临床研究与生物伦理学杂志

抽象的

Are We Victim of Our Own Success

Sehrish Salim Roudani

Pakistan is losing creative minds every day. Every youth aspires to go and work abroad for a better life perspective. The increasing migration of young mind has been the challenge for every developing state. The attraction of working abroad has pulled many intelligent minds out of the state. Nursing is one of the highlighted profession in this regards. Every new nurse graduate wishes to work abroad. This nurse’s shortage has been the most concerning issue across the globe majorly in developing states. Aga Khan University has been one of the well-known and market competitive education university. They are producing highly capable medical professional over last 3 decades including doctors and nurses. However very few alumni of this institution are serving the country. Moreover this international university is deprived of their own graduates in their organization. This issue created disturbed equilibrium of nurse vs. patient ratio. This causes lack of quality of health  care provision to the people of Pakistan.
According to World health Organization, 57 developing countries are facing shortage of health workers. It is estimated that around 4 million more health care workers including doctors, nurses, midwives, and community workers are required to fulfill the need. But the nightmare is that highly skilled and trained nurse doesn’t pursue career in the state for a longer period of time as they seek for higher opportunities for a better life perspective. This brain drain of skilled professional nurses worsens the already scarce healthcare
resources in poor countries. This ultimately widens the gap in health care inequities worldwide. Nurses have no scope of practice in Pakistan and other low
middle income countries (LMICS). In an evolving state like Pakistan, there is no such benefits and respect being given to nurses to grow. Moreover there are limited institutions
available in the state where high quality nurses are being created. The state failed to address the need of nursing
facilities in their territory. Moreover common people of Pakistan does not term nursing as a respectable profession. So
how a person can think of pursuing future careers in such country? As nurses have equal choice to go abroad and excel in
their field where the community doesn’t recognize Nursing as an ideal profession. Till date nurses are being tagged as
“ Sisters or nun ” . Moreover, essential rights of nurses are violated every now and then, which led them to decide their
future endeavors in abroad. Despite advances in nursing profession, there is no recognized value given in this state. They are still working under physician
however in other part of world nursing has achieved many remarkable milestones. This is major pull factor which every
nurse desires. So its justified for a nurse to go abroad and seek for advances in the profession. According to Article 13 of “The
Universal Declaration on Human Rights” emphasized that each individual has “right to freedom of movement and residence within the borders of each state moreover everyone has the right to leave any country, including his own, and to return to his country”
Support on ethical ground Individuals are independent to choose their career and future perspective. Right based theory i.e. Liberal individualism safeguards the right of individual in the pertinent field. Itemphasizes on individual are autonomous in decision making. This theory also focuses on shaping positive space for a person within which an autonomous person can decide their future perspective. According to this, nurse is liberal to go anywhere
he or she wants to pursue her career.