Nursing Students’ Intention to Work in Rural Areas after Graduation: A Mixed Approach Study
Introduction: A key issue of Human Resources for Health and constraint to Universal Health Coverage is a disparity between the number of healthcare providers in urban and rural areas. The accessibility to health services has been found difficult in rural areas due to shortage of health workers. As...
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| Format: | Article |
| Language: | English |
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Karnali Academy of Health Sciences
2023-08-01
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| Series: | Journal of Karnali Academy of Health Sciences |
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| Online Access: | http://jkahs.org.np/jkahs/index.php/jkahs/article/view/767 |
| _version_ | 1797644134626885632 |
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| author | Selina Siwakoti Nand Ram Gahatraj Niranjan Shrestha |
| author_facet | Selina Siwakoti Nand Ram Gahatraj Niranjan Shrestha |
| author_sort | Selina Siwakoti |
| collection | DOAJ |
| description |
Introduction: A key issue of Human Resources for Health and constraint to Universal Health Coverage is a disparity between the number of healthcare providers in urban and rural areas. The accessibility to health services has been found difficult in rural areas due to shortage of health workers. As final-year nursing students are the prospective human resource for health, this study aimed to assess the intention of nursing students to work in rural areas and identify the motivating and discouraging factors associated with their intention.
Methods: Cross-sectional research design with mixed methods was conducted among final-year bachelor-level nursing students of Pokhara, Nepal from December 2019 to July 2020. A census method using a self-administered questionnaire was used for the quantitative method and in-depth interviews were conducted for the qualitative method. For quantitative method, descriptive and inferential statistics were used while content analysis for the qualitative method was carried out.
Results: About one-third (33.3%) participants intended to work in rural areas. The motivating factors were an opportunity for career advancement (AOR: 3.8; 95% CI: 1.35-10.77), locating near to family (AOR: 3.58, 95% CI: 1.36-9.45), high salary/incentives, and high healthcare needs in rural areas; whereas discouraging factors were separation from family and friends (AOR 4.10, 95% CI 1.34-12.52), less availability of recreational facilities (AOR 3.68, 95% CI 1.11-12.21), inadequate salary/incentives, lack of equipment and resources, low utilization of skills and knowledge and low self-perceived competency.
Conclusions: Only one-third of the participants had the intention to have the job placement in rural areas. The participants preferred to work staying with or nearby their family. The enrollment of students of rural origin/residence or background in a nursing program should be ensured. Various motivating factors like training, attractive incentives, infrastructures, and facilities should be offered to make rural jobs more attractive.
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| first_indexed | 2024-03-11T14:26:04Z |
| format | Article |
| id | doaj.art-441fe21f67cb4d3c97a47ea8c59fcc35 |
| institution | Directory Open Access Journal |
| issn | 2616-0064 2676-1327 |
| language | English |
| last_indexed | 2024-03-11T14:26:04Z |
| publishDate | 2023-08-01 |
| publisher | Karnali Academy of Health Sciences |
| record_format | Article |
| series | Journal of Karnali Academy of Health Sciences |
| spelling | doaj.art-441fe21f67cb4d3c97a47ea8c59fcc352023-10-31T15:25:29ZengKarnali Academy of Health SciencesJournal of Karnali Academy of Health Sciences2616-00642676-13272023-08-0162916Nursing Students’ Intention to Work in Rural Areas after Graduation: A Mixed Approach StudySelina Siwakoti0Nand Ram Gahatraj1Niranjan Shrestha2Nepal Health Research CouncilSchool of Health and Allied Sciences, Pokhara UniversitySchool of Health and Allied Sciences, Pokhara University Introduction: A key issue of Human Resources for Health and constraint to Universal Health Coverage is a disparity between the number of healthcare providers in urban and rural areas. The accessibility to health services has been found difficult in rural areas due to shortage of health workers. As final-year nursing students are the prospective human resource for health, this study aimed to assess the intention of nursing students to work in rural areas and identify the motivating and discouraging factors associated with their intention. Methods: Cross-sectional research design with mixed methods was conducted among final-year bachelor-level nursing students of Pokhara, Nepal from December 2019 to July 2020. A census method using a self-administered questionnaire was used for the quantitative method and in-depth interviews were conducted for the qualitative method. For quantitative method, descriptive and inferential statistics were used while content analysis for the qualitative method was carried out. Results: About one-third (33.3%) participants intended to work in rural areas. The motivating factors were an opportunity for career advancement (AOR: 3.8; 95% CI: 1.35-10.77), locating near to family (AOR: 3.58, 95% CI: 1.36-9.45), high salary/incentives, and high healthcare needs in rural areas; whereas discouraging factors were separation from family and friends (AOR 4.10, 95% CI 1.34-12.52), less availability of recreational facilities (AOR 3.68, 95% CI 1.11-12.21), inadequate salary/incentives, lack of equipment and resources, low utilization of skills and knowledge and low self-perceived competency. Conclusions: Only one-third of the participants had the intention to have the job placement in rural areas. The participants preferred to work staying with or nearby their family. The enrollment of students of rural origin/residence or background in a nursing program should be ensured. Various motivating factors like training, attractive incentives, infrastructures, and facilities should be offered to make rural jobs more attractive. http://jkahs.org.np/jkahs/index.php/jkahs/article/view/767Career intentionJob location preferencesNursing studentsRural area |
| spellingShingle | Selina Siwakoti Nand Ram Gahatraj Niranjan Shrestha Nursing Students’ Intention to Work in Rural Areas after Graduation: A Mixed Approach Study Journal of Karnali Academy of Health Sciences Career intention Job location preferences Nursing students Rural area |
| title | Nursing Students’ Intention to Work in Rural Areas after Graduation: A Mixed Approach Study |
| title_full | Nursing Students’ Intention to Work in Rural Areas after Graduation: A Mixed Approach Study |
| title_fullStr | Nursing Students’ Intention to Work in Rural Areas after Graduation: A Mixed Approach Study |
| title_full_unstemmed | Nursing Students’ Intention to Work in Rural Areas after Graduation: A Mixed Approach Study |
| title_short | Nursing Students’ Intention to Work in Rural Areas after Graduation: A Mixed Approach Study |
| title_sort | nursing students intention to work in rural areas after graduation a mixed approach study |
| topic | Career intention Job location preferences Nursing students Rural area |
| url | http://jkahs.org.np/jkahs/index.php/jkahs/article/view/767 |
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