A Scoping Review of the Experiences of Internationally Educated Nurses Working With Older Adults in High-Income Countries

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2025-04-21 DOI:10.1111/opn.70027

Kristina M. Kokorelias, Marianne Saragosa, Reham Abdelhalim, Ann Vo

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引用次数: 0

Abstract

Aim

To comprehensively review the experiences and support needs of internationally educated nurses in healthcare settings for older people, identify current supportive interventions for internationally educated nurses in gerontological nursing practice and determine research gaps in the existing literature on their experiences and support needs. The review includes all types of nurses, except those focusing solely on undergraduate nurses who have yet to practise and nursing assistants.

Methods

A scoping review by a Canadian review group followed the methodological framework outlined by Arksey and O'Malley (2005) and later refined by Levac, Colquhoun, and O'Brien (2010). Articles of any publication date were included. A two-stage screening process was conducted independently to determine eligibility. Data extraction was performed using a piloted charting form. We also conducted a consultative exercise with Canadian nurses. Thematic and descriptive analyses were employed to analyse the extracted data.

Data Sources

Seven databases (PubMed, PsycINFO, PsychArticles, CINAHL, Scopus, Web of Science and EThOS) were systematically searched on April 27, 2024. Grey literature was searched using Google search engines, OpenGrey, ProQuest Sociological Abstracts and ProQuest ERIC, Healthcare Management Information Consortium, Open Grey repository, Proceedings First, Canada Health and Council for Allied Health Professions Research, and through expert consultation.

Results

The scoping review identified 11 articles from Canada, Germany, Ireland, the Netherlands, New Zealand, Norway and the United Kingdom, highlighting positive experiences and challenges internationally educated nurses face in healthcare settings for older people. Nurses were primarily registered nurses. Challenges included workplace interpersonal issues, language barriers and organisational constraints, while positive experiences included being valued by older adults and colleagues.

Conclusion

The findings highlight the need for supportive interventions like mentorship, cultural competency training and organisation-led initiatives to improve internationally educated nurses' integration and retention in geriatric care, enhancing care quality for older persons.

Implications for Practice

Enhancing mentorship programs, cultural competency training, and organization-led support initiatives can improve the integration, retention, and overall well-being of internationally educated nurses in geriatric care, ultimately enhancing the quality of care for older adults.

Trial Registration: osf.io/cwjem

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在高收入国家接受过国际教育的护士与老年人一起工作的经验综述

目的全面回顾国际教育护士在老年人医疗保健机构的经验和支持需求，确定当前老年护理实践中国际教育护士的支持性干预措施，并确定现有文献中关于其经验和支持需求的研究空白。审查包括所有类型的护士，除了那些只关注尚未执业的本科护士和护理助理。方法由一个加拿大审查小组进行的范围审查遵循Arksey和O'Malley（2005）概述的方法框架，后来由Levac， Colquhoun和O'Brien（2010）改进。任何出版日期的文章都包括在内。独立进行两阶段筛选过程以确定资格。数据提取是使用一个试验性图表形式进行的。我们还与加拿大护士进行了协商。采用专题分析和描述性分析来分析提取的数据。系统检索了PubMed、PsycINFO、PsychArticles、CINAHL、Scopus、Web of Science和EThOS 7个数据库。灰色文献通过谷歌搜索引擎、OpenGrey、ProQuest社会学摘要和ProQuest ERIC、医疗管理信息联盟、OpenGrey repository、Proceedings First、加拿大卫生和联合卫生专业研究委员会以及专家咨询进行检索。结果：纳入了来自加拿大、德国、爱尔兰、荷兰、新西兰、挪威和英国的11篇文章，重点介绍了在国际上受过教育的护士在老年人医疗环境中所面临的积极经验和挑战。护士主要是注册护士。挑战包括工作场所的人际关系问题、语言障碍和组织约束，而积极的经历包括受到老年人和同事的重视。结论研究结果强调了支持性干预措施的必要性，如指导、文化能力培训和组织主导的举措，以改善国际教育护士在老年护理中的融入和保留，提高老年人的护理质量。加强指导计划、文化能力培训和组织主导的支持举措可以改善在老年护理中接受过国际教育的护士的整合、保留和整体福祉，最终提高老年人的护理质量。试用注册：osf.io/cwjem

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.