Table of Contents

Chapter 1: Introduction 1 …………………………………………………………………………………………………. 9
1.1. Executive Summary ………………………………………………………………………………………………….. 9
1.2. Introduction ……………………………………………………………………………………………………………… 9
1.3. Background ……………………………………………………………………………………………………………. 12
1.4. Rationale of the Research ………………………………………………………………………………………… 13
1.5. Research Questions …………………………………………………………………………………………………. 14
1.5.1. Sub questions ………………………………………………………………………………………………………. 14
1.6. Problem Statement ………………………………………………………………………………………………….. 15
1.7. Rationale of the Study ……………………………………………………………………………………………… 15
1.8. Significance of the Study …………………………………………………………………………………………. 15
1.9. Research Hypothesis ……………………………………………………………………………………………….. 15
1.10. Research Aim and Objectives: ………………………………………………………………………………… 16
1.11. Research Structure ………………………………………………………………………………………………… 17
1.12. Summary ……………………………………………………………………………………………………………… 18
Chapter 2: Literature Review ………………………………………………………………………………………….. 19
2.1. Introduction ………………………………………………………………………………………………………… 19
2.2. Motivating Factors for Migration ………………………………………………………………………….. 20
2.3. Push and pull factors affecting the migration of nurses from India to Ireland ……………… 22
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2.4. Ireland as a receiving country ……………………………………………………………………………….. 26
2.5. India in Global Migration …………………………………………………………………………………….. 29
2.6. Migration of Indian Nurses …………………………………………………………………………………… 29
2.7. Motivating Factors for Migration of Indian Nurses ………………………………………………….. 31
2.8. Reasons for research ……………………………………………………………………………………………. 32
2.9. Nurses to Ireland …………………………………………………………………………………………………. 32
2.10. Culture of Ireland ………………………………………………………………………………………………. 34
2.11. Patterns and trends of this relocation ……………………………………………………………………. 35
2.12. Impacts of Nurse Migration ………………………………………………………………………………… 35
2.15. Nurses from India choose to relocate, to stay, or to come back to their home country … 42
2.16. Issues in Nurse Migration …………………………………………………………………………………… 43
2.17 Migration Criteria ……………………………………………………………………………………………… 44
2.18 Proposed strategies can be used to diminish migration of nurses from India ……………… 44
2.19 Advantages and Disadvantages of Nurse Migration ………………………………………………… 48
2.20 Ethical questions related to Nurse Migration…………………………………………………………. 49
2.21 Conceptual Framework ……………………………………………………………………………………….. 49
2.22 Conclusion ………………………………………………………………………………………………………… 50
Chapter 3: Research Methodology……………………………………………………………………………….. 51
3.0 Introduction …………………………………………………………………………………………………………. 51
3.1 Present Research Proposition …………………………………………………………………………………. 51
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3.2 Research Onion ……………………………………………………………………………………………………. 52
3.3 Research Paradigm……………………………………………………………………………………………….. 53
3.3.1 Justification of the research paradigm ………………………………………………………………….. 53
3.4 Research Approach ………………………………………………………………………………………………. 54
3.4.1 Justification of the research approach …………………………………………………………………… 54
3.5 Research Design…………………………………………………………………………………………………… 55
3.5.1 Justification of the research design ………………………………………………………………………. 55
3.6 Sampling Method and Sample size …………………………………………………………………………. 56
3.7 Research Collection ……………………………………………………………………………………………… 56
3.7.1 Primary Research ………………………………………………………………………………………………. 56
3.7.2 Secondary Research …………………………………………………………………………………………… 56
3.7.2.1 Quantitative Research ……………………………………………………………………………………… 57
3.7.2.2 Qualitative Research ……………………………………………………………………………………….. 57
3.7.3 Justification of the method of data collection ………………………………………………………… 57
3.8 Data analysis ……………………………………………………………………………………………………….. 58
3.9 Ethical Consideration ……………………………………………………………………………………………. 58
3.10 Summary …………………………………………………………………………………………………………… 58
3.11 Research Timeline ……………………………………………………………………………………………… 59
4.3 .1Interview no:1 …………………………………………………………………………………………………… 60
4.3.2 Interview no:2 …………………………………………………………………………………………………… 62
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4.4 Quantitative data analysis ……………………………………………………………………………………… 62
4.4.1 Quantitative data analysis …………………………………………………………………………………… 64
Demographic Details …………………………………………………………………………………………………. 64
Q1.Gender of the Respondent ……………………………………………………………………………………… 64
Figure:4.1-Gender of Respondent ………………………………………………………………………………… 64
Q2.Age Group of the Respondents ………………………………………………………………………………. 65
Figure 4.2-Age of Respondent …………………………………………………………………………………….. 65
Q3.How long you have been working away from India in Ireland? ………………………………….. 66
Figure 4.3-Duration in Ireland …………………………………………………………………………………….. 66
Q4. What are the factors about India that were not desirable for you? ……………………………… 67
Figure 4.4-Push Factors ……………………………………………………………………………………………… 67
Q5. What are the factors which made you choose Ireland as a place to work in ? ………………. 68
Q6.Which work environmental factors of Ireland if implemented in India would drive you
back to India ? ………………………………………………………………………………………………………….. 69
Figure 4.6-Stay Factors ………………………………………………………………………………………………. 69
Q7. “I would be happy to go back to India if same conditions of Ireland is replicated because”
………………………………………………………………………………………………………………………………… 71
Figure 4.7-Stick factors ………………………………………………………………………………………………. 71
4.4 Correlation between the Factors ………………………………………………………………………………… 72
Non Parametric Correlation ………………………………………………………………………………………… 72
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4.5 Results and Discussion ………………………………………………………………………………………… 73
4.6 Qualitative data and Discussion …………………………………………………………………………….. 74
4.7 Summary …………………………………………………………………………………………………………….. 75
Chapter 5: Conclusion and Recommendation ……………………………………………………………………. 76
5.1 Linking objectives with the findings……………………………………………………………………….. 76
5.1.1 Calculating the number of nurses that have migrated from one place to another during
2005 to 2015 …………………………………………………………………………………………………………….. 76
5.1.2 Identifying the ways of their relocation ………………………………………………………………… 76
5.1.3 Identifying the factors have led to their migration and the reasons why other nurses have
still continued their service in India ……………………………………………………………………………… 77
5.1.4 The facilities those are available in Ireland that attracts nurses for migration from India
to Ireland. …………………………………………………………………………………………………………………. 77
5.1.5 Understanding and Analyzing the affects of migration of the skilled nurses in India ….. 78
5.1.6 Identifying the policies and strategies that influence the retention or deployment of
Indian nurses. ……………………………………………………………………………………………………………. 78
5.1.7 Identification of the continuing methodologies to ease the negative impacts of migration
………………………………………………………………………………………………………………………………… 79
5.1.8 Recommendation of the strategies and the policies to decrease the level of migration of
skilled health experts………………………………………………………………………………………………….. 79
Chapter 6 ……………………………………………………………………………………………………………………… 83
6. 1 Self Reflection on own Learning and Performance ………………………………………………….. 83
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6.2. Reflection on Learning MBA ……………………………………………………………………………….. 84
6.3 Challenges ………………………………………………………………………………………………………………. 86
6.4. Why to do a MBA ? ………………………………………………………………………………………………… 87
6.5. Skills developed from MBA …………………………………………………………………………………….. 88
6.5.1 Time administration Skills ………………………………………………………………………………….. 88
6.5.2 Critical assessment Skill ……………………………………………………………………………………. 88
6.5.3 Research and Investigative Skills ………………………………………………………………………… 89
6.5.4 Diversity and Teamwork aptitudes ………………………………………………………………………. 89
6.6 Conclusion …………………………………………………………………………………………………………. 89
References ……………………………………………………………………………………………………………………. 92
Appendix ……………………………………………………………………………………………………………………. 101
Fig 1:Questionnaire Link shared in Social Media ……………………………………………………………. 104
Fig 2:Survey Responses ……………………………………………………………………………………………….. 104
Fig 3:SPSS Output ………………………………………………………………………………………………………. 105