Browse by subject "Migration of health professionals"

Records found: 62

Barriers to Movement of Healthcare Professionals: A Case Study of India

Since this report is a case study of India, the objective is to identify barriers faced by Indian health professionals in select developed countries’ markets. In other words, the emphasis would be more on neo-liberal perspective. However, the thoughts and findings of this study would in no way undermine the seriousness of the problems being faced by the poor African countries, who have witnessed large scale immigration of their health care staffs to developed countries. 

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Author Pranav Kumar & Simi T B
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Code of Practice for the International Recruitment of Healthcare Professionals in Scotland

The aim of the Code of Practice is to promote high standards of practice in the international recruitment and employment of healthcare professionals. This is underpinned by the principle that any international recruitment of healthcare professionals should not prejudice the healthcare systems of developing countries. Therefore a key component of the Code of Practice is to preclude the active recruitment of healthcare professionals from developing countries, unless a government-to-government agreement exists to support recruitment activities. The Scottish Executive Health Department can advise on any appropriate government-to-government agreements.

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Author
Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Communicative Competence of International Nurses and Patient Safety and Quality of Care

This coulmn is written with nurses who have migrated from Asia to work in the US in mind. It focueses on communication challenges which may be faced by international nurses and how these affect care.

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Author Yu Xu, PhD, RN, CTN, CNE
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Cultural Similarity, Cultural Competence, and Nurse Workforce Diversity

Abstract

Proponents of health workforce diversity argue that increasing the number of minority health care providers will enhance cultural similarity between patients and providers as well as the health system’s capacity to provide culturally competent care. Measuring cultural similarity has been difficult, however, given that current benchmarks of workforce diversity categorize health workers by major racial/ethnic classifications rather than by cultural measures. This study examined the use of national racial/ethnic categories in both patient and registered nurse (RN) populations and found them to be a poor indicator of cultural similarity. Rather, we found that cultural similarity between RN and patient populations needs to be established at the level of local labor markets and broadened to include other cultural parameters such as country of origin, primary language, and self-identified ancestry. Only then can the relationship between cultural similarity and cultural competence be accurately determined and its outcomes measured.

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Author Sandra L. McGinnis, Barbara L. Brush and Jean Moore
Type Article
Subject Migration of health professionals   Cultural competence   
Tags cultural competence   workforce diversity   minority RNs   foreign-trained RNs   
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Editorial: Multi-sectoral Approaches to Migration of Health Professionals

This paper looks into the pull and push factors influencing the migration of healthcare professionals, the impact of migration, current strategies for managing migration and recommendations for the future.

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Author
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Ethical concerns in nurse migration

International nurse migration is natural and to be expected. Recently, however, those who have fostered nurse migration believe that it will solve nursing shortages in developed countries and offer nurse migrants better working conditions and an improved quality of life. Whether natural or manipulated, migration flow patterns largely occur from developing to developed countries. In this article, nurse migration is examined using primary health care (PHC) as an ethical framework. The unmanaged flow of nurse migrants from developing to developed countries is inconsistent with bhealth for allQ principles. Removing key health personnel from countries experiencing resource shortages is contrary to PHC equity. Often, nurse migrants are placed in vulnerable, inequitable work roles, and employing nurse migrants fails to address basic causes of nurse shortages in developed countries, such as dissatisfaction with work conditions and decreased funding for academic settings.

Nurse migration policies and procedures can be developed to satisfy PHC ethics criteria if they: 

  1. leave developing countries enhanced rather than depleted
  2. contribute to country health outcomes consistent with essential care for all people
  3. are based on community participation
  4. address common nursing labor issues
  5. involve equitable and clear financial arrangements.

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Author BEVERLY J. MCELMURRY, EdD, FAAN,* KAREN SOLHEIM, PHD, RN,y RIEKO KISHI, BSN,z MARCIA A. COFFIA, RN, BSN,z WENDY WOITH, MS, RN,z AND POOLSUK JANEPANISH, RN, MNSz
Type Paper
Subject Migration of health professionals   
Tags nurse   migration   Primary health care   ethics   
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Ethics and Care-Worker Migration

This article begins by identifying a range of factors that contribute to the movement of health care workers around the globe, specifically from low and middle-income countries to affluent ones.  From there it explores ethical issues that arise concerning the deepening of global health inequalities; the status and treatment of migrant health workers, the implications for their families and communities; and the structure of human health resource planning. There is further consideration of the range of agents who might be said to have responsibilities to address these concerns, and what could be said to ground them. Noted are key efforts made to date as well as ideas for further reform.

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Author Lisa Eckenwiler
Type Website
Subject Social justice, human rights and health   Migration of health professionals   
Tags philosophy   
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Foreign nurse recruitment: Global risk

Abstract

Recruitment of nurses by industrialized nations from developing countries has been common practice for decades. Globalization, a crucial trend of the 21st century, raises the world’s awareness of the economic and social disparities between nations. The direct impact on nurse emigration emphasizes the ethical, economic, and social inequalities between source and destination countries. It is often more cost-effective for industrialized countries to recruit from developing countries; however, the depletion of source country resources has created a global healthcare crisis. Destination countries are being challenged on the ethical implications of aggressive recruitment and their lack of developing a sustainable self-sufficient domestic workforce. Similarly, source countries are confronting the same challenges as they struggle to fund and educate adequate numbers of nurses for domestic needs and emigrant replacement. This article will review the ethical, economic, and social impacts of continued unrestricted international recruitment of nurses and present a proposal for development of an international treaty addressing global sustainability.

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Author A Christine Delucas
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Global Health and Nursing: Transformations in nurses' roles in the 21st century

This is a 46 slide presentation about the opputunities and new challenges global health brings to nurses.

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Author Gwen Sherwood
Type Presentation
Subject Global health issues   Theories of globalisation   Education   Leadership   Migration of health professionals   Global health course design   Global health teaching   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Government officials’ representation of nurses and migration in the Philippines

Abstract

During the past few decades, the nursing workforce has been in crisis in the United States and around the world. Many health care organizations in developed countries recruit nurses from other countries to maintain acceptable staffing levels. The Philippines is the centre of a large, mostly private nursing education sector and an important supplier of nurses worldwide, despite its weak domestic health system and uneven distribution of health workers. This situation suggests a dilemma faced by developing countries that train health professionals for overseas markets: how do government officials balance competing interests in overseas health professionals’ remittances and the need for well-qualified health professional workforces in domestic health systems? This study uses case studies of two recent controversies in nursing education and migration to examine how Philippine government officials represent nurses when nurse migration is the subject of debate. The study finds that Philippine government officials cast nurses as global rather than domestic providers of health care, implicating them in development more as sources of remittance income than for their potential contributions to the country’s health care system. This orientation is motivated not simply by the desire for remittance revenues, but also as a way to cope with overproduction and lack of domestic opportunities for nurses in the Philippines.

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Author Leah E Masselink and Shoou-Yih Daniel Lee
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Health worker migration in Europe Policy issues and options

This paper examines the issue of health worker migration within the context of labour market dynamics and European Union (EU) accession. Its objective is to set out a framework for analysing some of the key issues that policy makers should consider when assessing if health worker migration is a problem, and if so, determining what options might be considered in addressing the issues. 

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Author James Buchan
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Incentive systems for health care professionals

This 5 page factsheet looks into the incentive systems which are in place to recruit healthcare workers.

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Author
Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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International Migration of Health Workers: Can Spain Follow the British Steps?

Abstract

The paper explores migrant workers careers in the health sector, comparing the Spanish case and the British case. International migration has become an important feature of globalized labour markets in health care. Recently, concerns over the need of ensuring staff and skill shortages in the health system are becoming a common issue in many European countries. Following this, the paper is focused on career uncertainty for migrant workers, qualification recognition processes, policy issues on the training of nurses and doctors in both countries selected as contrasting cases given the different length of immigration experience. We consider trends in migration, working conditions of migrants, migration policies and recruitment practices. By using a qualitative approach, the paper demonstrates that professional trajectories of migrant doctors and nurses are more uncertain, although there are important differences regarding the role of regulatory institutions, and union’s action. 

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Author Guglielmo Meardi , Mariona Lozano Riera, Antonio Artiles Martín
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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International Migration of Health Workers: Improving International Cooperation to Address the Global Health Workforce Crisis

Key questions addresseed in this policy brief:

  • What are the main trends in the international migration of health workers?
  • What are the main drivers of international mobility of doctors and nurses?
  • What is the impact of migration on less developed countries?
  • How can countries respond?
  • How to strengthen international co-operation?

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Author
Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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International Migration: Barriers and Opportunities for Indian Health Care Professionals under Mode IV of General Agreement on Trade & Services (GATS)

Abstract      

Present paper highlights the issues surrounding trade in health services in India and other developing countries. As it is a well-established fact that in the modern era of globalization, the contribution of services to the global economy is increasing in comparison of the contribution of tangible goods. The paper gives an insight to the shortage of healthcare professionals in developed countries, which is the main cause of migration of health sector workforce from developing to developed countries. The economic impact of such migration on Indian economy has also been analysed in the paper. Today, heath sector is among the most rapidly growing service sectors in the world economy, which has been estimated at $4 trillion yearly in the OECD countries alone. As per the World Trade Report, 2008, the annual percentage change in the trade in commercial services was reported to be 18 percent while the annual percentage change in trade in merchandise goods was 15 percent. The sector has seen new and rapidly evolving forms of cross-border transactions, spurred by factors such as wide-ranging technology, demographic transition, increasing costs of medical care, skill up gradation, growing private sector participation, natural endowments etc. An effort has been made in the present paper to assess the various trade related barrier which are creating hurdle for free and transparent movement of healthcare professionals under Mode-IV of GATS. Besides, the paper shows that economic contribution of Indians working abroad in terms of remittances is more that of total FDI in the economy. The main object of the present paper is to assess barriers to trade in health services particularly in Mode–IV i.e. movement of natural persons abroad. The paper is based on secondary data collected from various sources like Reserve Bank of India (RBI), websites of various international agencies and Governments, data from Ministry of Health & Family Welfare, Government of India. Besides, data from World Health Report, 2006 was also used for preparation of present paper. It has been highlighted in the present paper that among the various categories of health care professionals, nurses are in acute shortage in developed countries mainly OECD member countries. This severe shortage has resulted in to recruiting nurses from countries like Philippines and India. However, there are a number of barriers for recruitment of healthcare professionals which mainly pertain to stringent requirements of qualification. Multiplicity of tests for practicing in destination country is another problem faced by these professionals. For example, in order to become a registered nurse in United States (US), a candidate has to go through minimum three tests- Commission on Graduates of Foreign Nursing Schools (CGFNS), National Licensure Exam (NCLEX) and mandatory language tests. Apart from this, the main problem is of recognition of home country’s qualification in destination country. Lack of recognition of professional qualification remains a major obstacle for developing country professionals willing to provide their services abroad. Therefore, Mutual Recognition Agreement (MRA) on qualification is the only solution for free movement of healthcare professionals because this agreement enables the qualification of professional service providers to be mutually recognized by signatory member countries. Therefore, it may be concluded that unnecessary quantitative as well qualitative restrictions on movement of healthcare professionals should be removed so that the availability and accessibility of global public goods and services towards universal access to health care may be promoted.

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Author Pardeep Kumar
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Is Transition of Internationally Educated Nurses a Regulatory Issue?

Abstract
Based on a review of initial evidence, this article suggests that transition of internationally educated nurses (IENs) is a regulatory issue. Given the absence of global nurse regulation, the questionable credibility in many areas where national regulation does operate, and more important, the commercialization of nurse training in some countries to meet international demand, the quality and competence of IENs are likely to be varied in both quantitative and qualitative terms. This variability in quality and competence affect their ability and readiness to practice with direct implications for patient safety and quality of care. After description of a transition program as a proposed regulatory mechanism modeled after the National Council of State Boards of Nursing’s Transition Initiatives, this article calls for comparative outcomes research on IENs and U.S. educated nurses to definitively determine if transition of IENs is a regulatory issue.

About this resource
Author Yu Xu, PhD, RN, CTN, CNE
Type Article
Subject Education   Migration of health professionals   Regulation and governance   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Key Determinants of Migration among Health Professionals in Ghana

Specifically, this study has sought to answer the following questions:

  • What is the future outlook of the emigration of Ghanaian health professionals? 
  • Is it likely to grow or decline? 
  • What are the causes behind the emigration of healthcare professionals? 
  • On a personal level, why do these doctors and nurses leave Ghana? 
  • Does this express dissatisfaction with the situation in the home country, or the will to pursue aspirations or opportunities abroad? 
  • What are the consequences of the emigration of health professionals on training and other labour-related issues for the Ghanaian health sector? 
  • What has been done in the past to curb the situation and what are the policy options available now? 
  • What could be done more generally to minimize the risks and maximize the benefits involved, if any? 

These questions delineate the line of enquiry followed in this paper. The rest of the report is organized as follows: section two discusses the research methodology and is followed by a third section analyzing the survey data. Section four presents the conclusions of the study.

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Author John Anarfi, Peter Quartey John Agyei
Type Paper
Subject Migration of health professionals   
Tags Ghana   
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Managing health worker migration: a qualitative study of the Philippine response to nurse brain drain

From Abstract:

Methods: Interviews and focus group discussions were conducted to elicit exploratory perspectives on the policy response to nurse brain drain. Focus group discussions were held with practising nurses to understand policy recipients’ perspectives on nurse migration and policy.

Concusions: Development of responsive policy to Filipino nurse brain drain offers a glimpse into a domestic response to an increasingly prominent global issue. As a major source of professionals migrating abroad for employment, the Philippines has formalised efforts to manage nurse migration. Accordingly, the Philippine paradigm, summarised by the thematic framework presented in this paper, may act as an example for other countries that are experiencing similar shifts in healthcare worker employment due to migration.

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Author Roland M Dimaya, Mary K McEwen, Leslie A Curry and Elizabeth H Bradley
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Managing medical migration from poor countries

Introduction

In the past, the migration of skilled health professionals from poorer to richer countries was essentially a passive process. Movement was driven mainly by the political, economic, social, and professional circumstances of the individual migrant. In recent years, however, demand for health workers in many countries in the Organisation for Economic Cooperation and Development has been greatly increased by changes in population dynamics. In response, some of these countries are relying increasingly on imported labour, with potentially damaging consequences for the healthcare systems in many developing countries, especially Africa. Indiscriminate poaching of health professionals is also likely to damage receiving countries in the long term. In this article I explore the policy options likely to minimise the consequences of migration of health workers.

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Author
Type Website
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Managing the Migration of Health Care Workers: The Need for Action

This 2 page document on managing the migration of health care workers covers the following topics: background information, current policy approaches, the way forward and examples of the International Organisation for Migration's (IOM) activities. 

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Author
Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Migration and Health: A Review of the International Literature

This report is a comprehensive review of primary literature on internal and international migration and health. It is the result of searches using five on-line databases, a list of health and migration related keywords, and strict inclusion and exclusion criteria (see section 2). These searches produced 362 papers, of which 136 papers met the criteria and were included in the report (see section 5). These papers were summarised and separated into internal migration, and four subgroups within international migration: ‘all cause and cardiovascular mortality’, ‘cancer mortality’, ‘mental health’, and ‘morbidity, risk factors and anthropometry’.

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Author Laura McKay, Sally Macintyre, Anne Ellaway
Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Migration and Human Resources for Health: From Awareness to Action

The specific objectives of the seminar this paper has been written about were: 

  • To provide participants with current information on the mobility of health care workers from a migration, health and labour perspective
  • To review policy approaches to managing the mobility of health care workers 
  • To highlight the role of businesses and members of civil society such as  professional organizations and members of diasporas in managing the mobility of health care workers 
  • To discuss innovative strategies to manage the mobility of health care workers 
  • To identify action points to carry the agenda forward.

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Author
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Migration and nursing in Ireland: An internationalist history

Abstract

Recent research and policy interest has focused on the changing composition of the nursing workforce in the Republic of Ireland, which has seen an increase in the number and importance of overseas-trained nurses. This is the most recent episode of the importance of migration in the history of nursing in Ireland which stretches back to the emergence of nursing in Ireland in the early 19th century. Delineating the intersecting histories of Irish nursing and migration, this article situates Irish nursing history within an internationalist framework involving the movement of people, ideas and practices across borders. The relevance of an internationalist analysis is demonstrated through an examination of the close connections between the British and Irish nursing institutions and labour forces and the significance of Catholic religious orders and religious migration in the development of nursing in Ireland and overseas. This analysis of the history of Irish nursing from the early nineteenth century to the mid twentieth century draws particular attention to the significance of female religious migration as a previously neglected chapter in the history of the international nurse migration in the Irish context, and it highlights the existence of the ‘global nursing care chain’ (Yeates, 2004, 2006, 2009) that linked Ireland to the international economy and to the development of nursing services at home and abroad.

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Author Nicola Yeates
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Migration and Recruitment of Healthcare Professionals: Causes, Consequences and Policy Responses

This policy brief describes the worldwide labour shortages in health care as well as describing some general trends in the movement of healthcare workers and what influences these trends. The advantages and disadvantage of healthcare professionals migrating is considered and suggestions on policies which could reduce the disadvantage are presented.

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Author
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Migration in Health Care Professions - The Triple Win Approach

This is a presentation about 'Triple Win Migration'©.

The Vision of Triple Win Migration©:

  1. Source countries will win knowledge (skilled workforce). 
  2. Germany will win labour and gains from cultural diversity. 
  3. Migrants will win job opportunities (in both destination and source countries) and skills.

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Author
Type Presentation
Subject Migration of health professionals   
Tags Germany   German   
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Migration Intentions of Health Care Professionals: the Case of Estonia

This paper analyses the size and determinants of the potential migration flows of Estonian health care professionals using an opinion survey carried out in 2003. 

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Author Andres Võrk Epp Kallaste Marit Priinits
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Migration of Health Care Professionals from India: A Case Study of Nurses

The main objective of the study is to understand the factors governing migration of health care professionals from India and its implications for the health service system. The specific objectives are: (1) to study the trend in migration of health care professionals from India since 1990, (2) to understand the reasons for migration of health care professionals from India, (3) to analyse the implications of international policies associated with migration and (4) to explore the implications for migration on health service system in India. 

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Author Ann Issac and Nirmalya Syam
Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Migration of Health Professionals in Six Countries: A Synthesis Report

It is hoped that this report will generate interest in further study of the issues relating to the migration of health professionals in Africa. The report provides useful insights and details that can assist policymakers in making informed decisions. In view of the important effects of the migration of health professionals on Africa’s largely rural populations, the report proposes comprehensive and integrated approaches that, if implemented, should be able to reduce the outward flow of professionals from the health sector. 

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Type Paper
Subject Migration of health professionals   
Tags report   
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Migration of Health Workers: A Challenge for Health Care System

Abstract

The migration of health workers has resulted in a growing apprehension universally because of its impact on health system of the developing countries. Although the choice to migrate is basically a personal one, however, the overall social and economic circumstances have important impact on the decision to migrate. The “push and pull” factors for migration are disparity in working conditions, pay, lack of promotion opportunities, poor living conditions, desire to gain experience, professional development, family background and family wealth. A strategic approach by the government and other agencies is mandatory for regulating the flow of health workers between countries. A range of policies and interventions are needed to deal with the broader health system issue and problems of health workers that influence their recruitment, retention, deployment and progress.

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Author Shaista Afzal, Imrana Masroor and Gulnaz Shafqat
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Migration of healthcare professionals: practical and ethical considerations

This paper discusses the impact of healthcare professionals from developing countires being recuirted to the UK. 

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Author Sylvia Watkins
Type Article
Subject Migration of health professionals   
Tags developing countries   healthcare professionals   migration   
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Migration of nurses in/out Hungary

Overall conculsion of this presentation:

The migration of nurses is not urgent problem now, but in the near future increasing of outmigration and decreasing of immigration of nurses can be a problem for the Hungarian Health Care System.

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Author Katalin Papp and Zoltán Balogh
Type Presentation
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Migration of Skilled Nurses from Bangladesh: An Exploratory Study

Key Questions 

The broad objectives of the study are to assess the market and potential for Bangladeshi women to be employed overseas as nurses. The study has attempted to assess the trends in and potential demands for trained professional nurses in North America, Europe and the Gulf region. The specific research questions being addressed by the study are: 

  • Is there a global demand for nurses, and therefore potentially for Bangladeshi nurses, in North America, Europe and selected countries of the Gulf-region and South East Asia? 
  • Can Bangladesh export trained nurses to these countries as part of its skilled and safe manpower export strategy? 
  • What are the major institutional and strategic limitations that the Nursing Training Facilities (NTF) in Bangladesh face in order to produce high standard human resources in nursing, keeping in view both national and potential international demand? 

About this resource
Author Salahuddin M Aminuzamman
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Migration patterns of Polish doctors within the EU

This paper discusses the migration of Polish doctors following Poland become a member of the EU.

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Author Joanna Le?niowska
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Mobility and migration of healthcare workers in central and eastern Europe

Summary

This report highlights the key challenges facing the EU10 as a result of the high number of health professionals leaving to work abroad, focusing on specific problems and identifying topics for further research. A thorough analysis of the consequences is critical, since it appears the inflow of third-country nationals or return migration would not make up the shortfall caused by the outflow. However, as this is not equally true for all the countries, the report presents a differentiated picture between the countries concerned. The study draws on the results of two European research projects: Mobility of Health Professionals (MoHProf) and the Health Professional Mobility in the European Union Study (PROMeTHEUS).

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Author Fóti, Klára
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Nurse Migration and the Nursing Shortage

This is an interview with Dr Kingma about the complex issues surrounding nurse migration.

Dr. Kingma is a consultant for nursing and health policy with the International Council of Nurses (ICN). Her new book reflects a wealth of knowledge gained over the past twenty years, as she has worked on issues ranging from the socioeconomic welfare of nurses to occupational health and safety concerns, to international trade in health services. In February 2006, she participated in a conference in London entitled “Creating Positive Practice Environments for the International Nurse” which addressed how to fairly approach the integration of international nurses into healthcare systems. 

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Type Document
Subject Migration of health professionals   
Tags interview   
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Nurse Migration as a Challenge for Professional Development

Content:

• Nurse migration
• Quality development in nursing profession/ nursing organisations
• Nursing workforce and outcome of nurses’ work in light of statistics - the case of Germany

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Author
Type Presentation
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Nurse migration from the EU: What are the key challenges?

The nursing workforce is facing significant change; it is aging and there is more demand for part-time working. More of its traditional entrants are choosing alternative careers. Facing these recruitment and retention issues while simultaneously trying to improve productivity and the quality of care is challenging. Traditionally popular solutions that involve recruiting nurses from the international marketplace can clearly help but they bring their own human resources (HR) management challenges [1]. In this Policy+ we focus on nurse migration into the UK from other European Union (EU) countries. The evidence was collected as part of the PROMeTHEUS study [2]. It is one of the first using a survey and interviews to explore the HR management challenges and the factors influencing decision-making at different stages specifically of the EU migration process of health professionals.

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Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Nurse Migration: The Asian Perspective

This paper aims to capture the current situation of nurse migration from an Asian perspective. Asian countries are sources of nurses as well as hosts for foreign nurses. They also provide opportunities for foreign nurses to gain experience and knowledge to facilitate migration to other countries. 

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Author Ayaka Matsuno
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Nurses on the Move: A Global Overview

Objective: To look at nurse migration flows in the light of national nursing workforce imbalances, examine factors that encourage or inhibit nurse mobility, and explore the potential benefits of circular migration.

About this resource
Author Mireille Kingma
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Nurses on the move: implications of internal migration in the UK

Migration of healthcare professionals across and within national boundaries may benefit individual career progress but can result in certain regions and countries having insufficient resources to meet healthcare needs(1,2). Developing strategies to ensure a balanced distribution of staff requires information about patterns of migration but this is often inaccurate and lacks comparability across borders(1). Here we consider how regionally comparable data can inform nursing workforce planning in the UK; we draw on a Nursing Research Unit study of nurses’ movements between regions (3,4), and other research on the internal migration patterns of health professionals (5-9) and of the general population.

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Subject Migration of health professionals   
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Nurses on the Move: Worldwide Migration

This document covers information on migration patterns of nurses, the mpact of nurse migration and the potential conflict between nurse migration and nurse shortage.

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Author Mireille Kingma
Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Nursing Shortage: A Comparative Analysis

Abstract

Background: The nursing shortage is a global challenge, affecting every country in the world. With this shortage, patients are suffering because the healthcare workforce is not prepared to deal with their health needs. Within each country, the nursing shortage is caused by numerous factors that ultimately cause a decrease in the quality of health care received. However, little is known about the global causes of a shrinking professional nurse workforce.

Objective: The purpose of this paper is to describe what the nursing shortage means in three countries: United States (US), Philippines, and South Africa. In addition, the paper will provide useful information specific to the three countries to further understand global issues affecting the nursing shortage

Population: Nursing shortage in the United States, Philippines, and South Africa.

Methods: A literature review was performed by four researchers using a peer-reviewed search strategy. Published literature was identified by searching the following bibliographic databases: with in-process records via OVID; Sage; PubMed; and CINAHL (2002–present). The main search concepts were global nursing shortage, international nursing, nurse migration, brain drain, and health care systems.

Results: The nursing shortage in the US, Philippines and South Africa are each different however, they all share similar effects on health care systems in each country.

Conclusion: The global nursing shortage is relevant and warrants further investigation and appropriate interventions to ultimately alleviate the nursing shortage and prevent an international public health crisis.

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Author Lauren Littlejohn *a, Jacquelyn Campbellb, Janice Collins-McNeilc, ThembisileKhayiled
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Preparing for export? : Medical and nursing student migration intentions post-qualification in South Africa

 The study aimed to determine the proportion of nursing and medical students who were intending to emigrate, their attitudes and beliefs about, and the factors influencing their decision to emigrate.

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Author Gavin George and Candice Reardon
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Shortage of healthcare workers in developing countries - Africa

The already inadequate health systems of Africa, especially sub-Saharan Africa, have been badly damaged by the migration of their health professionals. 

It may well be asked why special measures should be necessary to influence the migration of health professionals rather than engineers or football players or any other category. The answer must surely be that no other category of worker is so essential to the well-being of the population of every nation.

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Author Saraladevi Naicker, FRCP, PhD; Jacob Plange-Rhule, FWACP, PhD; Roger C. Tutt, BA; John B. Eastwood, MD, FRCP
Type Article
Subject Migration of health professionals   
Tags africa   
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Stemming the Brain Drain: Exploring Global Health Policy Solutions to Brain Drain

This slideshare presentation covers why brain-drain is a global health crisis, the limitations with the current responses and the role of global health governance policy in resolving the problem.

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Author Timothy Mackey
Type Presentation
Subject Migration of health professionals   
Tags brain drain   brain-drain   
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The costs and benefits of health worker migration from East and Southern Africa (ESA): A literature review

This report is a review of all available literature on the costs and benefits of the migration of health workers from East and Southern African (ESA) countries to developed nations. 

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Author Rudi Robinson
Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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The Effect of Nurse Migration on the Provision of Health Services in Ghana

This website provides information on how in Ghana, the drastic internal and international migration by trained nurses has a huge impact on the provision of healthcare.

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Author Matthew Crommett
Type Website
Subject Migration of health professionals   
Tags Ghana   
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The Emigration of Healthcare Professionals to High-income Countries

The aim of this fact sheet is to examine some of the main issues related to the causes and effects of this exodus of healthcare professionals. The fact sheet also examines the approaches being considered to solve this problem and possible solutions for the management of international migration that would be less detrimental to healthcare systems in developing countries. 

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Subject Migration of health professionals   
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The financial losses from the migration of nurses from Malawi

Abstract

Background: The migration of health professionals trained in Africa to developed nations has compromised health systems in the African region. The financial losses from the investment in training due to the migration from the developing nations are hardly known.

Methods: The cost of training a health professional was estimated by including fees for primary, secondary and tertiary education. Accepted derivation of formula as used in economic analysis was used to estimate the lost investment.

Results: The total cost of training an enrolled nurse-midwife from primary school through nurse-midwifery training in Malawi was estimated as US$ 9,329.53. For a degree nurse-midwife, the total cost was US$ 31,726.26. For each enrolled nurse-midwife that migrates out of Malawi, the country loses between US$ 71,081.76 and US$ 7.5 million at bank interest rates of 7% and 25% per annum for 30 years respectively. For a degree nurse-midwife, the lost investment ranges from US$ 241,508 to US$ 25.6 million at 7% and 25% interest rate per annum for 30 years respectively.

Conclusion: Developing countries are losing significant amounts of money through lost investment of health care professionals who emigrate. There is need to quantify the amount of remittances that developing nations get in return from those who migrate.

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Author Adamson S Muula, Ben Panulo and Fresier C Maseko
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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The global workforce shortages and the migration of medical professions: the Australian policy response

Abstract

Medical migration sees the providers of medical services (in particular medical practitioners) moving from one region or country to another. This creates problems for the provision of public health and medical services and poses challenges for laws in the nation state and for laws in the global community.

There exists a global shortage of healthcare professionals. Nation states and health rights movements have been both responsible for, and responsive to, this global community shortage through a variety of health policy, regulation and legislation which directly affects the migration of medical providers. The microcosm responses adopted by individual nation states, such as Australia, to this workforce shortage further impact on the global workforce shortage through active recruitment of overseas-trained healthcare professionals. "Push" and "pull" factors exist which encourage medical migration of healthcare professionals. A nation state's approach to health policy, regulation and legislation dramatically helps to create these "push factors" and "pull factors". A co-ordinated global response is required with individual nation states being cognisant of the impact of their health policy, regulations and legislation on the global community through the medical migration of healthcare professionals.

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Author Saxon D Smith
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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The Health Worker Crisis: an analysis of the issues and main international responses

This report gives an overview of the impact of the brain drain on health care provision in source countries and current key international strategies to mitigate its effects. It will argue that these strategies are faced with severe challenges and present some alternative approaches to address the health worker shortage, based on acknowledgement of the Global North’s contribution to the current crisis.

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Author Nele Jensen
Type Document
Subject Migration of health professionals   
Tags brain drain   
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The Impact of Global Nurse Migration on Health Services Delivery

Concluding paragraph:

There is a need for a public awareness campaign on global nurse migration and management. In addition, global healthcare policy makers worldwide are calling for nations to become self-sufficient in their ability to develop their own nursing talent. 

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Author Barbara L. Nichols
Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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The International Migration and Recruitment of Nurses: Human Rights and Global Justice

This commentary focuses on the international recruitment of internationally educated nurses (IENs) from the perspective of human rights and social justice. 

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Author Lawrence O. Gostin, JD
Type Article
Subject Social justice, human rights and health   Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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The International Migration of Health Professionals

Abstract

Health workforce shortages in developed countries are perceived to be central drivers of health professionals’ international migration, one ramification being negative impacts on developing nations’ healthcare delivery. After a descriptive international overview, selected economic issues are discussed for developed and developing countries. Health labour markets’ unique characteristics imply great complexity in developed economies involving government intervention, licensure, regulation, and (quasi-)union activity. These features affect migrants’ decisions, economic integration, and impacts on the receiving nations’ health workforce and society. Developing countries sometimes educate citizens in expectation of emigration, while others pursue international treaties in attempts to manage migrant flows.

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Author Michel Grignon, Yaw Owusu, Arthur Sweetman
Type Article
Subject Migration of health professionals   
Tags migration   health professionals   international medical graduates   
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The international mobility of health professionals: An evaluation and analysis based on the case of South Africa

In the specific case of South Africa, and with reference to several other countries, this report shows how important it can be, both at national level in countries of origin and at international level, to strengthen policy coherence in the spheres of migration and development aid, so as to ensure that the benefits arising from the international mobility of health professionals are shared in a way that is both fair and sustainable.

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Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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The Migration of Health Care Workers: Creative Solutions to Manage Health Workforce Migration

This session brings together country experiences from around the world in successful strategies used to manage the migration of the health care workers. These include harnessing the diaspora to strengthen domestic human resources for health capacity and using bilateral agreements to take advantage of the positive effects of increased movement of people. 

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Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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The Migration of Health Professionals

In an attempt to append a minor contribution to the literature of health and migration, this study focuses on three important, yet related issues involved in the assessment of the effects of emigration of health professionals. First, in a model adopted from Clemens (2007), the link between health outcomes/ basic healthcare services can be statistically established. In this study, results are in general agreement with the contention that other factors aside from emigration may matter. Hence, emigration is not the only cause of degradation in healthcare delivery systems. Second, emigration is not a random event, rather, it is determined by certain factors present in destination and source/origin countries.

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Author Lawrence B. Dacuycuy
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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The role of wages in the migration of health care professionals from developing countries

This paper uses data on wage differentials in the health care sector between source country and receiving country (adjusted for purchasing power parity) to test the hypothesis that larger wage differentials lead to a larger supply of health care migrants. Differences in other important factors affecting migration are discussed and, where available, data are presented.

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Author Marko Vujicic, Pascal Zurn, Khassoum Diallo, Orvill Adams and Mario R Dal Poz
Type Paper
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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The “dream-trap”: Brokering, “study abroad” and nurse migration from Nepal to the UK

In order to review this education brokering business and its link to international nurse migration, the paper is divided into two main sections. Firstly, I look at the growth and expansion of professional nurse training in Nepal and its links with Nepalese nurse migration to the UK. Secondly, I examine the emergence of IECs and their “study abroad” programmes. Here I analyse how IECs have become increasingly involved in the nursing profession, starting from pre-training entrance exam preparation through to post-training international migration. I present case studies of individual nurses and their experiences of being “brokered”. As these migrants are open to exploitation, I argue for greater regulation of these brokers, and that nurses must be more aware of the frequently false promises made by them.

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Author Radha Adhikari
Type Document
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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THEMATIC GUIDE: INTERNATIONAL MIGRATION AND RECRUITMENT OF HEALTH PERSONNEL

Our thematic guide to internet resources leads you beyond the limits of the Medicus Mundi International Network. For MMI Network resources, please refer to our HRH main page. And have a look at our "Human Resources for Health" guide, too. Any important resources missing? Please let us know.

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Type Website
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Transnational migration of healthcare professionals between Oman and Britain

Outline of presentation:

  • Introduction and significance of the project
  • Background on Oman 
  • The research project
  • Proposed methods
  • Selected theoretical/analytical frameworks
  • Conclusions

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Author Maryam Qasim AlRiyami
Type Presentation
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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Trends In International Nurse Migration

Abstract

Predicted shortages and recruitment targets for nurses in developed countries threaten to deplete nurse supply and undermine global health initiatives in developing countries. A twofold approach is required, involving greater diligence by developing countries in creating a largely sustainable domestic nurse workforce and their greater investment through international aid in building nursing education capacity in the less developed countries that supply them with nurses.

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Author Linda H. Aiken, James Buchan, Julie Sochalski, Barbara Nichols and Mary Powell
Type Article
Subject Migration of health professionals   
Tags https://www.nottingham.ac.uk/healthsciences/globalhealth/browse/list_titles/tag/466   
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