Search Results (52)

International healthcare staff migration remains a persistent issue, particularly for low- and middle-income countries facing health workforce shortages. While motivations for migration have been well-studied, limited attention has been given to the experiences of healthcare professionals returning to their countries of origin. This study explores the perceptions and reintegration experiences of healthcare workers who returned to Albania after working abroad. A mixed-methods approach was employed. Data collection was conducted during January and February 2025. Quantitative data were collected from 24 healthcare professionals using structured questionnaires, while qualitative insights were gathered through semi-structured interviews. Thematic analysis, following Braun and Clarke’s framework, was used for qualitative data interpretation. The main reasons for return included family-related motivations (41.7%) and professional challenges abroad (33.3%). Over half of participants (54.2%) found work immediately upon return, while others experienced difficulty re-entering the workforce or worked outside their profession. Most returnees (91.7%) believed they were contributing positively to the healthcare system. Challenges included delayed employment, low wages, inadequate infrastructure, and bureaucratic obstacles. Despite improvements, perceptions of the healthcare workforce in Albania remained mixed. Returning healthcare professionals offer valuable skills gained abroad but face reintegration barriers. Policies recognizing foreign qualifications, offering employment support, and opportunities for returnees are critical to optimize their contribution to the national health system. Full article

Return migration is frequently associated with failure, particularly in the context of women returnees from the global south. This research challenges this notion, focusing on women returnees from Italy to North Africa. It aims to analyze return migration by focusing on women who returned to Morocco and Tunisia in the last 15 years, and the aftermath of the Arab uprisings, emphasizing the transformative potential of migration experiences for themselves and the local community. Women returnees not only redefine their roles in society but also foster socio-economic development, community building, and political changes in the countries of return. The study employs thematic analysis to examine 25 semi-structured interviews conducted with returnees aged 25–60, where women shared insights into their migration, re-adaptation experiences, and challenges upon return. Returnees utilized skills gained abroad to achieve economic empowerment, often starting businesses or finding new jobs. However, they faced cultural challenges, particularly societal expectations of traditional gender roles. Nonetheless, migration empowered many returnees to question these policies and norms, and contribute to societal change. Full article

The trends of international competition and cooperation have amplified the influence of returnees’ innovative behaviors on technology and knowledge transfer. However, the scarcity of local network resources and challenges in cross-cultural adaptation hinder their effectiveness in innovation activities. Based on network embeddedness theory and social cognitive theory, this study examines how and when network embeddedness enhances the innovative behavior of returnees. Data were collected from 306 employees in mainland China who had experience studying, working, or residing abroad. The findings reveal that network embeddedness positively influenced returnees’ innovative behavior by enhancing their creative self-efficacy, with the organizational innovation climate further amplifying this effect. This study provides insights into how individual-level network factors impact returnees’ innovative behavior, highlighting the unique contributions returnees make to social networks. Furthermore, the organizational innovation climate is shown to enhance the innovative capabilities of returnees and reinforce their roles in driving corporate technological innovation and competitiveness. Full article

Conflict-related forced displacement, characterized by the experiences of witnessing violent acts, bombing, torture, separation, and the execution of family members, can severely and negatively impact a child’s social determinants of health (SDOH). These experiences are both direct and indirect forms of adverse childhood experiences (ACEs), and urgent attention is needed to understand the impact of forced displacement on children, who are a vulnerable group, and to develop interventions for all systems that influence the child. This phenomenological qualitative study involved in-depth interviews based on the experiences of returnees (n = 20), who are parents of children who experienced forced displacement. This study underscores the direct and indirect impacts of forced displacement on children, with two key themes identified from the data analysis, by concluding that forced displacement: (i) disrupts the positive SDOH of children, and (ii) children’s coping mechanisms are influenced by primary and secondary exposure to trauma. The direct effects are visible through the impact of forced displacement on children’s mental health as a result of exposure to traumatic material. In contrast, the indirect effects of forced displacement on children are influenced by its subsequential effect on their parents and their community. The study also illuminates systemic inequalities, with participants recommending steps that governmental and non-governmental bodies can take to address this phenomenon. Full article

The Documentary Hypothesis proposed by Julius Wellhausen has sparked discussions for over a century. The core of this debate revolves around the perspective through which the creation of the Torah should be viewed. Previous studies have often neglected the focus on “people”. The Torah was created by individuals and was profoundly influenced by the era in which they lived. In this specific study, instead of concentrating on the texts or historical background, we should focus on the “authors” or “redactors”, exploring how they processed and created the texts under the influence of their times. In Jewish history, the destruction of the Northern Kingdom and the Southern Kingdom played a crucial role in the creation of the Torah. After the fall of the Northern Kingdom, the Deuteronomists, reflecting on historical lessons, formulated a set of legal norms for theology and society, which established theological standards for further interpreting and writing ancient Jewish history. Following the destruction of the Southern Kingdom, Diaspora group and Returnees, centered on reflecting on their catastrophes and responding to contemporary crises, further created and integrated texts of ancestral traditions and the Promised Land, embedding the historical memory of ancestors-land for the Jewish people. Full article

The Republic of Serbia is traditionally a country of emigration, especially since the 1960s. As a result of this emigration, return migration has become an increasingly intensive migratory process in the 21st century. This study aims to examine the factors behind return migration, as well as to explore the characteristics of the reintegration process in Serbia, including the sustainability of return. This paper is based on a survey (N = 172) and interviews (N = 20) conducted with return migrants in Serbia. The research findings point to the diversity of the return migration factors, among which a longing for the country of origin is singled out as the most important. Regarding the reintegration process, this study highlights several differences that are apparent between retired returnees on the one hand and other returnees (students, employed, unemployed) on the other. The results show that the satisfaction with quality of life upon return is higher among older returnees and that the satisfaction with quality of life decreases as the respondents’ level of education increases. It is also found that the sustainability of return is connected to the life satisfaction and that respondents who plan to migrate again are the least satisfied with the quality of life compared to those who plan to stay and those who have not decided yet. This paper provides insights into some of the critical elements of the return migration and reintegration process in Serbia. Since return migrants can contribute to sustainable socio-economic development due to their human, social and financial capital, this study may be of relevance to the development of strategies and the implementation of policies in the domain of migration governance. Full article

Colombia hosts the largest number of refugees and migrants fleeing the humanitarian emergency in Venezuela, many of whom experience high levels of displacement-related trauma and adversity. Yet, Colombian mental health services do not meet the needs of this population. Scalable, task-sharing interventions, such as Group Problem Management Plus (Group PM+), have the potential to bridge this gap by utilizing lay workers to provide the intervention. However, the current literature lacks a comprehensive understanding of how and for whom Group PM+ is most effective. This mixed methods study utilized data from a randomized effectiveness-implementation trial to examine the mediators and moderators of Group PM+ on mental health outcomes. One hundred twenty-eight migrant and refugee women in northern Colombia participated in Group PM+ delivered by trained community members. Patterns in moderation effects showed that participants in more stable, less marginalized positions improved the most. Results from linear regression models showed that Group PM+-related skill acquisition was not a significant mediator of the association between session attendance and mental health outcomes. Participants and facilitators reported additional possible mediators and community-level moderators that warrant future research. Further studies are needed to examine mediators and moderators contributing to the effectiveness of task-shared, scalable, psychological interventions in diverse contexts. Full article

The standard image of First World War soldiers is of men in open trenches: waiting to attack or be attacked; walking, sitting, sleeping, dead. Ford’s Parade’s End includes such scenes. But it is a different kind of image which predominates in his war writings and often produces its most memorable passages: images of houses or house-like shelters. The mind seeks protection in such structures; but they offer little security against the destructiveness outside, against the bombardments, gas, shrapnel, bullets. Ford wrote that the experience of war revealed: ‘men’s dwellings were thin shells that could be crushed as walnuts are crushed. … all things that lived and moved and had volition and life might at any moment be resolved into a scarlet viscosity seeping into the earth of torn fields […]’. This realisation works in two ways. The soldier’s sense of vulnerability provokes fantasies of home, solidity, sanctuary, while for the returnee soldier, domestic architecture summons war-visions of its own annihilation: ‘it had been revealed to you’, adds Ford, ‘that beneath Ordered Life itself was stretched, the merest film with, beneath it, the abysses of Chaos’. It is now customary to read war literature through trauma theory. Building on analyses of Ford’s use of repression, but drawing instead on object relations theory, I argue that Ford’s houses of war are not screen memories but images of the failure of repression to screen off devastating experiences. The abysses of Chaos can be seen through the screen or projected upon it. Attending to Ford’s handling of this theme enables a new reading of his war writing and a new case for its coherence. The essay will connect the opening of No More Parades (in a hut, during a bombardment) with the war poem ‘The Old Houses of Flanders’; the postwar poem A House; the memoir It Was the Nightingale (quoted above); and the otherwise puzzling, fictionalised memoir No Enemy, structured in terms of ‘Four Landscapes’ and ‘Certain Interiors’. Full article

With the increasingly negative impact of environmental pollution on human production and life caused by the non-green operation of enterprises, a new generation of returnee entrepreneurs is called upon to take on regional environmental protection and global ecological improvement. This study examined the impact of returnee entrepreneurship education (REE). A conceptual model is constructed based on REE as the core factor of environmental sustainability and uses the occurrence of green entrepreneurial behavior among new university graduates returning to their hometowns as an evaluation basis. Convenience sampling was applied, and the relevant data were collected from 358 new university graduates in Jiangsu Province, China who received REE during their university years. Empirical analysis based on partial least squares structural equation modeling shows that REE evokes a commitment to the environment (CE) and has an indirect significant impact on green returnee entrepreneurial behavior (GREB) through institutional support and intention. However, a CE did not have a significant direct effect. The findings of this study have significant reference value for decision-makers in government departments in developing countries, universities, and many social groups that are actively responding to the United Nations Sustainable Development Initiative. Full article

Genetic diversity and molecular epidemiology of HIV are directly relevant to HIV transmission. We report here the genetic diversity and transmission dynamics of non-C subtypes of HIV-1 strains detected in Bangladeshi key populations. Sequence analysis of gag gene revealed four subtypes A1, B, D, G, and nine CRFs (01_AE, 02_AG, 09_cpx, 10_CD, 15_AE/B, 13_cpx, 14_BG, 22_01_A1, and 25_AGU). Most of these non-C strains were detected in returnee migrant workers from different parts of the world. Phylogenetic analysis showed that the Bangladeshi HIV-1 strains detected in migrant workers and their wives and local sex workers shared common ancestries. The identification of the multiple subtypes indicates high diversity of non-C HIV-1 variants circulating in Bangladesh which might have been imported by migrant workers from multiple geographical areas. Full article

During the COVID-19 pandemic, many countries faced a shortage as well as maldistribution of healthcare workers and a misalignment between healthcare needs and worker skills. In this scoping review, we have sought to identify the country-level responses to health workforce shortages during the COVID-19 pandemic as well as the advantages/best practices and disadvantages/lessons learned. We have reviewed 24 scientific papers in four electronic databases: Medline, Web of Science, CINAHL, and TRIP. The main strategies implemented by countries were financial coordination mechanisms, relaxing standards/rules, worker redeployment, recruitment of volunteers, fast-tracking medical students, and using other workforce resources such as the recruitment of inactive healthcare workers and returnees whose registration had lapsed within the preceding 1–2 years. These strategies demonstrated numerous advantages, such as establishing mutual support across nations and organizations, boosting motivation among healthcare workers, and creating a new staffing model for future pandemics. However, several important lessons were also learned during the implementation process. Managing volunteers, including ensuring their safety and allocating them to areas in need, required significant effort and high-level coordination, particularly in the absence of a comprehensive needs assessment. Full article

This article reviews all available information on the species composition, current distribution, and origins of the neobiotic (non-indigenous and restoring the lost range) freshwater mollusks in Siberia. An extensive literary search has been carried out, and virtually all existing publications of recent decades on the findings of freshwater mollusk species new to Siberia were taken into account. We examined extensive malacological collections of some of Russia’s and Kazakhstan’s scientific organizations. The core of the examined material is our own observations and collections made in various parts of Siberia and adjacent areas. An annotated checklist of neobiotic species of mollusks reliably recorded in Siberia is presented, and probable mechanisms and “corridors” of infiltration of these species into the region are discussed. Most of the discovered snail species belong to a group popular among aquarists, and their source of introduction is obvious. Another large portion of species infiltrate into the region with the development of fish farming. A classification of species of neobiotic freshwater mollusks of Siberia was proposed and a forecast was made for changes in the Siberian freshwater malacofauna for the coming decades. In our opinion, at present it is possible to accept the newest stage in the genesis of the freshwater malacofauna of Siberia, occurring in conditions specific to the Anthropocene. Full article

This research investigated contrastive perception of L1 phonological categories in Albanian–English bilinguals who returned to Albania after living abroad for over on average a decade. In Standard Albanian, there are phonemic contrasts between /c/ and /tʃ/, /ɫ/ and /l/, and /ɹ/ and /r/. These phonemic contrasts do not occur in English. Using a “real speech” binary minimal pair identification task, we compared the accuracy and response times of bilingual returnees against functional Albanian monolinguals who had never lived abroad. Results showed that (1) reaction times for /c/ versus /tʃ/ were longest for both groups, indicating that this contrast was “harder” than the other contrasts. Surprisingly, (2) bilinguals outperformed monolinguals in accurately identifying /c/ versus /tʃ/; and (3) no significant group differences were found for the other two phonemic contrasts. In combination with other research showing that Albanian is undergoing a merger of /c/ and /tʃ/, our findings suggest that this merger is more advanced in monolinguals than bilinguals—probably because the bilinguals were abroad when the merger started. Examination of variation within the bilinguals indicated that (4) the younger the speaker was when they left Albania, and the more recently they had returned, the lower their accuracy was in identifying the laterals. These phonological findings enhance our understanding of perceptual L1 attrition whilst underlining the need to examine language change in the country of origin in L1 attrition research. Full article

In this study, we aimed to investigate radiation risk perception, mental health, and interest in tritiated water among evacuees from and returnees to Tomioka town, Japan, as well as to evaluate the intention to return (ITR) among evacuees living inside and outside Fukushima Prefecture. Of the 1728 respondents, 318 (18.4%) and 1203 (69.6%) participants reported living outside and inside Fukushima Prefecture, and 207 (12.0%) reported living in Tomioka. The ITR was not significantly different between those who lived inside and outside the prefecture among the evacuees. Similarly, there were no significant differences in radiation risk perception, mental health, and interest in tritiated water. However, the evacuees were independently associated with a motivation to learn about tritiated water (OR = 1.242, 95%Cl: 1.041–1.438, p = 0.016), reluctance to consume food from Tomioka (OR = 1.635, 95%Cl: 1.372–1.948, p < 0.001), and concern that adverse health effects would occur because of the Fukushima Daiichi Nuclear Power Plant accident (OR = 1.279, 95%Cl: 1.055–1.550, p = 0.012) compared to returnees, according to logistic regression analysis. Interestingly, the returnees were found to have better mental health but lower life satisfaction than the evacuees. These findings suggest the importance of ongoing risk communication about radiation exposure and tritiated water among residents regardless of their place of residency. Full article

This study examines how emotions propel migration from the United States to Mexico and subsequent migration within Mexico for young deported migrants and migrants compelled to return. Though often relegated to a second tier of importance after political or economic factors, emotions are central to the decisions that young migrants make about where to live and how to identify. I argue that emotions influence young immigrants in the U.S. to make life changing decisions to return to Mexico at moments of acute stress or uncertainty. Additionally, I argue that both compelled and deported return migrants carve out spaces of belonging and construct identities through emotional labor. Specifically, I find that young returnees draw on memories from the U.S., connections with other returnees, and imagined attachments to their ancestral cultures in Mexico as they adopt proud Mexican identities in surroundings that often mark them as outsiders on both sides of the border. Full article