Perspectives of Asian Foreign-Educated Nurses on Career Advancement in the United States: A Qualitative Descriptive Study

Abstract

Aim

This study aimed to understand what influences career advancement among Asian foreign-educated nurses who have obtained an advanced degree in nursing in the United States.

Background

Asian nurses represent one of the largest racial minority groups within the U.S. registered nurse workforce. The perspectives of Asian nurses regarding career advancement have been less explored.

Methods

The participants were recruited using purposive and snowball sampling techniques. A semistructured interview was conducted with 11 Asian foreign-educated nurses. NVivo software was used for interview transcription and data management. Data analysis followed the steps of the conventional content analysis method. The Consolidated Criteria for Reporting Qualitative Research checklist was used to ensure quality.

Results

Five main themes were developed from the data: opportunities to advance in position and education, career advancement indicating personal and professional growth, a strong inner drive and motivation for career advancement, the influences of family and culture, and the need for time and other resources.

Discussion

The main themes described perspectives, such as opportunities for advancement in position and education. The challenges with time, financial need, communication, and discrimination were discussed. Understanding the perspectives is crucial to ensure a supportive work environment and improve career advancement opportunities.

Implications for nursing practice and policy

Financial support and flexible work schedules are crucial for Asian foreign-educated nurses seeking career advancement. Policies and procedures related to paperwork processing and mandatory prerequisites for enrollment to advance nursing education need to be revisited. Nursing leaders and administrators should consider improving policies to facilitate equal opportunities for career advancement.