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Nirju Ranjit - One of the best experts on this subject based on the ideXlab platform.
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medical and nursing students intentions to Work Abroad or in rural areas an eight country cross sectional survey in asia and africa
Annals of global health, 2015Co-Authors: D Silvestri, Meridith Blevins, Arfan R Afzal, Ben Andrews, Miliard Derbew, Simran Kaur, Mwapatsa Mipando, Charles A Mkony, Philip Mwachaka, Nirju RanjitAbstract:graduates to Work in the public sector following graduation. The program currently has a 97% success rate retaining nurses through their service agreement. The objective of this study was to identify job satisfaction and retention factors of scholarship recipients after graduation to evaluate the program, inform stakeholders, and advise future projects. Methods: This was a mixed methods study consisting of qualitative interviews and quantitative surveys that evaluated job satisfaction, factors associated with retention and impact of the GAIA Nursing Scholarship Program. Participants included male and female graduated GAIA scholarship recipients Working in the public sector across Malawi, with a representative convenience sample interviewed in person based on employer location. The survey was asked of all program graduates and completed by one-third of this population. We used thematic analysisto analyze qualitative interviews for themes on drivers of public sector retention. Kruskal-Wallis, Pearson correlation and chi-squared tests were used to analyze survey data. Participants signed an informed consent and the study was approved by the Committee on Human Research at the University of California, San Francisco (UCSF) and the College of Medicine Research and Ethics Committee in Malawi. Findings: The study included 30 qualitative interview participants and 56 quantitative survey respondents. The majority of participants indicated they would like to stay in the public sector. Most cited unavailability of supplies, inadequate human resources and high Workload as major challenges to their Work. Those that indicated poor Working relationships with management or coWorkers were more likely to consider changing jobs. Low salaries, high Workload, poor accommodations provided by public sector Workplaces and a lack of appreciation were indicated as reasons nurses choose to leave the public sector. Participants felt supported by GAIA staff and expressed a desire to serve their communities by Working in government supported health facilities. Interpretation: There are non-remuneration strategies that low-income countries like Malawi can employ to retain nurses in the public sector. Adequate provision of human and material resources and proper accommodations can greatly improve job satisfaction and retention. Programs such as the GAIA scholarship program may also help increase retention by creating loyalty through careful follow up monitoring. Funding: GAIA, USAID, and UCSF, Department of Global Health Sciences. Abstract #: 01ETC085
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medical and nursing students intentions to Work Abroad or in rural areas a cross sectional survey in asia and africa
Bulletin of The World Health Organization, 2014Co-Authors: David M Silvestri, Meridith Blevins, Arfan R Afzal, Ben Andrews, Miliard Derbew, Simran Kaur, Mwapatsa Mipando, Charles A Mkony, Philip Mwachaka, Nirju RanjitAbstract:Objective To assess medical and nursing students’ intentions to migrate Abroad or practice in rural areas. Methods We surveyed 3199 first- and final-year medical and nursing students at 16 premier government institutions in Bangladesh, Ethiopia, India, Kenya, Malawi, Nepal, the United Republic of Tanzania and Zambia. The survey contained questions to identify factors that could predict students’ intentions to migrate. Primary outcomes were the likelihoods of migrating to Work Abroad or Working in rural areas in the country of training within five years post-training. We assessed predictors of migration intentions using multivariable proportional odds models. Findings Among respondents, 28% (870/3156) expected to migrate Abroad, while only 18% (575/3158) anticipated a rural career. More nursing than medical students desired professions Abroad (odds ratio, OR: 1.76; 95% confidence interval, CI: 1.25–2.48). Career desires before matriculation correlated with current intentions for international (OR: 4.49; 95% CI: 3.21–6.29) and rural (OR: 4.84; 95% CI: 3.52–6.66) careers. Time spent in rural areas before matriculation predicted the preference for a rural career (20 versus 0 years: OR: 1.53, 95% CI: 1.19–1.98) and against Work Abroad (20 versus 0 years: OR: 0.69, 95% CI: 0.50–0.96). Conclusion A significant proportion of students surveyed still intend to Work Abroad or in cities after training. These intentions could be identified even before matriculation. Admissions standards that account for years spent in rural areas could promote greater graduate retention in the country of training and in rural areas.
Uros Babic - One of the best experts on this subject based on the ideXlab platform.
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determinants of intention to Work Abroad of college and specialist nursing graduates in serbia
Nurse Education Today, 2015Co-Authors: Milena Santricmilicevic, Bojana Matejic, Z Terzicsupic, Vladimir Vasic, Uros Babic, V VukovicAbstract:Summary Background In a country with a poor economy and limited job opportunities, the outmigration of students is not commonly perceived as a problem but rather is perceived as a solution to the high unemployment facing young health professionals. Objectives Study objectives were to identify the prevalence of intention to Work Abroad of nursing graduates to point to the predictors of intention to Work Abroad and predictors of having a firm plan to Work in a foreign country. Design Descriptive study, a survey. Settings College and specialist nursing schools, Serbia. Participants 719 nursing graduates from the 2012/2013 school year. Methods Voluntarily completed a questionnaire that was designed with regard to similar surveys administered in EU-candidate countries during the pre-accession period. Data were analysed with descriptive and multivariate regression analyses. Results Almost 70% (501) of respondents indicated an intention to Work Abroad. Of the nurses, 13% already had established a firm plan to Work Abroad. Single graduates and those with a friend or relative living Abroad were more likely to consider Working Abroad than were their counterparts (odds ratios were 2.3 and 1.7, respectively). The likelihood of considering Working Abroad decreased by 29% when the individuals' financial situation was improved. Factors associated with having a firm plan were previous professional experience in a foreign country, having someone Abroad and financial improvement (5.4 times, 4.8 times and 2 times greater likelihood, respectively). Conclusions The high prevalence of intention to Work Abroad suggests the need to place the issue of the out-migration of nursing graduates on the policy agenda. College and specialty nursing graduates and health technicians are prepared to Work Abroad in search of a better quality of life, better Working conditions and higher salaries.
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nursing students intention to Work Abroad a public health policy issue in serbia
European Journal of Public Health, 2014Co-Authors: Milena Santricmilicevic, Bojana Matejic, Vladimir Vasic, Zorica Terzic, Uros BabicAbstract:Out-migration of nurses from less developed countries continues to exacerbate. In a country with poor economy and limited job opportunities students’ out-migration is not commonly understood as a problem rather is perceived as a solution for high unemployment of young health professionals. Attainment of a health care system intermediate objectives and goals may be challenged by lasting nurse shortages and inequity in distribution of nursing care. Study objectives were to identify the prevalence of intention to Work Abroad, to point to the predictors of …
Milena Santricmilicevic - One of the best experts on this subject based on the ideXlab platform.
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determinants of intention to Work Abroad of college and specialist nursing graduates in serbia
Nurse Education Today, 2015Co-Authors: Milena Santricmilicevic, Bojana Matejic, Z Terzicsupic, Vladimir Vasic, Uros Babic, V VukovicAbstract:Summary Background In a country with a poor economy and limited job opportunities, the outmigration of students is not commonly perceived as a problem but rather is perceived as a solution to the high unemployment facing young health professionals. Objectives Study objectives were to identify the prevalence of intention to Work Abroad of nursing graduates to point to the predictors of intention to Work Abroad and predictors of having a firm plan to Work in a foreign country. Design Descriptive study, a survey. Settings College and specialist nursing schools, Serbia. Participants 719 nursing graduates from the 2012/2013 school year. Methods Voluntarily completed a questionnaire that was designed with regard to similar surveys administered in EU-candidate countries during the pre-accession period. Data were analysed with descriptive and multivariate regression analyses. Results Almost 70% (501) of respondents indicated an intention to Work Abroad. Of the nurses, 13% already had established a firm plan to Work Abroad. Single graduates and those with a friend or relative living Abroad were more likely to consider Working Abroad than were their counterparts (odds ratios were 2.3 and 1.7, respectively). The likelihood of considering Working Abroad decreased by 29% when the individuals' financial situation was improved. Factors associated with having a firm plan were previous professional experience in a foreign country, having someone Abroad and financial improvement (5.4 times, 4.8 times and 2 times greater likelihood, respectively). Conclusions The high prevalence of intention to Work Abroad suggests the need to place the issue of the out-migration of nursing graduates on the policy agenda. College and specialty nursing graduates and health technicians are prepared to Work Abroad in search of a better quality of life, better Working conditions and higher salaries.
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nursing students intention to Work Abroad a public health policy issue in serbia
European Journal of Public Health, 2014Co-Authors: Milena Santricmilicevic, Bojana Matejic, Vladimir Vasic, Zorica Terzic, Uros BabicAbstract:Out-migration of nurses from less developed countries continues to exacerbate. In a country with poor economy and limited job opportunities students’ out-migration is not commonly understood as a problem rather is perceived as a solution for high unemployment of young health professionals. Attainment of a health care system intermediate objectives and goals may be challenged by lasting nurse shortages and inequity in distribution of nursing care. Study objectives were to identify the prevalence of intention to Work Abroad, to point to the predictors of …
Natasa Milic - One of the best experts on this subject based on the ideXlab platform.
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the relationship between dual practice intention to Work Abroad and job satisfaction a population based study in the serbian public healthcare sector
Health Policy, 2018Co-Authors: Marijana Gacevic, Milena Santric M Milicevic, Milena Vasic, Vesna Horozovic, Marko Milicevic, Natasa MilicAbstract:Abstract Increasing dual practice and emigration of health Workers threatens the effectiveness of the healthcare system. Insufficient information exists about these phenomena in the transitional countries of South-East Europe. Serbia, a European Union candidate, permits dual practice and there is a high intention to Work Abroad among its prospective healthcare professionals. A population-based, cross-sectional study was conducted to determine the prevalence and predictors of job satisfaction, dual practice, and intention to Work Abroad of all Workers in the Serbian public healthcare sector (73,940 employees, a response rate of 83.8%). This study observed that 22.6% of the respondents were dissatisfied with their jobs, 11.7% reported dual practice, and 14.3% had an intention to Work Abroad. Physicians and nurses younger than 55 years of age employed in a tertiary healthcare institution, and males were more likely to be dissatisfied than other Workers. Poor management and Working conditions increased job dissatisfaction, with a subsequent increased odds for dual practice and intention to Work Abroad by 1.5 and 3.6 times, respectively. The national and institutional frameWork for health Workforce policy and management must be powerful and efficient when taking advantage of the positive effects and managing the negative aspects of dual practice and the intention to Work Abroad.
David M Silvestri - One of the best experts on this subject based on the ideXlab platform.
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medical and nursing students intentions to Work Abroad or in rural areas a cross sectional survey in asia and africa
Bulletin of The World Health Organization, 2014Co-Authors: David M Silvestri, Meridith Blevins, Arfan R Afzal, Ben Andrews, Miliard Derbew, Simran Kaur, Mwapatsa Mipando, Charles A Mkony, Philip Mwachaka, Nirju RanjitAbstract:Objective To assess medical and nursing students’ intentions to migrate Abroad or practice in rural areas. Methods We surveyed 3199 first- and final-year medical and nursing students at 16 premier government institutions in Bangladesh, Ethiopia, India, Kenya, Malawi, Nepal, the United Republic of Tanzania and Zambia. The survey contained questions to identify factors that could predict students’ intentions to migrate. Primary outcomes were the likelihoods of migrating to Work Abroad or Working in rural areas in the country of training within five years post-training. We assessed predictors of migration intentions using multivariable proportional odds models. Findings Among respondents, 28% (870/3156) expected to migrate Abroad, while only 18% (575/3158) anticipated a rural career. More nursing than medical students desired professions Abroad (odds ratio, OR: 1.76; 95% confidence interval, CI: 1.25–2.48). Career desires before matriculation correlated with current intentions for international (OR: 4.49; 95% CI: 3.21–6.29) and rural (OR: 4.84; 95% CI: 3.52–6.66) careers. Time spent in rural areas before matriculation predicted the preference for a rural career (20 versus 0 years: OR: 1.53, 95% CI: 1.19–1.98) and against Work Abroad (20 versus 0 years: OR: 0.69, 95% CI: 0.50–0.96). Conclusion A significant proportion of students surveyed still intend to Work Abroad or in cities after training. These intentions could be identified even before matriculation. Admissions standards that account for years spent in rural areas could promote greater graduate retention in the country of training and in rural areas.
