Araştırma Makalesi
BibTex RIS Kaynak Göster

Türkiye'deki Son Sınıf Hemşirelik Öğrencilerinin Beyin Göçüyle İlgili Görüşleri: Nitel Bir Çalışma

Yıl 2025, Cilt: 28 Sayı: 3, 303 - 314, 24.09.2025
https://doi.org/10.17049/jnursology.1574741

Öz

Amaç: Bu çalışmada, göç etmek isteyen hemşirelik öğrencilerinin beyin göçü ile ilgili perspektiflerinin derinlemesine incelenmesi amaçlanmıştır.

Yöntemler: Çalışma, tanımlayıcı nitel araştırma tasarımına sahiptir. Çalışmanın evrenini, bir üniversitenin Hemşirelik Fakültesinde öğrenim gören ve yurtdışına göç etmeyi planlayan 13 son sınıf hemşirelik öğrencisi oluşturmuştur. Veriler, yüz yüze yapılan bireysel derinlemesine görüşmeler ile toplanmıştır. Katılımcılardan izin alındıktan sonra görüşmeler ses kaydına alınmıştır. Verilerin analizinde, Teorik Kodlamaya uygun olarak içerik analizi yapılmıştır.

Bulgular: Çalışmada, öğrencilerin görüşlerinden üç tema ortaya çıkmıştır: "Beyin göçü algısı", "Beyin göçünün motivasyonları" ve "Zorluklar". Beyin göçüne yönelik algıları olumlu olandan olumsuza doğru değişmiş, toplumda bir göç eğilimi gözlemlenmiş, Türkiye'deki hemşirelikten memnun olmadıkları ve gelecek için umutsuz hissettikleri belirlenmiştir. Çalışma koşulları, yurtdışındaki ekonomik refah ve kariyer olanakları, Türkiye'de yaşanan mobbing, ağır iş yükü ve sağlıkta şiddet, öğrencilerin göç etme motivasyonlarını oluştururken, göç edecekleri ülkede karşılaşacakları kültürel ve dil farklılıkları ise karşılaştıkları zorluklar olmuştur.

Sonuç: Göç etmek isteyen öğrencilerin perspektiflerini oluşturan faktörlerin bir kısmı kontrol edilebilir, bir kısmı ise kişisel niteliktedir. İş yüklerinin azaltılması, ekonomik destek sağlanması ve kariyer olanaklarının artırılması durumunda, öğrencilerin Türkiye’de kalma eğilimlerinin artabileceği düşünülmektedir.

Kaynakça

  • 1. World Health Organization. Nursing and midwifery personnel density (per 1000 population). https://www.who.int/data/gho/data/indicators/indicator-details/GHO/nursing-and-midwifery-personnel-(per-10-000-population) . Published 2020. Accessed October 27, 2024.
  • 2. Öncü E, Vayısoğlu SK, Karadağ G, Alaçam B, Göv P, Selcuk Tosun A. Intention to migrate among the next generation of Turkish nurses and drivers of migration. J Nurs Manag. 2021;29(3):487-496. https://doi.org/10.1111/jonm.13187
  • 3. Toyin-Thomas P, Ikhurionan P, Omoyibo E, et al. Drivers of health workers’ migration, intention to migrate and non-migration from low/middle-income countries, 1970–2022: a systematic review. BMJ Global Health. 2023;8(5):e012338. https://doi.org/10.1136/bmjgh-2023-012338
  • 4. Sasso L, Bagnasco A, Catania G, et al. Push and pull factors of nurses' intention to leave. Journal of Nursing Management. 2019;27(5):946–954. https://doi.org/10.1111/jonm.12745
  • 5. Salami B, Meherali S, Covell CL. Downward occupational mobility of baccalaureate-prepared, internationally educated nurses to licensed practical nurses. Int Nurs Rev. 2018;65(2):173-181. https://doi.org/10.1111/inr.12400
  • 6. Deasy C, O Loughlin C, Markey K, et al. Effective workforce planning: Understanding final‐year nursing and midwifery students’ intentions to migrate after graduation. J Nurs Manag. 2021;29(2):220-228. https://doi.org/10.1111/jonm.13143
  • 7. International Council of Nurses. The Global Nursing shortage and Nurse Retention. https://www.icn.ch/sites/default/files/inline-files/ICN%20Policy%20Brief_Nurse%20Shortage%20and%20Retention_0.pdf. Published 2020. Accessed October 27, 2024.
  • 8. Li H, Nie W, Li J. The benefits and caveats of international nurse migration. Int J Nurs Sci. 2014;1(3):314-317. https://doi.org/10.1016/j.ijnss.2014.07.006
  • 9. Efendi F, Oda H, Kurniati A, Hadjo SS, Nadatien I, Ritonga IL. Determinants of nursing students’ intention to migrate overseas to work and implications for sustainability: The case of Indonesian students. Nurs Health Sci. 2021;23(1):103-112. https://doi.org/10.1111/nhs.12757
  • 10. Shamsi A, Peyravi H. Nursing shortage, a different challenge in Iran: A systematic review. Med J Islam Repub Iran. 2020;34:8. https://doi.org/10.34171/mjiri.34.8
  • 11. Tosunöz İK, Nazik E. Career future perceptions and attitudes towards migration of nursing students: A cross-sectional multicenter study. Nurse Educ Pract. 2022;63:103413. https://doi.org/10.1016/j.nepr.2022.103413
  • 12. Goštautaitė B, Bučiūnienė I, Milašauskienė Ž, et al. Migration intentions of Lithuanian physicians, nurses, residents and medical students. Health Policy. 2018;122(10):1126-1131. https://doi.org/10.1016/j.healthpol.2018.07.001
  • 13. Poudel C, Ramjan L, Everett B, Salamonson Y. Exploring migration intention of nursing students in Nepal: A mixed-methods study. Nurse Educ Pract. 2018;29:95-102. https://doi.org/10.1016/j.nepr.2017.11.012
  • 14. Ramos P, Alves H. Migration intentions among Portuguese junior doctors: results from a survey. Health Policy. 2017;121(12):1208-1214. https://doi.org/10.1016/j.healthpol.2017.09.016
  • 15. Nguyen L, Ropers S, Nderitu E, Zuyderduin A, Luboga S, Hagopian A. Intent to migrate among nursing students in Uganda: measures of the brain drain in the next generation of health professionals. Hum Resour Health. 2008;6(5):1-11. https://doi.org/10.1186/1478-4491-6-5
  • 16. Berşe S, Karacan E, Yeşılyurt, PZ, Güngörmüş Z. Impact of hopelessness on migration intentions of nursing students: a path analysis. BMC Nursing. 2025;24(1):29. https://doi.org/10.1186/s12912-024-02667-5 17. Li H, Nie W, Li J. The benefits and caveats of international nurse migration. International Journal of Nursing Sciences. 2014;1(3):314–317. https://doi.org/10.1016/j.ijnss.2014.07.006
  • 18. Goštautaitė B, Bučiūnienė I, Milašauskienė Ž, Bareikis K, Bertašiūtė E, Mikelionienė G. Migration intentions of Lithuanian physicians, nurses, residents and medical students. Health Policy. 2018;122(10):1126–1131. https://doi.org/10.1016/j.healthpol.2018.07.001
  • 19. Seven A, Adadıoğlu Ö. Nursing Students' Attitudes Towards Brain Drain in Türkiye: A Cross-Sectional Study. Turk Klin J Nurs Sci. 2022;14(1):179-184. https://doi.org/10.5336/nurses.2021-83339
  • 20. Appleton S, Song L. Life satisfaction in urban China: Components and determinants. World Dev. 2008;36(11):2325-2340. https://doi.org/10.1016/j.worlddev.2008.04.009
  • 21. Özdemir S, Sevinç S. Correlation between cultural competence, xenophobia, and attitudes towards brain drain in nursing students. Nurse Education Today. 2023;131:105963. https://doi.org/10.1016/j.nedt.2023.105963
  • 22. Efendi F, Oda H, Kurniati A, Hadjo S, Nadatien I, Ritonga L. Determinants of nursing students' intention to migrate overseas to work and implications for sustainability: The case of Indonesian students. Nursing & Health Sciences. 2021;23(1):103-112. https://doi.org/10.1111/nhs.12757
  • 23. Demiray A, İlaslan N, Açıl A. Evaluation of nursing students' attitudes towards brain drain. J Hum Sci. 2020;17(2):632-641. https://doi.org/10.14687/jhs.v17i2.5956
  • 24. Ghimire A, Yunjing U, Thapa B, Ranabhat M. Exploring the factors affecting undergraduate nursing students' migration intention: A qualitative study. Nurse Education Today, 2024;143:106414. https://doi.org/10.1016/j.nedt.2024.106414
  • 25. Laari K, Sapak J, Wumbei D, Salifu I. Migration intentions among nursing students in a low-middle-income country. BMC Nursing. 2024;23(1):492. https://doi.org/10.1186/s12912-024-02180-9
  • 26. Zhou Y, Roscigno C, Sun Q. Why do China-educated nurses emigrate? A qualitative exploration. Int J Nurs Stud. 2016;53:163-172. https://doi.org/10.1016/j.ijnurstu.2015.08.008
  • 27. Hashish EA, Ashour HM. Determinants and mitigating factors of the brain drain among Egyptian nurses: a mixed-methods study. J Res Nurs. 2020;25(8):699-719. https://doi.org/10.1177/1744987120940381
  • 28. Sapkota TN, van Teijlingen E, Simkhada PP. Nepalese health workers' migration to the United Kingdom: A qualitative study. Health Sci J. 2014;8(1):57. https://www.itmedicalteam.pl/articles/nepalese-health-workers-migration-to-the-united-kingdom-a-qualitative-study-105508.html
  • 29. Alonso-Garbayo Á, Maben J. Internationally recruited nurses from India and the Philippines in the United Kingdom: the decision to emigrate. Hum Resour Health. 2009;7(37):1-11. https://doi.org/10.1186/1478-4491-7-37
  • 30. Šeherčehajić E, Ramić A. Emigration-related Attitudes of Students of Health Studies in Bosnia and Herzegovina. Iran J Health Sci. 2022;10(4):27-34. https://doi.org/10.32598/ijhs.10.4.888.1
  • 31. Peters A, Palomo R, Pittet D. The great nursing brain drain and its effects on patient safety. Antimicrob Resist Infect Control. 2020;9(57):1-3. https://doi.org/10.1186/s13756-020-00719-4
  • 32. Shojaeimotlagh V, Valizadeh S, Hasankhani H, Bozorgomid A. Psychological needs, satisfaction and intention to migrate in Iranian nurses: A qualitative content analysis. Iran J Public Health. 2018;47(8):1201. http://ijph.tums.ac.ir
  • 33. Dohlman L, DiMeglio M, Hajj J, Laudanski K. Global brain drain: how can the Maslow theory of motivation improve our understanding of physician migration?. Int J Environ Res Public Health. 2019;16(7):1182. https://doi.org/10.3390/ijerph16071182
  • 34. Rappold E, Juraszovich B. Pflegepersonal-Bedarfsprognose für Österreich. https://jasmin.goeg.at/1080/1/Pflegepersonalprognose%202030_bf.pdf. Published 2019. Accessed October 27, 2024.
  • 35. Boafo M. Ghanaian nurses’ migration intentions: the role of workplace violence. International Journal of Africa Nursing Sciences. 2016;5:29–35. https://doi.org/10.1016/j.ijans.2016.11.001
  • 36. Philip H, Babu A, Cutinha E, Joseph J, Vas S. A study on contributing factors of nurses migration to overseas among the staff nurses working in selected hospital at Mangalore. Journal of Health and Allied Sciences NU. 2018;8(04):003–006.
  • 37. Tuncer M, Tuncer GZ, Turan Ş, Khorshtd L. Investigation of the relationship between attitudes toward migration and life satisfaction of nurses working in Turkey. International Nursing Review. 2025;72(1):e13002. https://doi.org/10.1111/inr.13002
  • 38. Abedi AA, Ogwal DS, Pintye J, Nabirye RC, Hagopian A. Baccalaureate prepared nurses as the new entry-level nursing cadre in Uganda: A qualitative study of BSN student and faculty perspectives in two universities. Nurse Educ Today. 2019;76:131-136. https://doi.org/10.1016/j.nedt.2019.01.023

Brain Drain-Related Perspectives of Senior Nursing Students in Türkiye: A Qualitative Study

Yıl 2025, Cilt: 28 Sayı: 3, 303 - 314, 24.09.2025
https://doi.org/10.17049/jnursology.1574741

Öz

Objective: This study was aimed at investigating the brain drain-related perspectives of nursing students who wanted to emigrate in depth.

Methods: The study has the descriptive qualitative research design. The population of the study comprised 13 senior nursing students studying at the Faculty of Nursing of a university and intending to emigrate abroad. Data were collected through face-to-face individual in-depth interviews. The interviews were audio-recorded after the participants’ permission was obtained. This study adopted a qualitative research design based on inductive content analysis to explore the participants’ perspectives in depth.

Results: In this study, three themes emerged from the students' opinions: "Perception of brain drain", "Motivation behind brain drain" and "Challenges". The first theme reflected students’ varied views on migration, including both positive and negative perceptions, a growing social trend towards emigration, and feelings of hopelessness and dissatisfaction with nursing in Türkiye, leading to the formation of personal migration plans. The second theme captured motivations such as the influence of relatives and role models abroad, favourable personal conditions, attractive opportunities overseas, language efforts, and openness to new experiences. The final theme focused on challenges, including push factors like poor working conditions and low wages, barriers such as language and time constraints, and emotional concerns such as loneliness and cultural adjustment.

Conclusion: The study showed that nursing students’ intention to emigrate stems from mixed perceptions of brain drain, strong personal and social motivations, and various emotional and structural challenges. Addressing these issues may help mitigate future nurse migration.

Kaynakça

  • 1. World Health Organization. Nursing and midwifery personnel density (per 1000 population). https://www.who.int/data/gho/data/indicators/indicator-details/GHO/nursing-and-midwifery-personnel-(per-10-000-population) . Published 2020. Accessed October 27, 2024.
  • 2. Öncü E, Vayısoğlu SK, Karadağ G, Alaçam B, Göv P, Selcuk Tosun A. Intention to migrate among the next generation of Turkish nurses and drivers of migration. J Nurs Manag. 2021;29(3):487-496. https://doi.org/10.1111/jonm.13187
  • 3. Toyin-Thomas P, Ikhurionan P, Omoyibo E, et al. Drivers of health workers’ migration, intention to migrate and non-migration from low/middle-income countries, 1970–2022: a systematic review. BMJ Global Health. 2023;8(5):e012338. https://doi.org/10.1136/bmjgh-2023-012338
  • 4. Sasso L, Bagnasco A, Catania G, et al. Push and pull factors of nurses' intention to leave. Journal of Nursing Management. 2019;27(5):946–954. https://doi.org/10.1111/jonm.12745
  • 5. Salami B, Meherali S, Covell CL. Downward occupational mobility of baccalaureate-prepared, internationally educated nurses to licensed practical nurses. Int Nurs Rev. 2018;65(2):173-181. https://doi.org/10.1111/inr.12400
  • 6. Deasy C, O Loughlin C, Markey K, et al. Effective workforce planning: Understanding final‐year nursing and midwifery students’ intentions to migrate after graduation. J Nurs Manag. 2021;29(2):220-228. https://doi.org/10.1111/jonm.13143
  • 7. International Council of Nurses. The Global Nursing shortage and Nurse Retention. https://www.icn.ch/sites/default/files/inline-files/ICN%20Policy%20Brief_Nurse%20Shortage%20and%20Retention_0.pdf. Published 2020. Accessed October 27, 2024.
  • 8. Li H, Nie W, Li J. The benefits and caveats of international nurse migration. Int J Nurs Sci. 2014;1(3):314-317. https://doi.org/10.1016/j.ijnss.2014.07.006
  • 9. Efendi F, Oda H, Kurniati A, Hadjo SS, Nadatien I, Ritonga IL. Determinants of nursing students’ intention to migrate overseas to work and implications for sustainability: The case of Indonesian students. Nurs Health Sci. 2021;23(1):103-112. https://doi.org/10.1111/nhs.12757
  • 10. Shamsi A, Peyravi H. Nursing shortage, a different challenge in Iran: A systematic review. Med J Islam Repub Iran. 2020;34:8. https://doi.org/10.34171/mjiri.34.8
  • 11. Tosunöz İK, Nazik E. Career future perceptions and attitudes towards migration of nursing students: A cross-sectional multicenter study. Nurse Educ Pract. 2022;63:103413. https://doi.org/10.1016/j.nepr.2022.103413
  • 12. Goštautaitė B, Bučiūnienė I, Milašauskienė Ž, et al. Migration intentions of Lithuanian physicians, nurses, residents and medical students. Health Policy. 2018;122(10):1126-1131. https://doi.org/10.1016/j.healthpol.2018.07.001
  • 13. Poudel C, Ramjan L, Everett B, Salamonson Y. Exploring migration intention of nursing students in Nepal: A mixed-methods study. Nurse Educ Pract. 2018;29:95-102. https://doi.org/10.1016/j.nepr.2017.11.012
  • 14. Ramos P, Alves H. Migration intentions among Portuguese junior doctors: results from a survey. Health Policy. 2017;121(12):1208-1214. https://doi.org/10.1016/j.healthpol.2017.09.016
  • 15. Nguyen L, Ropers S, Nderitu E, Zuyderduin A, Luboga S, Hagopian A. Intent to migrate among nursing students in Uganda: measures of the brain drain in the next generation of health professionals. Hum Resour Health. 2008;6(5):1-11. https://doi.org/10.1186/1478-4491-6-5
  • 16. Berşe S, Karacan E, Yeşılyurt, PZ, Güngörmüş Z. Impact of hopelessness on migration intentions of nursing students: a path analysis. BMC Nursing. 2025;24(1):29. https://doi.org/10.1186/s12912-024-02667-5 17. Li H, Nie W, Li J. The benefits and caveats of international nurse migration. International Journal of Nursing Sciences. 2014;1(3):314–317. https://doi.org/10.1016/j.ijnss.2014.07.006
  • 18. Goštautaitė B, Bučiūnienė I, Milašauskienė Ž, Bareikis K, Bertašiūtė E, Mikelionienė G. Migration intentions of Lithuanian physicians, nurses, residents and medical students. Health Policy. 2018;122(10):1126–1131. https://doi.org/10.1016/j.healthpol.2018.07.001
  • 19. Seven A, Adadıoğlu Ö. Nursing Students' Attitudes Towards Brain Drain in Türkiye: A Cross-Sectional Study. Turk Klin J Nurs Sci. 2022;14(1):179-184. https://doi.org/10.5336/nurses.2021-83339
  • 20. Appleton S, Song L. Life satisfaction in urban China: Components and determinants. World Dev. 2008;36(11):2325-2340. https://doi.org/10.1016/j.worlddev.2008.04.009
  • 21. Özdemir S, Sevinç S. Correlation between cultural competence, xenophobia, and attitudes towards brain drain in nursing students. Nurse Education Today. 2023;131:105963. https://doi.org/10.1016/j.nedt.2023.105963
  • 22. Efendi F, Oda H, Kurniati A, Hadjo S, Nadatien I, Ritonga L. Determinants of nursing students' intention to migrate overseas to work and implications for sustainability: The case of Indonesian students. Nursing & Health Sciences. 2021;23(1):103-112. https://doi.org/10.1111/nhs.12757
  • 23. Demiray A, İlaslan N, Açıl A. Evaluation of nursing students' attitudes towards brain drain. J Hum Sci. 2020;17(2):632-641. https://doi.org/10.14687/jhs.v17i2.5956
  • 24. Ghimire A, Yunjing U, Thapa B, Ranabhat M. Exploring the factors affecting undergraduate nursing students' migration intention: A qualitative study. Nurse Education Today, 2024;143:106414. https://doi.org/10.1016/j.nedt.2024.106414
  • 25. Laari K, Sapak J, Wumbei D, Salifu I. Migration intentions among nursing students in a low-middle-income country. BMC Nursing. 2024;23(1):492. https://doi.org/10.1186/s12912-024-02180-9
  • 26. Zhou Y, Roscigno C, Sun Q. Why do China-educated nurses emigrate? A qualitative exploration. Int J Nurs Stud. 2016;53:163-172. https://doi.org/10.1016/j.ijnurstu.2015.08.008
  • 27. Hashish EA, Ashour HM. Determinants and mitigating factors of the brain drain among Egyptian nurses: a mixed-methods study. J Res Nurs. 2020;25(8):699-719. https://doi.org/10.1177/1744987120940381
  • 28. Sapkota TN, van Teijlingen E, Simkhada PP. Nepalese health workers' migration to the United Kingdom: A qualitative study. Health Sci J. 2014;8(1):57. https://www.itmedicalteam.pl/articles/nepalese-health-workers-migration-to-the-united-kingdom-a-qualitative-study-105508.html
  • 29. Alonso-Garbayo Á, Maben J. Internationally recruited nurses from India and the Philippines in the United Kingdom: the decision to emigrate. Hum Resour Health. 2009;7(37):1-11. https://doi.org/10.1186/1478-4491-7-37
  • 30. Šeherčehajić E, Ramić A. Emigration-related Attitudes of Students of Health Studies in Bosnia and Herzegovina. Iran J Health Sci. 2022;10(4):27-34. https://doi.org/10.32598/ijhs.10.4.888.1
  • 31. Peters A, Palomo R, Pittet D. The great nursing brain drain and its effects on patient safety. Antimicrob Resist Infect Control. 2020;9(57):1-3. https://doi.org/10.1186/s13756-020-00719-4
  • 32. Shojaeimotlagh V, Valizadeh S, Hasankhani H, Bozorgomid A. Psychological needs, satisfaction and intention to migrate in Iranian nurses: A qualitative content analysis. Iran J Public Health. 2018;47(8):1201. http://ijph.tums.ac.ir
  • 33. Dohlman L, DiMeglio M, Hajj J, Laudanski K. Global brain drain: how can the Maslow theory of motivation improve our understanding of physician migration?. Int J Environ Res Public Health. 2019;16(7):1182. https://doi.org/10.3390/ijerph16071182
  • 34. Rappold E, Juraszovich B. Pflegepersonal-Bedarfsprognose für Österreich. https://jasmin.goeg.at/1080/1/Pflegepersonalprognose%202030_bf.pdf. Published 2019. Accessed October 27, 2024.
  • 35. Boafo M. Ghanaian nurses’ migration intentions: the role of workplace violence. International Journal of Africa Nursing Sciences. 2016;5:29–35. https://doi.org/10.1016/j.ijans.2016.11.001
  • 36. Philip H, Babu A, Cutinha E, Joseph J, Vas S. A study on contributing factors of nurses migration to overseas among the staff nurses working in selected hospital at Mangalore. Journal of Health and Allied Sciences NU. 2018;8(04):003–006.
  • 37. Tuncer M, Tuncer GZ, Turan Ş, Khorshtd L. Investigation of the relationship between attitudes toward migration and life satisfaction of nurses working in Turkey. International Nursing Review. 2025;72(1):e13002. https://doi.org/10.1111/inr.13002
  • 38. Abedi AA, Ogwal DS, Pintye J, Nabirye RC, Hagopian A. Baccalaureate prepared nurses as the new entry-level nursing cadre in Uganda: A qualitative study of BSN student and faculty perspectives in two universities. Nurse Educ Today. 2019;76:131-136. https://doi.org/10.1016/j.nedt.2019.01.023
Toplam 37 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik Esasları, Ruh Sağlığı Hemşireliği
Bölüm Araştırma Makaleleri
Yazarlar

Metin Tuncer 0000-0003-1780-9191

Gülsüm Zekiye Tuncer 0000-0001-8969-7139

Erken Görünüm Tarihi 12 Eylül 2025
Yayımlanma Tarihi 24 Eylül 2025
Gönderilme Tarihi 28 Ekim 2024
Kabul Tarihi 22 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 28 Sayı: 3

Kaynak Göster

AMA Tuncer M, Tuncer GZ. Brain Drain-Related Perspectives of Senior Nursing Students in Türkiye: A Qualitative Study. Journal of Nursology. Eylül 2025;28(3):303-314. doi:10.17049/jnursology.1574741

31408
34399