Social Science and Medicine
Volume 71, Issue 1, 2010, Pages 166-172

Nurses, Inc.: Expansion and commercialization of nursing education in the Philippines (Article)

Masselink L.E.* , Lee S.-Y.D.
  • a School of Nursing, University of North Carolina at Chapel Hill, Carrington Hall, CB #7460, Chapel Hill, NC 27599, United States
  • b Department of Health Policy and Management, University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC, United States

Abstract

Exporting nurses has been a long-standing economic strategy for the Philippine government, despite the fact that the Philippines' domestic health system is weak and existing supplies of health workers are poorly distributed. This study explores the role of nursing schools as " migrant institutions" in expanding and commercializing nursing education and perpetuating the link between nursing education and migration. Data were collected primarily via in-depth interviews of key informants (nursing school administrators and policymakers) in the Philippines. Results suggest that nursing schools have expanded migration opportunities by making nursing educational available to more students and more diverse student populations. Also, some nursing schools have acted to control the licensure and recruitment processes by establishing commercial relationships with licensure exam review centers and recruitment agencies. These activities perpetuate the culture of migration in the country's nursing profession and indirectly contribute to declining quality of nursing education, misuse of scarce resources, corruption in the nursing sector, and exacerbation of existing health workforce imbalances. © 2010 Elsevier Ltd.

Author Keywords

Migration Nursing education Philippines

Index Keywords

cultural anthropology nursing student Schools, Nursing nursing education Filipino nurse medical examination licensing Education, Nursing recruitment (employment) Nurses domestic work administrative personnel Commerce interview Humans Interviews as Topic labor migration Interinstitutional Relations medical profession commercial phenomena Article Organizational Culture commercialization advertizing Licensure, Nursing Personnel Selection health education migration health care quality government government regulation health worker Emigration and Immigration Philippines educational development medical school

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953615504&doi=10.1016%2fj.socscimed.2009.11.043&partnerID=40&md5=c3ce23080c0904f214d9a79cabb089d8

DOI: 10.1016/j.socscimed.2009.11.043
ISSN: 02779536
Cited by: 32
Original Language: English