Address correspondence to Victoria Guisinger, M.P.H., M.B.A., Associate Director of Programs, Lillian Carter Center for International Nursing, 1520 Clifton Road, NE, Atlanta, GA 30322-4027. Marla E. Salmon, Sc.D., R.N., FAAN, Dean of the Nell Hodgson Woodruff School of Nursing, Director of the Lillian Carter Center for International Nursing, is with Emory University, Atlanta, GA. Jean Yan, Ph.D., Chief Scientist Nursing and Midwifery, EIP/HRH, is with the World Health Organization, Geneva, Switzerland. Hermi Hewitt, O.D., Ph.D., M.P.H., B.Sc.N., R.M., R.N., Head and Senior Lecturer, is with the UWI School of Nursing, Kingston, Jamaica, West Indies.
Managed Migration: The Caribbean Approach to Addressing Nursing Services Capacity
Article first published online: 20 MAR 2007
Health Services Research
Volume 42, Issue 3p2, pages 1354–1372, June 2007
How to Cite
Salmon, M. E., Yan, J., Hewitt, H. and Guisinger, V. (2007), Managed Migration: The Caribbean Approach to Addressing Nursing Services Capacity. Health Services Research, 42: 1354–1372. doi: 10.1111/j.1475-6773.2007.00708.x
- Issue published online: 20 MAR 2007
- Article first published online: 20 MAR 2007
Objective. To (1) provide a contextual analysis of the Caribbean region with respect to forces shaping the current and emerging nursing workforce picture in the region; (2) discuss country-specific case(s) within the Caribbean; and (3) describe the Managed Migration Program as a potential framework for addressing regional and global nurse migration issues.
Principal Findings. The Caribbean is in the midst of a crisis of shortages of nurses with an average vacancy rate of 42 percent. Low pay, poor career prospects, and lack of education opportunities are among the reasons nurses resign. Many of these nurses look outside the region for job opportunities in the United Kingdom, Canada, the United States, and other countries. Compounding the situation is the lack of resources to train nurses to fill the vacancies. The Managed Migration Program of the Caribbean is a multilateral, cross-sector, multi-interventional, long-term strategy for developing and maintaining an adequate supply of nurses for the region.
Conclusions. The Managed Migration Program of the Caribbean has made progress in establishing regional support for addressing the nursing shortage crisis and developing a number of interesting initiatives such as training for export and temporary migration. Recommendations to move the Managed Migration Program of the Caribbean forward focus on advocacy, integration of the program into regional policy decisions, and integration of the program with regional health programming.