Division of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, Ontario, Canada.
Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
PLoS One. 2024 Oct 3;19(10):e0307795. doi: 10.1371/journal.pone.0307795. eCollection 2024.
Canada, like many other jurisdictions worldwide, is facing a nursing shortage. At the same time, high-income countries are facing a rapidly ageing and more complex older adult population. Demands for more responsive health care services are driving systems of care to meet the evolving needs of the ageing population. Internationally-educated nurses (IENs) can help fill gaps in the care of older adults, but may need considerable support to work in new social and health care environments. However, the experiences of IENs within the geriatric care literature have not been comprehensively reviewed. This protocol will outline a scoping review to determine: (1) what is known about the experiences and support needs of IENs in geriatric healthcare settings within high income countries? (2) what are current supportive-pathways for IENs in geriatric practice settings? And (3) what are the research gaps in the existing literature on the experiences and support needs of IENs within the context of geriatrics?
A scoping review will be conducted guided by the methodological framework set out by Arksey and O'Malley (2005) and later advanced by Levac, Colquhoun and O'Brien (2010). The search strategy will be applied to seven databases (MEDLINE, PubMed (non-MEDLINE records), PsycINFO, PsychArticles, CINAHL, Scopus, Web of Science). Grey literature will be searched using Google search engines, targeted websites and consultation with content experts. Articles of any publication date will be included. A two-stage screening process will be conducted in duplicate (i.e., two reviewers per stage) to determine eligible articles. Data from eligible articles will be extracted using a piloted charting form. Extracted data will be analyzed using thematic and descriptive analyses.
The findings of the upcoming will highlight opportunities and recommendations to inform future research and support training to support IENs working with older adults within high income countries. Publication, presentations and stakeholder meetings will disseminate our findings.
加拿大和世界上许多其他司法管辖区一样，面临着护士短缺的问题。与此同时，高收入国家正面临着人口迅速老龄化和更加复杂的老年人口。对更具响应性的医疗保健服务的需求促使医疗保健系统满足老龄化人口不断变化的需求。国际教育护士（IEN）可以帮助填补老年人护理方面的空白，但他们可能需要相当多的支持才能在新的社会和医疗保健环境中工作。然而，国际教育护士在老年护理文献中的经验尚未得到全面审查。本方案将概述一个范围界定审查，以确定：（1）在高收入国家的老年保健环境中，国际教育护士的经验和支持需求是什么？（2）目前在老年实践环境中为 IEN 提供了哪些支持途径？（3）在老年学背景下，国际教育护士的经验和支持需求方面的现有文献存在哪些研究空白？
本研究将遵循 Arksey 和 O'Malley（2005 年）提出的方法框架，并借鉴 Levac、Colquhoun 和 O'Brien（2010 年）的方法框架，开展范围界定审查。搜索策略将应用于七个数据库（MEDLINE、PubMed（非 MEDLINE 记录）、PsycINFO、PsychArticles、CINAHL、Scopus、Web of Science）。将使用 Google 搜索引擎、目标网站和与内容专家协商来搜索灰色文献。将纳入任何出版日期的文章。将进行两阶段的重复筛选（即每个阶段有两名评审员），以确定合格的文章。使用经过试验的图表表格提取合格文章中的数据。使用主题和描述性分析方法对提取的数据进行分析。
即将开展的研究将突出机遇和建议，为未来的研究和支持培训提供信息，以支持在高收入国家与老年人一起工作的国际教育护士。将通过发表论文、演示文稿和利益攸关方会议来传播研究结果。
