Xu Yu, He Flore
University of Nevada, Las Vegas School of Nursing, Las Vegas, NV, USA.
Nurs Econ. 2012 Jul-Aug;30(4):215-23, 239.
It is critical to conduct competency assessments of internationally educated nurses (IENs) to ensure public safety, as well as uphold accountability to nursing as a regulated profession. Transition programs are needed because of the required proficiency of the working language, as well as differences in nursing education, national health care systems, nursing practice and culture, etc. Transition programs in the United States are grossly under-developed because of lack of recognition of their importance, lack of funding and standardization, and decentralized regulation in nursing. United States can learn from the United Kingdom, Australia, and Canada regarding how to best transition IENs. Its current hit-and-miss approach is inadequate and inconsistent with the emerging global trend to systematically deal with the transitional challenges of IENs at the national level.
对国际执业护士（IENs）进行能力评估至关重要，这既能确保公众安全，又能维护护理作为一门受监管职业的问责制。由于对工作语言的熟练程度要求，以及护理教育、国家医疗保健系统、护理实践和文化等方面的差异，过渡项目是必要的。美国的过渡项目严重欠发达，原因在于对其重要性缺乏认识、缺乏资金和标准化，以及护理监管分散。在如何最好地让国际执业护士实现过渡方面，美国可以借鉴英国、澳大利亚和加拿大的经验。其目前这种随意的做法是不够的，也与在国家层面系统性应对国际执业护士过渡挑战的全球新趋势不一致。
