2009-2015 ©
             Publication
Journal Publication
Research Title Effect of scholarship for nurses training on retention in their hometown: results from Thai Nurse Cohort Study. 
Date of Distribution 15 January 2016 
Conference
     Title of the Conference The National and International Graduate Research Conference 2016. 
     Organiser Graduate school, KHON KAEN University. 
     Conference Place Pote Sarasin Building , Khon Kaen University 
     Province/State Khon Kaen 
     Conference Date 15 January 2016 
     To 15 January 2016 
Proceeding Paper
     Volume 2016 
     Issue
     Page 228 
     Editors/edition/publisher  
     Abstract Background: To alleviating nursing shortage in rural areas, Thailand has implemented scholarships consisting tuition fee and allowance where graduates are required to work in designated areas which is usually their home town. To date, little is known about the effectiveness of scholarship programs in the nursing maldistribution. The objectives of this study were to estimate rate of emigration of registered nurses (RNs) from their hometowns after posting and to determine effects of the scholarship program on emigration. Methods: This study used 2009 base line data of the Thai Nurse Cohort, a nationally representative sample of 18,756 RNs. The primary outcome is emigration rate of nurses who received a scholarship. The rate of emigration assumed a Poisson distribution. The nominator is the nurses who left their hometowns after posting while the denominator is the total person years of nurse posted in their hometowns. Effect of the scholarship programs was quantified by using multiple cox regression. Results: Of 18,756 RNs, 8354 who had never been posted in their hometowns were excluded. Of the remaining 10,077 RNs, 97.6% were female, with a mean age of 44.3±9.4 years. Of these, 8188 RNs received the scholarships during their training. The overall rate of emigration from their hometowns after posting was 1.0 per 100 person-years (95%CI: 0.97 to 1.06). RNs who received or not received the scholarships had an equal chance to emigrate (hazard ratio = 1.00; 95%CI: 0.86 to 1.14, p = 0.880). RNs who had taken post-graduate study leave were 68% less likely to emigrate than those who had not (hazard ratio = 0.32; 95%CI: 0.28 to 0.36, p < 0.001). Conclusions: Once nurses started their career at their hometown, they are unlikely to emigrate irrespective of receiving scholarship. The low emigration rate of one out of a hundred person-year indicates that scholarship program has a positive impact on retention of nurses in their hometowns. Provision of post graduate study leave opportunities may further improve nursing retention. KeyWords: Nurse turnover, Retention, Migration, Scholarship, Health service maldistribution.  
Author
535110189-3 Mr. PANUWAT PRATHUMKAM [Main Author]
Public Health Master's Degree

Peer Review Status มีผู้ประเมินอิสระ 
Level of Conference นานาชาติ 
Type of Proceeding Full paper 
Type of Presentation Oral 
Part of thesis true 
Presentation awarding true 
     Award Title Good oral presentation in Master Level 
     Type of award รางวัลด้านวิชาการ วิชาชีพ 
     Organiser Graduate school, Khon kaen University 
     Date of awarding 15 มกราคม 2559 
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