International Council of Nurses, Geneva, Switzerland.
Int Nurs Rev. 2013 Jun;60(2):157-66. doi: 10.1111/inr.12008. Epub 2013 Feb 6.
To undertake a systematic review of English and Spanish literature relating to nurse faculty migration.
A systematic review of both published literature, using CINAHL, EMBASE, ERIC and MEDLINE, and grey literature, using Google and Yahoo search engines, utilizing a defined search strategy with key terms, wild card strings and logical operators, was undertaken. An initial limitation of searching for material published in the last ten years was removed due to the poor yield of relevant papers. In total, 18 research-based studies were identified, retrieved and reviewed. Finally, the retrieved material was reviewed and augmented by a group of nurse faculty and migration experts, who offered comments and proposed additional grey literature. With increased globalization, the impact of mutual recognition agreements and associated modes of supply of services as well as those factors influencing clinical nurse migration was also considered.
Studies on clinical nurse migration and general academic faculty provided some insights, but nursing faculty differ in a number of key ways and this needs to be considered when interpreting the results. Based on this systematic review, the paper concludes that nurse faculty migration is a neglected topic and one that warrants urgent investigation if health systems redesign and the associated scale-up of nurses are to be achieved. Particular gaps in knowledge relate to nurse faculty workforce planning, and understanding the dynamics and flows of faculty both across and within countries. It is unclear as to the extent to which our knowledge of push and pull factors relating to clinical nurse migration can be used in understanding nurse faculty migration.
The current policy position of organizations such as the World Health Organization and individual governments to increase nursing numbers is incomplete without due consideration of faculty migration.
对与护理教师迁移相关的英文和西班牙文献进行系统回顾。
使用 CINAHL、EMBASE、ERIC 和 MEDLINE 对已发表的文献进行系统回顾,并使用 Google 和 Yahoo 搜索引擎对灰色文献进行系统回顾,使用定义的搜索策略,包括关键词、通配符字符串和逻辑运算符。由于相关论文产量不佳,最初对过去十年出版材料的搜索限制被取消。总共确定、检索和审查了 18 项基于研究的研究。最后,检索到的材料由一组护理教师和移民专家进行了审查和补充,他们提供了评论并提出了额外的灰色文献。随着全球化的加剧,相互承认协议和相关服务供应模式的影响以及影响临床护士迁移的因素也得到了考虑。
关于临床护士迁移和一般学术教师的研究提供了一些见解,但护理教师在许多关键方面存在差异,在解释结果时需要考虑到这一点。基于这项系统回顾,本文得出结论,护理教师迁移是一个被忽视的话题,如果要实现卫生系统的重新设计和护士人数的相应增加,就需要对此进行紧急调查。知识方面的特别差距与护理教师劳动力规划有关,以及理解教师在跨国界和国家内部的动态和流动。尚不清楚我们对与临床护士迁移相关的推拉因素的了解在多大程度上可以用于理解护理教师迁移。
世界卫生组织等组织和个别政府目前增加护士人数的政策立场,如果不考虑教师迁移,将是不完整的。