Evidence map›Paper›PMID 41833539›Full record

ArticleNursing & health sciences2026

Workplace Challenges and Policy Responses in the Caribbean Nursing Workforce: Insights From Country Chief Nurses.

Eileen T Lake, Domenique Villani, Lynne Moronski, Lindsey Lee, Sherif Olanrewaju, Norah Solaiman, Claire Burke Draucker

Abstract read
In one paragraph

Article in Nursing & health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Eileen T LakeCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-8823-3436
Domenique VillaniCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Lynne MoronskiCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0009-0002-5875-4203
Lindsey LeeCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.
Sherif OlanrewajuCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-7838-9218
Norah SolaimanGeorgetown University Berkley School of Nursing, Washington, D.C., USA.ORCID https://orcid.org/0009-0009-9090-4161
Claire Burke DrauckerIndiana University School of Nursing, Indianapolis, Indiana, USA.

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
NINR NIH HHS T32 NR007104NINR NIH HHS T32NR007104
6 · The paper itself

Abstract

The Caribbean faces significant nursing and midwifery workforce challenges. A 2023 PAHO policy advises Member States to develop and implement strategies to strengthen their health workforce, including "promoting decent work conditions." Caribbean nurses' work conditions have not been described. The country's chief nurse has responsibility for policy development. The study purpose was to describe the Caribbean country chief nurses' concerns about nurses' work environments, strides made and polices implemented to support nurse work environments and quality care. Chief nurses of 20 Caribbean countries were surveyed. Inductive content analysis was done. Five concerns represented: (1) physical environment; (2) staffing and workload; (3) safety and security; (4) professional development; and (5) nurses' well-being. Improvements and policies reflected similar themes. The predominant work environment concerns center on inadequate physical environment, nurse staffing and workloads, and inconsistent security. The sporadic improvements and few policies initiated in several countries may warrant coordinated regional effort to achieve broader improvement in working conditions. To optimize patient care and a healthy, safe nursing workforce, policymakers should consider the priorities of government chief nurses to improve working conditions.

Indexed as

Health PolicyNursesWorkplaceCaribbean RegionHumansSurveys and QuestionnairesWorkforceWorking ConditionsWorkloadCaribbean regionhealth workforcenursesPan American Health Organizationpolicyworking conditions

Identifiers

PMID41833539
PMCPMC12989469

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.