York University, Toronto, ON, Canada.
Nurs Inq. 2009 Sep;16(3):182-90. doi: 10.1111/j.1440-1800.2009.00448.x.
Increasing globalization of the nursing workforce and the desire for migrants to realize their full potential in their host country is an important public policy and management issue. Several studies have examined the challenges migrant nurses face as they seek licensure and access to international work. However, fewer studies examine the barriers and challenges internationally educated nurses (IEN) experience transitioning into the workforces after they achieve initial registration in their adopted country. In this article, the authors report findings from an empirically grounded study that examines the experience of IENs who entered Ontario's workforce between 2003 and 2005. We found that migrant nurses unanimously described nursing as 'different' from that in their country of origin. Specifically, IENs reported differences in the expectations of professional nursing practice and the role of patients and families in decision-making. In addition, problems with English language fluency cause work-related stress and cognitive fatigue. Finally, the experience of being the outsider is a reality for many IENs. This study provides important insights as policy and management decision-makers balance the tension between increasing the IEN workforce and the delivery of safe patient care.
护理劳动力的全球化不断增加，移民渴望在其所在国充分发挥潜力，这是一个重要的公共政策和管理问题。有几项研究考察了移民护士在寻求执照和获得国际工作机会时所面临的挑战。然而，较少的研究考察了在获得移民国的初始注册后，国际教育护士（IEN）在过渡到劳动力队伍时所经历的障碍和挑战。在本文中，作者报告了一项基于实证的研究的结果，该研究考察了 2003 年至 2005 年间进入安大略省劳动力市场的 IEN 的经历。我们发现，移民护士一致将护理描述为与原籍国“不同”。具体而言，IEN 报告了专业护理实践的期望以及患者和家属在决策中的角色存在差异。此外，英语流利程度的问题导致与工作相关的压力和认知疲劳。最后，对于许多 IEN 来说，作为局外人的经历是现实。这项研究为政策和管理决策者提供了重要的见解，因为他们在平衡增加 IEN 劳动力和提供安全患者护理之间的紧张关系。
