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Health situation of migrant and minority nurses: A systematic review

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  • Benjamin Schilgen
  • Albert Nienhaus
  • Oriana Handtke
  • Holger Schulz
  • Mike Mösko

Abstract

Introduction: Globally, life expectancy together with multimorbidity and chronic diseases are increasing. This leads to a growing demand for care and hence for healthcare personnel and nurses. To meet this demand, healthcare workers from abroad are increasingly hired. The nurses’ workplace in general is characterized by physically and psychologically demanding tasks, while that of migrant and minority nurses is additionally characterized by discriminatory practices. The present knowledge about the health of migrant and minority nurses and the terminology in this context are diverse. Thus, the purpose of this review is to systematically identify and synthesize international publications that explicitly focus on migrant nurses’ health. Materials and methods: A systematic review of relevant studies was undertaken using the databases Medline, PsycINFO, CINAHL and Web of Science. The screening process was conducted in several phases. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines while the methodological quality assessment of the included papers was performed with the Mixed Method Appraisal Tool (MMAT). Results: Out of 11,599 citations initially obtained, 14 empirical studies were included in the final synthesis. The methodological quality of the empirical studies and reviews was diverse. The majority of the studies were conducted in the US and the nurses under study migrated from countries like the Philippines, India, Europe, and Africa. Among migrant nurses of different origins, there are differences in their physiological responses to stress. Migrant nurses and native nurses differ in reporting work-related injuries. Discussion: Migrant and minority nurses are at high risk of work-related injuries and discrimination than native or majority nurses. However, mixed results were obtained, namely that the reported health of migrant nurses either improves over time or it decreases. This review revealed that discrimination is the leading cause of impaired health amongst migrant and minority nurses.

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  • 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.
    • Handle: RePEc:plo:pone00:0179183
    DOI: 10.1371/journal.pone.0179183
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    References listed on IDEAS

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    Cited by:

    1. Paula Berenguel Chacón & Fernando Jesús Plaza del Pino & Brigida Molina-Gallego & María Idoia Ugarte-Gurrutxaga, 2023. "The Perception of Nurses about Migrants after the COVID-19 Pandemic: Close Contact Improves the Relationship," IJERPH, MDPI, vol. 20(2), pages 1-14, January.
    2. 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.
    3. Gabriele Giorgi & Luigi Isaia Lecca & Antonio Ariza-Montes & Chiara Di Massimo & Marcello Campagna & Georgia Libera Finstad & Giulio Arcangeli & Nicola Mucci, 2020. "The Dark and the Light Side of the Expatriate’s Cross-Cultural Adjustment: A Novel Framework Including Perceived Organizational Support, Work Related Stress and Innovation," Sustainability, MDPI, vol. 12(7), pages 1-15, April.
    4. Benjamin Schilgen & Albert Nienhaus & Mike Mösko, 2020. "The Extent of Psychosocial Distress among Immigrant and Non-Immigrant Homecare Nurses—A Comparative cross Sectional Survey," IJERPH, MDPI, vol. 17(5), pages 1-20, March.
    5. Nicola Mucci & Veronica Traversini & Gabriele Giorgi & Eleonora Tommasi & Simone De Sio & Giulio Arcangeli, 2019. "Migrant Workers and Psychological Health: A Systematic Review," Sustainability, MDPI, vol. 12(1), pages 1-28, December.
    6. Line Nortvedt & Vibeke Lohne & Kari Dahl, 2020. "A courageous journey: Experiences of migrant Philippine nurses in Norway," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(3-4), pages 468-479, February.
    7. Boateng, Godfred O. & Schuster, Roseanne C. & Odei Boateng, Mavis, 2019. "Uncovering a health and wellbeing gap among professional nurses: situated experiences of direct care nurses in two Canadian cities," Social Science & Medicine, Elsevier, vol. 242(C).

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