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From imperialism to inpatient care: Work differences of Filipino and White registered nurses in the United States and implications for COVID‐19 through an intersectional lens

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  • Jennifer Nazareno
  • Emily Yoshioka
  • Alexander C Adia
  • Arjee Restar
  • Don Operario
  • Catherine Ceniza Choy

Abstract

In the United States, nursing is the largest healthcare profession, with over 3.2 million registered nurses (RNs) nationwide and comprised of mostly women. Foreign‐trained RNs make up 15 percent of the RN workforce. For over half a century, the U.S. healthcare industry has recruited these RNs in response to nurse shortages in hospitals and nursing homes. Philippines‐trained RNs make up 1 out of 20 RNs in this country and continue to be the largest group of foreign‐trained nurses today. Recently, the news media has publicized the many deaths of Filipino RNs as a result of the COVID‐19 pandemic in the United States. Given the imperial historical ties between these two countries in the context of the nursing profession and the enduring labor inequities that persist, this nationally representative study is one of the few to our knowledge to not only quantitatively examine the current work differences in characteristics and experiences of Philippines‐trained RNs and U.S.‐trained white RNs practicing in the United States today, but to also do so from an intersectionality lens. The overall aim of this paper is to illuminate how these differences may serve as potential factors contributing to the disproportionate number of Filipino nurses' COVID‐19 related vulnerability and deaths in the workplace.

Suggested Citation

  • Jennifer Nazareno & Emily Yoshioka & Alexander C Adia & Arjee Restar & Don Operario & Catherine Ceniza Choy, 2021. "From imperialism to inpatient care: Work differences of Filipino and White registered nurses in the United States and implications for COVID‐19 through an intersectional lens," Gender, Work and Organization, Wiley Blackwell, vol. 28(4), pages 1426-1446, July.
    • Handle: RePEc:bla:gender:v:28:y:2021:i:4:p:1426-1446
    DOI: 10.1111/gwao.12657
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    References listed on IDEAS

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    1. Benjamin Schilgen & Albert Nienhaus & Oriana Handtke & Holger Schulz & Mike Mösko, 2017. "Health situation of migrant and minority nurses: A systematic review," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-28, June.
    2. Vageesh Jain & Jin-Min Yuan, 2020. "Predictive symptoms and comorbidities for severe COVID-19 and intensive care unit admission: a systematic review and meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(5), pages 533-546, June.
    3. Bowleg, L., 2012. "The problem with the phrase women and minorities: Intersectionality-an important theoretical framework for public health," American Journal of Public Health, American Public Health Association, vol. 102(7), pages 1267-1273.
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    Cited by:

    1. Melanie D. Sabado-Liwag & Mayra Zamora & Shenazar Esmundo & Jake Ryann Sumibcay & Patchareeya P. Kwan, 2022. "Preliminary Observations from The FILLED Project (FILipino Lived Experiences during COVID-19)," IJERPH, MDPI, vol. 19(19), pages 1-17, September.

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