The perspectives of internationally qualified nurses regarding their specialty skill transition to Australia: A cross-sectional survey.
nurse specialty
nursing expertise
nursing practice
nursing skill
nursing workforce
public policy
skill utilization
specialization
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
17 Nov 2023
17 Nov 2023
Historique:
revised:
17
10
2023
received:
29
06
2023
accepted:
25
10
2023
medline:
17
11
2023
pubmed:
17
11
2023
entrez:
17
11
2023
Statut:
aheadofprint
Résumé
To identify barriers and facilitators of speciality skill transfer for internationally qualified nurses in Australia from the nurses' perspective. A cross-sectional study. A cross-sectional online survey was distributed through social media, snowballing and nursing professional organization. Data analysed using Statistical Package for the Social Sciences. Online survey data from participants matching the inclusion criteria were collected from July to September 2022. Survey results reveal facilitators (competence, scope of practice, linguistic sufficiency, understanding of decision-making) and barriers (lack of opportunity, transition pathways, confidence in overseas education, financial instability) for internationally qualified nurses' speciality skill utilization in Australia. Identifying and addressing barriers and facilitators, along with developing tailored transition pathways, are crucial for maximizing speciality skill utilization among internationally qualified nurses. These findings have implications for policymakers, healthcare organizations and nurses. They highlight the need to address barriers, facilitate smooth transitions and implement proactive measures for internationally qualified nurses to effectively utilize their specialty skills. The study addresses maximizing skill usage for internationally qualified nurses, identifies barriers and facilitators for specialty skill transfer in Australia and will impact policymakers, healthcare organizations and nurses by guiding strategies for safe nursing service delivery and optimizing patient care. STROBE checklist. A total of 71 internationally qualified nurses contributed their experiences and opinions. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Lack of opportunity and the lack of transition pathways inhibit the use of specialty nursing skills by internationally qualified nurses. This study's findings contradict the result of other studies that suggest language is a significant obstacle to the utilization of specialty skills of internationally qualified nurses. The protocol is registered on OSF. The data for this study are available for sharing with the reviewers upon request. However, it is worth noting that ethical approval has not been obtained specifically for web sharing, and therefore, the data has not been posted in any repositories or public platforms.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Références
Adeniran, R. K., Rich, V. L., Gonzalez, E., Peterson, C., Jost, S., & Gabriel, M. (2008). Transitioning internationally educated nurses for success: A model program. The Online Journal of Issues in Nursing, 13(2), 1-9. https://doi.org/10.3912/OJIN.Vol13No02Man03
Adhikari, R. (2011). From aspirations to “dream-trap”: Nurse education in Nepal and Nepali nurse migration to the UK. https://era.ed.ac.uk/bitstream/handle/1842/6199/Adhikari2011.pdf?sequence=6&isAllowed=y
An, J. Y., Cha, S., Moon, H., Ruggiero, J. S., & Jang, H. (2016). Factors affecting job satisfaction of immigrant Korean nurses. Journal of Transcultural Nursing, 27(2), 126-135. https://doi.org/10.1177/1043659614539175
Angus, E., Reid, K., Yamit, S., Coe, G., Ryan, B., & Crichton, S. (2021). Experience of internationally qualified nurses providing palliative care in a New Zealand aged residential care facility. International Journal of Palliative Nursing, 27(10), 515-523. https://doi.org/10.12968/ijpn.2021.27.10.515
ANMAC. (2016). Frequently asked questions. http://anmac.org.au/skilled-migration-services/faq#t192n2306
Australian Bureau of Statistics. (2021). Australia's population by country of birth. https://www.abs.gov.au/statistics/people/population/australias-population-country-birth/latest-release
Australian Nurses and Midwifery Accreditation Council. (2016). Glossary. https://anmac.org.au/glossary/i
Australian Nurses and Midwifery Federation. (2020). Nurses and midwives (Victorian public sector) (singleinterest employers) enterprise agreement 2020-2024. https://www.anmfvic.asn.au/~/media/files/anmf/eba%202020/campaign%20updates/200120-NandM-EBA-master-clean.pdf
Bakon, S., Craft, J., Wirihana, L., Christensen, M., Barr, J., & Tsai, L. (2018). An integrative review of graduate transition programmes: Developmental considerations for nursing management. Nurse Education in Practice, 28, 80-85. https://doi.org/10.1016/j.nepr.2017.10.009
Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. The American Journal of Nursing, 84(12), 1480.
Bhardwaj, T. (2021). Attrition of nurses in cancer care issues and challenges. https://www.worldwidejournals.com/global-journal-for-research-analysis-GJRA/file.php?val=attrition-of-nurses-in-cancer-care-issues-and-challenges_April_2021_8162661597_5606396.pdf
Cassar, M. (2020). Using the internationally recognized frameworks of nursing competencies to address the challenges of nurse refugees without documentation. Tuning Journal for Higher Education, 8(1), 53-73. https://doi.org/10.18543/tjhe-8(1)-2020pp53-73
Coalition of National Nursing and Midwifery Organisations. (2022). Members. https://connmo.org.au/index.php/members
Covell, C. L., Adhikari, A., & Salami, B. (2022). Surviving the employment gap: A cross-sectional survey of internationally educated nurses. International Nursing Review, 69(2), 167-174. https://doi.org/10.1111/inr.12668
Danish Patient Safety Authority. (2021). Employment for adaptation and training purposes. https://en.stps.dk/en/health-professionals-and-authorities/registration-of-healthcare-professionals/nurse-application-for-registration/non-eu-countries-third-countries/employment-for-adaptation-and-training-purposes/
Deloitte Access Economics. (2018). Seizing the opportunity: Making the most of the skills and experience of migrants and refugees. https://www2.deloitte.com
Deng, F.-F. (2015). Comparison of nursing education among different countries. Chinese Nursing Research, 2(4), 96-98. https://doi.org/10.1016/j.cnre.2015.11.001
Doleman, G., Duffield, C., Li, I. W., & Watts, R. (2022). Employment of the Australian graduate nursing workforce: A retrospective analysis. Collegian, 29(2), 228-235. https://doi.org/10.1016/j.colegn.2021.12.002
Draper, J. (2018). 'Doing it for real now'-The transition from healthcare assistant to newly qualified nurse: A qualitative study. Nurse Education Today, 66, 90-95. https://doi.org/10.1016/j.nedt.2018.04.008
Faith, D., Denise, B.-L., Ruth, M.-M., Sharon, K., Kelley, K., Nancy, C., Patricia, H., Ivy, B., & Alba, D. (2010). Clinical Nurse Specialists and nurse practitioners: Title confusion and lack of role clarity. Nursing Leadership, 23(Special Issue), 189-210. https://doi.org/10.12927/cjnl.2010.22276
Gordon, J. M., Lorilla, J. D., & Lehman, C. A. (2012). The role of the clinical nurse specialist in the future of health care in the United States. US Army Research, 7, 343-353. https://doi.org/10.1016/j.cpen.2012.06.006
Govorov, A., Chernysheva, A., Derkunskaia, S., Artamonova, V., Babayants, C., & Koriakov, S. (2022). Target professions based approach for individual learning pathway creation. International Journal of Information and Education Technology, 12(3), 203-208.
Higginbottom, G. (2011). The transitioning experiences of internationally-educated nurses into a Canadian health care system: A focused ethnography. BMC Nursing, 10(1), 1-13. https://doi.org/10.1186/1472-6955-10-14
Högstedt, D., Jansson, I., Eriksson, E., & Engström, M. (2022). Three paths to a Swedish nursing license: Two for internationally educated nurses and one for regular nursing students-A cross-sectional study of self-rated professional competence, self-efficacy, and thriving. Nurse Education Today, 119, 105595. https://doi.org/10.1016/j.nedt.2022.105595
Kerala Public Service Commission. (2021). Kerala PSC staff nurse. https://keralapsc.gov.in/staff-nurse-gr-ii-health-service-0
Kolawole, B. (2009). Ontario's internationally educated nurses and waste in human capital. International Nursing Review, 56(2), 184-190. https://doi.org/10.1111/j.1466-7657.2008.00666.x
Kurup, C., Burston, A., & Miles, S. (2022). Transition of internationally qualified nurses in Australia: Meta-synthesis of qualitative studies. Collegian, 30(2), 357-366. https://doi.org/10.1016/j.colegn.2022.10.002
Lai, D. W. L., Shankar, J., & Khalema, E. (2017). Unspoken skills and tactics: Essentials for immigrant professionals in integration to workplace culture. Journal of International Migration and Integration, 18(3), 937-959. https://doi.org/10.1007/s12134-017-0513-5
Larson, R. B. (2019). Controlling social desirability bias. International Journal of Market Research, 61(5), 534-547. https://doi.org/10.1177/1470785318805305
Lee, K. E., & Lee, M. A. (2021). Contribution of North Texas Korean nurse association Covid-19 task force team to promote the health of local Korean immigrant community amid the pandemic. Journal of Korean Academy of Nursing, 51(5), 505-510. https://doi.org/10.4040/jkan.21154
Matiti, M. R. (2005). The cultural lived experience of internationally recruited nurses: A phenomenological study. Diversity and Equality in Health and Care, 2(1), 7-15.
New South Wales Ministry of Health. (2021). Public Health System Nurses' and Midwives' (State) Award 2021. https://www.health.nsw.gov.au/careers/conditions/awards/nurses.pdf
NMBA. (2016). Professional standards. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
NMBA. (2022a). Decision-making framework for nursing and midwifery. https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/frameworks.aspx
NMBA. (2022b). Registration & endorsement. https://www.nursingmidwiferyboard.gov.au/Registration-and-Endorsement.aspx
NMBA. (2023). Meeting the registration requirements. https://www.nursingmidwiferyboard.gov.au/Accreditation/IQNM/Before-you-apply/Meeting-the-registration-requirements.aspx
Organization for Economic Cooperation and Development. (2019). Recent trends in international mobility of doctors and nurses. OECD Publications. https://www.oecd-ilibrary.org/docserver/5571ef48-en.pdf?expires=1636417440&id=id&accname=ocid195636&checksum=30EE2A1601A627249F85BC7505631BE2
Osadcha, K., Osadchyi, V., Kruglyk, V., & Spirin, O. (2021). Modeling of the adaptive system of individualization and personalization of future specialists' professional training in the conditions of blended learning. Educational Dimension, 5, 109-125. https://doi.org/10.31812/educdim.4721
Quintini, G. (2011). Right for the Job: Over-qualified or under-skilled? OECD Social, Employment and Migration Working Papers (120). https://doi.org/10.1787/5kg59fcz3tkd-en
Ressia, S., Strachan, G., & Bailey, J. (2017). Going up or going down? Occupational mobility of skilled migrants in Australia. Asia Pacific Journal of Human Resources, 55(1), 64-85. https://doi.org/10.1111/1744-7941.12121
Roche, M. A., Duffield, C. M., Homer, C., Buchan, J., & Dimitrelis, S. (2015). The rate and cost of nurse turnover in Australia. Collegian, 22(4), 353-358. https://doi.org/10.1016/j.colegn.2014.05.002
Royal Children's Hospital. (2022). Emergency department status-The Royal Children's Hospital. https://www.rch.org.au/emerg_rch/status/
Sakzewski, E. (2021). The burnout is ‘absolutely real’: A look at the state of Australia's nursing workforce amid labour shortage. ABC News. https://www.abc.net.au/news/2021-11-19/australia-nurse-burnout-labour-shortage-supply-demand/100566430
Smith, J. B., Herinek, D., Woodward-Kron, R., & Ewers, M. (2022). Nurse migration in Australia, Germany, and the UK: A rapid evidence assessment of empirical research involving migrant nurses. Policy Politics & Nursing Practice, 23(3), 175-194. https://doi.org/10.1177/15271544221102964
Smith, P., Allan, H., Henry, L., Larsen, J., & McKintosk, M. (2006). Valuing and recognising the talents of a diverse healthcare workforce. EU Commission. http://portal.surrey.ac.uk/reoh
Stankiewicz, G., & O'Connor, M. (2014). Overseas qualified nurses in Australia: Reflecting on the issue. Australian Journal of Advanced Nursing, 31, 32-38. https://doi.org/10.3316/INFORMIT.285616000051555
Stephen, S., & Vijay, V. R. (2019). Metamorphosis of nursing profession: An Indian perspective. Journal of Global Health, 9(2), 020314. https://doi.org/10.7189/jogh.09.020314
Taylor, B. (2008). The experiences of overseas nurses working in the NHS: Results of a qualitative study. Diversity in Health and Social Care, 2(1), 17-27.
United Nations. (2022). Goal 3: Ensure healthy lives and promote well-being for all at all ages. https://www.un.org/sustainabledevelopment/health/
van den Broeck, J., Argeseanu Cunningham, S., Eeckels, R., & Herbst, K. (2005). Data cleaning: Detecting, diagnosing, and editing data abnormalities. PLoS Medicine, 2(10), e267. https://doi.org/10.1371/journal.pmed.0020267
World Health Organization. (2020a). A regional guide to the development of nursing specialist practice. https://applications.emro.who.int/docs/WHOEMNUR432E-eng.pdf
World Health Organization. (2020b). State of the world's nursing 2020: Investing in education, jobs, and leadership. https://www.voced.edu.au/content/ngv:86174
Xiao, L. D., Willis, E., & Jeffers, L. (2014). Factors affecting the integration of immigrant nurses into the nursing workforce: A double hermeneutic study. International Journal of Nursing Studies, 51(4), 640-653. https://doi.org/10.1016/j.ijnurstu.2013.08.005