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Reliance on such a large proportion of expatriate nurses contributes to several issues, specifically, how they are recruited.Sometimes nurses are very disappointed because of workload allocation.These nurses are usually recruited through agencies based in countries, such as India and Philippines, with few systems or controls in place to ensure standards are followed.These nurses bring an additional workload for other experienced nurses, as the latter are required to teach and monitor the novice nurses, while still undertaking their usual duties.Furthermore, the requirement for nurses is great to the point that average quality is endured, adding to the disappointment of the nurse leaders and the more talented nurses.A high workload is likely to reduce nursing care quality and increase risks to patient care outcomes, which can negatively impact patients' satisfaction.This then contributes to a higher workload for these nurses.
Reliance on such a large proportion of expatriate nurses contributes to several issues, specifically, how they are recruited. These nurses are usually recruited through agencies based in countries, such as India and Philippines, with few systems or controls in place to ensure standards are followed. Most expatriate nurses come from either India (26%) or Philippines (37%) as there is a ready source of nurses who are prepared to work in Saudi Arabia. New expatriate nurses may have insufficient clinical experience, with many nurses only recently qualified. These nurses bring an additional workload for other experienced nurses, as the latter are required to teach and monitor the novice nurses, while still undertaking their usual duties. This then contributes to a higher workload for these nurses.
Sometimes nurses are very disappointed because of workload allocation. For example, medical nurses are placed in the intensive care unit or maternity unit. This is because the nurses have not been selected appropriately by the recruiting team not recruiting for the vacancies. Furthermore, the requirement for nurses is great to the point that average quality is endured, adding to the disappointment of the nurse leaders and the more talented nurses.
Generally, the workload for nurses working in Saudi is high due to several factors that were identified above. There are several implications of this high workload for both nurses and patients. A high workload is likely to reduce nursing care quality and increase risks to patient care outcomes, which can negatively impact patients’ satisfaction. This may lead to a chance of increased nursing care errors and reduce the quality of nursing care and increase the length of stay. Job dissatisfaction and workload because of the effect on quality of work life, are all mentioned as determinants of turnover.
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