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加纳护士人才外流的决定因素及缓解因素:来自加纳北部护士管理者的见解——一项定性研究

Determinants and Mitigating Factors of Brain Drain among Ghanaian Nurses: Insights from Nurse Managers in Northern Ghana-A Qualitative Inquiry.

作者信息

Ibrahim Mudasir Mohammed, Wuni Abubakari, Salisu Waliu Jawula, Abdulai Abdul-Malik, Owusua Theresah, Nyarko Brenda Abena, Sayibu Abdul-Malik, Buasilenu Hannah, Baako Abdulai Issahaka, Mohammed Iddrisu Sisala

机构信息

Nurses' and Midwives' Training College, Tamale, Ghana.

College of Nursing University of Kentucky, Lexington, KY, USA.

出版信息

J Nurs Manag. 2024 Aug 17;2024:8862991. doi: 10.1155/2024/8862991. eCollection 2024.

Abstract

BACKGROUND

Nurse emigration, often termed "brain drain," poses significant challenges to Ghana's healthcare sector.

AIM

This study explores nurse managers' perspectives on determinants and strategies for mitigating nurse emigration in Northern Ghana.

METHODS

Sixteen nurse managers were interviewed using semistructured interviews between October and December 2023. Purposive sampling was used to select the participants. QDA Miner Lite version 6 was used for systematic coding and thematic data analysis, following the conventional content analysis approach.

RESULTS

Following data encoding and classification, the study identified three primary categories: determinants of brain drain, impact of brain drain on the healthcare system, and mitigating factors of brain drain.

CONCLUSION

The study reveals that various factors, including inadequate pay, limited opportunities for career growth, and lack of access to technology, drive the brain drain among Ghanaian nurses. These lead to negative impacts on the healthcare system, such as increased workload, reduced patient satisfaction, and a shortage of skilled nurses. To tackle this issue, solutions including offering career advancement opportunities and improving salaries and working conditions among others have been highlighted to mitigate the brain drain among Ghanaian nurses.

摘要

背景

护士移民,通常被称为“人才外流”,给加纳的医疗保健部门带来了重大挑战。

目的

本研究探讨了护士管理者对加纳北部护士移民的决定因素及缓解策略的看法。

方法

2023年10月至12月期间,采用半结构化访谈对16名护士管理者进行了访谈。采用目的抽样法选取参与者。按照传统的内容分析方法,使用QDA Miner Lite 6版进行系统编码和主题数据分析。

结果

经过数据编码和分类,该研究确定了三个主要类别:人才外流的决定因素、人才外流对医疗系统的影响以及人才外流的缓解因素。

结论

该研究表明,包括薪资不足、职业发展机会有限以及无法获取技术等各种因素,导致了加纳护士的人才外流。这些因素对医疗系统产生了负面影响,如工作量增加、患者满意度降低以及熟练护士短缺。为解决这一问题,已强调了包括提供职业晋升机会以及改善薪资和工作条件等在内的解决方案,以缓解加纳护士的人才外流现象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/805e/11919095/f9fe2da16389/JONM2024-8862991.001.jpg

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