Sending for Nurses: Importing Care to U.S Hospitals

派遣护士：将护理引入美国医院

基本信息

批准号：
7220051
负责人：
BARBARA L. BRUSH
金额：
$ 7.54万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-04-10 至 2009-04-09
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7220051
关键词：
Address American Attention Attitude Books Brain Drains Care given by nurses Caregivers Caring Case Study Class Competence Country Data Developed Countries Developing Countries Discipline of Nursing Economic Factors Economics Employment Ethics Ethnic Origin Failure Female Future Gap Junctions Gender Growth Health Personnel Health Policy Health Sciences Healthcare Healthcare Systems Hospitals Humanities Immigration Individual Institution International Intervention Interview Labor Forces Labor Migrations Length Long-Term Care Marketing Medical Minority Monograph Nexus (resin cement)Nomads Numbers Nurse&apos s Role Nurses Nursing Staff Outcome Perception Plague Policies Public Health Quality of Care Race Recruitment Activity Relative (related person)Research Personnel Resolution Shapes Side Social Environment Source Students Time Today United States Value Meaning Woman Women&apos s Group Work Working Women Workplace cohort expectation experience geographic difference health care delivery health care quality improved lens men migration nursing history programs recidivism segregation social

项目摘要

DESCRIPTION (provided by applicant): Ebbs and flows in nurse supply and demand have plagued the United States (U.S.) for decades, spawning numerous strategies to increase the number of caregivers for the nation's sick. One strategy, spanning over sixty years, is the importation of foreign nurse labor to American hospitals and long term care facilities. Primarily women from underdeveloped nations, migrant nurses represent both a little understood labor diaspora stratified by gender, race, and class and a professional cohort unique among a growing pool of migrating women. Thus, the project's specific aims are to distill critical issues associated with enduring U.S. nurse shortages, provide a case study of professional female labor migration in the twentieth century, and explore the outcomes of importing care on the public's health. Using a wide array of primary and secondary source materials as well as interviews of migrant nurses, this comprehensive historical monograph will examine the intersection of gender, race, class, ethnicity, societal attitudes, medical/technological advances, demographic change, political and ideological shifts, and economic factors in shaping this ongoing nurse shortage resolution strategy. While specifically examining the consequences of international nurse recruitment for the domestic nursing supply, the nurse migrants themselves and their countries of origin, the health care systems that employ foreign nurses, and the associated quality of care outcomes, the project more broadly investigates the landscape of female migration from vulnerable to developed nations and how policies and interventions that promote individual and public health are shaped and implemented. This is a timely analysis given the current and projected critical undersupply of nurses in the U.S., evidence of marked expansion in international nurse recruitment from a greater array of nations, a global crisis in caring that engenders questions of ethics and equity, and U.S. initiatives to address determinants of health-including physical and social environments, policies and interventions, and access to quality health care. Using the long lens of historical inquiry, the proposed study will address the gap in our understanding of this phenomenon and provide important data from which to inform future nurse workforce planning efforts and help improve health care delivery to the American public.

描述（由申请人提供）：数十年来，护士供应和需求的潮起潮落困扰着美国（美国），产生了许多策略，以增加国家病人的看护人的数量。超过60年的一种策略是将外国护士劳工进口到美国医院和长期护理设施。移民护士主要是来自欠发达国家的妇女，既代表着通过性别，种族和阶级分层的劳动侨民，也代表了越来越多的移民妇女群体中独特的专业人群。因此，该项目的具体目的是提炼与持久的美国护士短缺相关的关键问题，提供二十世纪专业女性劳动迁移的案例研究，并探讨对公众健康进口护理的结果。这部全面的历史专着使用各种主要和次要来源材料以及移民护士的访谈，将研究性别，种族，种族，阶级，种族，社会态度，社会/技术进步，人口统计学变化，政治变化，政治和意识形态变化以及经济因素在塑造这种正在进行的护士短期解决方案方面的交流。在专门研究国际护士招聘国内护理供应的后果的同时，护士移民本身及其原籍国，雇用外国护士的医疗保健系统以及相关的护理结果质量，该项目更广泛地调查女性移民的景观发达的国家以及如何塑造和实施促进个人和公共卫生的政策和干预措施。鉴于美国护士的当前和预计的关键供应，这是一项及时的分析，这表明国际护士招募的证据显着扩大，从更大的国家招募，这是一场关怀的全球危机，在关心的全球危机中引起了道德和公平问题，以及美国旨在应对健康的身体和社会环境和社会环境，政策，介入，以及访问卫生，以及对健康的临床，以及对健康的确定性，以及访问良好的健康。拟议的研究将使用历史探究的长期镜头，以解决我们对这一现象的理解的差距，并提供重要的数据，以便从中向未来的护士劳动力计划工作提供信息，并帮助改善向美国公众提供医疗保健服务。