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Chang YH, Hsu CH, Tseng YC, Hsiung CA. Country-Level Factors Associated With Nurse Salaries: Empirical Evidence From Organisation for Economic Co-operation and Development Countries and Taiwan. J Nurs Res 2023; 31:e303. [PMID: 37988058 DOI: 10.1097/jnr.0000000000000585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2023] Open
Abstract
BACKGROUND Salary impacts nurse retention rates and thus is a factor affecting the nursing shortage both in Taiwan and around the world. Nurses in Taiwan earn a low salary compared with other health professionals and may be undervalued compared with their international counterparts. PURPOSE This study was designed to analyze the factors associated with nurse salary (NS) in Organisation for Economic Co-operation and Development (OECD) countries and to compare NS in Taiwan with those in OECD member states. METHODS Data were extracted from the OECD statistics database and official statistics for Taiwan. For the 28 OECD member countries considered in this study and Taiwan, 21 indicators characterizing healthcare systems, including demographics, socioeconomic status, health behaviors and risks, healthcare resources, health financing, healthcare utilization, health outcomes, and economic inequality, were examined for the period of 2009-2018. A random-effects model (REM) and a fixed-effects model (FEM) were used to investigate the associations between these indicators and annual NS levels. The expected annual NS for Taiwan was estimated and compared with the actual NS for Taiwan using the REM. RESULTS In the REM, higher NS in OECD countries was shown to be positively associated with gross domestic product per capita (0.49, 95% confidence interval [CI] [0.41, 0.56]), proportion of population aged 65 years and over (2.72, 95% CI [2.17, 3.26]), crude birth rate (1.02, 95% CI [0.56, 1.49]), number of computerized tomography scanners per million population (0.26, 95% CI [0.17, 0.35]), alcohol consumption per person (0.94, 95% CI [0.26, 1.61]), and prevalence of obesity (0.64, 95% CI [0.40, 0.89]) and to be in inversely associated with infant mortality rate (-3.13, 95% CI [-3.94, -2.32]), bed density (-0.99, 95% CI [-1.72, -0.25]), number of hospital discharges (-0.08, 95% CI [-0.11, -0.05]), household out-of-pocket expenditure as a percentage of health expenditure (-0.34, 95% CI [-0.56, -0.11]), and the Gini coefficient (-0.25, 95% CI [-0.50, -0.01]). The FEM results were similar to those of the REM. The predicted annual NS for Taiwan based on the REM rose from 29,390 U.S. dollars (corrected for purchasing power parity; 95% CI [22,532, 36,247]) in 2009 to 49,891 U.S. dollars (95% CI [42,344, 57,438]) in 2018. The actual annual NS in Taiwan in 2018 was approximately 12% lower than the model-predicted value. CONCLUSIONS/IMPLICATIONS FOR PRACTICE Taiwan has a lower NS compared with its OECD counterparts. These findings may help policymakers, healthcare managers, and nurse organizations develop effective strategies to improve the remuneration system for nurses in Taiwan.
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Affiliation(s)
| | - Chia Hui Hsu
- MS, Research Assistant, Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Miaoli County, Taiwan
| | - Yu-Chun Tseng
- MS, Research Assistant, Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Miaoli County, Taiwan
| | - Chao A Hsiung
- PhD, Honorary Investigator, Institute of Population Health Sciences, National Health Research Institutes, Zhunan, Miaoli County, Taiwan
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Ferretti F, Mariani M, Sarti E. Physician density: will we ever close the gap? BMC Res Notes 2023; 16:84. [PMID: 37211602 DOI: 10.1186/s13104-023-06353-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 05/05/2023] [Indexed: 05/23/2023] Open
Abstract
OBJECTIVE Physician density is a crucial element of a well-functioning health system. Previous research has investigated factors affecting country-level physician supply. To date, however, no evidence has been provided about the patterns of convergence in physician density among countries. This paper thus tested club convergence in physician density in 204 countries worldwide from 1990 to 2019. A nonlinear time-varying factor model was adopted to identify potential clubs, wherein groups of countries tend to converge towards the same level of physician density. Our primary purpose was to document the potential long-lasting disparity in future global physician distribution. RESULTS Despite physician density increasing in all regions globally from 1990 to 2019, we found no evidence in favor of the hypothesis of global convergence. Conversely, the clustering algorithm successfully identified three main patterns (i.e., three final clubs). With few exceptions, the results indicated an uneven physician distribution between the majority of North and Sub-Saharan African countries (where physician density would remain well below the estimated threshold of at least 70% of the Universal Health Coverage Services Index) and the rest of the world. These findings support the WHO's global strategy to reverse the chronic under-investment in human resources for health.
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Affiliation(s)
- Fabrizio Ferretti
- Department of Communication and Economics, University of Modena and Reggio Emilia, Viale Allegri 9, 42121, Reggio Emilia, Italy.
| | - Michele Mariani
- Department of Communication and Economics, University of Modena and Reggio Emilia, Viale Allegri 9, 42121, Reggio Emilia, Italy
| | - Elena Sarti
- Department of Economics - Marco Biagi, University of Modena and Reggio Emilia, Via Berengario 51, 41121, Modena, Italy
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Odole AC, Ogunlana MO, Odunaiya NA, Oyewole OO, Mbada CE, Onyeso OK, Ayodeji AF, Adegoke OM, Odole I, Sanuade CT, Odole ME, Awosoga OA. Influence of well-being and quality of work-life on quality of care among healthcare professionals in southwest, Nigeria. Sci Rep 2023; 13:7830. [PMID: 37188741 DOI: 10.1038/s41598-022-25057-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 11/24/2022] [Indexed: 05/17/2023] Open
Abstract
The Nigerian healthcare industry is bedevilled with infrastructural dilapidations and a dysfunctional healthcare system. This study investigated the influence of healthcare professionals' well-being and quality of work-life (QoWL) on the quality of care (QoC) of patients in Nigeria. A multicentre cross-sectional study was conducted at four tertiary healthcare institutions in southwest, Nigeria. Participants' demographic information, well-being, quality of life (QoL), QoWL, and QoC were obtained using four standardised questionnaires. Data were summarised using descriptive statistics. Inferential statistics included Chi-square, Pearson's correlation, independent samples t-test, confirmatory factor analyses and structural equation model. Medical practitioners (n = 609) and nurses (n = 570) constituted 74.6% of all the healthcare professionals with physiotherapists, pharmacists, and medical laboratory scientists constituting 25.4%. The mean (SD) participants' well-being = 71.65% (14.65), QoL = 61.8% (21.31), QoWL = 65.73% (10.52) and QoC = 70.14% (12.77). Participants' QoL had a significant negative correlation with QoC while well-being and quality of work-life had a significant positive correlation with QoC. We concluded that healthcare professionals' well-being and QoWL are important factors that influence the QoC rendered to patients. Healthcare policymakers in Nigeria should ensure improved work-related factors and the well-being of healthcare professionals to ensure good QoC for patients.
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Affiliation(s)
- Adesola C Odole
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Michael O Ogunlana
- Department of Physiotherapy, Federal Medical Centre, Abeokuta, Nigeria
- College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa
| | - Nse A Odunaiya
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria.
| | - Olufemi O Oyewole
- College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa
- Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria
| | - Chidozie E Mbada
- Department of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife, Nigeria
| | | | - Ayomikun F Ayodeji
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Opeyemi M Adegoke
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Iyanuoluwa Odole
- University College Hospital, Ibadan, Nigeria
- Department of Public Health, Yale University, New Haven, CT, USA
| | - Comfort T Sanuade
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
- Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Canada
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Awosoga OA, Odunaiya NA, Oyewole OO, Ogunlana MO, Mbada CE, Onyeso OK, Adegoke OM, Ayodeji AF, Odole AC. Pattern and perception of wellbeing, quality of work life and quality of care of health professionals in Southwest Nigeria. BMC Health Serv Res 2022; 22:1387. [PMID: 36419074 PMCID: PMC9682769 DOI: 10.1186/s12913-022-08808-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 11/08/2022] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Personal wellbeing (PW) including quality of life and work life is a very complex concept that influences health professionals' commitment and productivity. Improving PW may result in positive outcomes and good quality of care. Therefore, this study aimed to assess the pattern and perception of wellbeing, quality of work life (QoWL) and quality of care (QoC) of health professionals (HPs) in southwest Nigeria. METHODS: The study was a convergent parallel mixed method design comprising a cross-sectional survey (1580 conveniently selected participants) and a focus group interview (40 purposively selected participants). Participants' PW, quality of life (QoL), QoWL, and QoC were assessed using the PW Index Scale, 5-item World Health Organization Well-Being Index, QoWL questionnaire, and Clinician QoC scale, respectively. The pattern of wellbeing, QoWL and quality of care of HPs were evaluated using t-test and ANOVA tests. Binary regression analysis was used to assess factors that could classify participants as having good or poor wellbeing, QoWL, and quality of care of HPs. The qualitative findings were thematically analyzed following two independent transcriptions. An inductive approach to naming themes was used. Codes were assigned to the data and common codes were grouped into categories, leading to themes and subthemes. RESULTS Of 1600 administered questionnaires, 1580 were returned, giving a 98.75% response rate. Only 45.3%, 43.9%, 39.8% and 38.4% of HP reported good PW, QoL, QoC and QoWL, respectively; while 54.7%, 56.1%, 60.2% and 61.6% were poor. There were significant gender differences in PW and QoC in favor of females. With an increase in age and years of practice, there was a significant increase in PW, QoWL and QoC. As the work volume increased, there was significant decrease in QoWL. Participants with master's or Ph.D. degrees reported improved QoWL while those with diploma reported better QoC. PWI and QoC were significantly different along the type of appointment, with those who held part-time appointments having the least values. The regression models showed that participant's characteristics such as age, gender, designation, and work volume significantly classified health professionals who had good or poor QoC, QoWL, PW and QoL. The focus group interview revealed four themes and 16 sub-themes. The four themes were the definitions of QoC, QoWL, and PW, and dimensions of QoC. CONCLUSION More than half of health professionals reported poor quality of work life, quality of life and personal wellbeing which were influenced by personal and work-related factors. All these may have influenced the poor quality of care reported, despite the finding of a good knowledge of what quality of care entails.
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Affiliation(s)
- Oluwagbohunmi A. Awosoga
- grid.47609.3c0000 0000 9471 0214Faculty of Health Sciences, University of Lethbridge, Alberta, Canada
| | - Nse A. Odunaiya
- grid.9582.60000 0004 1794 5983Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Olufemi O. Oyewole
- grid.412349.90000 0004 1783 5880Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, PMB 2001, Sagamu, Nigeria ,grid.16463.360000 0001 0723 4123College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa
| | - Michael O. Ogunlana
- grid.16463.360000 0001 0723 4123College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa ,grid.414821.aDepartment of Physiotherapy, Federal Medical Centre, Abeokuta, Nigeria
| | - Chidozie E. Mbada
- grid.25627.340000 0001 0790 5329Department of Health Professions, Manchester Metropolitan University, Manchester, UK
| | - Ogochukwu K. Onyeso
- grid.47609.3c0000 0000 9471 0214Faculty of Health Sciences, University of Lethbridge, Alberta, Canada
| | - Opeyemi M. Adegoke
- grid.9582.60000 0004 1794 5983Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Ayomikun F. Ayodeji
- grid.9582.60000 0004 1794 5983Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Adesola C. Odole
- grid.9582.60000 0004 1794 5983Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
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Gunn V, Somani R, Muntaner C. Health care workers and migrant health: Pre- and post-COVID-19 considerations for reviewing and expanding the research agenda. J Migr Health 2021; 4:100048. [PMID: 34405193 PMCID: PMC8352207 DOI: 10.1016/j.jmh.2021.100048] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 05/11/2021] [Accepted: 05/20/2021] [Indexed: 11/24/2022] Open
Abstract
The main purpose of this article is to review several ways in which health care workers could either impact migrant health or be directly impacted by migration and, based on this, suggest the expansion of the current research agenda on migration and health to address a range of topics that are currently either neglected, insufficiently researched, or researched from different perspectives. To ground this suggestion and emphasize the complexity and significance of migrant health research, we start by briefly reviewing several migration-related notions including the process of migration and its key facilitators and benefits; existing barriers to the provision of migrant health care; and the intricate links between health systems, health professionals, and migrant health. The three areas of research examined in this article address (i) the specific role of health workers in providing care to migrants and refugees and their capacity to do so, (ii) the health problems experienced by health workers who become migrants or refugees, and (iii) the precarious employment conditions experienced by both migrant and non-migrant health care workers. After summarizing the current available evidence on these topics, we discuss key information gaps and strategies to address them, while also incorporating several relevant COVID-19 pandemic considerations and research implications. Expanding the focus of research studies on migration and health could not only enhance the results of current strategies by supplying additional information to support their implementation but also spearhead the development of new solutions to the migrant health problem.
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Affiliation(s)
- Virginia Gunn
- MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, Unity Health Toronto
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Canada
- Karolinska Institute, Sweden
| | - Rozina Somani
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Canada
- Collaborative Specialization in Global Health, Dalla Lana School of Public Health, University of Toronto, Canada
| | - Carles Muntaner
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Canada
- Dalla Lana School of Public Health, University of Toronto, Canada
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Yusefzadeh H, Nabilou B. Work environment factors and provider performance in health houses: a case study of a developing country. BMC Res Notes 2020; 13:498. [PMID: 33109250 PMCID: PMC7590718 DOI: 10.1186/s13104-020-05346-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Accepted: 10/16/2020] [Indexed: 11/30/2022] Open
Abstract
Objective Primary Health Care has determined the path to the goal of "Health for All". Defining standards in health facilities play a crucial role in achieving acceptable performance by Community Health Workers. The study aimed to assess the relationship between physical Work environment factors and performance in primary healthcare facilities named health houses in Urmia district health network in North West of Iran. Thirty-five health houses were selected and studied with simple random sampling method. Data collection instrument were a standard checklist. Results The results highlighted a statistically significant and positive correlation between technical equipment layout (P = 0.01, r = 0.641) with the performance of CHWs and the area of workplace (P = 0.05, r = 0.359) in health houses. Correlation between office equipment layout and performance was negative (P = 0.01, r = − 0.44). Multiple linear regression analysis showed that the performance level was influenced by the staff-mix of CHWs in health houses, layout of technical equipment and layout of office equipment.
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Affiliation(s)
- Hasan Yusefzadeh
- Department of Management and Health Economics, School of Public Health, Urmia University of Medical Sciences, Urmia, Iran
| | - Bahram Nabilou
- Department of Management and Health Economics, School of Public Health, Urmia University of Medical Sciences, Nazloo Paradise, Sero Road, Urmia, West Azerbaijan, 575611611, Iran.
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Gunn V, Muntaner C, Ng E, Villeneuve M, Gea-Sanchez M, Chung H. Gender equality policies, nursing professionalization, and the nursing workforce: A cross-sectional, time-series analysis of 22 countries, 2000-2015. Int J Nurs Stud 2019; 99:103388. [PMID: 31493758 DOI: 10.1016/j.ijnurstu.2019.103388] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Revised: 05/18/2019] [Accepted: 07/26/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND Nursing professionalization has substantial benefits for patients, health care systems, and the nursing workforce. Currently, however, there is limited understanding of the macro-level factors, such as policies and other country-level determinants, influencing both the professionalization process and the supply of nursing human resources. OBJECTIVES Given the significance of gender to the development of nursing, a majority-female occupation, the purpose of this analysis was to investigate the relationship between gender regimes and gender equality policies, as macro-level determinants, and nursing professionalization indicators, in this case the regulated nurse and nurse graduate ratios. DESIGN This cross-sectional, time-series analysis covered 16 years, from 2000 to 2015, and included 22 high-income countries, members of the Organisation for Economic Co-operation and Development. We divided countries into three clusters, using the gender policy model developed by Korpi, as proxy for gender regimes. The countries were grouped as follows: (a) Traditional family - Austria, Belgium, France, Germany, Greece, Italy, Netherlands, Portugal, and Spain; (b) Market-oriented - Australia, Canada, Ireland, Japan, New Zealand, South Korea, Switzerland, United Kingdom, and the United States; and (c) Earner-carer - Denmark, Finland, Norway, and Sweden. METHODS We used fixed-effects linear regression models and ran Prais-Winsten regressions with panel-corrected standard errors, including a first-order autocorrelation correction to examine the effect of gender equality policies on nursing professionalization indicators. Given the existence of missing observations, we devised and implemented a multiple imputation strategy, with the help of the Amelia II program. We gathered our data from open access secondary sources. RESULTS Both the regulated nurse and nurse graduate ratios had averages that differed across gender regimes, being the highest in Earner-carer regimes and the lowest in Traditional family ones. In addition, we identified a number of indicators of gender equality policy in education, the labour market, and politics that are predictive of the regulated nurse and nurse graduate ratios. CONCLUSION This study's findings could add to existing upstream advocacy efforts to strengthen nursing and the nursing workforce through healthy public policy. Given that the study consists of an international comparative analysis of nursing, it should be relevant to both national and global nursing communities.
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Affiliation(s)
- Virginia Gunn
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, M5T 1P8, Canada; Dalla Lana School of Public Health, Collaborative Specialization in Global Health, University of Toronto, Ontario, M5T 1P8, Canada.
| | - Carles Muntaner
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, M5T 1P8, Canada; Dalla Lana School of Public Health, University of Toronto, Ontario, M5T 1P8, Canada
| | - Edwin Ng
- School of Social Work, Renison University College, University of Waterloo, Ontario, N2L 3G1, Canada
| | - Michael Villeneuve
- Governance and Strategy, Canadian Nurses Association, Ottawa, K2P 1E2, Canada
| | - Montserrat Gea-Sanchez
- GESEC Group, Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Catalunya, ES 25003, Spain; GRECS Group, Biomedical Research Institute of Lleida, Lleida, Spain
| | - Haejoo Chung
- Department of Public Health Sciences, Graduate School, Korea University, Seoul, South Korea; School of Health Policy & Management, College of Health Sciences, Korea University, Seongbuk-gu, Seoul, KR 02841, South Korea
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Gunn V, Muntaner C, Ng E, Villeneuve M, Gea‐Sanchez M, Chung H. The influence of welfare state factors on nursing professionalization and nursing human resources: A time‐series cross‐sectional analysis, 2000–2015. J Adv Nurs 2019; 75:2797-2810. [DOI: 10.1111/jan.14155] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 05/30/2019] [Accepted: 07/03/2019] [Indexed: 12/30/2022]
Affiliation(s)
- Virginia Gunn
- Lawrence S. Bloomberg Faculty of Nursing University of Toronto Toronto ON Canada
- Collaborative Doctoral Program in Global Health, Dalla Lana School of Public Health University of Toronto Toronto ON Canada
| | - Carles Muntaner
- Lawrence S. Bloomberg Faculty of Nursing University of Toronto Toronto ON Canada
- Dalla Lana School of Public Health University of Toronto Toronto ON Canada
| | - Edwin Ng
- School of Social Work Renison University College, University of Waterloo Waterloo ON Canada
| | | | - Montserrat Gea‐Sanchez
- GESEC Group, Faculty of Nursing and Physiotherapy University of Lleida Lleida Spain
- GRECS Group Biomedical Research Institute of Lleida Lleida Spain
| | - Haejoo Chung
- Department of Public Health Sciences, Graduate School Korea University Seoul South Korea
- School of Health Policy & Management College of Health Sciences, Korea University Seoul South Korea
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Squires A, Chavez FS, Hilfinger Messias DK, Narsavage GL, Oerther DB, Premji SS, Rosa WE, Ambani Z, Castañeda-Hidalgo H, Lee H, Pallangyo ES, Thumm EB. Sustainable development & the year of the nurse & midwife – 2020. Int J Nurs Stud 2019; 94:A3-A4. [DOI: 10.1016/j.ijnurstu.2019.03.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Aluwihare-Samaranayake D, Gellatly I, Cummings G, Ogilvie EL. A contextual work-life experiences model to understand nurse commitment and turnover. J Adv Nurs 2018; 74:2053-2063. [PMID: 29772599 DOI: 10.1111/jan.13718] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/09/2018] [Indexed: 11/29/2022]
Abstract
AIMS The aim of this study was to present a discussion and model depicting most effecting work-life experience contextual factors that influence commitment and turnover intentions for nurses in Sri Lanka. BACKGROUND Increasing demand for nurses has made the retention of experienced, qualified nursing staff a priority for healthcare organizations and highlights the need to capture contextual work-life experiences that influence nurses' turnover decisions. DESIGN Discussion paper. DATA SOURCES This discussion paper and model is based on our experiences and knowledge of Sri Lanka and represents an integration of classic turnover research and commitment theory and others published between 1958 - 2017, contextualized to reflect the reality faced by Sri Lanka nurses. IMPLICATIONS FOR NURSING The model presents a high-level view of intrinsic, extrinsic, personal and professional antecedents to nurse turnover where relevance can be used by researchers, policy makers, clinicians and educators to establish focused and limited scope models and examine comprehensive contexts. CONCLUSION This model emphasizes the role that work-life experiences play to fortify (or weaken) nurses' motivation to remain committed to their organization, profession, family, and country. Understanding of contextual work-life influences on nurses' intent to stay should lead to evidence-based strategies that result in a higher number of nurses wanting to remain in the nursing profession and work in the health sector in Sri Lanka.
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Affiliation(s)
| | - Ian Gellatly
- Strategic Management and Organization, University of Alberta, Edmonton, AB, Canada
| | - Greta Cummings
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
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Cometto G, Campbell J. Investing in human resources for health: beyond health outcomes. HUMAN RESOURCES FOR HEALTH 2016; 14:51. [PMID: 27526943 PMCID: PMC4986336 DOI: 10.1186/s12960-016-0147-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/18/2016] [Accepted: 08/01/2016] [Indexed: 05/21/2023]
Affiliation(s)
- Giorgio Cometto
- Health Workforce, World Health Organization, Avenue Appia 20, CH-1211 Geneva 27, Switzerland
| | - James Campbell
- Health Workforce, World Health Organization, Avenue Appia 20, CH-1211 Geneva 27, Switzerland
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