Mohtashami Abolfazl Raeyat, Keshavarzi Ali, Bayati Mohsen
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Nurs. 2025 Aug 19;24(1):1089. doi: 10.1186/s12912-025-03755-w.
Nurse shortage have become an international healthcare crisis. The migration of nursing professionals from developing countries enlarges nurse shortages, which harms the standard of healthcare in their home nations. This study aimed to investigate the tendency to migrate and the influencing factors among nurses in Shiraz, Iran.
This cross-sectional study was conducted in 2023 on nurses working in public hospitals in Shiraz. A total of 595 nurses were selected through stratified random sampling. The data were collected using a researcher-designed questionnaire. The data were analyzed using t-tests, ANOVA, correlation analysis and ordinal logistic regression through STATA v.17.
The results revealed that 63.96% of nurses expressed a high tendency to migrate. According to the estimates of ordinal logistic model, nurses’ migration tendency had a positive and significant relationship with the level of nurses’ education, hospital specialization (OR = 2.22 and 2.11 for Burn and Orthopaedics hospitals, respectively), having a plan to change job (OR = 2.68), and spouse’s income (OR = 2.23). On the other hand, being married (OR = 0.42), satisfaction with the nursing profession (OR = 0.51), and the adequacy of nurses in the ward (0.65) showed a negative relationship with the tendency to migrate among nurses.
The high level of tendency to migrate among nurses in Iran highlights a serious challenge for the Iran’s healthcare system. This study demonstrated that multiple factors play a role in nurse tendency for migration. The retention of nursing staff and migration prevention require evidence-based policies and interventions to enhance their workplace conditions, adequate staffing, job satisfaction, and professional development opportunities.
Not applicable.
The online version contains supplementary material available at 10.1186/s12912-025-03755-w.
护士短缺已成为一场国际医疗危机。护理专业人员从发展中国家外流加剧了护士短缺问题，这损害了其本国的医疗水平。本研究旨在调查伊朗设拉子护士的移民倾向及影响因素。
本横断面研究于2023年对设拉子公立医院的护士进行。通过分层随机抽样共选取了595名护士。数据通过研究者设计的问卷收集。数据使用STATA v.17进行t检验、方差分析、相关分析和有序逻辑回归分析。
结果显示，63.96%的护士表示有很高的移民倾向。根据有序逻辑模型估计，护士的移民倾向与护士的教育水平、医院专科类型（烧伤医院和骨科医院的OR分别为2.22和2.11）、有换工作计划（OR = 2.68）以及配偶收入（OR = 2.23）呈正相关且具有显著意义。另一方面，已婚（OR = 0.42）、对护理职业的满意度（OR = 0.51）以及病房护士充足率（0.65）与护士的移民倾向呈负相关。
伊朗护士的高移民倾向凸显了伊朗医疗系统面临的严峻挑战。本研究表明，多种因素在护士移民倾向中起作用。留住护理人员和防止移民需要基于证据的政策和干预措施，以改善他们的工作条件、充足的人员配备、工作满意度和职业发展机会。
不适用。
在线版本包含可在10.1186/s12912 - 025 - 03755 - w获取的补充材料。
