Assuntos
Educação de Pós-Graduação , Emigração e Imigração , Pessoal Profissional Estrangeiro , Escolha da Profissão , Inquéritos e Questionários , Emigrantes e Imigrantes/educação , Emigrantes e Imigrantes/legislação & jurisprudência , Emigração e Imigração/legislação & jurisprudência , Pessoal Profissional Estrangeiro/educação , Pessoal Profissional Estrangeiro/legislação & jurisprudência , InternacionalidadeAssuntos
COVID-19/prevenção & controle , Congressos como Assunto/organização & administração , Países em Desenvolvimento , Aquecimento Global/legislação & jurisprudência , Aquecimento Global/prevenção & controle , Cooperação Internacional , Vacinação/estatística & dados numéricos , COVID-19/epidemiologia , Países Desenvolvidos/economia , Países em Desenvolvimento/economia , Pessoal Profissional Estrangeiro , Humanos , Quarentena , Segurança , Escócia , Fatores de Tempo , Populações VulneráveisAssuntos
Docentes , Cooperação Internacional , Política , Refugiados , Pesquisadores/organização & administração , Pesquisa/organização & administração , Estudantes , Afeganistão , Emigração e Imigração , Pessoal Profissional Estrangeiro , Direitos Humanos , Humanos , Irã (Geográfico) , Jordânia , Seleção de Pessoal , SíncrotronsRESUMO
BACKGROUND: Historically, immigration has been a significant population driver in Canada. In October 2020, immigration targets were raised to an unprecedented level to support economic recovery in response to COVID-19. In addition to the economic impact on Canada, the pandemic has created extraordinary challenges for the health sector and heightened the demand for healthcare professionals. It is therefore imperative to accelerate commensurate employment of internationally educated nurses (IENs) to strengthen and sustain the health workforce and provide care for an increasingly diverse population. This study aimed to determine the effectiveness of a project to help job-ready IENs in Ontario, Canada, overcome the hurdle of employment by matching them with healthcare employers that had available nursing positions. METHODS: A mixed methods design was used. Interviews were held with IENs seeking employment in the health sector. Secondary analysis was conducted of a job bank database between September 1 and November 30, 2019 to identify healthcare employers with the highest number of postings. Data obtained from the 2016 Canadian Census were used to create demographic profiles mapping the number and proportion of immigrants living in the communities served by these employers. The project team met with senior executives responsible for hiring and managing nurses for these employers. The executives were given the appropriate community immigrant demographic profile, a manual of strategic practices for hiring and integrating IENs, and the résumés and bios of IENs whose skills and experience matched the jobs posted. RESULTS: In total, 112 IENs were assessed for eligibility and 95 met the inclusion criteria. Twenty-one healthcare employers were identified, and the project team met with 54 senior executives representing these employers. Ninety-five IENs were subsequently matched with an employer. CONCLUSIONS: The project was successful in matching job-ready IENs with healthcare employers and increasing employer awareness of IENs' abilities and competencies, changing demographics, and the benefits of workforce diversity. The targeted activities implemented to support the project goal are applicable to sectors beyond healthcare. Future research should explore the long-term impact of accelerated employment integration of internationally educated professionals and approaches used by other countries.
Assuntos
Emigrantes e Imigrantes/estatística & dados numéricos , Pessoal Profissional Estrangeiro/estatística & dados numéricos , Mão de Obra em Saúde/estatística & dados numéricos , Recursos Humanos de Enfermagem/estatística & dados numéricos , Humanos , OntárioAssuntos
Cooperação Internacional , Sistemas Políticos/psicologia , Política , Pesquisadores/organização & administração , Pesquisadores/psicologia , Ciência/organização & administração , Apoio Social , Povo Asiático/psicologia , Disciplinas das Ciências Biológicas/ética , Disciplinas das Ciências Biológicas/normas , Censura Científica , China , Governo Federal , Feminino , Pessoal Profissional Estrangeiro , Humanos , Racismo/prevenção & controle , Ciência/normas , Confiança , Xenofobia/prevenção & controleAssuntos
Emigrantes e Imigrantes/educação , Emigrantes e Imigrantes/psicologia , Pessoal Profissional Estrangeiro/psicologia , Idioma , Pesquisadores/psicologia , Ciência/educação , Ensino , Criança , Relações Comunidade-Instituição , Feminino , Alemanha , Humanos , Internet , Londres , Paris , Portugal , Pesquisadores/organização & administração , VoluntáriosRESUMO
BACKGROUND: The World Health Organization (WHO) has declared novel coronavirus (COVID-19) infection a global pandemic due to the fast transmission of this disease worldwide. To prevent and slow the transmission of this contagious illness, the public health officials of many affected countries scrambled to introduce measures aimed at controlling its spread. As a result, unprecedented interventions/measures, including strict contact tracing, quarantine of entire towns/cities, closing of borders and travel restrictions, have been implemented by most of the affected countries including the Kingdom of Saudi Arabia. OBJECTIVES: The aim of this paper is to share health care professionals' perspectives who are experiencing COVID19 firsthand in a foreign land. In addition, the role of the Saudi governance to combat the current situation is also discussed. DISCUSSION: Personal and previous experiences as related to Middle East respiratory syndrome coronavirus (MERS-CoV) by the authors has been compared to the current situation and how it affected our thoughts and management. A review of the evidence-based literature was conducted to investigate the demographics of the region; and to understand the awareness of the various tools that are available and how they were utilized in the present situation of pandemic. CONCLUSIONS: Saudi Arabia has been challenged during the pandemic as are other countries.
Assuntos
Atitude do Pessoal de Saúde , COVID-19/prevenção & controle , Pessoal Profissional Estrangeiro/psicologia , Pandemias/prevenção & controle , COVID-19/transmissão , Busca de Comunicante , Odontólogos/psicologia , Educação em Odontologia , Educação a Distância , Humanos , Distanciamento Físico , Quarentena , SARS-CoV-2 , Arábia Saudita/epidemiologia , ViagemRESUMO
COVID 19 has highlighted with lethal force the need to re-imagine and re-design the provisioning of human resources for health, starting from the reality of our radical interdependence and concern for global health and justice. Starting from the structured health injustice suffered by migrant workers during the pandemic and its impact on the health of others in both destination and source countries, I argue here for re-structuring the system for educating and distributing care workers around what I call a global ecological ethic. Rather than rely on a system that privileges nationalism, that is unjust, and that sustains and even worsens injustice, including health injustice, and that has profound consequences for global health, a global ecological ethic would have us see health as interdependent and aim at "ethical place-making" across health ecosystems to enable people everywhere to have the capability to be healthy.
Assuntos
COVID-19 , Atenção à Saúde/ética , Pessoal Profissional Estrangeiro , Saúde Global , Pessoal de Saúde , Mão de Obra em Saúde , Justiça Social , COVID-19/terapia , Ecossistema , Equidade em Saúde , Recursos em Saúde , Humanos , Internacionalidade , Pandemias , SARS-CoV-2Assuntos
Pesquisa Biomédica/legislação & jurisprudência , Mudança Climática , Governo Federal , Pessoal Profissional Estrangeiro/legislação & jurisprudência , Pandemias/legislação & jurisprudência , Ciência/legislação & jurisprudência , Ciência/tendências , Voo Espacial/legislação & jurisprudência , COVID-19 , Vacinas contra COVID-19 , China , Busca de Comunicante , Infecções por Coronavirus/economia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Democracia , Planejamento em Desastres , Emigração e Imigração/legislação & jurisprudência , Humanos , Propriedade Intelectual , Cooperação Internacional/legislação & jurisprudência , Pandemias/economia , Pandemias/prevenção & controle , Pneumonia Viral/economia , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Política , Estados Unidos/epidemiologia , United States National Aeronautics and Space Administration/legislação & jurisprudência , Vacinas Virais/economia , Vacinas Virais/provisão & distribuição , Organização Mundial da Saúde/economia , Organização Mundial da Saúde/organização & administraçãoAssuntos
COVID-19/epidemiologia , Política Ambiental/legislação & jurisprudência , Governo Federal , Política , Saúde Pública/legislação & jurisprudência , Ciência/legislação & jurisprudência , Centers for Disease Control and Prevention, U.S./ética , Centers for Disease Control and Prevention, U.S./legislação & jurisprudência , China , Democracia , Emigração e Imigração/legislação & jurisprudência , Pessoal Profissional Estrangeiro/legislação & jurisprudência , Humanos , Pandemias , Pesquisadores/legislação & jurisprudência , Fatores de Tempo , Estados Unidos/epidemiologia , United States Environmental Protection Agency/ética , United States Environmental Protection Agency/legislação & jurisprudência , United States Food and Drug Administration/ética , United States Food and Drug Administration/legislação & jurisprudênciaAssuntos
Emigrantes e Imigrantes/legislação & jurisprudência , Emigração e Imigração/legislação & jurisprudência , Pessoal Profissional Estrangeiro/legislação & jurisprudência , Pesquisadores/legislação & jurisprudência , Pesquisadores/psicologia , Estudantes/legislação & jurisprudência , Estudantes/psicologia , COVID-19/epidemiologia , China/epidemiologia , Emigrantes e Imigrantes/psicologia , Feminino , Pessoal Profissional Estrangeiro/psicologia , Humanos , Internacionalidade , Masculino , Paquistão , Federação Russa , Cônjuges/legislação & jurisprudência , Cônjuges/psicologia , Estresse Psicológico , Estudantes de Medicina/legislação & jurisprudência , Tanzânia , Incerteza , Estados Unidos/epidemiologiaAssuntos
Povo Asiático/estatística & dados numéricos , Emigração e Imigração/legislação & jurisprudência , Pessoal Profissional Estrangeiro/legislação & jurisprudência , Pessoal Profissional Estrangeiro/provisão & distribuição , Política , Pesquisadores/legislação & jurisprudência , Pesquisadores/provisão & distribuição , China/etnologia , Humanos , Pesquisadores/normas , Ciência/normas , Estados UnidosRESUMO
WHO Member States adopted the Global Code of Practice on the International Recruitment of Health Personnel 10 years ago. This study assesses adherence with the Code's principles and its continuing relevance in the WHO Europe region with regards to international recruitment of health workers. Data from the joint OECD/EUROSTAT/WHO-Europe questionnaire from 2010 to 2018 are analyzed to determine trends in intra- and inter-regional mobility of foreign-trained doctors and nurses working in case study destination countries in Europe. In 2018, foreign-trained doctors and nurses comprised over a quarter of the physician workforce and 5% of the nursing workforce in five of eight and four of five case study countries, respectively. Since 2010, the proportion of foreign-trained nurses and doctors has risen faster than domestically trained professionals, with increased mobility driven by rising East-West and South-North intra-European migration, especially within the European Union. The number of nurses trained in developing countries but practising in case study countries declined by 26%. Although the number of doctors increased by 27%, this was driven by arrivals from countries experiencing conflict and volatility, suggesting countries generally are increasingly adhering to the Code's principles on ethical recruitment. To support ethical recruitment practices and sustainable workforce development in the region, data collection and monitoring on health worker mobility should be improved.
Assuntos
Médicos Graduados Estrangeiros/estatística & dados numéricos , Pessoal Profissional Estrangeiro/provisão & distribuição , Mão de Obra em Saúde/ética , Seleção de Pessoal/normas , Médicos , Emigração e Imigração , União Europeia , Médicos Graduados Estrangeiros/provisão & distribuição , Humanos , Organização para a Cooperação e Desenvolvimento Econômico , Seleção de Pessoal/ética , Inquéritos e Questionários , Organização Mundial da SaúdeRESUMO
The present study explores the situation of migrant carers in long-term care (LTC) in European Union Member States and the disruptions caused by the COVID-19 pandemic from a public health perspective. The aim is to bring LTC migrant carers into health workforce research and highlight a need for trans-sectoral and European heath workforce governance. We apply an exploratory approach based on secondary sources, document analysis and expert information. A framework comprising four major dimensions was developed for data collection and analysis: LTC system, LTC health labour market, LTC labour migration policies and specific LTC migrant carer policies during the COVID-19 crisis March to May 2020. Material from Austria, Italy, Germany, Poland and Romania was included in the study. Results suggest that undersupply of carers coupled with cash benefits and a culture of family responsibility may result in high inflows of migrant carers, who are channelled in low-level positions or the informal care sector. COVID-19 made the fragile labour market arrangements of migrant carers visible, which may create new health risks for both the individual carer and the population. Two important policy recommendations are emerging: to include LTC migrant carers more systematically in public health and health workforce research and to develop European health workforce governance which connects health system needs, health labour markets and the individual migrant carers.