DeZIM's expertise in nursing and care

The German government is currently recruiting new skilled workers from Eastern and Southeastern Europe, Asia, and Africa—including through bilateral migration agreements. Germany will need hundreds of thousands of additional care workers in the coming years, and a significant number of these are already coming from abroad. To this end, the German government plans to establish the “Work-and-Stay Agency.” How can recruitment and placement be made fair and transparent? What challenges do they face, whether because they have left their home country or because they work and live across borders? What support do they receive? What conditions must be created to offer them a genuine prospect of staying? 

For in-home care of those in need of care, Eastern and Southeastern European caregivers without recognized nursing qualifications are often relied upon. Their working conditions and paths to Germany are also relevant for the future of the care sector. How do salary and working hours relate to one another? What opportunities do caregivers have to influence their working conditions? 

However, the German care system is not based solely on institutional care—a large portion of care is provided by families, often across national borders. What forms of transnational family care exist? To what extent do people in Germany support or care for relatives abroad? What challenges does this pose for those affected? 

You can find current publications on these topics from the German Center for Integration and Migration Research (DeZIM) and contact information for academic experts here.

Publications

The studies and academic articles shed light on the situation of recruited skilled workers, a topic that has received little attention in previous coverage of the issue. They point out that recruitment without consistent integration structures leads to frustration and encourages emigration. If Germany wants to retain immigrant skilled workers and laborers in the long term, the conditions within the system must change. In addition to the findings, the studies therefore also include recommendations for policy action. 

Contacts (selection)

Contact

Dr. Noa K. Ha

Scientific Director, Institute Director

Email: ha(at)dezim-institut.de
Phone: 0049 (0) 30 200754-105 // Assistant: -108

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For a long time, Germany was considered an attractive destination—offering secure working conditions, a reliable rule of law, and opportunities for families. But that is changing. Recent studies, including our own, show that many nursing staff are now considering leaving the country. At the same time, competition among Western industrialized nations for skilled workers continues to intensify.
Dr. Noa K. Ha, wissenschaftliche Geschäftsführerin DeZIM-Institut

Contact

Dr. Cihan Sinanoğlu

Director of NaDiRa (National Discrimination and Racism Monitor)

Email: sinanoglu(at)dezim-institut.de
Phone: 0049 (0) 30-200754-250

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Given the shortage of skilled workers, we will continue to rely on increased recruitment. What is crucial now, however, is to combine this with reliable institutional conditions: a consistent effort to eliminate discrimination and racism in the workplace, transparent recognition procedures, and legal certainty. Only by addressing racial exclusion and discrimination at a structural level can we retain skilled workers in the long term.
Dr. Cihan Sinanoğlu, Leitung am NaDiRa

Contact

Dr. Ramona Rischke

Co-Director, Migration Department

Email: rischke(at)dezim-institut.de
Phone: 0049 (0) 30-200754-301

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Our study shows that there is a significant degree of indecision regarding the long-term intentions of international nursing staff to remain in Germany. We also observe this marked indecision in other studies, including representative population surveys of immigrants in Germany. Therefore, it will become increasingly important to offer people in Germany prospects that motivate them to stay.
Dr. Ramona Rischke, Co-Leiterin der Abteilung Migration

Contact

Dr. Hans Vogt

Research Associate, Department of Integration and National Discrimination and Racism Monitor (NaDiRa)

Email: vogt(at)dezim-institut.de
Phone: 0049 (0) 30-200754-253

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As part of the National Discrimination and Racism Monitor (NaDiRa), we conducted research on the situation of internationally recruited nursing staff. The findings show that the health, professional development, and life trajectories of the individuals concerned—and thus nursing care itself—can be significantly impaired by racial discrimination. In particular, this involves the interplay of everyday racism among colleagues and structural injustices that systematically create precariousness, for example by linking residency permits to employment contracts.
Dr. Hans Vogt, wissenschaftlicher Mitarbeiter am NaDiRa

Contact

Prof. Dr. Magdalena Nowicka

Head of the Integration Department

Email: nowicka(at)dezim-institut.de
Phone: 0049 (0) 30-200754-200

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When institutional care is not necessary or desired, caregivers from Eastern Europe often assist families in Germany in caring for elderly relatives. To date, this sector has largely escaped regulation—to ensure high-quality care, incentives must be created for placement agencies to set and uphold standards.
Prof. Dr. Magdalena Nowicka, Leiterin der Abteilung Integration

Events hosted by the DeZIM Institute on the topic of care

Recruited nursing professionals were also the focus of two DeZIM events in 2025, which featured panelists from the nursing sector, politics, labor unions, consulting firms, and civil society. Topics included fair recruitment and social, structural, and institutional conditions upon arrival

DeZIM_lunch_discussion: Between Agreements and Everyday Life: How Can Fair Recruitment of Nursing Staff Succeed?

DeZIM_talk: Living and working conditions of internationally recruited nursing staff

 

Press Contact

Angie Pohlers

Press Officer

Email: pohlers(at)dezim-institut.de
Phone: +49 (0)30 2007 54 130