The journey of Indonesian nurse migration: a scoping review

Submitted: 18 September 2023
Accepted: 20 October 2023
Published: 7 November 2023
Abstract Views: 1061
PDF: 447
Supplementary Materials: 26
HTML: 82
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

The migration of nurses from Indonesia to other foreign countries is an inevitable part of the global mobility of the nurse profession. This phenomenon requires investigation to understand the current trajectories of Indonesian nurses in the global market. This scoping review aimed to investigate the Indonesian nurses' mobility to the international healthcare market. A scoping review of primary research addressing Indonesian nurses migration journey overseas. A range of databases were searched, including Scopus, Web of Science Clarivate Analytics, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PubMed. A systematic process was performed guided by the work of Arksey and O'Malley. Four databases were searched, and 68 articles were retrieved. After screening articles and abstracts, 19 full texts were assessed for eligibility, and finally, 17 studies were further analyzed and synthesized. Eleven qualitative studies, five quantitative study and one literature review study met inclusion criteria, emphasizing the three phases of migration: pre-migration, migration and post-migration. The destination countries of Indonesian nurses including Japan, Kuwait, Saudi Arabia and Taiwan. At the pre-migration stage there are several aspects that must be considered, there were: language, understanding of the job position, reason to work and comprehensive understanding of the destination countries. Migration stage include issues language, deskilling, mental health, unclear career path, cultural adaptation, lack of religious services and homesickness. At the post-migration stage includes deskilling, brain waste and re-integration with brain circulation platform. The comprehensive approach of Indonesian nurses migration from pre-migration, migration and post-migration has shown us the trajectory of Indonesian nurses in international migration. Understanding the bottle neck of each stage with improve policy support is needed to create safe and sound migration channel for Indonesian nurses. This review highlighted to the need for future research in key areas such as the impact of nurse migration on Indonesia's health systems.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Buchan J, Catton H, Shaffer F. Sustain and Retain in 2022 and Beyond: The Global Nursing Workforce and The COVID-19 Pandemic. Int Counc Nurses 2022;71:1–71. DOI: https://doi.org/10.4324/9781003330752-6
WHO. The WHO Global Code of Practice on the International Recruitment of Health Personnel - Sixty-third World Health Assembly - WHA63.16. World Health Organization; 2010. p. 12.
Socha-Dietrich K, Dumont JC. International migration and movement of nursing personnel to and within OECD countries - 2000 to 2018: Developments in countries of destination and impact on countries of origin. OECD Health Working Papers. 2021.
WHO. Health workforce: Migration. World Health Organisation. 2023. Accessed 2023 Mar 2. Available from: https://www.who.int/teams/health-workforce/migration
Haryanto J, Efendi F, Indarwati R, et al. Indonesian Nurses’ Journey in Passing the Japan National Nursing Licensure Examination. J Multidiscip Healthc 2022;15:2903–12. DOI: https://doi.org/10.2147/JMDH.S385296
Efendi F, Haryanto J, Indarwati R, et al. Going global: Insights of indonesian policymakers on international migration of nurses. J Multidiscip Healthc 2021;14:3285–93. DOI: https://doi.org/10.2147/JMDH.S327962
Efendi F, Chen CM, Nursalam N, et al. Lived experience of Indonesian nurses in Japan: A phenomenological study. Japan J Nurs Sci 2016;13:284–93. DOI: https://doi.org/10.1111/jjns.12108
Efendi F, Wahyuni SD, Indarwati R, et al. The lived experience of indonesian nurses in kuwait: A phenomenological study. Kontakt 2020;22:235–42. DOI: https://doi.org/10.32725/kont.2020.040
UKPerawat. Data Statistik. Jakarta: Kemdikbud; 2023. Accessed 2023 Mar 23. Available from: https://ukperawat.kemdikbud.go.id/pages/statistik_pddikti
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol 2005;8:19–32. DOI: https://doi.org/10.1080/1364557032000119616
Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implement Sci 2010;5:69. DOI: https://doi.org/10.1186/1748-5908-5-69
Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. JBI Evid Implement 2015;13:141–6. DOI: https://doi.org/10.1097/XEB.0000000000000050
Ford M, Kawashima K. Temporary Labour Migration and Care Work: The Japanese Experience. J Ind Relations 2013;55:430–44. DOI: https://doi.org/10.1177/0022185613480750
Ford M, Kawashima K. Regulatory approaches to managing skilled migration: Indonesian nurses in Japan. Econ Labour Relations Rev 2016;27:231–47. DOI: https://doi.org/10.1177/1035304616629580
Efendi F, Chen CM, Kurniati A, et al. The course of broken dreams: The expectations and realities of the life of Indonesian nurses as care workers in Japan. Collegian 2022;29:680–7. DOI: https://doi.org/10.1016/j.colegn.2022.04.002
Nursalam N, Chen CM, Efendi F, et al. The Lived Experiences of Indonesian Nurses Who Worked as Care Workers in Taiwan. J Nurs Res 2020;28(2). DOI: https://doi.org/10.1097/jnr.0000000000000355
Kurniati A, Chen CMC, Efendi F, Ogawa R. A deskilling and challenging journey: the lived experience of Indonesian nurse returnees. Int Nurs Rev 2017;64:494–501.
Nugraha S, Ohara-Hirano Y. The Mental Health Predictors of Indonesian EPA Nurses and Certified Care Worker Candidates in Japan. Jpn Psychol Res 2016;58:85–96. DOI: https://doi.org/10.1111/jpr.12100
Nugraha S, Honda S, Hirano Y. The Change in Mental Health Status of Indonesian Health Care Migrant Worker in Japan. Kesmas Natl Public Heal J 2017;12:53–89. DOI: https://doi.org/10.21109/kesmas.v0i0.1698
Sato F, Hayakawa K, Kamide K. Investigation of mental health in Indonesian health workers immigrating to Japan under the Economic Partnership Agreement. Nurs Health Sci 2016;18:342–9. DOI: https://doi.org/10.1111/nhs.12275
Zaghloul MS, Saquib J, AlMazrou A, Saquib N. Mental Health Status of Expatriate Nurses in Northcentral Saudi Arabia. J Immigr Minor Heal 2019;21:1233–40. DOI: https://doi.org/10.1007/s10903-018-00853-7
Efendi F, Nursalam N, Ulfiana E, Fauziningtyas R. Situational Analysis of Career Choices Among Indonesian Nurses Returnees. Indian J Public Heal Res Dev 2019;10:296–9. DOI: https://doi.org/10.5958/0976-5506.2019.00305.X
Efendi F, McKenna L, Reisenhofer S, et al. Experiences of Healthcare Worker Returnees in Their Home Countries: A Scoping Review. J Multidiscip Healthc 2021;14:2217–27. DOI: https://doi.org/10.2147/JMDH.S321963
Efendi F, Mackey TK, Huang MC, Chen CM. IJEPA: Gray Area for Health Policy and International Nurse Migration. Nurs Ethics 2017;24:313–28. DOI: https://doi.org/10.1177/0969733015602052
Hughes F. Nursing Shortage and Migration: The Benefits and Responsibilities. GGFNS Int 2022; Available from: https://www.cgfns.org/nursing-shortage-and-migrati
Ali PA, Watson R. Language barriers and their impact on provision of care to patients with limited English proficiency: Nurses’ perspectives. J Clin Nurs 2018;27:e1152–60. DOI: https://doi.org/10.1111/jocn.14204
Gerchow L, Burka LR, Miner S, Squires A. Language barriers between nurses and patients: A scoping review. Patient Educ Couns 2021;104:534–53. DOI: https://doi.org/10.1016/j.pec.2020.09.017
Efendi F, Chen C min, Kurniati A, et al. The Situational Analysis of Nursing Education and Workforce In Indonesia. Malaysian J Nurs 2018;9:21–9.
Ogawa R, Chan R, Oishi AS, Wang LR. Gender, Care and Migration in East Asia. Gender, Care Migr East Asia 2018;(January 2022). DOI: https://doi.org/10.1007/978-981-10-7025-9
Ogawa R. The State and The Market: Acceptance of Migrant Care Workers Through Multiple Channels. Jakarta: ERIA; 2022.
Yamada M, Arai H. Long-term care system in Japan. Ann Geriatric Med Res Korean Geriatrics Soc 20202;4:174–80. DOI: https://doi.org/10.4235/agmr.20.0037
Alam B, Wulansari SA. Creative friction: some preliminary considerations on the socio-cultural issues encountered by Indonesian nurses in Japan. 2010;183–92. Available from: https://www.researchgate.net/publication/45677611_Creative_Friction_Some_Preliminary_Considerations_on_the_Socio-Cultural_Issues_Encountered_by_Indonesian_Nurses_in_Japan
Ohara‐Hirano Y. The Mental Health Status of Indonesian Candidates Leaving for Japan under the Japan–Indonesia Economic Partnership Agreement: After the Great East Japan Earthquake. Int J Japanese Sociol 2012;21:37–45. DOI: https://doi.org/10.1111/j.1475-6781.2012.01163.x
Walton-Roberts M. Intermediaries and transnational regimes of skill: nursing skills and competencies in the context of international migration. J Ethn Migr Stud 2021;47:2323–40. DOI: https://doi.org/10.1080/1369183X.2020.1731988
de Castro AB, Gee G, Fujishiro K, Rue T. Examining Pre-migration Health Among Filipino Nurses. J Immigr Minor Heal 2015;17:1670–8. DOI: https://doi.org/10.1007/s10903-014-0131-7
Kurniati A, Chen CM, Efendi F, Ogawa R. A deskilling and challenging journey: the lived experience of Indonesian nurse returnees. Int Nurs Rev 2017;64:494–501. DOI: https://doi.org/10.1111/inr.12352
Mlinarić M, Klein J. Transferring Professional Knowledge and Skills: The Case of Central and Eastern European Migrant Physicians in German Hospitals. Int Sociol 2019;34:597–600. DOI: https://doi.org/10.1177/0268580919870709
Kaveri Q, Ben K, Nasar M, Sarah H. Submission of evidence on the disproportionate impact of COVID 19, and the UK government response, on ethnic minorities and women in the UK. 2020; Available from: https://ghpu.sps.ed.ac.uk/wp-content/uploads/2020/04/Qureshi-Kasstan-Meer-Hill_working-paper_COVID19-ethnic-minorities_240420.pdf
Efendi F, Aurizki GE, Auwalin I, et al. The Paradox of Surplus and Shortage: A Policy Analysis of Nursing Labor Markets in Indonesia. J Multidiscip Healthc 2022;15:627–39. DOI: https://doi.org/10.2147/JMDH.S354400

How to Cite

Pradipta, R. O., Efendi, F., Alruwaili, A. S., Diansya, M. R., & Kurniati, A. (2023). The journey of Indonesian nurse migration: a scoping review. Healthcare in Low-Resource Settings, 11(2). https://doi.org/10.4081/hls.2023.11834