Policy, Politics, and Nursing Practice最新文献_第3页

Analyzing the Brain Drain of Nigerian Nurses to the United Kingdom: A Narrative Review of Challenges and Efforts to Address the Phenomenon. 分析尼日利亚护士人才外流到英国：挑战和解决这一现象的努力的叙述回顾。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-08-01 Epub Date: 2025-03-28 DOI: 10.1177/15271544251325483

Gabriel Samuel, Jonah Japhet Haruna

{"title":"Analyzing the Brain Drain of Nigerian Nurses to the United Kingdom: A Narrative Review of Challenges and Efforts to Address the Phenomenon.","authors":"Gabriel Samuel, Jonah Japhet Haruna","doi":"10.1177/15271544251325483","DOIUrl":"10.1177/15271544251325483","url":null,"abstract":"The migration of skilled professionals from low- and middle-income countries to developed nations, commonly called the \"brain drain,\" has emerged as a significant political, social, and economic issue in the healthcare sector, particularly among nurses. This paper aims to analyze the emigration of Nigerian nurses to the United Kingdom, the immediate challenges, and the efforts to address the issue. A narrative review approach was employed, which involved the identification of relevant literature utilizing search terms with various Boolean combinations derived from multiple electronic databases, organizational websites, and major news outlets. The results revealed that in the last 3 years (2022-2024), about 42,000 nurses have left Nigeria, with a large number moving to the United Kingdom, accounting for the largest portion of the NHS nursing workforce from sub-Saharan Africa in Great Britain. This accelerated emigration rate from Nigeria has been influenced by occupational dissatisfaction, sociopolitical instability, and inadequate social welfare provisions. This unbalanced emigration has caused a severe shortage of nurses in Nigeria, weakening the nation's healthcare system. As a result, there is an increased workload, lower quality of care, and ultimately, a negative impact on the morbidity and mortality rate. Therefore, it is recommended that the country reconsider its approach to manpower management by integrating technology and implementing policies to prolong nurses' retention and retirement age. Additionally, there is a need for research in nursing to assess the impact and effectiveness of existing policies and to develop strategies for controlling the emigration of nurses.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"177-187"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lower Burnout Among Hospital Nurses in California Attributed to Better Nurse Staffing Ratios. 加州医院护士较低的职业倦怠归因于更好的护士人员比例。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-08-01 Epub Date: 2025-03-23 DOI: 10.1177/15271544251317506

K Jane Muir, Kathy Sliwinski, Colleen A Pogue, Daniela Golinelli, Angelo Petto, Karen B Lasater, Matthew D McHugh

{"title":"Lower Burnout Among Hospital Nurses in California Attributed to Better Nurse Staffing Ratios.","authors":"K Jane Muir, Kathy Sliwinski, Colleen A Pogue, Daniela Golinelli, Angelo Petto, Karen B Lasater, Matthew D McHugh","doi":"10.1177/15271544251317506","DOIUrl":"10.1177/15271544251317506","url":null,"abstract":"Hospital nurses report that improving patient-to-nurse staffing ratios is a priority intervention to improve their well-being. In 2004, California became the first state to implement a hospital-wide policy mandating safe staffing ratios. This cross-sectional study determined whether nurses in California hospitals exposed to a staffing policy (\"California advantage\") experienced lower nurse burnout compared to those in hospitals not exposed, and whether part of the differences in burnout can be attributed to better hospital staffing. Nurse job outcomes (burnout [primary], job dissatisfaction, and intent to leave [secondary]), and nurse staffing variables were derived from the RN4CAST-US 2016 survey of 14,518 registered nurses in California, Florida, New Jersey, and Pennsylvania in 463 hospitals. Nurses in California had lower burnout, job dissatisfaction, and intentions to leave their employer, as compared to nurses in other states (p < .001). Mean patient-to-nurse staffing ratios were lower in California compared to non-California hospitals (3.8 vs. 4.7, p < .001). In bivariate logistic regression models, the California advantage was associated with lower odds of all nurse job outcomes (e.g., burnout OR = 0.81; 95% CI [0.74, 0.89]; p < .001). The California advantage, while smaller, remained statistically significant with the addition of nurse staffing in the model. Every patient added to a nurse's workload was associated with higher odds of nurse burnout (aOR = 1.12; 95% CI [1.06, 1.19]; p < .001), job dissatisfaction, and intent to leave. Better hospital nurse staffing partially mediated the California advantage on all job outcomes. California nurses experience better job outcomes, attributed in part to safer staffing due to a policy.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"219-226"},"PeriodicalIF":2.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12214290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vacant Seats in Nursing Programs: A Neglected Foe in Boosting the Registered Nurse (RN) Supply. 护理项目的空缺席位：促进注册护士（RN）供应的一个被忽视的敌人。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-08-01 Epub Date: 2025-06-06 DOI: 10.1177/15271544251348332

Maja Djukic

引用次数: 0

Exploring the Motivations, Challenges, and Integration of Internationally Educated Healthcare Workers in the UK: A Scoping Review. 探索在英国接受国际教育的医护人员的动机、挑战和融入：范围审查》。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2024-11-20 DOI: 10.1177/15271544241289605

David Omiyi, Elaine Wilkinson, Beverly Snaith

{"title":"Exploring the Motivations, Challenges, and Integration of Internationally Educated Healthcare Workers in the UK: A Scoping Review.","authors":"David Omiyi, Elaine Wilkinson, Beverly Snaith","doi":"10.1177/15271544241289605","DOIUrl":"10.1177/15271544241289605","url":null,"abstract":"BackgroundHealthcare worker migration, influenced by push and pull factors, is accentuated by active recruitment strategies of developed nations. This scoping review explores experiences of internationally educated nurses, midwives, and healthcare professionals in the UK since 2010, acknowledging the historical context of UK recruitment policy and the implementation of codes of practice by the World Health Organisation and the UK government.MethodsUsing the Population, Concept, and Context framework, systematic literature searches were conducted in various databases, including CINAHL, Science Direct, Scopus, PubMed/Medline, and Google Scholar. Covidence software facilitated screening, with data systematically extracted and analyzed.ResultsThe scoping review included 24 papers focusing on nurses (n = 19), midwives (n = 1), and various allied health professions (n = 4), spanning from 2010 to 2023. Findings revealed diverse challenges and facilitators, from professional recognition and career opportunities to discrimination, language barriers, and socioeconomic factors influencing integration and retention.ConclusionThe review highlights the multifaceted experiences of internationally educated healthcare professionals (IEHPs) in the UK workforce. Despite their significant contributions, IEHPs face challenges such as unrecognized skills, third-party recruitment issues, and cultural adjustment difficulties. Addressing registration processes, recruitment practices, and cultural competence training is crucial to creating an inclusive environment that maximizes IEHPs' contributions and ensures their professional growth and well-being, ultimately benefiting the healthcare sector.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"117-135"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nursing Brain Drain, How Do We Retain Our Internationally Qualified Nurses: A Close Examination of Push and Pull Factors. 护理人才流失，我们如何留住我们的国际合格护士：推动和拉动因素的密切检查。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-02-20 DOI: 10.1177/15271544251314338

Felix Simon Francis Ram, Elissa Mary McDonald, Angelina Kuttan, Indu Sudarsan

{"title":"Nursing Brain Drain, How Do We Retain Our Internationally Qualified Nurses: A Close Examination of Push and Pull Factors.","authors":"Felix Simon Francis Ram, Elissa Mary McDonald, Angelina Kuttan, Indu Sudarsan","doi":"10.1177/15271544251314338","DOIUrl":"10.1177/15271544251314338","url":null,"abstract":"Recruitment of internationally qualified nurses (IQN) may be an effective way to address acute nursing shortages in New Zealand (NZ). However, the difficulty in retaining IQNs long-term requires serious consideration. We employed a survey design to identify factors that influence IQNs to leave NZ. 1,782 IQNs who graduated from a Competency Assessment Programme over 11 years (2012 to 2023) were invited to participate in the online survey. Participants reported a wide range of factors to migrate including unsupportive workplace culture, lack of professional development opportunities, financial motivators, personal, and social factors including better quality of life. Nearly 50% of IQNs either had left or were planning on leaving NZ soon after obtaining their registration, with an average length of stay for all IQNs of just over 30 months, with nearly 100% of all IQNs leaving NZ within that time. This is the first study that provides policymakers with valuable insights of IQNs recruitment and retention including IQN reasons for migration. There is a need for policymakers and employers to urgently prioritize the development of local nurses instead of depending on IQNs who are difficult to retain long term. Furthermore, as current data indicates a surplus of IQNs in NZ it is crucial for potential IQNs to carefully consider the current oversupply before undertaking the costly, lengthy, and complex process of obtaining registration. Policymakers, employers, educators, and regulators need to work together to develop a robust nursing workforce plan to address the current surplus and include accurate forecasting of future workforce needs.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"136-143"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilizing Federal Data Sources to Support Nursing Workforce Analysis. 利用联邦数据源支持护理人员队伍分析。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2024-10-22 DOI: 10.1177/15271544241286078

Byunggu Kang, Theekshana Fernando, Jinman Pang, Peter Shirey, David P Armstrong

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A Courageous Journey of a Foreign-Born Intensive Care Unit Nurse in Finland: A Narrative Case Study. 一位外国出生的芬兰重症监护室护士的勇敢之旅：一个叙事案例研究。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-01-29 DOI: 10.1177/15271544241309312

Floro Cubelo

{"title":"A Courageous Journey of a Foreign-Born Intensive Care Unit Nurse in Finland: A Narrative Case Study.","authors":"Floro Cubelo","doi":"10.1177/15271544241309312","DOIUrl":"10.1177/15271544241309312","url":null,"abstract":"Finland is facing a severe shortage of nurses. While uncommon, the deportation of a foreign-born nurse could exacerbate this already critical situation. However, research on the deportation experiences of migrants, particularly healthcare workers such as nurses, remains scarce. This study aimed to provide a descriptive analysis of a deportation case involving a foreign-born intensive care nurse in Finland and examined the implications of this case for nursing education, the healthcare workforce, and government policies. Using a narrative case study approach, publicly available data from various sources, including mainstream and social media platforms, were analyzed. The nurse in this narrative left the country following disappointment with government officials, despite winning the deportation case. The findings of the study also revealed that the deportation decision faced by the foreign-born intensive care nurse has significant implications for nursing education, healthcare management, and government policies, indicating the need for necessary reforms. Intergovernmental collaboration is crucial to expedite the just and equitable processing of residence permits for highly skilled migrant health workers, promoting more effective government policies.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"144-150"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Let Your Voice Be Heard. 让别人听到你的声音。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-03-25 DOI: 10.1177/15271544251324274

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Development and Implementation of a Policy Hackathon to Address Nursing Staffing Issues. 制定和实施解决护理人员配备问题的政策黑客马拉松。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-02-24 DOI: 10.1177/15271544251317196

Sara Arter, Britt Cole, Shelby Logsdon, Kaneesha Ogle, Anna Ressler, Elizabeth Zwilling

{"title":"Development and Implementation of a Policy Hackathon to Address Nursing Staffing Issues.","authors":"Sara Arter, Britt Cole, Shelby Logsdon, Kaneesha Ogle, Anna Ressler, Elizabeth Zwilling","doi":"10.1177/15271544251317196","DOIUrl":"10.1177/15271544251317196","url":null,"abstract":"The global nursing workforce shortage poses significant challenges to healthcare delivery, necessitating new policy solutions. This article details a pioneering, nurse-led policy hackathon organized by the American Nurses Association-Ohio Public Policy Committee and Miami University to address the nursing workforce shortage. Held over 3 days, the event brought together 120 participants, including nurses, students, legislators, and healthcare leaders, to develop actionable policy solutions across four critical tracks: acute care, chronic care, public health, and nursing education. Teams utilized a structured framework to generate policy briefs and pitches, focusing on creative and collaborative approaches to root causes of the workforce shortage. Winning proposals included optimizing clinical documentation processes, addressing faculty shortages through state-level initiatives, expanding aging-in-place programs, and enhancing public health nursing recruitment and retention. The hackathon demonstrated the potential of collaborative innovation in crafting data-driven policies that align with healthcare needs. Outcomes from the event have already influenced policy discussions, highlighting the value of nurse-led initiatives in shaping healthcare policy and improving workforce sustainability.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"110-116"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of Ohio Nurses' Voting Behaviors 2020-2023. 俄亥俄州护士 2020-2023 年投票行为分析。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2024-11-11 DOI: 10.1177/15271544241298259

Ruth E Ludwick, Margarete L Zalon, Rebecca M Patton, Kristin R Baughman

{"title":"Analysis of Ohio Nurses' Voting Behaviors 2020-2023.","authors":"Ruth E Ludwick, Margarete L Zalon, Rebecca M Patton, Kristin R Baughman","doi":"10.1177/15271544241298259","DOIUrl":"10.1177/15271544241298259","url":null,"abstract":"This study provides baseline data for voting patterns and the political affiliation of licensed nurses (licensed practical nurses [LPNs], registered nurses [RNs], and advanced practice registered nurses [APRNs]) in Ohio for the November 2020, 2022, and 2023 general elections. Using two public databases (licensed nurses and registered voters), the findings for 73.7% of all licensed nurses registered to vote are reported, including 18,894 APRNs, 30,731 LPNs, and 137,353 RNs. Compared to the Ohio population eligible to vote, one in 32 persons of the voting-eligible population is a licensed nurse, and one in 51 registered voters in Ohio is an RN. The data show that 11% of the nurses never voted in any of the three general elections, and 47.7% voted in all three. LPNs had the lowest voting (34%) record, while about 48% of RNs and 52% of APRNs voted in all three. Like Ohio's public, nurses' party affiliation (Democrat, Republican, unaffiliated) varied, and most were unaffiliated with any party. Party affiliation was significantly associated with nurse licensure type (e.g., LPNs are less likely to be unaffiliated). Controlling for age and party affiliation, APRNs were more likely than LPNs to vote, and RNs were more likely than LPNs to vote in each election. Unaffiliated voters were less likely than Democrats to vote in all three elections. Across all elections, older voters were more likely to vote. These baseline findings on nurses' actual voting behavior provide the impetus for engaging nurses individually and collectively in voting and policies that increase voter participation of nurses and the public.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"89-96"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0