Recruitment of Ukrainian refugee-background nurses. Challenges for recruitment agencies during the refugee crisis in Poland – a qualitative descriptive study
PDF

Keywords

health care system
HR management
international recruitment
recruitment agency
Ukrainian refugee-background nurses

Abstract

RECRUITMENT OF UKRAINIAN REFUGEE-BACKGROUND NURSES. CHALLENGES FOR RECRUITMENT AGENCIES DURING THE REFUGEE CRISIS IN POLAND – A QUALITATIVE DESCRIPTIVE STUDY

Aim. The present paper aims to explore the challenges faced by employment agencies when recruiting Ukrainian refugee-background nurses (UKR-N) during the Ukrainian war refugee crisis in Poland, after the outbreak of war in February 2022.

Material and methods. Data were collected through semi-structured, in-depth interviews conducted in Poland with two representatives of one recruitment agency between May and July 2023. There were two female participants, one of Polish origin and one of Ukrainian origin. The data were analyzed using inductive thematic analysis. The ATLAS.ti 8 software was used for data management.

Results. Two themes were identified: 1. Business-as-usual factors determining the effectiveness of international nurse recruitment and 2. Issues specific to the recruitment of Ukrainian refugee nurses. These two themes were further subdivided into six subthemes. 

Conclusions. Recruitment agencies have an obligation to adopt a comprehensive approach to the recruitment of this group of applicants. In addition, the inappropriate recruitment of refugee-background nurses by recruitment agencies (RAs), which may lead to abuse and exploitation, violates fundamental human rights, and should be universally condemned and strongly discouraged.

PDF

References

1. Catton H. Global challenges in health and healthcare for nurses and midwives everywhere. Int. Nurs. Rev. 2020; 67(1): 4-6. https://doi.org/10.1111/inr.12578

2. Al-Yateem N, Timmins F, Alameddine, et al. Recruitment of internationally trained nurses: Time for a global model of shared responsibility. J. Nurs. Manag. 2022; 30(7): 2453-2456. https://doi.org/10.1111/jonm.13785

3. Bludau H. Producing Transnational Nurses: Agency and subjectivity in global healthcare labor migration recruitment practices. Anthropology of the Eastern Europe Review. 2011a; 29(1): 94-108. Retrieved from: https://scholarworks.iu.edu/journals/index.php/aeer/article/view/1061

4. Buchan J, Sochalski J. The migration of nurses: Trends and policies. Bull World Health Organ. 2004; 82(8): 587-594.

5. Gostin LO. International Migration and Recruitment of Nurses. JAMA. 2008; 299(15): 1827-1829. https://doi.org/10.1001/jama.299.15.1827

6. Kline DS. Push and Pull Factors in International Nurse Migration. J. Nurs. Scholarsh. 2003; 35(2): 107-111. https://doi.org/10.1111/j.1547-5069.2003.00107.x

7. Buchan J. International recruitment of nurses : The United Kingdom case study. Queen Margaret University College, Edinburgh; 2002.

8. Percot M. The Emigrant Indian Nurses in the Gulf: From opportunity to Strategy: Haitian Transnational Family. Revue Européenne des Migrations Internationales. 2005; 21(1): 29-54. https://doi.org/10.4000/remi.2340

9. Goździak EM, Main I. “I am making good money, but …”: The precarious situation of Polish nurses in Norway. International Migration. 2022; 60(2): 238-251. https://doi.org/10.1111/imig.12874

10. Lorenzo FME, Galvez-Tan J, Icamina K, et al. Nurse migration from a source country perspective: A Philippine country case study. Health Serv Res. 2007; 42(3 II): 1406-1418. https://doi.org/10.1111/J.1475-6773.2007.00716.X

11. Khadria B. International Nurse Recruitment in India. Health Serv. Res. 2007; 42(3p2): 1429-1436. https://doi.org/10.1111/j.1475-6773.2007.00718.x

12. Dovlo D. Migration of Nurses from Sub-Saharan Africa: A Review of Issues and Challenges. Health Serv. Res. 2007; 42(3 II): 1373-1388. https://doi.org/10.1111/J.1475-6773.2007.00712.X

13. Labonté R, Sanders D, Mathole T, et al. Health worker migration from South Africa: causes, consequences and policy responses. Human Resources for Health. 2015;13:92. https://doi.org/10.1186/s12960-015-0093-4

14. Nortvedt L, Lohne V, Dahl K. A courageous journey: Experiences of migrant Philippine nurses in Norway. J. Clin. Nurs. 2020; 29(3-4): 468-479. https://doi.org/10.1111/jocn.15107

15. Solum EM, Viken B, Lyberg A. First-Year Work Experiences of foreign-educated Nurses Coming to Norway from Other European Countries. SAGE Open Nursing. 2020; 6. https://doi.org/10.1177/2377960820970003

16. Majda A, Zalewska-Puchała J, Cholewa K, et al. he impact of migration on polish nurses - pilot study. Pielęgniarstwo XXI wieku. 2018; 17(2): 5-11. https://doi.org/10.2478/pielxxiw-2018-0009.

17. WHO [online]. WHO Global Code of Practice on the International Recruitment of Health Personnel: National Reporting Instrument (2021). Retrieved from: http://www.who.int/hrh/migration/code/code_nri/en/ [cited 20 May 2024].

18. Zoss K, Cortez L, Norris K. Webinar for New Graduate Nurse Recruitment: A Roadmap for Expansion, Diversity, and Innovation. J. Contin. Educ. Nurs. 2023; 54(3):106-108. doi: https://doi.org/10.3928/00220124-20230214-04

19. Haczyński J, Skrzypczak Z, Winter M. Nurses in Poland - immediate action needed. Engineering Management in Production and Services. 2017; 9(2): 97-104. https://doi.org/10.1515/emj-2017-0019

20. Marć M, Bartosiewicz A, Burzyńska J, et al. A nursing shortage - a prospect of global and local policies. International Nursing Review. 2019; 66(1): 9-16. http://dx.doi.org/10.1111/inr.12473

21. Domagała A, Kulbat A, Parzonka K. Emigration from the perspective of Polish health professionals - insights from a qualitative study. Front Public Health. 2022; 10: 1075728. https://doi.org/10.3389%2Ffpubh.2022.1075728

22. Kolasa-Nowak A, Podgórska K, Polkowska D. Migrant workers in Poland. Working conditions and social rights. Maria Curie-Skłodowska University Press. Lublin, 2022

23. Cieślak I, Panczyk M, Jaworski M, et al. Access to information on the requirements to work as a nurse in Poland, provided to Ukrainian refugee background nurses by nursing self-government institutions. Word Wide Web Content analysis. Pielęgniarstwo XXI wieku. 2023; 22(3): 132-138. https://doi.org/10.2478/pielxxiw-2023-0023

24. CIJ Daily Newsletter Europe [online]. Challenges in the temporary work market: the future of employment requires an innovative approach (2023). Retrieved from: https://cijeurope.com/en/challenges-in-the-temporary-work-market-the-future-of-employment-requires-an-innovative-approach/post.html [cited 10.10.2024]

25. O’Brien B C, Harris IB, Beckman TJ, et al. Standards for Reporting Qualitative Research. Academic Medicine. 2014; 89: 1245-1251. https://doi.org/10.1097/ACM.0000000000000388

26. Gotlib J, Cieślak I, Wawrzuta D, et al. Challenges in Job Seeking and the Integration of Ukrainian War Refugee Healthcare Workers Into the Polish Healthcare System: Facebook Content Analysis. Int. J. Public Health. 2023; 68. https://doi.org/10.3389/ijph.2023.1606139

27. ATLAS.ti Scientific Software Development GmbH. ATLAS.ti. https://atlasti.com/. Accessed November 7, 2023.

28. Lincoln YS, Guba EG. Establishing Trustworthiness. [in]: Naturalistic Inquiry. SAGE, Thousand Oaks, 289-331. http://dx.doi.org/10.1016/0147-1767(85)90062-8

29. Tong A, Sainsbury P, Craig J. Consolidated Criteria for Reporting Qualitative Research (COREQ): A 32-Item Checklist for Interviews and Focus Groups. Int. J. Qual. Health Care. 2007; 19(6): 349-357. https://doi.org/10.1093/intqhc/mzm042

30. Hakesley-Brown R. The global nursing workforce: Liberating the skills of refugee nurses. Int. Nurs. Rev. 2005; 52(4): 241-242. https://doi.org/10.1111/j.1466-7657.2005.00468.x

31. Ng Chok H, Mannix J, Dickson C, et al. Experience of registered nurses from refugee backgrounds: A scoping review. J. Clin. Nurs. 208; 27(7-8): e1275-e1283. https://doi.org/10.1111/jocn.14257

32. Ng Chok H, Mannix J, Dickson C, et al. Shining light on refugee nurses. J. Clin. Nurs. 2019; 28(9-10): 1363-1364. https://doi.org/10.1111/jocn.14815

33. Birmingham C, van de Mortel T, Needham J, et al. Experiences of agency registered nurses: An integrative literature review. J. Nurs. Manag. 2019; 27(8): 1580-1587. https://doi.org/10.1111/jonm.12850

34. Oosthuizen MJ, Ehlers VJ, Jooste K. The role played by recruitment agencies in the emigration of South African nurses. Health SA Gesondheid, Journal of Interdisciplinary Health Sciences. 2005; 10(3): a201. https://doi.org/10.4102/hsag.v10i3.201

35. Delucas AC. Foreign nurse recruitment: Global risk. Nursing Ethics. 2013; 21(1): 76-85. https://doi.org/10.1177/0969733013486798

36. Xu Y, Zhang J. One size does not fit all: ethics of international nurse recruitment from the conceptual framework of stakeholder interests. Nursing Ethics. 2005; 12(6): 571-581. https://doi.org/10.1191/0969733005NE827OA

37. Kyliushyk I, Jastrzebowska A. Aid attitudes in short- and long-term perspectives among Ukrainian migrants and Poles during the Russian war in 2022. Front Sociol. 2023; 8. https://doi.org/10.3389/fsoc.2023.1084725

38. Mellor R, Werner A, Moussa B, et al. Prevalence, predictors, and associations of complex post-traumatic stress disorder with common mental disorders in refugees and forcibly displaced populations: a systematic review. Eur. J. Psychotraumatol. 2021; 12(1): 1863579. https://doi.org/10.1080/20008198.2020.1863579

39. Wiśniewska-Drewniak M, Lowry J, Kravchenko N. “Maybe in a few years I’ll be able to look at it”: a preliminary study of documentary issues in the Ukrainian refugee experience. Archival Science. International Journal on Recorded Information. 2023; 23: 247-273. https://doi.org/10.1007/s10502-022-09407-1.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2024 Authors