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'
|
