Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
J Adv Nurs. 2021 Dec;77(12):4876-4886. doi: 10.1111/jan.15054. Epub 2021 Sep 28.
To examine internationally educated nurses' (IENs') experiences of the recertification process when undergoing a series of examinations to test their nursing knowledge and skills and, thereby, obtain a Swedish nursing license.
A qualitative study with a descriptive design.
A convenience sample of 15 IENs at the end of the recertification process was included. Data were collected using semi-structured telephone interviews between September 2019 and January 2021 and analysed using qualitative content analysis.
Conducting the recertification process to obtain a Swedish nursing license was challenging in many ways, and the nurses described a rollercoaster of emotions during the process: frustration, loneliness, stress and anxiety, but also happiness, pride and relief. The process was, for some, so demanding they almost gave up, and support was, therefore crucial for the nurses. However, many times, they had to struggle to find out where they could turn for help or guidance.
The nurses found the formal support during the recertification process to be inadequate and inaccessible. For this reason, and to decrease the risk of nurses dropping out and instead taking unlicensed jobs, there is a need to develop and introduce more supportive structures and to make the existing support and information more accessible for the nurses.
This study highlights the importance of offering accessible support during a demanding and challenging recertification process. These findings can help policymakers develop and introduce supportive structures in the process of recertification for IENs.
研究国际教育护士（IENs）在接受一系列考试以测试其护理知识和技能并获得瑞典护理执照的过程中的认证经历。
具有描述性设计的定性研究。
在认证过程结束时，便利选取了 15 名 IEN 作为研究对象。数据收集于 2019 年 9 月至 2021 年 1 月期间使用半结构式电话访谈进行，并采用定性内容分析进行分析。
进行认证过程以获得瑞典护理执照在许多方面都具有挑战性，护士在整个过程中描述了情绪的过山车：沮丧、孤独、压力和焦虑，但也有快乐、自豪和宽慰。对一些人来说，这个过程要求太高，他们几乎要放弃了，因此支持对护士至关重要。然而，很多时候，他们不得不努力寻找可以寻求帮助或指导的地方。
护士发现认证过程中的正式支持不足且难以获得。出于这个原因，为了降低护士放弃并从事无照工作的风险，有必要为护士开发和引入更多支持性结构，并使现有的支持和信息更易于获得。
本研究强调了在要求高且具有挑战性的认证过程中提供可访问支持的重要性。这些发现可以帮助政策制定者在 IEN 认证过程中开发和引入支持性结构。
