Exploring the sustaining factors that motivate nurses to work in the rural areas of Papua New Guinea

Papua New Guinea is among other developing countries that are faced with a critical shortage in human resources in health, specifically nurses, and rural areas are the most affected. Initially, and perhaps unsurprisingly, there were only two relevant studies that directly related to Papua New Guinea in this area based on the literature search. The first of these two studies was focused on nurses and the social aspect of rural motivation compared to the other which was focused on rural health professionals in general. Nevertheless, other research studies were eventually found from other developing countries such as certain Pacific, African and Latin American countries that served to assist in focusing the research on the chosen topic.  This descriptive-exploratory study set out to explore the sustaining factors that influenced existing nurses to remain (or otherwise) in their work in Papua New Guinea’s rural areas. As such, the study involves 10 rural nurses with over two years of rural work experience in two different organisations; government and church. The interviews were semi-structured and were designed to explore the motivating factors for rural nurses and how any challenges, or demotivating factors, were overcome. The interviews were conducted in the common spoken language Tok Pisin which was translated into English, transcribed and analysed thematically.  Overall the study found that rural nurses are disadvantaged because they struggle with limited resources to deliver effective health care, and they also face several personal challenges which are often overlooked. The main findings are categorised under two major themes, 1) safety and 2) socioeconomic, and each are explored by further exploration of the themes and sub-themes that are evident in both. The implications of this study are examined, including recommendations, to develop policies that are designed to address the ongoing needs of rural nurses in Papua New Guinea.