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Table 1 Factors influencing migrant nurse decisions to stay or leave Ireland (adapted from Padarath, 2004 [28])

From: "I won't be staying here for long": a qualitative study on the retention of migrant nurses in Ireland

 

Endogenous

(within the health system)

Exogenous

(outside the health system)

Push

(from Ireland)

De-skilling (brain waste)

• Uncertain residency/citizenship entitlements (especially for children)

• No family reunification rights for extended family (children over 18, parents)

• No entitlement to subsidized third-level education for children

• No protection for the integrity of the family unit

Pull

(to Canada/USA/Australia)

• Relocation bonuses

• Opportunity to specialize and/or use one's specialty

• Opportunity to advance career

• Clearer whole-family residency and citizenship entitlements

• Opportunity for family reunification

• Integrity of family unit protected

Stay

(in Ireland)

• Job security (permanence)

• Salary enabling remittances

• Maternity leave entitlements

• Equality

• Desire to be settled

• Avoid further disruption (for children)

• Feel safe

• Equality