

et al. 2021

JMDH

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Background: International migration of healthcare workers is a global phenomenon driven by growing demand in developed countries and expectations of healthcare workers from developing countries to have improved employment and lives. This migration has been understood to impact both the individuals and countries involved, with positive and negative consequences. However, little is known about returnees' experiences that could be used to address challenges and optimize benefits. The aim of this review was to understand what is known about experiences of migrant health workers after returning to their home countries. Methods: A scoping review of primary research addressing experiences of migrant health workers upon their return to their homelands. A range of database were searched including Career and Technical Education Database via ProQuest, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education database via ProQuest, Excerpta Medica Care (EMCare) via Ovid, Education Resources Information Center (ERIC), Excerpta Medica database (EMBASE) via Ovid, MEDLINE and Scopus. A systematic process was performed guided by the work of Arksey and O'Malley. Eight databases were searched and 226 articles were retrieved. After screening articles and abstracts, 15 full-texts were assessed for eligibility, and finally seven studies were further analyzed and synthesized. Results: Five qualitative studies, one quantitative study and one mixed methods study met inclusion criteria. Five themes emerged: (1) reasons to return, (2) upskilling and deskilling, (3) impact on human, financial, and social capital, (4) challenges and opportunities in the home country, and (5) facilitation supports. Conclusion: Return migration is portrayed as a complex situation experienced by returnees. Structured policy and supports are required to help healthcare worker returnees prepare, and to adjust to life after their return. This study highlights the importance of comprehensive approach in return migration stage. Return migration policy should support healthcare worker returnees in their home country and facilitate utilization of their skills. Multistakeholder partnerships are vital to develop platforms for helping and facilitating returnees in the reintegration process at their home countries.

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Section: Discussionmentioning

confidence: 99%

Section: Impacts On Human Financial and Social Capitalmentioning

confidence: 98%

See 1 more Smart Citation

Experiences of Healthcare Worker Returnees in Their Home Countries: A Scoping Review

Efendi¹,

McKenna²,

Reisenhofer³

et al. 2021

JMDH

Self Cite

View full text Add to dashboard Cite

show abstract

“…This research is a quantitative study with a crosssectional design, in which the relationship of independent to dependent variables was measured at one time with no follow-up 5 .…”

Section: Methodsmentioning

confidence: 99%

“…In addition to the demand from their full-time work, mothers are also faced with household chores, including nursing their babies, after work. This phenomenon is referred to as second shift 5 . The implications include mothers' inability to complete their household tasks maximally due to physical and emotional fatigue.…”

Section: Introductionmentioning

confidence: 99%

Effect of Workload and Breastfeeding Motivation of Working Mothers

2020

IJFMT

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Background :The practice of exclusive breastfeeding in Indonesia still falls short of expectations due to working mothers' struggle with managing both working outside and household chores. This workload results in mothers experiencing physical and emotional exhaustion and impacts on their motivation to practice exclusive breastfeeding, hence exclusive breastfeeding failure.Objective: To shed light on the relationship between workload and exclusive breastfeeding motivation of working mothers in the working area of the Public Health Center of Bergas District, Semarang Regency.Method: This is a cross-sectional study with a sample of working mothers in the working area of the Public Health Center of Bergas District, Semarang Regency, with babies aged 0-6 months. The sample of 32 respondents was recruited by purposive sampling technique. The data collected were analyzed by Spearman's rho analysis. The instruments employed in this research were the modified versions of questionnaires from existing literature. Results :The workload of nearly all of the sample (31 respondents, 96.8%) was categorized into Level 2. Besides, the vast majority of the breastfeeding, working mothers in Bergas District (30 people, 93.7%) had strong exclusive breastfeeding motivation. Last but hardly the least, a ρ-value of 0.801 (> 0.05) was obtained, suggesting no relationship between workload and exclusive breastfeeding motivation. Conclusion :Workload bore no association with the exclusive breastfeeding motivation of working mothers. Despite the high workload, if the reinforcement system was high, individual motivation would generally remain high.

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The Impact of High Cortisol Level in Increasing Incidence of Infection Cases Among Acute Stroke Patients

Handaayani

Hamdan

Sugianto

et al. 2020

j comput theor nanosci

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Infection in the stroke was a treatment major problem, because it determines the prognosis. In the acute phase of stroke, high level cortisol may lead to a decreased immune system and patients tend to be more susceptible to infection. The correlation of serum cortisol level among acute stroke patients with incidence of infection was not fully investigated. The aim of this study was to determine the relationship between initial serum cortisol levels and the incidence of infection in acute stroke patients. A prospective cohort study was conducted on 32 of acute stroke patients who admitted in RSUD Dr. Soetomo Surabaya during the period December 2015 to February 2016. Total of 2 cc to the venous blood within 48 hours in onset of stroke being examined of serum cortisol. During the 7 days of hospitalization, the patient was observed for signs of infection, both clinically and the investigation in accordance with the operational definition. In the infected group there were 8 people (50%) with high cortisol levels (p = 0.015; RR 15,000; 95% IK 1.583-143,171); 6 people were (50%) using urine catheter (p = 0.049; RR 6,667; 95% IK 1.067-30.085); And 6 people were (54.5%) using NGT (p = 0,035; RR 7,200; 95% IK 1.311-39,557). In multivariate analysis obtained that Odds Ratio (OR) 15,468 based on high cortisol and OR 7,469 based on NGT usage. High cortisol levels and the use of NGT had the effect on the incidence of infection in acute stroke.

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Situational Analysis of Career Choices among Indonesian Nurses Returnees

Cited by 6 publications

References 0 publications

Experiences of Healthcare Worker Returnees in Their Home Countries: A Scoping Review

Experiences of Healthcare Worker Returnees in Their Home Countries: A Scoping Review

Effect of Workload and Breastfeeding Motivation of Working Mothers

The Impact of High Cortisol Level in Increasing Incidence of Infection Cases Among Acute Stroke Patients

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