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