Evidence map›Paper›PMID 34394693›Full record

ArticleJournal of research in nursing : JRN2020

Determinants and mitigating factors of the brain drain among Egyptian nurses: a mixed-methods study.

E Abou Hashish, H M Ashour

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Article in Journal of research in nursing : JRN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

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28citing papers in PubMed, 1 pooled it
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3 · Its place in the literature

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28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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5 · Who and what money

Authors and funding

2 authors.

E Abou HashishAssisstant professor, Faculty of Nursing, Alexandria University, Alexandria, Egypt.ORCID https://orcid.org/0000-0003-0492-7615
H M AshourLecturer, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA brain drain is a migration of employees in their quest for an improved level of living conditions, better earnings, access to advanced technology and secure political conditions in diverse places worldwide. The brain drain of nurses is an ongoing phenomenon that impacts the quality and quantity of the nursing workforce and affects the quality of care. The nurses' brain drain is commonly known as a result of the interplay of many factors. So, identification of these factors and how to manage them is a timely topic in nursing research.

aimsThis study aims to investigate determinants of the nurses' brain drain and mitigating factors from nurses' perspectives in Egypt.

methodsMixed-methods research was conducted using a concurrent triangulation design. A sample of 325 nurses who were working at an Egyptian university hospital answered a brain drain questionnaire while the qualitative investigation was guided by a semi-structured interview with a purposive sample of 35 nurses to elicit exploratory perspectives on factors causing brain drain and mitigation strategies. Results were analysed using inferential statistics and thematic data analysis.

resultsBoth push and pull factors can predict about 99.6% and 97.5% of the nurses' brain drain, respectively. Seven themes were derived from the qualitative content analysis, and six themes were categorised under 'push-pull' factors. In addition, the 'mitigating factors theme' was identified with five sub-factors as possible solutions. Economic and work environment reasons were reported as the most influential for nurses' brain drain.

conclusionsPolicymakers could use the identified factors from quantitative and qualitative data for creating a system that would improve nurses' conditions and policies, and prevent nurses' migration. Nursing leaders have a significant role with non-remuneration strategies in retaining nurses through creating an empowering work environment. In addition, shared governance, a strong nursing syndicate role and professorial marketing would be essential mitigating factors for the nurses' brain drain.

Indexed as

brain drainmitigating factorsmixed-methodsnursespull-push factorstriangulation

Identifiers

PMID34394693
PMCPMC7932471

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.