The ailing public health sector could be hauled into intensive care as scores of specially trained nurses have been leaving Jamaica for higher-paying jobs overseas.
While Jamaican nurses have always been in high demand in foreign markets, the most recent exodus is particularly worrying to health sector insiders, who say overseas recruiters have been targeting the most highly trained nurses.
These nurses have spent years earning speciality training in high-demand areas of patient care, including midwifery, critical care and operating theatre.
According to some sources, as many as 150 such specialist nurses left the island last year.
According to president of the Nurses' Association of Jamaica (NAJ), Janet Farr, the migration of these specialist nurses is having a calamitous effect on the health sector.
"Last year alone, almost 90 specialist nurses left one particular institution in Kingston, and by specialist nurses I am talking about nurses who are double trained in midwifery, trained in accident and emergency, trained in critical care, and the recruiters are looking for these nurses desperately, and the result is draining our system," said Farr.
The NAJ president argued that the Government needs to implement a retention programme that would offer highly trained nurses special incentives in an effort to keep them in the local health care sector.
"We understand that there might not be enough money to pay them what they are worth, but the Government could offer them parcels of land or discounted loans for cars. These are things that the Government has done before, but we don't see them doing it anymore. Offer them something tangible that might make them think twice before leaving, because as we train them, they go," added Farr.
The flight of specialist nurses has had a particularly negative effect on the University Hospital of the West Indies (UHWI).
According to CEO of the UHWI, Dr Cecil White, the hospital lost a substantial number of specialist nurses last year despite its investment in the training of these nurses.
"The UHWI offers specialist training through its Nursing Staff Development Division (in-service), for nurses in critical care, emergency room nursing, operating theatre nursing and midwifery. Nurses are also given study leave to receive specialist training in psychiatric nursing, paediatric nursing, nephrology nursing offered by the Ministry of Health In-Service Education Unit," said White in a statement to The Sunday Gleaner.
"Despite these efforts, during 2014, 50 specialist nurses resigned from the UHWI, and have indicated that they are migrating to North America," added White.
He said specialist nurses who left the hospital last year included 25 critical care nurses, seven operating theatre nurses, five nurses specialising in midwifery and four emergency room nurses.
White noted that the loss of such a large number of trained personnel in such a short period of time was placing additional pressure on the hospital's administration.
"Whenever specialist nurses resign, it results in shortages and increases the need for sessional work to maintain satisfactory levels of patient care. It also increases our administrative costs, as replacements have to be recruited and trained on an ongoing basis," stressed White.
"Most of the nurses that resign cite financial and family commitments as their main reasons for leaving for greener pastures. The UHWI is unable to offer salaries to compete with the packages being offered by the recruiters."