Causes and Impact of Importing Foreign Nurses
Can you imagine this scene? When your child suddenly has a high fever in the middle of night, you hurry to the hospital. You find out that you have to wait in a crowded emergency room with your crying child because there are not enough nurses and doctors to take care of many patients right away. After a long wait, a nurse finally comes to check your sick baby, but you notice the nurse speaks English with heavy accent. You start to get irritated trying to understand her because you are tired and worried about your baby. You start to wonder if you can trust this nurse. Why this foreign nurse working at this hospital in the United States? Is she qualified? This situation is not unusual
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However, donor countries that struggle to keep health care facilities open are faced with issues including loss of skilled personnel, loss of economic investment, and high turnover rates. Loss of skilled personnel is frequently referred to as “brain drain” where experienced personnel move to receiving countries leaving behind inexperienced personnel, who must work alone in poor conditions. Health care has deteriorated in these donor countries in recent years as tens of thousands of nurses have moved abroad. Many African countries have begun to demand compensation for the training and loss of nurses and doctors who move away. Dugger reports that public health experts in poor countries, told about the immigration bill passed by the Senate in May, 2006 includes a provision that would allow unlimited entry to foreign-trained nurses until 2014, reacted with dismay and outrage, coupled with doubts that “their nurses could resist the magnetic pull of the United States, which sits at the pinnacle of the global labor market for nurses”. Holly Burkhalter, director of U.S. Policy and of the Health Action AIDS campaign at Physicians for Human Rights, said the nurse proposal could undermine the United States' multibillion-dollar effort to combat AIDS and malaria by potentially worsening the shortage of health workers in poor countries.
Canada's government-funded health care system in under attack. Despite the mandate of the Canada health act, which was meant to assure universality, comprehensiveness, equitable access, public administration and portability of our health care system, (Braithwaite 17), Canadians today make the issue of health care their most important political concern. One of the biggest crises the Canadian health care system faces is for strange reasons not in the spotlight when debating the issues, that is the brain drain-Canada losing highly skilled physicians and health care workers to other countries like the U.S. It is time to look at solutions to reverse this popular trend among
The United States healthcare industry faces many challenges everyday, such as the rising cost of care, medical errors, access and quality problems etc. Within the next few years, the United States will experience a shortage of Register Nurses (RNs). “Registered Nurses are considered one of the largest health professions in the health care industry. The Nurses duty is to provide direct patient care and can be done in a hospital, public health facility, nursing home and many other different settings. Other services included are patient education on disease prevention, administering treatments and promoting a healthy lifestyle.” ("The Future of the Nursing Workforce: National- and State- Level Projections 2012-2025”) The shortage will occur due to Baby Boomers aging and the demand for health care will dramatically rise. With the baby boomers aging, Registered Nurses are at the top of the list for demand in health care. Unfortunately the supply and demand does not meet. “According to the Bureau of Labor Statistics’ Employment Projections 2012-2022 released in December 2013, RNs will increase of about 526,800 within that time frame but will still have job openings of 1.05 million by 2020)”("Nursing Shortage") Indicating that there is no growth between 2012- 2022. There are multiple factors to this shortage and one of them is that nursing schools across the nation are struggling to increase the capacity of students to meet the rising demand. Considering the fact
Who is the person the nurse is caring for? Where is that person from? Does this person speak English, or understand what the caregiver is saying? What is this person’s cultural background? What are the health beliefs of this person, what are their illness beliefs and practices? These questions are answered differently depending upon the person and their heritage. As healthcare providers it is important to have a broad knowledge base in regards to different cultures and people’s practices to deliver effective health care. In 2006, the population of
Where as the other sources talked about policies and processes that may affect the integration of immigrant nurses into the workforce. Similarities: Although there may be differences in the topic of this journal in comparison to the others, the other articles also included problems immigrant nurses face during the process of recruitment and integration into the workforce. Limitations: Only nine immigrant nurses were interviewed. This excludes data that may have been obtained if the pool of participants was larger.
This paper will examine the shortage of nurses and the impact on the nurse’s quality
The Nursing Profession has been experiencing shortages for many years. The pattern seems to be repetitive, high demand for nurses followed by phases of downsizing with a surplus of nurses. The earlier years of the nursing shortage was short compared to today’s current nursing shortage. The nursing shortage exist globally and in all nursing areas. There are several factors that are the cause of the nursing shortage of today as well in years past.
Snavely, T.M. (2016). Data Watch. A Brief Economic Analysis of the Looming Nursing Shortage in the United States. Nursing Economic$, 34(2), 98-100.
Often usage of complex jargons by senior health professionals and supervisors creates misinterpretation of command by these female immigrant nurses. Robinson, Gorman, Slimmer, and Yudkowsky (2010) study in an American context, identifies that due to cross-cultural communication, sometimes medical terminologies are taken in the wrong context which also results to major medical and occupational complications for instance, delay in work. This eventually causes high stress, anxiety and burnout among these nurses which is highly common in nursing profession.
With our nation focusing more on health care and the overall wellness of its people, the demand for it has been rising. According to Dr. Paul Takiguchi, a dermatologist at Pali Momi “- the biggest issue is the shortage of physicians which includes dermatologists, thus limiting patients’ timely access to care.” Though it may not seem like a big deal, the effects of it are starting to appear today and will only become more prevalent in the near future. In order to stop the doctor shortage in the field of medicine, the government must make changes to the education and training of doctors.
The Immigration and Nationality Act of 1965 “eliminated the various nationality criteria” while substituting it with “a system based primarily on family reunification and needed skills” (Center for Immigration Studies), which is how Jaybelle received an H-1B visa under the Immigration and Nationality Act of 1965. Programs sought after foreign nurses to fill in labor shortages in America. For example, Jaybelle found a petitioner in charge of an isolated nursing home in a hot, arid location. Because American nurses already have the accessibility to other nursing homes and hospitals in America, they can search for better opportunities. Filipino nurses are only limited to jobs available through visas, thus greatly reducing their job
Thank you for sharing your story. I can totally understand how you feel about working here in America, especially in the healthcare industry. I agree with you that knowledge and skills will get us farther in nursing but we have to double our effort when it comes to communication. I, too, have to ensure that my message is understood correctly because of my Filipino accent. It is indeed a hurdle. Mullins (2009) emphasized that it isn’t about how many adversities we face, but how we face the adversities. Do we let them break us or we break them? Often times, Americans tend to have prejudice or negative preconceived notions about the immigrants because of their individualistic culture. I think that Americans judge immigrants based on their own
Nursing shortages are appearing to be a global concern as well. The shortage of nurses has caused a widespread and dangerous deficiency of experienced nurses who are needed to care for individual patients as well as the population as a whole. According to an article written by Littlejohn (2012) the nursing shortage needs appropriate intervention in order to prevent a serious public health crisis. Nursing is one of the largest groups of healthcare professionals whose has over 3.1 million Registered Nurses, but there are still not enough to care for the growing number of patients. AMN (2012) Study by Hecker (2004) suggested that in the year 2012 there would be a deficit of more than one million nurses. The shortage of nurses has put the patient as well as nurses at an increased risk for injury.
Imagine staying in a hospital- weak, helpless, and in pain, and there isn’t a nurse near to assist. The majority of whom, who have stayed in a hospital have already faced this terrifying issue. Without the help, and care from nurses in the health care system, the health care system would ultimately fail. There are not enough nurses to care for the amount of people that are staying in the hospitals, which directly affects patient care. Here in America today, we are facing the most colossal nursing shortage to have ever existed. There are a variety of solutions that can be done to disperse this soon to be catastrophe. The demand for nurses will forever be in high demand due to the constant advances in
The model implementation based on the policy change that our group choose related to foreign nurses working in the U.S., and I may use, will be based on new recruiting models and transitions programs on education in order to analyze and expedite the process without affecting the ethics on scope of practice and safeguard the patients. Also how can qualified foreign nurses be recruited in a way that does not disrupt the delivery of vital health services to local populations of source countries, especially those countries with poor health systems and high burdens of disease.
I believe that nurse poaching from poor nations is unethical. Although there appears to be a shortage in both developing and developed countries, a nurse should not have to feel that to become successful, one must leave his or her homeland and family. Each country should address the nursing shortage and create a system beneficial for recruiting and maintaining nurses within the country instead of recruiting from poor nations. I believe that enticing nurses from developing countries by offering high salaries is unfair and unethical because it worsens the state of the developing country by creating a higher nursing shortage and devastatingly breaks the nurse’s family apart.