Evidence map›Paper›PMID 42063021›Full record

ArticleBMC health services research2026

Nursing workforce in Southeast Asia: a scoping review of historical trends, contemporary issues, and regional solutions.

Hanif Abdul Rahman, Siti Nurzaimah Nazhirah Zaim

Abstract readScoping Review
In one paragraph

Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Hanif Abdul RahmanSaw Swee Hock School of Public Health, National University of Singapore, Science Drive 2, Singapore, 117549, Singapore. hanif.rahman@ubd.edu.bn.
Siti Nurzaimah Nazhirah ZaimAlice Lee Centre for Nursing Studies-Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Drive, Singapore, 117597, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe nursing workforce is pivotal to sustaining healthcare systems, yet Southeast Asia faces persistent challenges in recruitment, retention, and competency development. Historical legacies of workforce shortages, migration, and uneven training standards continue to shape the present, as rising demands from demographic transitions, pandemics, and evolving care needs have intensified pressures on the profession.

objectiveThis scoping review aims to synthesize historical and current evidence on nursing workforce issues in Southeast Asia, with a focus on occupational competencies, workforce distribution, and policy responses.

methodsGuided by established scoping review frameworks, literature was systematically mapped from regional and international databases, policy documents, and grey sources spanning the colonial era to 2025. Data were charted to capture temporal trends, thematic issues, and multilevel solutions.

findingsWorkforce issues include long-standing shortages, skill mix imbalances, migration to higher-income regions, limited continuing education, and uneven regulatory capacity. Emerging themes highlight the importance of advanced practice roles, digital health competencies, and resilience-building in crisis contexts. Regional solutions are evident at multiple levels: (i) Macro-level-policy harmonization, regional cooperation through ASEAN frameworks, and investment in nursing education infrastructure; (ii) Meso-level-institutional initiatives to strengthen workplace environments, interprofessional collaboration, and retention strategies; and (iii) Micro-level-competency-based training, mentorship, and leadership development programs tailored to local health system needs.

conclusionAddressing nursing workforce issues in Southeast Asia requires historically informed, context-sensitive strategies that integrate regional collaboration with practical solutions across policy, institutional, and individual levels. Such approaches are essential for advancing occupational competency, strengthening health systems, and achieving universal health coverage in the region.

Indexed as

Health WorkforceNursingAsia, SoutheasternHumansAdvanced practice nursingHealth policyNursing workforceScoping reviewSoutheast AsiaWorkforce retention

Identifiers

PMID42063021
PMCPMC13285048

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.