Hadziabdic Emina, Marekovic Anna-Maria Sarstrand, Salomonsson Johanna, Heikkilä Kristiina
Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, SE-351 95, Växjö, Sweden.
Department of Social Studies, Faculty of Social Sciences, Linnaeus University, SE-351 95, Växjö, Sweden.
BMC Nurs. 2021 Jan 5;20(1):7. doi: 10.1186/s12912-020-00525-8.
Countries all over the world are experiencing a shortage of registered nurses (RNs). Therefore, some countries, including Sweden, have tried to solve this by recruiting internationally educated nurses (IENs). Countries offer bridging programs as educational support to qualify IENs for nursing work in the destination country. However, there is little research on IENs' experiences of bridging programs in European countries and how these programs facilitate their integration into the world of work and their new society. The aim of this study is to explore the experiences of nurses, originally educated outside the EU (European Union)/EES, of the Swedish bridging program and of the program's role in facilitating their integration into the nursing profession in Sweden.
A qualitative descriptive design was used to explore the topic based on 11 informants' perspectives and experiences. Purposive sampling was used to recruit participants at one university in Sweden. Data were collected by individual interviews using a semi- structured interview guide during the year 2019 and were analysed using an interpretative thematic approach.
Two main themes emerged from the analysis: 1) Return to nursing, and 2) The bridging program as a tool for transition to nursing in Sweden. The first theme includes conditions and experiences such as personal motivation and determination, and support from others that the participants described as important in order to achieve the goal of re-establishing themselves as registered nurses in Sweden. Furthermore, the second theme describes the participants' experiences of the bridging program as mostly positive because it led to new learning and achievements that were valuable for the transition to nursing in Sweden; however, the participants also emphasised the challenges of their transition into the nursing profession, which were related to instances of misrecognition of their professional competence and the uncertain outcome of the program.
This study found that the bridging program facilitated integration into the nursing profession for nurses educated outside the EU/EES, especially knowledge gained in clinical-based training. Thus, it is important to recognise and value the IENs' experience and previous knowledge and training when developing the bridging program's curriculum.
世界各国都面临注册护士短缺的问题。因此，包括瑞典在内的一些国家试图通过招募国际教育背景的护士（IEN）来解决这一问题。各国提供衔接课程作为教育支持，以使IEN有资格在目的国从事护理工作。然而，关于欧洲国家IEN在衔接课程方面的经历以及这些课程如何促进他们融入工作和新社会的研究很少。本研究的目的是探讨最初在欧盟（EU）/欧洲经济区（EEA）以外接受教育的护士对瑞典衔接课程的体验，以及该课程在促进他们融入瑞典护理行业方面的作用。
采用定性描述性设计，基于11名受访者的观点和经验来探讨该主题。采用目的抽样法在瑞典的一所大学招募参与者。2019年通过使用半结构化访谈指南进行个人访谈收集数据，并采用解释性主题分析法进行分析。
分析得出两个主要主题：1）回归护理，2）衔接课程作为在瑞典过渡到护理工作的工具）。第一个主题包括个人动机和决心等条件和经历，以及参与者认为对在瑞典重新成为注册护士这一目标很重要的他人支持。此外，第二个主题描述了参与者对衔接课程的体验大多是积极的，因为它带来了新的学习和成就，对在瑞典过渡到护理工作很有价值；然而，参与者也强调了他们过渡到护理行业的挑战，这与对其专业能力的错误认知情况以及课程的不确定结果有关。
本研究发现，衔接课程有助于欧盟/欧洲经济区以外接受教育的护士融入护理行业，尤其是在基于临床的培训中获得的知识。因此，在制定衔接课程的课程设置时，认识并重视IEN的经验以及他们以前的知识和培训非常重要。
