Global Nursing Migration: Issues in Social Justice and Vulnerability

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Presentation transcript:

Global Nursing Migration: Issues in Social Justice and Vulnerability Barbara Anderson

Global Nursing Migration Global deficit: 4 million more healthcare workers needed, especially in poor areas High attrition of healthcare professionals from poorer to wealthier countries Projected deficit of 1 million nurses in US by 2020 de Chesnay, M. (2008) Caring for the Vulnerable: Perspectives in Nursing Theory, Research, and Practice. Jones & Bartlett

The Perspective of Low-Income Countries Workforce shortages, aging population, healthcare services not expanding HIV/AIDS creates “hourglass population” Public health systems stressed and collapsing de Chesnay, M. (2008) Caring for the Vulnerable: Perspectives in Nursing Theory, Research, and Practice. Jones & Bartlett

View from the First World Nursing shortages, aging workforce Limited access to nursing education programs Solution to shortages is attracting nurses from other countries de Chesnay, M. (2008) Caring for the Vulnerable: Perspectives in Nursing Theory, Research, and Practice. Jones & Bartlett

Social Justice and Migration Right to seek economic and personal security Ethical concerns about recruitment efforts “Outsourcing” nursing education Cuts in funding for nursing workforce development de Chesnay, M. (2008) Caring for the Vulnerable: Perspectives in Nursing Theory, Research, and Practice. Jones & Bartlett

Vulnerability of Migrating Nurses Measures to decrease vulnerability Effective human resource planning and development Credible nursing regulation, recruitment regulation Freedom of movement and association, and freedom from discrimination Good faith contracting, equal pay for work for equal value, and access to grievance procedures Safe work environment; effective orientation, mentoring, and supervision; and employment trial periods de Chesnay, M. (2008) Caring for the Vulnerable: Perspectives in Nursing Theory, Research, and Practice. Jones & Bartlett