Exploring nurses' experiences: Abandoning the profession and migrating for improved opportunities

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2024-03-25 DOI:10.1016/j.apnr.2024.151787

Paola Galbany-Estragués PhD; RN , Miquel Àngel Giménez-Lajara PhD; RN , Glòria Jodar-Solà PhD; RN , Rocio Casañas PhD; professor; psychologist , Maria Romeu-Labayen PhD; RN , Encarnación Gomez-Gamboa , Olga Canet-Vélez PhD; professor; RN

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引用次数: 0

Abstract

Aim

This study explores nurses' experiences in migration for employment and professional abandonment in Barcelona (Spain).

Methods

Employing a mixed-design approach comprising 1) a qualitative descriptive phenomenological study, followed by 2) a subsequent cross-sectional study, 20 and 225 nurses participated in each study, respectively. Qualitative data, gathered through 4 focus group discussions, underwent inductive thematic analysis, following the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines, while quantitative data were descriptively analyzed.

Findings

Three qualitative themes emerged: 1) Migration motives, such as improved job opportunities, permanent contracts, continuous training, and professional recognition; 2) Reasons for leaving or contemplating leaving the profession, including excessive workload, lack of recognition, limited development, and exhaustion; 3) Nurses' needs, encompassing more staffing, improved remuneration, permanent contracts, flexible schedules, greater autonomy, and career growth. The cross-sectional study revealed a 13.5 % professional abandonment rate at some point across all demographics and seniority levels. Migration trends varied by professional experience, with younger nurses seeking better conditions and opportunities elsewhere.

Conclusions

Multifactorial causes underlie job migration and professional abandonment, necessitating comprehensive interventions to improve nurses' working and professional conditions.

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探索护士的经历：放弃护士职业和移民以获得更好的机会

本研究探讨了巴塞罗那（西班牙）护士的就业移民和职业放弃经历。研究方法采用混合设计方法，包括 1）定性描述现象学研究，2）随后的横断面研究，每项研究分别有 20 名和 225 名护士参与。通过 4 次焦点小组讨论收集的定性数据按照定性研究报告综合标准 (COREQ) 的指导原则进行了归纳主题分析，而定量数据则进行了描述性分析。研究结果产生了三个定性主题：1）迁移动机，如改善工作机会、长期合同、持续培训和专业认可；2）离职或考虑离职的原因，包括工作量过大、缺乏认可、发展有限和疲惫不堪；3）护士的需求，包括增加人手、改善薪酬、长期合同、灵活的时间表、更大的自主权和职业发展。横向研究显示，在所有人口统计和资历级别中，有 13.5%的护士在某个阶段放弃了职业。不同专业经验的护士的迁移趋势各不相同，年轻的护士会到其他地方寻求更好的条件和机会。结论工作迁移和职业放弃的原因是多方面的，需要采取综合干预措施来改善护士的工作和专业条件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.