{"title":"Exploring the Motivations, Challenges, and Integration of Internationally Educated Healthcare Workers in the UK: A Scoping Review.","authors":"David Omiyi, Elaine Wilkinson, Beverly Snaith","doi":"10.1177/15271544241289605","DOIUrl":"10.1177/15271544241289605","url":null,"abstract":"<p><p>BackgroundHealthcare worker migration, influenced by push and pull factors, is accentuated by active recruitment strategies of developed nations. This scoping review explores experiences of internationally educated nurses, midwives, and healthcare professionals in the UK since 2010, acknowledging the historical context of UK recruitment policy and the implementation of codes of practice by the World Health Organisation and the UK government.MethodsUsing the Population, Concept, and Context framework, systematic literature searches were conducted in various databases, including CINAHL, Science Direct, Scopus, PubMed/Medline, and Google Scholar. Covidence software facilitated screening, with data systematically extracted and analyzed.ResultsThe scoping review included 24 papers focusing on nurses (<i>n</i> = 19), midwives (<i>n</i> = 1), and various allied health professions (<i>n</i> = 4), spanning from 2010 to 2023. Findings revealed diverse challenges and facilitators, from professional recognition and career opportunities to discrimination, language barriers, and socioeconomic factors influencing integration and retention.ConclusionThe review highlights the multifaceted experiences of internationally educated healthcare professionals (IEHPs) in the UK workforce. Despite their significant contributions, IEHPs face challenges such as unrecognized skills, third-party recruitment issues, and cultural adjustment difficulties. Addressing registration processes, recruitment practices, and cultural competence training is crucial to creating an inclusive environment that maximizes IEHPs' contributions and ensures their professional growth and well-being, ultimately benefiting the healthcare sector.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"117-135"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Felix Simon Francis Ram, Elissa Mary McDonald, Angelina Kuttan, Indu Sudarsan
{"title":"Nursing Brain Drain, How Do We Retain Our Internationally Qualified Nurses: A Close Examination of Push and Pull Factors.","authors":"Felix Simon Francis Ram, Elissa Mary McDonald, Angelina Kuttan, Indu Sudarsan","doi":"10.1177/15271544251314338","DOIUrl":"10.1177/15271544251314338","url":null,"abstract":"<p><p>Recruitment of internationally qualified nurses (IQN) may be an effective way to address acute nursing shortages in New Zealand (NZ). However, the difficulty in retaining IQNs long-term requires serious consideration. We employed a survey design to identify factors that influence IQNs to leave NZ. 1,782 IQNs who graduated from a Competency Assessment Programme over 11 years (2012 to 2023) were invited to participate in the online survey. Participants reported a wide range of factors to migrate including unsupportive workplace culture, lack of professional development opportunities, financial motivators, personal, and social factors including better quality of life. Nearly 50% of IQNs either had left or were planning on leaving NZ soon after obtaining their registration, with an average length of stay for all IQNs of just over 30 months, with nearly 100% of all IQNs leaving NZ within that time. This is the first study that provides policymakers with valuable insights of IQNs recruitment and retention including IQN reasons for migration. There is a need for policymakers and employers to urgently prioritize the development of local nurses instead of depending on IQNs who are difficult to retain long term. Furthermore, as current data indicates a surplus of IQNs in NZ it is crucial for potential IQNs to carefully consider the current oversupply before undertaking the costly, lengthy, and complex process of obtaining registration. Policymakers, employers, educators, and regulators need to work together to develop a robust nursing workforce plan to address the current surplus and include accurate forecasting of future workforce needs.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"136-143"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Byunggu Kang, Theekshana Fernando, Jinman Pang, Peter Shirey, David P Armstrong
{"title":"Utilizing Federal Data Sources to Support Nursing Workforce Analysis.","authors":"Byunggu Kang, Theekshana Fernando, Jinman Pang, Peter Shirey, David P Armstrong","doi":"10.1177/15271544241286078","DOIUrl":"10.1177/15271544241286078","url":null,"abstract":"<p><p>Effective health workforce analysis requires robust data and information. Quality data facilitate monitoring workforce trends, identifying shortages, forecasting employment needs, and planning educational programs. A wide range of federal agencies collect various forms of data, including administrative data, surveys, and censuses, which can be used for health workforce analysis. However, identifying the most appropriate data sources to address a specific nursing workforce issue can be challenging, particularly for newcomers to the field or those researching unfamiliar topics. In this article, we introduce and review 18 federal data sources pertinent to nursing workforce analysis. We categorize the datasets by their associated federal agency, describe each source, discuss their applicability to nursing workforce studies, present examples of past studies that employed these datasets, and highlight their limitations. Our aim is to help researchers, policymakers, and healthcare administrators efficiently locate and leverage relevant data for their analysis.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"97-109"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara Arter, Britt Cole, Shelby Logsdon, Kaneesha Ogle, Anna Ressler, Elizabeth Zwilling
{"title":"Development and Implementation of a Policy Hackathon to Address Nursing Staffing Issues.","authors":"Sara Arter, Britt Cole, Shelby Logsdon, Kaneesha Ogle, Anna Ressler, Elizabeth Zwilling","doi":"10.1177/15271544251317196","DOIUrl":"10.1177/15271544251317196","url":null,"abstract":"<p><p>The global nursing workforce shortage poses significant challenges to healthcare delivery, necessitating new policy solutions. This article details a pioneering, nurse-led policy hackathon organized by the American Nurses Association-Ohio Public Policy Committee and Miami University to address the nursing workforce shortage. Held over 3 days, the event brought together 120 participants, including nurses, students, legislators, and healthcare leaders, to develop actionable policy solutions across four critical tracks: acute care, chronic care, public health, and nursing education. Teams utilized a structured framework to generate policy briefs and pitches, focusing on creative and collaborative approaches to root causes of the workforce shortage. Winning proposals included optimizing clinical documentation processes, addressing faculty shortages through state-level initiatives, expanding aging-in-place programs, and enhancing public health nursing recruitment and retention. The hackathon demonstrated the potential of collaborative innovation in crafting data-driven policies that align with healthcare needs. Outcomes from the event have already influenced policy discussions, highlighting the value of nurse-led initiatives in shaping healthcare policy and improving workforce sustainability.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"110-116"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Let Your Voice Be Heard.","authors":"","doi":"10.1177/15271544251324274","DOIUrl":"https://doi.org/10.1177/15271544251324274","url":null,"abstract":"","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":"26 2","pages":"87-88"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Courageous Journey of a Foreign-Born Intensive Care Unit Nurse in Finland: A Narrative Case Study.","authors":"Floro Cubelo","doi":"10.1177/15271544241309312","DOIUrl":"10.1177/15271544241309312","url":null,"abstract":"<p><p>Finland is facing a severe shortage of nurses. While uncommon, the deportation of a foreign-born nurse could exacerbate this already critical situation. However, research on the deportation experiences of migrants, particularly healthcare workers such as nurses, remains scarce. This study aimed to provide a descriptive analysis of a deportation case involving a foreign-born intensive care nurse in Finland and examined the implications of this case for nursing education, the healthcare workforce, and government policies. Using a narrative case study approach, publicly available data from various sources, including mainstream and social media platforms, were analyzed. The nurse in this narrative left the country following disappointment with government officials, despite winning the deportation case. The findings of the study also revealed that the deportation decision faced by the foreign-born intensive care nurse has significant implications for nursing education, healthcare management, and government policies, indicating the need for necessary reforms. Intergovernmental collaboration is crucial to expedite the just and equitable processing of residence permits for highly skilled migrant health workers, promoting more effective government policies.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"144-150"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ruth E Ludwick, Margarete L Zalon, Rebecca M Patton, Kristin R Baughman
{"title":"Analysis of Ohio Nurses' Voting Behaviors 2020-2023.","authors":"Ruth E Ludwick, Margarete L Zalon, Rebecca M Patton, Kristin R Baughman","doi":"10.1177/15271544241298259","DOIUrl":"10.1177/15271544241298259","url":null,"abstract":"<p><p>This study provides baseline data for voting patterns and the political affiliation of licensed nurses (licensed practical nurses [LPNs], registered nurses [RNs], and advanced practice registered nurses [APRNs]) in Ohio for the November 2020, 2022, and 2023 general elections. Using two public databases (licensed nurses and registered voters), the findings for 73.7% of all licensed nurses registered to vote are reported, including 18,894 APRNs, 30,731 LPNs, and 137,353 RNs. Compared to the Ohio population eligible to vote, one in 32 persons of the voting-eligible population is a licensed nurse, and one in 51 registered voters in Ohio is an RN. The data show that 11% of the nurses never voted in any of the three general elections, and 47.7% voted in all three. LPNs had the lowest voting (34%) record, while about 48% of RNs and 52% of APRNs voted in all three. Like Ohio's public, nurses' party affiliation (Democrat, Republican, unaffiliated) varied, and most were unaffiliated with any party. Party affiliation was significantly associated with nurse licensure type (e.g., LPNs are less likely to be unaffiliated). Controlling for age and party affiliation, APRNs were more likely than LPNs to vote, and RNs were more likely than LPNs to vote in each election. Unaffiliated voters were less likely than Democrats to vote in all three elections. Across all elections, older voters were more likely to vote. These baseline findings on nurses' actual voting behavior provide the impetus for engaging nurses individually and collectively in voting and policies that increase voter participation of nurses and the public.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"89-96"},"PeriodicalIF":2.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Cross-Sectional Analysis of Reporting NCLEX Pass Rates by Nursing Program in the United States.","authors":"Elizabeth R Eisenhauer","doi":"10.1177/15271544251326944","DOIUrl":"https://doi.org/10.1177/15271544251326944","url":null,"abstract":"<p><p>While many metrics may be used to assess the quality of U.S. prelicensure nursing programs, one commonly accepted metric is the student pass rate on the National Council Licensure Exam (NCLEX). NCLEX pass rates are increasingly being used in research projects, and it is critical to have consistent and complete data for such projects. These data are also important to the public for informed decision-making. In the age of open science and data sharing, there is no reason that these data should not be readily available and consistently reported to the public. The aim of this study was to determine how many, and which, state boards of nursing (BONs) publicly report NCLEX pass rates by nursing program. A descriptive, cross-sectional study design was used to examine each state BON website for NCELX pass rate data by program. Initial results indicated that 47 states and the District of Columbia reported NCLEX pass rate data by nursing program through their BON website. At the outset of this study, Alaska, Michigan, and Vermont did not report NCELX pass rate data by program. Michigan posted four years (2021-2024) of NCLEX pass rates by nursing program in February 2025. Amounts and types of data reported were reported inconsistently across states. NCLEX pass rate data by program should be transparently and consistently reported, in a standardized format by all states to facilitate nursing research, equitably inform the public, and increase trust.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251326944"},"PeriodicalIF":2.1,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Analyzing the Brain Drain of Nigerian Nurses to the United Kingdom: A Narrative Review of Challenges and Efforts to Address the Phenomenon.","authors":"Gabriel Samuel, Jonah Japhet Haruna","doi":"10.1177/15271544251325483","DOIUrl":"https://doi.org/10.1177/15271544251325483","url":null,"abstract":"<p><p>The migration of skilled professionals from low- and middle-income countries to developed nations, commonly called the \"brain drain,\" has emerged as a significant political, social, and economic issue in the healthcare sector, particularly among nurses. This paper aims to analyze the emigration of Nigerian nurses to the United Kingdom, the immediate challenges, and the efforts to address the issue. A narrative review approach was employed, which involved the identification of relevant literature utilizing search terms with various Boolean combinations derived from multiple electronic databases, organizational websites, and major news outlets. The results revealed that in the last 3 years (2022-2024), about 42,000 nurses have left Nigeria, with a large number moving to the United Kingdom, accounting for the largest portion of the NHS nursing workforce from sub-Saharan Africa in Great Britain. This accelerated emigration rate from Nigeria has been influenced by occupational dissatisfaction, sociopolitical instability, and inadequate social welfare provisions. This unbalanced emigration has caused a severe shortage of nurses in Nigeria, weakening the nation's healthcare system. As a result, there is an increased workload, lower quality of care, and ultimately, a negative impact on the morbidity and mortality rate. Therefore, it is recommended that the country reconsider its approach to manpower management by integrating technology and implementing policies to prolong nurses' retention and retirement age. Additionally, there is a need for research in nursing to assess the impact and effectiveness of existing policies and to develop strategies for controlling the emigration of nurses.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251325483"},"PeriodicalIF":2.1,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachael M Dvorski, Megan V Hynes, Elise D Paisley, Shauna M Hachey
{"title":"Oral Health Education, Knowledge, and Practice Patterns of Nurses Caring for Cancer Patients: A Scoping Review.","authors":"Rachael M Dvorski, Megan V Hynes, Elise D Paisley, Shauna M Hachey","doi":"10.1177/15271544251322765","DOIUrl":"https://doi.org/10.1177/15271544251322765","url":null,"abstract":"<p><p><b>Background:</b> Global cancer diagnoses are increasing, and treatment often results in oral health concerns. To improve patient outcomes and quality of life, nurses play a critical role in managing the oral sequelae of treatment. <b>Aims:</b> This scoping review explores nurses' oral health education, knowledge, and practices when caring for persons living with cancer. <b>Methods:</b> A systematic search of PubMed, DOSS, EMBASE, CINAHL, and Google Scholar identified 10 relevant studies. <b>Results:</b> Inconsistencies in oral care education, knowledge and practice were found among nurses caring for cancer patients. However, nurses with advanced education appear to be more knowledgeable and more likely to prioritize oral care for cancer patients. Collaboration with oral health professionals help to integrate oral health into nursing practice. <b>Conclusions:</b> Oral health practices in cancer care are critical, especially for individuals facing disparities in accessing a dental home. System, institutional, and provider-level supports are needed to enhance oral health in cancer care.</p>","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"15271544251322765"},"PeriodicalIF":2.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}