The Impact of Restrictive Policies on Nurse Migration in Nigeria: A Cross-Sectional Study

BACKGROUND: The emigration of nurses from low- and middle-income to high-income nations is a global trend, with Nigeria experiencing a significant brain drain in recent years. In response, the Nursing and Midwifery Council of Nigeria (NMCN) implemented controversial policies, including closing the license verification portal in December 2023, to curtail nurse migration. PURPOSE: This study aimed to ascertain the impact of the license verification portal closure on Nigerian nurses living in the country and abroad. Our objectives were to assess the perceived consequences of this intervention on nurses' professional careers, mental health, and financial status. METHODS: A quantitative, cross-sectional, and descriptive design was used to collect data via an electronic questionnaire from 1,838 Nigerian RNs worldwide. Data were analyzed using IBM SPSS Statistics, version 25. RESULTS: The results showed that 93% of RNs had a negative perception of the portal closure. Moreover, the policy's adverse effects were widespread, with 83% of nurses experiencing career setbacks, 77% reporting mental health issues, and 57% experiencing financial strain. CONCLUSIONS: The NMCN's approach, aimed at combating nurse migration, negatively impacted Nigerian nurses, leading to potentially serious adverse outcomes for patients and public health. Nations need to avoid implementing coercive restrictive measures to curb nurse migration. Instead, improving professional advancement, remuneration, and career development are recommended as more effective retention strategies.