Chikanda Abel
University of Zimbabwe, Department of Geography & Environmental Science, Harare.
Nurs Inq. 2005 Sep;12(3):162-74. doi: 10.1111/j.1440-1800.2005.00273.x.
The migration of nursing professionals from developing countries such as Zimbabwe to industrialised countries is taking place at an alarming rate, with little signs of slowing down. In Africa, nurses form the backbone of the healthcare delivery system and their migration has a huge negative impact on health service provision. Drawing on evidence from selected health institutions, the paper shows the magnitude of migration of nurses from Zimbabwe. The paper also shows that public to private health sector migration of nurses is occurring at a significant rate. The effects of such movements are examined in detail. For instance, at the health institution level, nurse migration has led to staff shortages, and health institutions located in the disadvantaged areas have been the worst affected. The paper calls for the adoption of an integrated approach in managing and addressing the concerns of the nursing professionals.
从津巴布韦等发展中国家向工业化国家迁移的护理专业人员数量正以惊人的速度增长，几乎没有放缓的迹象。在非洲，护士是医疗保健服务体系的中坚力量，他们的迁移对医疗服务的提供产生了巨大的负面影响。本文借鉴了部分医疗机构的证据，展示了津巴布韦护士的迁移规模。本文还表明，护士从公共卫生部门向私营卫生部门迁移的比例相当高。文中详细探讨了此类人员流动的影响。例如，在医疗机构层面，护士的迁移导致了人员短缺，位于贫困地区的医疗机构受影响最为严重。本文呼吁采用综合方法来管理和解决护理专业人员的相关问题。
