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 Q2 HEALTH POLICY & SERVICES
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
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引用次数: 0

摘要

招聘国际合格护士(IQN)可能是解决新西兰(NZ)严重护理短缺的有效途径。然而,长期保持iqn的困难需要认真考虑。我们采用调查设计来确定影响iqn离开新西兰的因素。1782名在11年内(2012年至2023年)从能力评估课程毕业的iqn被邀请参加在线调查。参与者报告了各种各样的移民因素,包括不支持的工作场所文化,缺乏专业发展机会,财务激励因素,个人和社会因素,包括更好的生活质量。近50%的iqn在获得注册后不久就离开或计划离开新西兰,所有iqn的平均停留时间刚刚超过30个月,几乎100%的iqn在这段时间内离开新西兰。这是第一个为政策制定者提供IQN招募和保留的有价值见解的研究,包括IQN迁移的原因。政策制定者和雇主迫切需要优先考虑当地护士的发展,而不是依赖难以长期留住的iqn。此外,由于目前的数据表明新西兰的iqn过剩,因此在进行昂贵、漫长和复杂的注册过程之前,潜在的iqn必须仔细考虑当前的供过于求。政策制定者、雇主、教育工作者和监管机构需要共同努力,制定一个强有力的护理人力计划,以解决当前的过剩问题,并对未来的劳动力需求进行准确预测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing Brain Drain, How Do We Retain Our Internationally Qualified Nurses: A Close Examination of Push and Pull Factors.

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.

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来源期刊
Policy, Politics, and Nursing Practice
Policy, Politics, and Nursing Practice Nursing-Leadership and Management
CiteScore
3.30
自引率
5.60%
发文量
24
期刊介绍: Policy, Politics & Nursing Practice is a quarterly, peer-reviewed journal that explores the multiple relationships between nursing and health policy. It serves as a major source of data-based study, policy analysis and discussion on timely, relevant policy issues for nurses in a broad variety of roles and settings, and for others outside of nursing who are interested in nursing-related policy issues.
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