Nurse migration and its implications for Philippine hospitals
Nurse migration and its implications for Philippine hospitals
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DOI：
10.1111/j.1466-7657.2007.00567.x
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发表时间：
2007-09-01
影响因子：
4.1
通讯作者：
Huang, B.
中科院分区：
文献类型：
--
作者：
Perrin, M. E.;Hagopian, A.;Huang, B.
背景资料：“推”和“拉”因素促使菲律宾注册护士（RNs）离开国外就业，使菲律宾成为海外护士的主要来源国。目的：评估菲律宾医院目前的RN人员配备情况。设计：一个自我管理的调查邮寄给200名菲律宾医院护士长的样本。结果如下：受访者表示，他们医院的大部分注册护士（73%）年龄在40岁及以下，女性（85%）;政府医院注册护士的工资高于私立医院注册护士;平均而言，政府医院的注册护士空缺率和更替率低于私立医院。所有受访者都表示，招聘工作经验不足12个月的注册护士没有困难。然而，与政府医院相比，私家医院招聘较有经验的注册护士较为困难或非常困难。较高的薪金、较好的福利和良好的职业机会被确定为征聘和留用的最有效的奖励办法。结论：政府医院的注册护士人员配置比私立医院更有利，如就业期限，空缺率，更替率以及招聘和留住更有经验的注册护士的能力。平均而言，受访者报告超过一半（59%）的RN总营业额是护士移民海外的结果。
Background: 'Push'and'pull' factors motivate Filipino registered nurses (RNs) to leave for employment in foreign countries making the Philippines the leading source country for nurses overseas. Objective: To assess the current RN-staffing situation in Philippine hospitals. Design: A self-administered survey was mailed to a sample of 200 Philippine hospital chiefs of nurses. Results: According to respondents, the majority of RNs in their hospitals (73%) were aged 40 years and younger and female (85%); government hospital RNs earned higher wages than private hospital RNs; and on average, RN vacancy rates and RN turnover rates were lower in government hospitals than private hospitals. All respondents reported no difficulty recruiting RNs with less than 12 months of work experience. However, recruitment of more experienced RNs was somewhat or very difficult for private hospitals compared with government hospitals. Higher salaries, better benefits and good career opportunities were identified as most effective incentives for both recruitment and retention. Conclusions: RN staffing in government hospitals is more favourable than in private hospitals as measured by employment tenure, vacancy rates, turnover rates and ability to recruit and retain more experienced RNs. On average, respondents reported over half (59%) of total RN turnover was the result of nurse migration overseas.