Job satisfaction of foreign-educated nurses in Malaysia: A cross-sectional study

Background: The transition process of migration to work abroad can be challenging and, depending on how it is handled, can impact the job satisfaction level of these foreign-educated nurses. A clear understanding of migrant nurses’ job satisfaction is critical for effective translation of nursing practice across the health systems and cultures. Objective: This study examined the job satisfaction of the foreign-educated nurses in Malaysia, which includes the job satisfaction dimensions and the significant difference between sociodemographic status and job satisfaction. Methods: A cross-sectional survey of 102 foreign-educated nurses working in private hospitals, clinics, hemodialysis centers, nursing homes, and private homes in Malaysia was conducted from September 2017 to March 2018. Data were collected using a structured questionnaire. Descriptive statistics, Mann-Whitney U, and Kruskal Wallis tests were used to analyze the data. Results: The study revealed that the participants had a median satisfaction score of 22 (IQR = 19 to 24). Serving the sick and needy and participants’ self-respect were the highest satisfaction dimensions among the participants (Median = 3, IQR = 3 to 3). Moreover, the job satisfaction was significantly higher for registered foreign-educated nurses (mean rank = 62.5) than for unregistered foreign-educated nurses(mean rank = 48.65) when working in other countries (p = 0.02). Indian nurses (mean rank = 60.36) also expressed higher satisfaction in terms of working in other countries than Filipino nurses (mean rank = 46.88; p = 0.02). In addition, positive relationships with colleagues and superiors led to higher satisfaction among Indian nurses (mean rank = 61.02) than among Filipino nurses (mean rank = 47.24; p = 0.04). The job satisfaction of male foreign-educated nurses was significantly higher than their female counterparts in terms of self-respect, relationship with fellow nurses and superiors, working in other countries, career development, and ease of finding employment (p < 0.05). Conclusion: The overall job satisfaction among the foreign-educated nurses in Malaysia is high, mainly when serving the sick and needy, and their degree of self-respect. Understanding job satisfaction among foreign-educated nurses in Malaysia enables the management team to develop effective strategies for addressing nursing shortages and improving the quality of patient care. Funding: This study was funded by the Institute of Developing Economies (IDE-JETRO).

Filipino Nurses in Cebu City Reveal High Level of Knowledge, Attitudes, Practices and Willingness in Providing Care to COVID-19 Patients: A Cross-Sectional Analysis

Background COVID-19 is a rapidly spreading illness and has resulted in a global pandemic. In the Philippines, active cases of COVID-19 are rising and have threatened both local health and healthcare workers given the limited information on this new disease. Despite several studies conducted to assess the awareness, knowledge, attitude, practices, and willingness of nurses to provide care during this pandemic, there are scarce reports regarding Filipino nurses. Thus, our study assessed such criteria in staff nurses across different Cebu hospitals. Methods This study utilized a descriptive research design using the cross-sectional survey method. A web-based survey and convenience sampling method was adopted to collect the data from Filipino nurses from any hospital in Cebu, of which, 137 participated in the study. A 43-item questionnaire was developed, which was spread out into 5 parts that comprised of the demographic profile, knowledge (15 items), attitude (10 items), practices (9 items), and willingness to care for patients with COVID-19 (9 items). The data was processed and analyzed using inferential statistical tools. Results Majority of the nurses were females (70.80%), whose ages were 20–25 years old (54.01%), single (89.78%), mostly college degree holder (90.51%), and employed in hospitals for 1–3 years (64.96%). They also rely on the internet (99.27%) as a source of information related to COVID-19. They also displayed an overall knowledge of 65% especially about the COVID-19 causative agent, its transmission, and pathogenesis. Furthermore, the respondents were generally knowledgeable of the various information regarding COVID-19 at a rate of 79.56%. The mean values for attitude, practices, and willingness to provide care were 4.45 (very favorable), 4.65 (always), and 4.52 (very willing) respectively. Conclusions Generally, the results of our study were favorable across the 5 parts of the survey. Overall knowledge and extent of practice was high, which can be attributed to government efforts of educating healthcare workers and observance of the mandated protocols. In addition, attitude significantly affected the willingness of the nurses to provide care. However, knowledge and practice did not affect the nurses’ willingness as the drawbacks and demands of their occupation outweighed and decreased their willingness.

Filipino Nurses in Cebu City Reveal High Level of Knowledge, Attitudes, Practices and Willingness in Providing Care to COVID-19 Patients: A Cross-Sectional Analysis

Background: COVID-19 is a rapidly spreading illness and has resulted in a global pandemic. In the Philippines, active cases of COVID-19 are rising and have threatened both local health and healthcare workers given the limited information on this new disease. Despite several studies conducted to assess the awareness, knowledge, attitude, practices, and willingness of nurses to provide care during this pandemic, there are scarce reports regarding Filipino nurses. Thus, our study assessed such criteria in staff nurses across different Cebu hospitals.Methods: This study utilized a descriptive research design using the cross-sectional survey method. A web-based survey and convenience sampling method was adopted to collect the data from Filipino nurses from any hospital in Cebu, of which, 137 participated in the study. A 43-item questionnaire was developed, which was spread out into 5 parts that comprised of the demographic profile, knowledge (15 items), attitude (10 items), practices (9 items), and willingness to care for patients with COVID-19 (9 items). The data was processed and analyzed using inferential statistical tools.Results: Majority of the nurses were females (70.80%), whose ages were 20-25 years old (54.01%), single (89.78%), mostly college degree holder (90.51%), and employed in hospitals for 1-3 years (64.96%). They also rely on the internet (99.27%) as a source of information related to COVID-19. They also displayed an overall knowledge of 65% especially about the COVID-19 causative agent, its transmission, and pathogenesis. Furthermore, the respondents were generally knowledgeable of the various information regarding COVID-19 at a rate of 79.56%. The mean values for attitude, practices, and willingness to provide care were 4.45 (very favorable), 4.65 (always), and 4.52 (very willing) respectively.Conclusions: Generally, the results of our study were favorable across the 5 parts of the survey. Overall knowledge and extent of practice was high, which can be attributed to government efforts of educating healthcare workers and observance of the mandated protocols. In addition, attitude significantly affected the willingness of the nurses to provide care. However, knowledge and practice did not affect the nurses’ willingness as the drawbacks and demands of their occupation outweighed and decreased their willingness.

Filipino Nurses in Cebu City Reveals High Level of Knowledge, Attitudes, Practices and Willingness in Providing Care to COVID-19 Patients: A Cross-Sectional Analysis

Background: COVID-19 is a rapidly spreading illness and has resulted in a global pandemic. In the Philippines, active cases of COVID-19 are rising and have threatened both local health and healthcare workers given the limited information on this new disease. Despite several studies conducted to assess the awareness, knowledge, attitude, practices, and willingness of nurses to provide care during this pandemic, there are scarce reports regarding Filipino nurses. Thus, our study assessed such criteria in staff nurses across different Cebu hospitals.Methods: This study utilized a descriptive research design using the cross-sectional survey method. A web-based survey and convenience sampling method was adopted to collect the data from Filipino nurses from any hospital in Cebu, of which, 137 participated in the study. A 43-item questionnaire was developed, which was spread out into 5 parts that comprised of the demographic profile, knowledge (15 items), attitude (10 items), practices (9 items), and willingness to care for patients with COVID-19 (9 items). The data was processed and analyzed using inferential statistical tools.Results: Majority of the nurses were females (70.80%), whose ages were 20-25 years old (54.01%), single (89.78%), mostly college degree holder (90.51%), and employed in hospitals for 1-3 years (64.96%). They also rely on the internet (99.27%) as a source of information related to COVID-19. They also displayed an overall knowledge of 65% especially about the COVID-19 causative agent, its transmission, and pathogenesis. Furthermore, the respondents were generally knowledgeable of the various information regarding COVID-19 at a rate of 79.56%. The mean values for attitude, practices, and willingness to provide care were 4.45 (very favorable), 4.65 (always), and 4.52 (very willing) respectively.Conclusions: Generally, the results of our study were favorable across the 5 parts of the survey. Overall knowledge and extent of practice was high, which can be attributed to government efforts of educating healthcare workers and observance of the mandated protocols. In addition, attitude significantly affected the willingness of the nurses to provide care. However, knowledge and practice did not affect the nurses’ willingness as the drawbacks and demands of their occupation outweighed and decreased their willingness.

Lived experiences of Overseas Filipino Worker (OFW) nurses working in COVID-19 intensive care units

Background: Limited studies focus on the effects of the pandemic on the nurses' overall risks and wellbeing. At present, no single study has been published on Filipino nurses’ experiences outside the country during the COVID-19 pandemic.Objective: This descriptive phenomenological study explored the Overseas Filipino Worker (OFW) nurses’ experiences working in COVID Intensive Care Units.Methods: The study was conducted in Dubai, United Arab Emirates, where there is a high number of COVID cases. This study utilized a qualitative Husserlian phenomenological approach to describe and explore the lived experiences of the OFW nurses’ caring for COVID-19 critically ill patients. The research key interview informants were eight ICU nurses who cared for COVID 19 patients in Dubai hospitals. Data saturation was reached. Data collection was done in 2020, and Collaizi’s method of data analysis was utilized.Results: A total of 135 significant statements were extracted from the interview transcripts. There were 36 formulated meanings generated, and four themes emerged from this study. The first theme is Challenges During the Pandemic with the following subthemes: Away from Home, Caring for the VOID-19 Patients, and Fear of the Unknown. The second theme is Patient Care during COVID-19 with the following subthemes: COVID ICU Patient Care and The Nursing Profession. Third, Adapting to Change with the subthemes: Living the New Normal and Protecting One’s Self from COVID. Lastly, Resilience Amidst the Pandemic with the following subthemes: Being with Others and Seeing Oneself.Conclusion: Despite the existing challenges like cultural differences and homesickness faced by these OFW nurses and the new challenges they are faced with the pandemic today, they were still able to continue living and do what is expected of them. From the hassle of wearing the PPEs, shortage of PPE, and being transferred from one unit in the hospital to another, the OFW nurses were able to adapt to these changes. The nurses already got used to the routine, but the fear of getting infected by the virus is still there.

Motivation, Education, and Expectations: Experiences of Philippine Immigrant Nurses

Globally, Philippine-educated nurses have made vital contributions to health care; however, there is a lack of in-depth knowledge about emigrating nurses’ initial motives to become nurses, their educational experience and their transition in the host country’s health care context. This research aimed to explore Philippine-educated nurses’ educational experience in their home country and their expectations of competence in Norway. The study utilized an explorative design consisting of qualitative interviews with 10 Filipino nurses. A hermeneutic approach was used to analyze and interpret the empirical material. The findings and interpretations underline that Philippine-educated nurses mainly are externally motivated; their educational program is very demanding, but their level of competence does not meet the competence expected in the host country. Although these nurses lack training in elderly care, the Philippine nursing curriculum emphasizes patient care and mastery of basic nursing skills, which are qualities that should be valued and utilized in host countries.