Mitigating Nurse Emigration: Strategies for Retaining South Africa's Healthcare Workforce
Keywords:
Nurse Emigration, South Africas, Retention Strategies, Healthcare Workforce, Migration MotivationAbstract
Purpose: This study aims to investigate the factors influencing the emigration of registered nurses from South Africa, focusing on their perceptions, motivations, and potential strategies for retention by employers and the government.
Method: A quantitative, exploratory, and descriptive approach was employed, utilizing a structured questionnaire distributed to nursing students enrolled in distance education programs. The survey collected demographic data and insights into the reasons for emigration and retention strategies, with data analyzed using SPSS software.
Findings: The primary motivations for nurse emigration were higher salaries, better working conditions, and career advancement opportunities abroad. The study revealed significant demographic influences, such as age, marital status, and family responsibilities, on nurses' decisions to emigrate. A high level of awareness regarding the emigration of peers and detailed understanding of emigration drivers were also noted.
Novelty: This research provides a comprehensive analysis of nurse emigration from South Africa, highlighting the interplay between financial incentives, working conditions, and personal factors. It offers valuable insights for policymakers and healthcare administrators seeking to develop effective retention strategies.
Conclusion: The study underscores the critical need for policies addressing income disparities, improving working conditions, and offering career development opportunities within South Africa to mitigate nurse emigration. These strategies are essential to maintaining a stable and effective healthcare workforce in the country
References
Alonso-Garbayo, Álvaro, and Jill Maben. 2009. “Internationally Recruited Nurses from India and the Philippines in the United Kingdom: The Decision to Emigrate.” Human Resources for Health 7(1):37. doi: 10.1186/1478-4491-7-37.
Baharum, Hafidza, Aniza Ismail, Lisa McKenna, Zainah Mohamed, Roszita Ibrahim, and Nor Haty Hassan. 2023. “Success Factors in Adaptation of Newly Graduated Nurses: A Scoping Review.” BMC Nursing 22(1):125. doi: 10.1186/s12912-023-01300-1.
Bakewell, Oliver. 2010. “Some Reflections on Structure and Agency in Migration Theory.” Journal of Ethnic and Migration Studies 36(10):1689–1708. doi: 10.1080/1369183X.2010.489382.
Belle, Nicola, and Paola Cantarelli. 2014. “Monetary Incentives, Motivation, and Job Effort in the Public Sector: An Experimental Study With Italian Government Executives.” Review of Public Personnel Administration 35(2):99–123. doi: 10.1177/0734371X13520460.
Bhattacharyya, Kallol Kumar. 2021. “Aging and Diversity BT - Rethinking the Aging Transition: Psychological, Health, and Social Principles to Guide Aging Well.” Pp. 101–14 in, edited by K. K. Bhattacharyya. Cham: Springer International Publishing.
Biao, Xiang. 2003. “Emigration from China: A Sending Country Perspective.” International Migration 41(3):21–48. doi: https://doi.org/10.1111/1468-2435.00240.
Borchert, Patricia, and Duluth Mary Zellmer-Bruhn. 2010. “Reproduced with Permission of the Copyright Owner . Further Reproduction Prohibited Without.” Journal of Allergy and Clinical Immunology 130(2):556.
Botezat, Alina, Cristian Incaltarau, and Peter Nijkamp. 2024. “Nurse Migration: Long-Run Determinants and Dynamics of Flows in Response to Health and Economic Shocks.” World Development 174:106445. doi: https://doi.org/10.1016/j.worlddev.2023.106445.
Chi, Benjamin H., Bellington Vwalika, William P. Killam, Chibesa Wamalume, Mark J. Giganti, Reuben Mbewe, Elizabeth M. Stringer, Namwinga T. Chintu, Nande B. Putta, Katherine C. Liu, Carla J. Chibwesha, Dwight J. Rouse, and Jeffrey S. A. Stringer. 2011. “Implementation of the Zambia Electronic Perinatal Record System for Comprehensive Prenatal and Delivery Care.” International Journal of Gynecology & Obstetrics 113(2):131–36. doi: https://doi.org/10.1016/j.ijgo.2010.11.013.
Christensen Hughes, Julia, and Evelina Rog. 2008. “Talent Management” edited by N. D’Annunzio‐Green, G. Maxwell, and S. Watson. International Journal of Contemporary Hospitality Management 20(7):743–57. doi: 10.1108/09596110810899086.
Closser, Svea, Emily Mendenhall, Peter Brown, Rachel Neill, and Judith Justice. 2022. “The Anthropology of Health Systems: A History and Review.” Social Science & Medicine 300:114314. doi: https://doi.org/10.1016/j.socscimed.2021.114314.
Dickson, Cathy L. 2013. “The Nature of Learning to Nurse Through Clinical Practice Experience for International Culturally and Linguistically Different Students in Sydney , Australia : An Interpretive Doctor of Nursing University of Technology , Sydney January 2013.” (January).
Estrada-Gutiérrez, Guadalupe, Elena Zambrano, Ernestina Polo-Oteyza, Arturo Cardona-Pérez, and Felipe Vadillo-Ortega. 2020. “Intervention during the First 1000 Days in Mexico.” Nutrition Reviews 78(Supplement_2):80–90. doi: 10.1093/nutrit/nuaa082.
Gerry Miller, Gerri Sinclair, David Sutherland, Julie Zilber. 2009. “Regulation of The Internet. A Technological Perspective.” Report Discusess.
Grimmond, T., and L. Good. 2017. “Exposure Survey of Trends in Occupational Practice (EXPO-S.T.O.P.) 2015: A National Survey of Sharps Injuries and Mucocutaneous Blood Exposures among Health Care Workers in US Hospitals.” American Journal of Infection Control 45(11):1218–23. doi: https://doi.org/10.1016/j.ajic.2017.05.023.
de Haas, Hein. 2021. “A Theory of Migration: The Aspirations-Capabilities Framework.” Comparative Migration Studies 9(1):8. doi: 10.1186/s40878-020-00210-4.
Habermann, Monika, and Maya Stagge. 2010. “Nurse Migration: A Challenge for the Profession and Health-Care Systems.” Journal of Public Health 18(1):43–51. doi: 10.1007/s10389-009-0279-0.
Hayes, Laureen J., Linda O’Brien-Pallas, Christine Duffield, Judith Shamian, James Buchan, Frances Hughes, Heather K. Spence Laschinger, and Nicola North. 2012. “Nurse Turnover: A Literature Review – An Update.” International Journal of Nursing Studies 49(7):887–905. doi: https://doi.org/10.1016/j.ijnurstu.2011.10.001.
Hua, Rong, Yanjun Ma, Chenglong Li, Baoliang Zhong, and Wuxiang Xie. 2021. “Low Levels of Low-Density Lipoprotein Cholesterol and Cognitive Decline.” Science Bulletin 66(16):1684–90. doi: https://doi.org/10.1016/j.scib.2021.02.018.
Janiszewski Goodin, Heather. 2003. “The Nursing Shortage in the United States of America: An Integrative Review of the Literature.” Journal of Advanced Nursing 43(4):335–43. doi: https://doi.org/10.1046/j.1365-2648.2003.02722_1.x.
Kofman, Eleonore. 2004. “Family‐related Migration: A Critial Review of European Studies.” Journal of Ethnic and Migration Studies 30(2):243–62. doi: 10.1080/1369183042000200687.
Lien, Nguyen Huong, Kate Westberg, Constantino Stavros, and Linda J. Robinson. 2018. “Family Decision-Making in an Emerging Market: Tensions with Tradition.” Journal of Business Research 86:479–89. doi: https://doi.org/10.1016/j.jbusres.2017.09.003.
Lund, H Louise, Curtis B. Hughesman, Kareem Fakhfakh, Kelly McNeil, Shahira Clemens, Kimberly Hocken, Ryan Pettersson, Aly Karsan, Leonard J. Foster, and Charles Haynes. 2016. “Initial Diagnosis of ALK-Positive Non-Small-Cell Lung Cancer Based on Analysis of ALK Status Utilizing Droplet Digital PCR.” Analytical Chemistry 88(9):4879–85. doi: 10.1021/acs.analchem.6b00707.
Lund, Helen Louise, Curtis B. Hughesman, Kelly McNeil, Shahira Clemens, Kimberly Hocken, Ryan Pettersson, Aly Karsan, Leonard J. Foster, and Charles Haynes. 2016. “Initial Diagnosis of Chronic Myelogenous Leukemia Based on Quantification of M-BCR Status Using Droplet Digital PCR.” Analytical and Bioanalytical Chemistry 408(4):1079–94. doi: 10.1007/s00216-015-9204-2.
Lytle Hom & Mokwa M. P. R S, P. W. 1998. “Information To Users Umi.” Dissertation Ph.D. Thes(Structural Biology and Molecular Biophysics, University of Pennsylvania, PA, USA.):274.
Martin, Philip. 2015. “Chapter 14 - Guest or Temporary Foreign Worker Programs.” Pp. 717–73 in Handbook of the Economics of International Migration. Vol. 1, edited by B. R. Chiswick and P. W. B. T.-H. of the E. of I. M. Miller. North-Holland.
Okello, Dickson Rodney Otieno. 2021. “The Leadership Trinity: Examining the Interplay between Healthcare Organisational Context, Collective Leadership and Leadership Effectiveness in the Health Sector - a Multiple Case Study of District Hospitals in the Western Cape Province, South Africa.”
Pressley, Charlene, Dillon Newton, Joanne Garside, Padam Simkhada, and Bibha Simkhada. 2022. “Global Migration and Factors That Support Acculturation and Retention of International Nurses: A Systematic Review.” International Journal of Nursing Studies Advances 4:100083. doi: https://doi.org/10.1016/j.ijnsa.2022.100083.
Ung, Danny Shin Kai, Yong Shian Goh, Ryan Yuan Sheng Poon, Yongxing Patrick Lin, Betsy Seah, Violeta Lopez, Kristina Mikkonen, Keng Kwang Yong, and Sok Ying Liaw. 2024. “Global Migration and Factors Influencing Retention of Asian Internationally Educated Nurses: A Systematic Review.” Human Resources for Health 22(1):17. doi: 10.1186/s12960-024-00900-5.
Walton-Roberts, Margaret, Vivien Runnels, S. Irudaya Rajan, Atul Sood, Sreelekha Nair, Philomina Thomas, Corinne Packer, Adrian MacKenzie, Gail Tomblin Murphy, Ronald Labonté, and Ivy Lynn Bourgeault. 2017. “Causes, Consequences, and Policy Responses to the Migration of Health Workers: Key Findings from India.” Human Resources for Health 15(1):28. doi: 10.1186/s12960-017-0199-y.
William, Erica Mc. 2002. “Against Professional Development.” Educational Philosophy and Theory 34(3):289–99. doi: 10.1111/j.1469-5812.2002.tb00305.x.
Wiskow, Christiane. 2011. “International Migration of Health Personnel: Challenges and Opportunities for North- and West-African Countries.”
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