整合具有国际资质的护士：基于护士经历对护士长影响力的质性探索

Integrating internationally qualified nurses: a qualitative exploration of nurse managers' influence from nurses' experiences.

作者信息

Roth Catharina, Breckner Amanda, Krug Katja, Mahler Cornelia, Wensing Michel, Berger Sarah

机构信息

Department of General Practice and Health Services Research, University Hospital Heidelberg, Marsilius Arcades, West Tower, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.

Department of Nursing Science, University Hospital Tuebingen, Hoppe-Seyler-Str. 9, 72076, Tuebingen, Germany.

出版信息

BMC Nurs. 2025 Feb 28;24(1):233. doi: 10.1186/s12912-025-02875-7.

DOI:10.1186/s12912-025-02875-7

PMID:40022010

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11869482/

Abstract

BACKGROUND

Healthcare systems globally are confronted with a shortage of nurses. Various strategies to address this have been applied, including active recruitment of internationally qualified nurses. Nurse managers may have a central role in supporting workplace integration. This study aimed to explore how domestically qualified nurses and internationally qualified nurses viewed the role of nursing management and its impact on workplace integration.

METHOD

Semi-structured interviews with 21 domestically and 14 internationally qualified nurses were conducted. Nurses were selected using purposive sampling. Snowball sampling was applied to reach a sufficient sample size. Interviews were pseudonymized and transcribed. Transcripts were coded according to Qualitative Content Analysis with data structured into themes and subthemes.

RESULTS

Five key themes related to impact of nursing management on workplace integration were identified: (a) Appropriate Placement, (b) Recruitment Process, (c) Leadership Support, (d) Workforce Shortage, and (e) Additional Burden/ Increased Workload. Active support by nursing leadership and the opportunity for shared-decision making was seen as a key factor. Increased workload, additional time and resources requirements associated with orientation of internationally qualified nurses and pressures from staff shortages were highlighted as hindrances. Inappropriate placement of internationally qualified nurses was perceived as key hindrance that could be addressed by nursing management. An imbalanced ratio between domestically and internationally qualified nurses was perceived as challenging by domestically qualified nurses.

CONCLUSION

Integration of internationally qualified nurses to clinical practice brings several challenges that may be positively impacted by nursing management through appropriate placement of internationally qualified nurses, supportive nurse managers and adequate preparation of domestically qualified nurse mentors/preceptor.

IMPLICATIONS FOR PRACTICE

Nurse managers should ensure that internationally qualified nurses' work experience matches local clinical unit vacancies before hiring them. Peer support is a supportive factor for internationally qualified nurses. Nurse managers should find a balanced ratio between internationally and domestically qualified nurses in the roster. Introducing mentors or preceptors at ward level may be a strategy decrease work-related stress in both nursing groups.

REGISTRATION NUMBER

The study has been prospectively registered (27 June 2019) at the German Clinical Trial Register (DRKS00017465).

摘要

背景

全球医疗保健系统都面临护士短缺的问题。为解决这一问题已采取了各种策略，包括积极招募具有国际资质的护士。护士长在支持工作场所融合方面可能发挥核心作用。本研究旨在探讨国内资质护士和国际资质护士如何看待护理管理的作用及其对工作场所融合的影响。

方法

对21名国内资质护士和14名国际资质护士进行了半结构化访谈。采用目的抽样法选取护士。运用滚雪球抽样法以达到足够的样本量。访谈进行了匿名处理并转录。根据定性内容分析法对转录文本进行编码，数据被构建为主题和子主题。

结果

确定了与护理管理对工作场所融合影响相关的五个关键主题：（a）合理安置，（b）招聘流程，（c）领导支持，（d）劳动力短缺，以及（e）额外负担/工作量增加。护理领导的积极支持和共同决策的机会被视为关键因素。与国际资质护士入职培训相关的工作量增加、额外的时间和资源需求以及人员短缺带来的压力被强调为障碍。国际资质护士安置不当被视为护理管理可以解决的关键障碍。国内资质护士认为国内和国际资质护士之间的比例失衡具有挑战性。