Faculty of Nursing, University of Alberta, Edmonton, Edmonton, AB, Canada.
Int Nurs Rev. 2018 Jun;65(2):173-181. doi: 10.1111/inr.12400. Epub 2017 Aug 8.
This study explored the experience of baccalaureate-prepared, internationally educated nurses who work as licensed practical nurses in Canada.
BACKGROUND/INTRODUCTION: Internationally educated nurses experience several barriers to workforce integration on arrival in destination countries. Given these barriers, evidence suggests that internationally educated nurses sometimes experience downward occupational mobility and deskilling in destination countries. Some baccalaureate-prepared, internationally educated nurses work as licensed practical nurses in destination countries, but there is minimal research on this population.
We used an exploratory transnational feminist qualitative research design. Following ethics approval, a total of 14 baccalaureate-prepared, internationally educated nurses who currently or recently worked as practical nurses in Canada were interviewed for the study. Data were thematically analysed with the aide of NVivo 11 data software.
Our results revealed four key themes related to the experiences of this group of nurses: they migrate to Canada with hope for a better personal and professional life; they experience barriers to workforce integration as registered nurses and discover an easier path in the licensed practical nurse registration process; they experience deskilling and ambivalent skill recognition; and they feel dissatisfied as a licensed practical nurse in Canada.
DISCUSSION/CONCLUSION: There is a need for policy to support the upward mobility of baccalaureate-prepared, internationally educated nurses who work as practical nurses.
Implications for policymakers include the need to address the barriers to becoming registered nurses, including application processing times and lack of adequate access to educational programmes.
本研究探讨了在加拿大作为持照实习护士工作的本科预备、国际教育护士的经验。
背景/介绍：国际教育护士在抵达目的地国时会遇到若干劳动力整合障碍。鉴于这些障碍，有证据表明，国际教育护士有时在目的地国经历职业向下流动和技能减损。一些本科预备、国际教育护士在目的地国作为持照实习护士工作，但对这一人群的研究甚少。
我们使用了探索性跨国女权主义定性研究设计。在获得伦理批准后，共有 14 名目前或最近在加拿大担任实习护士的本科预备、国际教育护士接受了这项研究的采访。使用 NVivo 11 数据软件对数据进行了主题分析。
我们的研究结果揭示了与这群护士的经历相关的四个关键主题：他们带着对个人和职业生活更美好前景的希望移民到加拿大；他们作为注册护士面临劳动力整合障碍，并在持照实习护士注册过程中发现了一条更容易的途径；他们经历了技能减损和矛盾的技能认可；他们对在加拿大担任持照实习护士感到不满。
讨论/结论：需要制定政策支持作为实习护士工作的本科预备、国际教育护士的向上流动。
对政策制定者的影响包括需要解决成为注册护士的障碍，包括申请处理时间和缺乏足够的教育计划机会。
