AB161. Unveiling the black cap: a phenomenological inquiry into the hardships faced by Filipino nurses working overseas
Abstract

AB161. Unveiling the black cap: a phenomenological inquiry into the hardships faced by Filipino nurses working overseas

Joseph Kyle L. Donado, Ellaiah Q. Balinang, Ayesha Isabelle V. Bucad, Keane Tyrone C. Castro, Darleen Devonne S. Co, Danielle Aizzy D. Maniago, Charlene M. Montero, Ma. Alyanna Therese I. Padilla, Alexa Faith L. Roxas, Frances Merlene S. Turaray, Dondon D. Pamintuan, Trisha Elizabeth F. Catacutan

College of Nursing, Angeles University Foundation, Angeles City, Philippines


Background: Filipino nurses have become vital contributors to healthcare systems worldwide, often driven by the promise of financial stability, career advancement, and improved working conditions. However, their migration journeys also involve complex emotional, cultural, and professional challenges. Despite the breadth of research on migrant healthcare workers, studies rarely examine the lived experiences of Filipino nurses overseas, leaving their personal and professional struggles underrepresented. Much of the discourse centers on economic contributions and workforce integration, often overlooking the everyday hardships these nurses endure. This study addresses that gap by examining the layered realities of Filipino nurses working abroad and how these experiences shape their well-being and professional identity.

Methods: Conducted using a descriptive phenomenological design, the research involved nine Filipino nurses, each with at least five years of overseas work experience. Participants were selected through purposive maximum variation sampling to capture diverse roles and locations. Data were gathered through semi-structured online interviews and analyzed using Colaizzi’s [1978] seven-step method. Rigor was maintained through bracketing, transcript validation, and thematic clustering. Ethical clearance was obtained from the Angeles University Foundation (AUF) Ethics Review Committee, and the manuscript was submitted to the university library’s Turnitin service, which yielded a 1% similarity report.

Results: Four themes emerged from the data analysis: (I) “Professional Pressures of Wearing the Black Cap”, highlighting licensure challenges, ethical dilemmas, and excessive workloads; (II) “Sociocultural Struggles Under the Black Cap”, which captured language barriers and cultural adjustment; (III) “The Black Cap’s Emotional Burdens”, reflecting stress, emotional exhaustion, and prolonged separation from family; and (IV) “The Black Cap’s Spiritual Shadows”, emphasizing spiritual strain experienced while working abroad. The “Black Cap” metaphor symbolized the unseen weight carried by Filipino nurses—honorably worn yet heavy with sacrifice.

Conclusions: This study provides a deeper understanding of the complex realities faced by Filipino nurses working overseas. By foregrounding their lived experiences, the findings help bridge existing research gaps and offer valuable insights for developing more inclusive nursing education, responsive curricula, and compassionate support systems that better prepare and sustain Filipino nurses in the global nursing workforce.

Keywords: Emotional exhaustion; resilience; transients and migrants; cultural competency; working conditions


Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.


doi: 10.21037/jphe-26-ab161
Cite this abstract as: Donado JKL, Balinang EQ, Bucad AIV, Castro KTC, Co DDS, Maniago DAD, Montero CM, Padilla MATI, Roxas AFL, Turaray FMS, Pamintuan DD, Catacutan TEF. AB161. Unveiling the black cap: a phenomenological inquiry into the hardships faced by Filipino nurses working overseas. J Public Health Emerg 2026;10:AB161.

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