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<article-title>Current Perspectives on Integration of Internationally Educated Nurses into the Healthcare Workforce

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<author>Zubeida Ramji and Josephine Etowa
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<aff>University of Ottawa, Canada</aff>


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<title>ABSTRACT</title>
<p> Internationally Educated Nurses (IENs) have been one of the key solutions to dealing with the nursing shortage in Canada and other western nations.  IENs are registered nurses or registered practical nurses who have obtained their basic nursing education in a country different from the one in which they are practicing. While investments have been made by governments and employers towards initiatives that support the orientation and transition of IENs into the profession, there is limited understanding of the concept of workplace integration for IENs within health care. This paper presents a recent synthesis of existing works related to integration of IENs. Based on a critique of the nursing and healthcare literature, publications from immigrant and refugee studies were reviewed for relevant notions of the concept of integration of newcomers.  For more than a decade, there has been a growing interest in the nursing and healthcare literature about IENs, mostly out of the United Kingdom, United States of America, Australia and Canada.  The paper will focus on three major areas:  (i) policies and ethical issues in recruitment of IENs to address the health human resource planning challenges in high-income countries; (ii) experiences of IENs while going through the regulatory process to achieve registration and when transitioning into the nursing workplace; and (iii) transition supports or programs for IENs. This paper will conclude with a discussion of the implications of these works for research and clinical practice in the context of long term integration of IENs into the healthcare workforce.
    
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<p><italic>Keywords:</italic> Workplace integration, Internationally educated nurses, Ethical recruitment,  Experiences, Challenges, Transition supports, Two-way integration.</p>
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<hpdf>T4N467</hpdf>
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