Zonguldak Bülent Ecevit University, Health Science Faculty, Fundamentals of Nursing Department, Zonguldak, Türkiye.
Independent Nursing Researcher, Mersin, Türkiye.
Nurse Educ Today. 2024 Dec;143:106389. doi: 10.1016/j.nedt.2024.106389. Epub 2024 Sep 4.
Brain drain is the migration of trained professionals and scientists from low and middle-income countries to live and work in better conditions in high-income countries. The brain drain and brain drain intentions of qualified nurses have become a global burning issue for healthcare sustainability in low and middle-income countries. In Türkiye, the idea of brain drain has increased among nurses and nursing students. Realizing the factors affecting brain drain intention and how to manage them are crucial for proper planning, health equity, and positive patient outcomes in health care.
To verify a hypothesized model examining the factors contributing to brain drain intentions among nursing students.
A cross-sectional study.
Data were collected from 528 undergraduate nursing students from a health sciences faculty with an online questionnaire sent through a link between December 16, 2021, and February 28, 2022.
A hypothesized model was tested using path analysis.
Income level (middle) and income level (low) were indirectly and inversely related to attitudes towards brain drain through the mediating role of satisfaction with life. Sense of belonging to the occupation significantly mediated the indirect effect of concern regarding working conditions (yes) on attitudes towards brain drain. The direct effect of satisfaction with life on attitudes towards brain drain was significant. Sense of belonging to the occupation was indirectly and positively related to attitudes towards brain drain through the mediating role of satisfaction with life. In contrast, the direct effect of the sense of belonging to the occupation on attitudes towards brain drain was not statistically significant.
Faculties and governments should consider that brain drain intention is a good predictor of future brain drain. To reduce nursing students' brain drain intentions, policy-driven changes in nurses' working conditions and psychological support for satisfaction with life and a sense of belonging to the occupation in their own country are required.
人才流失是指受过培训的专业人员和科学家从低收入和中等收入国家迁移到高收入国家，以寻求更好的生活和工作条件。合格护士的人才流失和人才流失意向已成为低收入和中等收入国家医疗保健可持续性的全球热点问题。在土耳其，护士和护理学生的人才流失观念有所增加。了解影响人才流失意向的因素以及如何管理这些因素对于医疗保健中的适当规划、健康公平和积极的患者结果至关重要。
验证一个假设模型，以检验导致护理学生人才流失意向的因素。
横断面研究。
数据来自一所健康科学学院的 528 名本科护理学生，通过 2021 年 12 月 16 日至 2022 年 2 月 28 日期间通过链接发送的在线问卷收集。
使用路径分析检验假设模型。
收入水平（中等）和收入水平（低）通过生活满意度的中介作用，与对人才流失的态度呈间接和反向关系。对工作条件的关注（是）对人才流失态度的间接影响，通过职业归属感的中介作用显著。生活满意度对人才流失态度的直接影响具有统计学意义。职业归属感通过生活满意度的中介作用与人才流失态度呈间接和正相关。相反，职业归属感对人才流失态度的直接影响没有统计学意义。
学院和政府应该认识到，人才流失意向是未来人才流失的良好预测指标。为了降低护理学生的人才流失意向，需要政策驱动的改变护士的工作条件，并提供心理支持，以提高他们对生活的满意度和对职业的归属感。
