'Why Did They Migrate Here'?: A Qualitative Descriptive Study Exploring Nurses' Motivations for Migration and Regional Relocation

Aim: To explore migrant nurses' intrinsic and extrinsic motivations for migration and regional relocation.

Design: A qualitative descriptive study.

Methods: Semi-structured interviews were conducted among 17 migrant nurses working in a hospital in regional Australia. Inclusion criteria were current employment as a nurse at the study site, obtaining an initial nursing qualification in a different country, and migrating to regional Australia within the last 7 years. Data were analysed using a thematic approach, informed by the self-determination theory.

Results: One overarching theme, seeking meaningful endeavours, was identified, with subthemes: pride in nursing, duty to family and personal satisfaction. Extrinsic motivations included financial responsibilities, visa security, professional nursing recognition and fulfilment, filial piety, family unification and overall safety and lifestyle, whereas intrinsic motivations included being a nurse and travelling.

Conclusion: Nurses' motivations for migration are complex and driven by intrinsic and extrinsic factors. Extrinsic motivations may lead to self-endorsed behaviour (autonomous motivation) if they align with personal goals or values, such as family importance or regard for one's profession. All intrinsic motivations also lead to autonomous motivation, linked to well-being and workplace retention.

Implications for the profession: This study's findings may inform organisations in source and host countries to design work conditions that foster retention. Source countries can use these insights to address the professional limitations experienced by their nurses. Host countries may design targeted strategies that promote autonomous motivation among migrant nurses, thereby enhancing job satisfaction, well-being and retention.

Impact: This study provides insight into experiences contributing to migrant nurses' relocation decisions. Practising within the scope of their professional training, performing their duties in a fulfilling way, and meeting their family obligations through reasonable pay or benefits may support nurses in remaining autonomously motivated.

Reporting method: COREQ reporting was adhered to.

Patient or public contribution: No patient or public contribution.