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Managed migration: the Caribbean approach to addressing nursing services capacity
Marla E Salmon1, Jean Yan, Hermi Hewitt
1Lillian Carter Center for International Nursing, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Health Services Research
|May 11, 2007
Summary
The Caribbean faces a severe nursing shortage crisis, with a 42% vacancy rate. The Managed Migration Program offers a strategic framework to address this critical issue and ensure an adequate nursing workforce for the region.
Area of Science:
- Health Policy
- Nursing Workforce Development
- International Migration
Background:
- The Caribbean nursing workforce is experiencing a significant crisis, marked by an average vacancy rate of 42%.
- Key factors contributing to nurse attrition include low remuneration, limited career advancement, and inadequate educational opportunities.
- A substantial number of nurses seek employment opportunities outside the region, exacerbating the existing shortages.
Purpose of the Study:
- To analyze the forces impacting the nursing workforce in the Caribbean.
- To examine country-specific nursing workforce challenges within the region.
- To evaluate the Managed Migration Program as a framework for addressing nurse migration.
Main Methods:
- Contextual analysis of the Caribbean region's nursing workforce dynamics.
- Discussion of country-specific case studies within the Caribbean.
- Description and assessment of the Managed Migration Program's strategies.
Main Results:
- The Caribbean nursing workforce faces a critical shortage, with 42% of positions vacant.
- Nurses are leaving the region due to low pay, poor career prospects, and lack of educational opportunities.
- The Managed Migration Program is a multilateral strategy designed to ensure an adequate regional nurse supply.
Conclusions:
- The Managed Migration Program has advanced regional efforts to combat nursing shortages through initiatives like 'training for export' and temporary migration.
- Recommendations for program enhancement include increased advocacy and integration into regional health policies and programming.
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