Turnover among foreign nurses in Saudi Arabia

Background: Globally, nursing turnover has become a contemporary concern that significantly influences the financial proficiency of healthcare systems. Not only costs, but healthcare accessibility and quality also reverberate the consequence of the phenomenon.Design and methods: The study explores the factors that attribute to turnover among foreign registered nurses working in Saudi Arabia. A quantitative-based cross-sectional descriptive study design that uses survey data to make statistical inferences about foreign nurse turnover in Saudi Arabia, was conducted to ascertain factors influencing the termination of foreign nurses working with the Ministry of Health (MOH) hospitals.Results: Factors influencing turnover were categorized into 9 dimensions, professional growth and development, leadership style, management, wage and benefits, workload, interpersonal relationship, housing facilities and services, hospital facilities and intent to stay and turn-over intention, of which the professional growth (4.1±0.7) and development had the highest mean agreement scores (4.0±1.1), whereas housing (2.3±1.3) and hospital facilities (2.1±1.0) showed the lowest mean scores. Conclusions: Wage benefits and workload factors were found to be the most significant causes of expatriate nursing turnover, closely followed by inadequate housing and hospital facilities. Recommendations from nursing staff on how to improve retention were also noted.

Factors associated with the recruitment of foreign nurses in Japan: A nationwide survey of hospitals

Background: Nurse migration under bilateral agreements is a recent global trend; though lack of consultation with health industries has led to challenges in the recruitment of foreign nurses by hospitals. To analyze the prevailing opinion of hospitals on the Economic Partnership Agreement (EPA), under which Japan officially recruits foreign nurses, we surveyed the hospitals that are yet to employ foreign nurses.Method: An anonymous questionnaire was developed and distributed to eligible hospitals; it requested the managers’ opinions on Japan’s policy on recruitment of foreign nurses and their intentions to hire foreign nurses. We randomly selected 1,879 hospitals, or 22% of the hospitals in Japan (n = 8,540) with more than 20 beds. We used descriptive statistics, a Chi-square test, and a logistic regression analysis to identify the predictors and developed a model to predict the likelihood of their intention to recruit foreign nurses in the future.Results: In total, 432 hospitals were eligible for further analysis (response rate: 22.9%). Half (50%) of the hospital managers were very/quite interested in Japan’s policy on recruiting foreign nurses, though only 20% intended to recruit under the EPA in the future. The likelihood of foreign nurse recruitment under the partnership agreement was associated with the degree of interest in the policy (OR 9.38; 95% CI 4.42–19.90) and managers’ perception of foreign nurses (OR 5.32, 95% CI 2.38–11.89).Conclusion: To attract more hospitals by reviewing the EPA policy, scrutinizing the needs of hospitals is key. EPA has challenges in accommodating the requests from the hospitals that urgently need foreign nurses, so it may render the new business model which effectively yields the eligible nurses from abroad. To review the EPA, it is essential to reflect upon the opinions of the medical institutions, including those who have yet to employ foreign nurses.

Cultural Impact on the Intention to Use Nursing Information Systems of Nurses in Taiwan and China: Survey and Analysis

Background Nursing workforce shortage has emerged as a global problem. Foreign nurse importation is a popular strategy to address the shortage. The interactions between nursing staff on either side of the Taiwan Strait continue to increase. Since both nurses in Taiwan and nurses in China have adopted nursing information systems to improve health care processes and quality, it is necessary to investigate factors influencing nursing information system usage in nursing practice. Objective This study examined the effects of cultural and other related factors on nurses’ intentions to use nursing information systems. The findings were expected to serve as an empirical base for further benchmarking and management of cross-strait nurses. Methods This survey was conducted in two case hospitals (one in Taiwan and one in China). A total of 880 questionnaires were distributed (n=440 in each hospital). Results The results showed effort expectancy had a significant effect on the intention to use nursing information systems of nurses in China (P=.003) but not nurses in Taiwan (P=.16). Conclusions Findings suggest nursing managers should adopt different strategies to motivate cross-strait nurses to use nursing information systems. Promoting effort expectancy is more likely to motivate nurses in China than in Taiwan. This discrepancy is probably due to the less hierarchical and more feminine society in Taiwan.

Factors Associated With the Recruitment of Foreign Nurses in Japan: A Nationwide Survey of Hospitals

Background: Recruiting foreign nurses is now a global concernto combatnursing shortages.Japan has officially opened its labor market to foreign nurses, through aneconomic partnership agreement with three other Asian countries. However, fewhospitalsemploy foreign nurses. Weinvestigatedthe waysto expand the number of hospitals employing foreign nurses in Japan by exploring the perceptions of hospital managerswho have notpreviously employedforeign nurses.Method:An anonymous questionnairewas developed and distributed to hospitalsthat had not previously employed foreign nurses;itrequestedthe staff’s opinions on Japan’s policy on recruitment of foreign nurses and their intentions to hire foreign nurses. We randomly selected 1,879 hospitals, or 22% of the hospitals in Japan (n=8,540) with more than 20 beds.We used descriptive statistics, a Chi-square test, and a logistic regression analysis to identify the predictors and developed a model to predict the likelihood of their intention to recruit foreign nurses in the future.Results: In total, 432hospitalswere eligible for further analysis (response rate:22.9%).Half (50%) of the hospital managerswere very/quiteinterested in Japan’s policy on recruiting foreign nurses, though only 20% intended to recruit under the economic partnership agreement in the future. The likelihood of foreign nurse recruitment under the partnership agreement was associated with the degree of interest in the policy (OR 9.38;95%CI 4.42–19.90) and managers’ perception of foreign nurses (OR 5.32, 95% CI 2.38–11.89).Conclusion:The strongest factor associated with the intention to recruit foreign nurses byhospitals thathadnot previously employed themwas the degree of interest in the government’s economic partnership agreement, followed by managers’ perceptionof foreign nurses, measured by “image score”. Foreign nurses contribute to the workplace byworking together inmulticultural teams;therefore,the Japanese government shouldfosterinitiatives to raise interest among Japanese hospitalstorecruit foreign nursesand improve perceptions among hospital staff.

Cultural Impact on the Intention to Use Nursing Information Systems of Nurses in Taiwan and China: Survey and Analysis (Preprint)

BACKGROUND Nursing workforce shortage has emerged as a global problem. Foreign nurse importation is a popular strategy to address the shortage. The interactions between nursing staff on either side of the Taiwan Strait continue to increase. Since both nurses in Taiwan and nurses in China have adopted nursing information systems to improve health care processes and quality, it is necessary to investigate factors influencing nursing information system usage in nursing practice. OBJECTIVE This study examined the effects of cultural and other related factors on nurses’ intentions to use nursing information systems. The findings were expected to serve as an empirical base for further benchmarking and management of cross-strait nurses. METHODS This survey was conducted in two case hospitals (one in Taiwan and one in China). A total of 880 questionnaires were distributed (n=440 in each hospital). RESULTS The results showed effort expectancy had a significant effect on the intention to use nursing information systems of nurses in China (<i>P</i>=.003) but not nurses in Taiwan (<i>P</i>=.16). CONCLUSIONS Findings suggest nursing managers should adopt different strategies to motivate cross-strait nurses to use nursing information systems. Promoting effort expectancy is more likely to motivate nurses in China than in Taiwan. This discrepancy is probably due to the less hierarchical and more feminine society in Taiwan.