wow-inequalities/02-data/intermediate/wos_sample/04b4065e0ed385d57f1a0dc47e5e3bf1-edwards-rebecca-l./info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background Provision of palliative care to individuals with late-stage
serious illnesses is critical to reduce suffering. Palliative care is
slowly gaining momentum in Jamaica but requires a highly skilled
workforce, including nurses. Out-migration of nurses to wealthier
countries negatively impacts the delivery of health care services and
may impede palliative care capacity-building. This critical review aimed
to explore the evidence pertaining to the nurse migration effect on the
integration of palliative care services in Jamaica and to formulate
hypotheses about potential mitigating strategies. Methods A
comprehensive search in the PubMed, CINAHL, and ProQuest PAIS databases
aimed to identify articles pertinent to nurse migration in the Caribbean
context. Grant and Booth''s methodologic framework for critical reviews
was used to evaluate the literature. This methodology uses a narrative,
chronologic synthesis and was guided by the World Health Organization
(WHO) Public Health Model and the Model of Sustainability in Global
Nursing. Results Data from 14 articles were extracted and mapped. Poorer
patient outcomes were in part attributed to the out-migration of the
most skilled nurses. `Push-factors'' such as aggressive recruitment by
wealthier countries, lack of continuing educational opportunities,
disparate wages, and a lack of professional autonomy and respect were
clear contributors. Gender inequalities negatively impacted females and
children left behind. Poor working conditions were not necessarily a
primary reason for nurse migration. Four main themes were identified
across articles: (a) globalization creating opportunities for migration,
(b) recruitment of skilled professionals from CARICOM by high income
countries, (c) imbalance and inequities resulting from migration, and
(d) mitigation strategies. Thirteen articles suggested education,
partnerships, policy, and incentives as mitigation strategies. Those
strategies directly align with the WHO Public Health Model drivers to
palliative care integration. Conclusion Emerged evidence supports that
nurse migration is an ongoing phenomenon that strains health systems in
Caribbean Community and Common Market (CARICOM) countries, with Jamaica
being deeply impacted. This critical review demonstrates the importance
of strategically addressing nurse migration as part of palliative care
integration efforts in Jamaica. Future studies should include targeted
migration mitigation interventions and should be guided by the three
working hypotheses derived from this review.'
affiliation: 'Edwards, RL (Corresponding Author), Univ Alabama Birmingham, Sch Nursing,
Dept Acute Chron \& Continuing Care, 1720 2nd Ave South, Birmingham, AL 35294 USA.
Edwards, Rebecca L., Univ Alabama Birmingham, Sch Nursing, Dept Acute Chron \& Continuing
Care, 1720 2nd Ave South, Birmingham, AL 35294 USA.
Patrician, Patricia A., Univ Alabama Birmingham, Sch Nursing, Family Community \&
Hlth Syst Dept, 1720 2nd Ave South, Birmingham, AL 35294 USA.
Bakitas, Marie, Univ Alabama Birmingham, Sch Nursing, Ctr Palliat \& Support Care,
1720 2nd Ave South, Birmingham, AL 35294 USA.
Markaki, Adelais, Univ Alabama Birmingham, Sch Nursing, PAHO WHOCC Int Nursing Family
Community \& Hlth Sy, 1720 2nd Ave South, Birmingham, AL 35294 USA.'
article-number: '155'
author: Edwards, Rebecca L. and Patrician, Patricia A. and Bakitas, Marie and Markaki,
Adelais
author-email: rledwards@uab.edu
author_list:
- family: Edwards
given: Rebecca L.
- family: Patrician
given: Patricia A.
- family: Bakitas
given: Marie
- family: Markaki
given: Adelais
da: '2023-09-28'
doi: 10.1186/s12904-021-00863-7
files: []
issn: 1472-684X
journal: BMC PALLIATIVE CARE
keywords: 'Palliative care; Integration; Nurse migration; Jamaica; CARICOM;
Caribbean; Critical review'
keywords-plus: CANCER CARE; GUIDELINES; INCOME; PAIN
language: English
month: OCT 13
number: '1'
number-of-cited-references: '68'
orcid-numbers: 'Edwards, Rebecca Lynn/0000-0002-1468-6790
Markaki, Adelais/0000-0002-2038-3139
Patrician, Patricia/0000-0002-9608-1866
Bakitas, Marie/0000-0002-2913-2053'
papis_id: 3df4941b0168e584f4aafcba0ab65022
ref: Edwards2021palliativecare
researcherid-numbers: 'Edwards, Rebecca Lynn/HTN-7649-2023
Markaki, Adelais/N-7747-2017
'
tags:
- review
times-cited: '3'
title: 'Palliative care integration: a critical review of nurse migration effect in
Jamaica'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000706736400001
usage-count-last-180-days: '1'
usage-count-since-2013: '3'
volume: '20'
web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
year: '2021'