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Exploring migration intention of nursing students in Nepal: A mixed-methods study
Chandra Poudel1, Lucie Ramjan2, Bronwyn Everett2
1Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia.
Most nursing students in Nepal intend to migrate abroad for further study due to low salaries and poor working conditions. Addressing these issues domestically could improve nurse retention in Nepal.
Area of Science:
- Nursing Education
- International Migration
- Healthcare Workforce Studies
Background:
- High rates of nurse migration from developing countries pose challenges to healthcare systems.
- Understanding the drivers of migration intention among nursing students is crucial for workforce planning.
Purpose of the Study:
- To assess the migration intention of pre-registration nursing students in Nepal.
- To identify factors influencing their intention to migrate for professional reasons.
Main Methods:
- Embedded mixed methods design combining quantitative surveys and qualitative interviews.
- Survey administered to 799 nursing students; 12 students participated in face-to-face interviews.
Main Results:
- 92.5% of students expressed intention to migrate, primarily for further study abroad.
- Lower professional identity and nursing not being a first-choice career were linked to migration intention.
- Key push factors included low salaries, unemployment, poor working conditions, and lack of postgraduate opportunities in Nepal.
Conclusions:
- Interventions to enhance postgraduate education and professional autonomy in Nepal are recommended.
- Promoting a positive image of the nursing profession and improving undergraduate learning environments may reduce nurse migration.
- Addressing domestic factors is essential to retain nursing talent within Nepal.
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