The Lived Experiences of Indonesian Nurses Who Worked as Care Workers in Taiwan

Nursalam NURSALAM ； Ching-Min CHEN ； Ferry EFENDI ； Eka Misbahatul Mar'ah HAS ； Laily HIDAYATI ； Setho HADISUYATMANA

《The Journal of Nursing Research》 28卷2期 (2020/04) Pp. 1-7-007

https://doi.org/10.1097/jnr.0000000000000355

摘要

Background: Despite the large number of Indonesian nurses currently working as migrant care workers in Taiwan, no studies in the literature have been found that explore this phenomenon or assess the working situation of Indonesian nurses working in care facilities in Taiwan. Purpose: This study aimed to elicit and describe the lived experiences of Indonesian nurses serving as care workers in Taiwan. Methods: Phenomenological research was used to explore the experiences of Indonesian nurses working in long-term care facilities. The participants were recruited from care facilities in Taiwan. This study utilized semistructured interviews conducted with 16 Indonesian nurses in a suitable setting. All of the interviews were transcribed, and the work of Van Manen was used to analyze the data. Results: Four main themes were identified, including motives for working abroad, feelings of being trapped, experiencing a difficult journey, and the feeling of being supported. These themes reflect the lived experiences of Indonesian nurses who work in Taiwan's long-term care industry. Conclusions: Nurses from Indonesia choose to who work as nurses in Taiwan because of poor financial background and the chance of gaining a better life. However, the participants in this study felt stressed, challenged, and disappointed when faced with the unmet expectations of being employed as care workers without a clear career path. Furthermore, the need to communicate in an unfamiliar language was mentioned as a significant barrier to fulfilling their role. Better policies should be put in place to achieve improved outcomes for both countries.

關鍵字

lived experience ； Indonesian nurses ； foreign care workers ； Taiwan

參考文獻

Aiken, L. H., Buchan, J., Sochalski, J., Nichols, B., & Powell, M. (2004). Trends in international nurse migration: The world's wealthy countries must be aware of how the “pull” of nurses from developing countries affects global health. Health Affairs, 23(3), 69–77. https://doi.org/10.1377/hlthaff.23.3.69

Buchan, J. (2006). The impact of global nursing migration on health services delivery. Policy, Politics, & Nursing Practice, 7 (3, Suppl.), 16S–25S. https://doi.org/10.1177/1527154406291520

Clemens, M. A., & Pettersson, G. (2008). New data on African health professionals abroad. Human Resources for Health, 6(1), 1–11. https://doi.org/10.1186/1478-4491-6-1

Efendi, F., Chen, C. M., Nursalam, N., Indarwati, R., & Ulfiana, E. (2016). Lived experience of Indonesian nurses in Japan: A phenomenological study. Japan Journal of Nursing Science, 13(2), 284–293. https://doi.org/10.1111/jjns.12108

Efendi, F., Mackey, T. K., Huang, M. C., & Chen, C. M. (2017). IJEPA: Gray area for health policy and international nurse migration. Nursing Ethics, 24(3), 313–328. https://doi.org/10.1177/0969733015602052