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Nurses' Cross-Border Work Intentions Driven by Psychological Empowerment: A Cross-Sectional Study.

Ruoxuan Zhang1, Xin Wang1, Angela Y M Leung2

  • 1Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao, China, mpu.edu.mo.

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Summary

Psychological empowerment influences nurses' cross-border work intentions. Tailored strategies for different empowerment profiles are needed to balance workforce mobility and stability.

Keywords:
clinical nursescross-border work intentionlatent profile analysispsychological empowerment

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Area of Science:

  • Nursing Workforce Mobility
  • Psychological Empowerment
  • Cross-Border Healthcare

Background:

  • Globalization necessitates understanding factors influencing international nurse migration.
  • Psychological empowerment is a key intrinsic factor in nurses' decisions to work abroad.

Purpose of the Study:

  • Identify distinct psychological empowerment profiles among nurses.
  • Examine factors associated with these profiles.
  • Analyze the relationship between empowerment profiles and intention for cross-border nursing work.

Main Methods:

  • Cross-sectional multicenter study with 3671 nurses in Guangdong Province.
  • Latent profile analysis (LPA) to identify empowerment profiles.
  • Questionnaires assessed sociodemographics, psychological empowerment, and cross-border work intention.

Main Results:

  • Three empowerment profiles identified: core-driven (16.94%), adaptive (70.42%), and constrained (12.64%).
  • Nurses in the constrained profile often had lower salaries and intermediate titles.
  • Higher psychological empowerment correlated with increased cross-border work intention, with the core-driven profile showing the highest intention (50.6%).

Conclusions:

  • Psychological empowerment positively impacts nurses' cross-border work intentions.
  • Divergent motivational priorities exist across empowerment profiles, influencing mobility decisions.
  • Subgroup-specific strategies are essential for managing nursing workforce mobility and stability.