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  • ISSN[Online] : 2643-9875  ||  ISSN[Print] : 2643-9840

Volume 07 Issue 12 December 2024

Post-Migration Mental Health of Black African Migrant Nurses in England
Harmony Owhotake RN, BSN, MPH
Independent researcher
DOI : https://doi.org/10.47191/ijmra/v7-i12-21

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ABSTRACT:

International nurse migration has become increasingly prevalent, with nurses from developing nations, particularly in Africa, moving to high-income countries like the UK. While this movement offers better economic and professional opportunities, it also presents significant challenges, particularly regarding mental health. Migration-induced stress, exacerbated by acculturative pressures, can contribute to mental health issues such as depression and anxiety among migrant nurses. Despite the importance of this issue, there has been limited research into the mental health status of Black African migrant nurses in England. This cross-sectional study aimed to explore the mental health well-being of Black African migrant nurses in England, using validated scales: the Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS) and the Hopkins Symptom Checklist-10 (HSCL-10). Findings revealed that while the overall mental well-being of participants was comparable to the national average, the prevalence of depressive and anxiety symptoms was significantly higher. Specifically, 60.8% of respondents reported HSCL-10 scores indicative of mental health issues, a rate nearly three times higher than that reported in hospital staff and the general population. Notably, those whose symptoms began after migration had significantly higher levels of psychological distress, emphasising the role of migration in exacerbating mental health issues. Factors such as racism and discrimination were found to be the strongest predictors of poor mental health, followed by spending time alone when off work, job stress, age and health status. These findings highlight the need for targeted mental health interventions and policies addressing the specific challenges faced by Black African migrant nurses, particularly in the areas of workplace discrimination and social integration.

KEYWORDS:

Transplantation, Coral, Seventh Year

REFERENCES
1) Allan, H. and Larsen, J. (2003) We need respect’’: experiences of internationally recruited nurses in the UK. London, United Kingdom of Great Britain and Northern Ireland: Royal College of Nursing.

2) Attal, J.H., Lurie, I. and Neumark, Y. (2020) 'A rapid assessment of migrant careworkers’ psychosocial status during Israel’s COVID-19 lockdown,' Israel Journal of Health Policy Research, 9(1). https://doi.org/10.1186/s13584-020-00422-0.

3) Baker, C. (2023) NHS staff from overseas: Statistics. House of Commons library. a. https://researchbriefings.files.parliament.uk/documents/CBP-7783/CBP-7783.pdf.

4) Berry, J.W. (2005) 'Acculturation: Living successfully in two cultures,' International Journal of Intercultural Relations, 29(6), pp. 697–712. https://doi.org/10.1016/j.ijintrel.2005.07.013.

5) Bhugra, D. (2004) 'Migration and mental health,' Acta Psychiatrica Scandinavica, 109(4), pp. 243–258. https://doi.org/10.1046/j.0001-690x.2003.00246.x.

6) Bhugra, D. and Becker, M.L. (2005) 'Migration, cultural bereavement and cultural identity.' World Psychiatry [Preprint].

7) Buchan, J. and Calman, L. (2004) The Global Shortage of Registered Nurses: An overview of issues and actions. Geneva, Switzerland: International council of nurses. https://eprints.soton.ac.uk/366546/.

8) Buchan, J., Seccombe, I. and Thomas, S. (1997) 'Overseas mobility of UK based nurses,' International Journal of Nursing Studies, 34, pp. 54–62.

9) Calnan, M., Wainwright, D., Forsythe, M., Wall, B., Almond, S. (2001) 'Mental health and stress in the workplace: the case of general practice in the UK,' Social Science & Medicine, 52(4), pp. 499–507. https://doi.org/10.1016/s0277-9536(00)00155-6.

10) Carballo, M., Divino, J.J. and Zeric, D. (1998) 'Migration and health in the European Union,' Tropical Medicine & International Health, 3(12), pp. 936–944. https://doi.org/10.1046/j.1365-3156.1998.00337.x.

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

12) Derogatis, L.R., Lipman, R., Rickels, K., Uhlenhuth, E. H., Covi, L. (1974) 'The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory,' Behavioral Science, 19(1), pp. 1–15. https://doi.org/10.1002/bs.3830190102.

13) Fat, L.N., Scholes, S., Boniface, S., Mindell, J., Stewart-Brown, S. (2016) 'Evaluating and establishing national norms for mental wellbeing using the short Warwick–Edinburgh Mental Well-being Scale (SWEMWBS): findings from the Health Survey for England,' Quality of Life Research, 26(5), pp. 1129–1144. https://doi.org/10.1007/s11136-016-1454-8.

14) Ford, M. (2023) Exclusive: Mental health at perilous low, warn nursing staff. https://www.nursingtimes.net/news/nurse-wellbeing/exclusive-mental-health-at-perilous-low-warn-nursing-staff-01-02-2023/ (Accessed: August 1, 2024).

15) Hasan, S.N., Yee, A., Rinaldi, A., Azham, A. A., Hairi, F. M., Nordin, A. S. S. (2021) 'Prevalence of common mental health issues among migrant workers: A systematic review and meta-analysis,' PLOS ONE, 16(12), p. e0260221. https://doi.org/10.1371/journal.pone.0260221.

16) Kesornsri, S., Sitthimongkol, Y. and Hegadoren, K. (2014) 'Mental Health Problems among Migrant Workers: Challenges for Nurses in Thailand,' Journal of Nursing Science (วารสารพยาบาลศาสตร์), 32(3), pp. 9–19. https://www.tci-thaijo.org/index.php/ns/article/view/27169.

17) Kleppang, A.L. and Hagquist, C. (2016) 'the psychometric properties of the Hopkins Symptom Checklist-10: a Rasch analysis based on adolescent data from Norway,' Family Practice, 33(6), pp. 740–745. https://doi.org/10.1093/fampra/cmw091.

18) Kline, D. (2003) 'Push and Pull Factors in International Nurse Migration,' Journal of Nursing Scholarship, 35(2), pp. 107–111. https://doi.org/10.1111/j.1547-5069.2003.00107.x.

19) Kuehner, C. (2003) 'Gender differences in unipolar depression: an update of epidemiological findings and possible explanations,' Acta Psychiatrica Scandinavica, 108(3), pp. 163–174. https://doi.org/10.1034/j.1600-0447.2003.00204.x.

20) Lewis, T. T, Cogburn, C. D and Williams, D. R (2015) 'Self-reported experiences of discrimination and health: scientific advances, ongoing controversies, and emerging issues,' Annual Review of Clinical Psychology, 11, pp. 407–440. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5555118/.

21) Likupe, G. (2005) 'Experiences of African nurses in the UK National Health Service: A literature review,' Journal of Clinical Nursing, 15, pp. 1213–1220. https://doi.org/10.1111/j.1365-2702.2006.01380.x.

22) Mark, G. and Smith, A.P. (2011) 'Occupational stress, job characteristics, coping, and the mental health of nurses,' British Journal of Health Psychology, 17(3), pp. 505–521. https://doi.org/10.1111/j.2044-8287.2011.02051.x.

23) Marmot, M., Allen, J., Bell, R., Bloomer, E., Goldblatt, P. (2012) 'WHO European review of social determinants of health and the health divide,' The Lancet, 380(9846), pp. 1011–1029. https://doi.org/10.1016/s0140-6736(12)61228-8.

24) Marmot and UCL Institute of Health Equity (2014) Review of Social Determinants and the Health Divide in the WHO European Region: Final report. World Health Organisation. https://iris.who.int/handle/10665/108636.

25) Nesbitt, F.N. (2002) 'African Intellectuals in the Belly of the Beast: Migration, Identity, and the Politics of Exile,' African Issues, 30(1), p. 70. https://doi.org/10.2307/1167095.

26) NHS Digital (2022) 'NHS Workforce Statistics - June 2022 (Including selected provisional statistics for July 2022).' https://digital.nhs.uk/data-and-information/publications/statistical/nhs-workforce-statistics/june-2022.

27) NMC: Nursing and Midwifery Council (2022) The NMC Register mid-year update. a. https://www.nmc.org.uk/globalassets/sitedocuments/data-reports/sep-2022/0082a-mid-year-data-report-uk-web.pdf.

28) Nursing and Midwifery Council (2024) Independent Culture Review, Nursing and Midwifery Council. Nursing and Midwifery Council. https://www.nmc.org.uk/about-us/independent-reviews/ (Accessed: September 12, 2024).

29) Paradies, Y. (2006) 'A systematic review of empirical research on self-reported racism and health,' International Journal of Epidemiology, 35, pp. 888–901. https://doi.org/10.1093/ije/dyl056.

30) Perry, L., Lamont, S., Brunero, S., Gallagher, R., Duffield, C. (2015) 'The mental health of nurses in acute teaching hospital settings: a cross-sectional survey,' BMC Nursing, 14(1). https://doi.org/10.1186/s12912-015-0068-8.

31) Rechel, B., Mladovsky, P., Devillé, W., Rijks, B., Petrova-Benedict, R., McKee, M. (2011) 'Migration and health in the European Union: an introduction,' Open University Press eBooks [Preprint]. a. https://pure.uva.nl/ws/files/1406302/112480_359915.pdf.

32) Schilgen, B., Nienhaus, A., Handtke, O., Holger, S., Mösko, M. (2017) 'Health situation of migrant and minority nurses: A systematic review,' PLOS ONE, 12(6), p. e0179183. https://doi.org/10.1371/journal.pone.0179183.

33) Shields, M.A. and Price, S.W. (2002) 'Racial Harassment, Job Satisfaction and Intentions to Quit: Evidence from the British Nursing Profession,' Economica, 69(274), pp. 295–326. https://doi.org/10.1111/1468-0335.00284.

34) Shrive, F.M., Stuart, H., Quan, H., Ghali, W. A. (2006) 'Dealing with missing data in a multi-question depression scale: a comparison of imputation methods,' BMC Medical Research Methodology, 6(1). a. https://doi.org/10.1186/1471-2288-6-57.

35) Strand, B.H., Dalgard, O. S., Tambs, K., Rognerud, M. (2003) 'Measuring the mental health status of the Norwegian population: A comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36),' Nordic Journal of Psychiatry, 57(2), pp. 113–118. https://doi.org/10.1080/08039480310000932.

36) Tajvar, A., Saraji, G. N., Ghanbarnejad, A., Omidi, L., Hosseini, S., Abadi, A. (2015) 'Occupational stress and mental health among nurses in a medical intensive care unit of a general hospital in Bandar Abbas in 2013.,' PubMed, 7(3), pp. 1108–13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4574696/.

37) Tankwanchi, A.B.S. (2018) 'Oppression, liberation, wellbeing, and ecology: organizing metaphors for understanding health workforce migration and other social determinants of health,' Globalization and Health, 14(1). a. https://doi.org/10.1186/s12992-018-0397-y.

38) UNC Research (2022) Nuremberg Code. https://research.unc.edu/human-research-ethics/resources/ccm3_019064/ (Accessed: March 3, 2023).

39) Vandenberg, M., Fan, S., Cooling, N., Harris, K. M., Chin, J. (2019) 'Skilled migration: a structural determinant of health,' International Journal of Migration Health and Social Care, 15(4), pp. 262–271. https://doi.org/10.1108/ijmhsc-08-2018-0053.

40) Vissandjee, B., Desmeules, M., Cao, Z., Abdool, S., Kazanjian, A. (2004) 'Integrating ethnicity and migration as determinants of Canadian women’s health,' BMC Women S Health, 4(S1). https://doi.org/10.1186/1472-6874-4-s1-s32.

41) Walker, P.F. and Barnett, E.D. (2007) Immigrant Medicine. Maarssen, Netherlands: Elsevier Gezondheidszorg.

42) Warwick Medical School (2020a) WEMWBS: 14-item vs 7-item scale. a. https://warwick.ac.uk/fac/sci/med/research/platform/wemwbs/about/wemwbsvsswemwbs/ (Accessed: July 3, 2024).

43) Warwick Medical School (2020b) Why use WEMWBS? a. https://warwick.ac.uk/fac/sci/med/research/platform/wemwbs/about/strengths (Accessed: July 3, 2024).

44) Wei, L., Guo, Z., Zhang, X., Niu, Y., Wang, X., Ma, L., Luo, M., Lu, B. (2023) 'Mental health and job stress of nurses in surgical system: what should we care,' BMC Psychiatry, 23(1). https://doi.org/10.1186/s12888-023-05336-0.

45) 'WEMWBS Population Norms in Health Survey for England Data 2011' (no date) Health Survey for England 2011. https://warwick.ac.uk/fac/sci/med/research/platform/wemwbs/using/howto/.

46) Wilkinson, R.G. and Marmot, M.G. (2005) Social Determinants of Health: The Solid Facts. 2nd edn. https://doi.org/10.1093/acprof:oso/9780198565895.001.0001.

47) World Medical Association (ed.) (2001) World Medical Association Declaration of Helsinki.

48) Zaghloul, M.S., Saquib, J., AlMazrou, A., Nazmus, S. (2019) 'Mental Health Status of Expatriate Nurses in Northcentral Saudi Arabia,' Journal of Immigrant and Minority Health, 21(6), pp. 1233–1240. https://doi.org/10.1007/s10903-018-00853-7.
Volume 07 Issue 12 December 2024

There is an Open Access article, distributed under the term of the Creative Commons Attribution – Non Commercial 4.0 International (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/), which permits remixing, adapting and building upon the work for non-commercial use, provided the original work is properly cited.


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