Nurse migration: a challenge for the profession and health-care systems

Krankenschwesternmigration: eine Herausforderung für die Profession und das Gesundheitssystem

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Habermann, Monika; Stagge, Maya

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Abstract	Introduction and questions of exploration: In a first step this paper outlines the global context of and international influences on nurse migration. Liberalization of health markets is identified as a trigger point steering movements of nurses globally. Facts and figures concerning nurse migration are highlighted in a second section focusing on developments in the USA and UK, which are recruiting nurses from Europe and overseas on a large scale, and adding the latest European approaches and policies concerning this issue. Projections are presented that highlight growing demands for the next 2 decades. The third part explores the impact of nurse migration on nursing care and professional standards. Methods: The article is based on an extensive literature review and the analysis of quality issues in the nursing field. Results: The number of nurse migrations in the last decades show that the issue of nurse migration is already of high importance for many countries. This will be enhanced by future accelerated development of nursing shortages in many countries. Boosted global recruitment of nurses will be the consequence.The paper concludes that the recruitment of international nurses has not yet taken quality issues and indicators in health-care settings profoundly into consideration. Economical gains by not training nurses and recruiting them from abroad might have a severe impact on already existing problems concerning patient safety issues and nurse-sensitive outcomes in health-care settings.
Keywords	health policy; quality assurance; nurse; impact; liberalization; health care delivery system; globalization; migration; privatization; Great Britain; developing country; United States of America; internationalization; sustainability; costs; training; level of vocational training; professionalization; Europe; WHO; ILO
Classification	Medical Sociology; Migration, Sociology of Migration; Health Policy
Method	applied research; empirical; quantitative empirical
Free Keywords	Nurse migration; International health workforce; Professional standards; Patient safety
Document language	English
Publication Year	2009
Page/Pages	p. 43-51
Journal	Journal of Public Health, 18 (2009) 1
DOI	http://dx.doi.org/10.1007/s10389-009-0279-0
Status	Postprint; peer reviewed
Licence	PEER Licence Agreement (applicable only to documents from PEER project)

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