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<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en">Managed Migration: The Caribbean Approach to Addressing Nursing Services Capacity</title>
<author>
<name sortKey="Salmon, Marla E" sort="Salmon, Marla E" uniqKey="Salmon M" first="Marla E" last="Salmon">Marla E. Salmon</name>
</author>
<author>
<name sortKey="Yan, Jean" sort="Yan, Jean" uniqKey="Yan J" first="Jean" last="Yan">Jean Yan</name>
</author>
<author>
<name sortKey="Hewitt, Hermi" sort="Hewitt, Hermi" uniqKey="Hewitt H" first="Hermi" last="Hewitt">Hermi Hewitt</name>
</author>
<author>
<name sortKey="Guisinger, Victoria" sort="Guisinger, Victoria" uniqKey="Guisinger V" first="Victoria" last="Guisinger">Victoria Guisinger</name>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">17489919</idno>
<idno type="pmc">1955379</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1955379</idno>
<idno type="RBID">PMC:1955379</idno>
<idno type="doi">10.1111/j.1475-6773.2007.00708.x</idno>
<date when="2007">2007</date>
<idno type="wicri:Area/Pmc/Corpus">001682</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001682</idno>
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<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a" type="main">Managed Migration: The Caribbean Approach to Addressing Nursing Services Capacity</title>
<author>
<name sortKey="Salmon, Marla E" sort="Salmon, Marla E" uniqKey="Salmon M" first="Marla E" last="Salmon">Marla E. Salmon</name>
</author>
<author>
<name sortKey="Yan, Jean" sort="Yan, Jean" uniqKey="Yan J" first="Jean" last="Yan">Jean Yan</name>
</author>
<author>
<name sortKey="Hewitt, Hermi" sort="Hewitt, Hermi" uniqKey="Hewitt H" first="Hermi" last="Hewitt">Hermi Hewitt</name>
</author>
<author>
<name sortKey="Guisinger, Victoria" sort="Guisinger, Victoria" uniqKey="Guisinger V" first="Victoria" last="Guisinger">Victoria Guisinger</name>
</author>
</analytic>
<series>
<title level="j">Health Services Research</title>
<idno type="ISSN">0017-9124</idno>
<imprint>
<date when="2007">2007</date>
</imprint>
</series>
</biblStruct>
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</fileDesc>
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<textClass></textClass>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Objective</title>
<p>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.</p>
</sec>
<sec>
<title>Principal Findings</title>
<p>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.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>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.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Health Serv Res</journal-id>
<journal-id journal-id-type="publisher-id">hesr</journal-id>
<journal-title>Health Services Research</journal-title>
<issn pub-type="ppub">0017-9124</issn>
<publisher>
<publisher-name>Blackwell Science Inc</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">17489919</article-id>
<article-id pub-id-type="pmc">1955379</article-id>
<article-id pub-id-type="doi">10.1111/j.1475-6773.2007.00708.x</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Managed Migration: The Caribbean Approach to Addressing Nursing Services Capacity</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Salmon</surname>
<given-names>Marla E</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yan</surname>
<given-names>Jean</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hewitt</surname>
<given-names>Hermi</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Guisinger</surname>
<given-names>Victoria</given-names>
</name>
</contrib>
</contrib-group>
<author-notes>
<corresp id="cor1">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.</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>6</month>
<year>2007</year>
</pub-date>
<volume>42</volume>
<issue>3 Pt 2</issue>
<fpage>1354</fpage>
<lpage>1372</lpage>
<copyright-statement>© Health Research and Educational Trust</copyright-statement>
<copyright-year>2007</copyright-year>
<abstract>
<sec>
<title>Objective</title>
<p>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.</p>
</sec>
<sec>
<title>Principal Findings</title>
<p>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.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>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.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Nursing</kwd>
<kwd>workforce</kwd>
<kwd>migration</kwd>
<kwd>Caribbean</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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