Browsing by Author "Pretorius, Cleopatra"
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- ItemSouth African nurse migration and reintegration of returning nurses(Stellenbosch : Stellenbosch University, 2018-03) Pretorius, Cleopatra; Young, Cornelle; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery.ENGLISH SUMMARY: Return migration is becoming more popular as more countries with developing economies realise the potential of returnees, with encouragement of participation in improving the country. This study investigates the push and pull factors influencing nurse migration from South Africa (SA), as well as return migration in relation to the ease with which workplace reintegration takes place. The methodology applied in this study is that of descriptive (Husserlian) phenomenology within a qualitative approach. Purposive and snowball (network) sampling was done to obtain candidates with experience about the phenomenon. Ethical approval was granted by the Health Research Ethics Committee of Stellenbosch University for the study and approval to participate was obtained from the ten participants by way of their written informed consent. A pilot interview was conducted, followed by data collection via semi-structured interviews. These interviews were audio-recorded and then transcribed verbatim. Transcriptions were analysed, emerging themes identified, and the data coded accordingly. Member checking was done throughout, to ensure that the true meaning of the situation was portrayed: Interviewees were engaged with several times to clarify statements and information given regarding the status quo at the time of migration and return to ensure that the lived experiences of the participants were captured as fully as possible. The results were discussed in detail to portray the full extent of the experiences of the participants. Anonymity was maintained throughout the process to prevent exposure of the participants and to encourage true opinions. Trustworthiness was ensured with special attention paid to credibility, transferability, dependability and confirmability. The findings of this study show that the majority of participants migrated for economic reasons, since the remuneration in the SA healthcare sector is inadequate to make ends meet. However, once the main goals were attained, the majority returned to SA to fulfil their parenting role. Furthermore, workplace reintegration was found to be an individualised journey with negative and positive experiences along the way. It appears that successful sustainable workplace reintegration in SA depends mainly on two factors: current SA workplace issues that need to be addressed on management level, and the ability and the willingness of the individual to adapt to SA circumstances on return. In conclusion, the phenomenological approach used to obtain return migrant nurses lived experiences during their reintegration in the SA workplace allowed the researcher a deeper understanding of how they perceived this work environment, following international nursing exposure.