Determinants of Indonesian Nursing Students’ Intention to Work in Middle Eastern Countries

INTRODUCTION: Global nurse migration continues to reshape health systems, with Middle Eastern countries remaining major destinations for international nurses. This study examined determinants of Indonesian nursing students' intention to work in Middle Eastern countries using push-pull and transcultural perspectives. METHODOLOGY: = 858) was analyzed using bivariate tests and multivariable binary logistic regression, reporting adjusted odds ratios (aOR) and 95% confidence intervals. RESULTS: Intention was lower among female students (aOR = 0.47) and unemployed students (aOR = 0.31) and lower among married students (aOR = 0.37) than unmarried peers. Intention was higher among students enrolled in applied bachelor's or bachelor's nursing degree (D4/S1) programs (aOR = 1.71) compared to those in lower-level programs, and among those reporting beginner Arabic proficiency (aOR = 1.96) compared with no Arabic proficiency. These findings indicate that both sociodemographic factors and language readiness shape migration intention. DISCUSSION: Nursing education should strengthen transcultural preparation, targeted specific language competency, and guidance on ethical, equitable pathways for international employment in Middle Eastern health systems.

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Publication Details

Journal
Journal of Transcultural Nursing
Published
2026-05-10
DOI
https://doi.org/10.1177/10436596261431464
Primary Topic
Global Health Workforce Issues
Type
article
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article

Determinants of Indonesian Nursing Students’ Intention to Work in Middle Eastern Countries

Ferry Efendi, Lita Dwi Astari, Rifky Octavia Pradipta, Anna Kurniati et al.
Journal of Transcultural Nursing
Global Health Workforce Issues
article

Determinants of Indonesian Nursing Students’ Intention to Work in Middle Eastern Countries

Ferry Efendi, Lita Dwi Astari, Rifky Octavia Pradipta, Anna Kurniati, Yong Shian Shawn Goh
article en

Abstract

INTRODUCTION: Global nurse migration continues to reshape health systems, with Middle Eastern countries remaining major destinations for international nurses. This study examined determinants of Indonesian nursing students' intention to work in Middle Eastern countries using push-pull and transcultural perspectives. METHODOLOGY: = 858) was analyzed using bivariate tests and multivariable binary logistic regression, reporting adjusted odds ratios (aOR) and 95% confidence intervals. RESULTS: Intention was lower among female students (aOR = 0.47) and unemployed students (aOR = 0.31) and lower among married students (aOR = 0.37) than unmarried peers. Intention was higher among students enrolled in applied bachelor's or bachelor's nursing degree (D4/S1) programs (aOR = 1.71) compared to those in lower-level programs, and among those reporting beginner Arabic proficiency (aOR = 1.96) compared with no Arabic proficiency. These findings indicate that both sociodemographic factors and language readiness shape migration intention. DISCUSSION: Nursing education should strengthen transcultural preparation, targeted specific language competency, and guidance on ethical, equitable pathways for international employment in Middle Eastern health systems.

Journal of Transcultural Nursing
Singapore Institute of Technology (SG), La Trobe University (AU), Universitas Airlangga (ID), Kementerian Kesehatan Republik Indonesia (ID)
Reduced inequalities
Openalex Percentile: Top 3%
Global Health Workforce Issues
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