Policy, Politics, and Nursing Practice最新文献_第7页

Exploring the Motivations, Challenges, and Integration of Internationally Educated Healthcare Workers in the UK: A Scoping Review. 探索在英国接受国际教育的医护人员的动机、挑战和融入：范围审查》。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2024-11-20 DOI: 10.1177/15271544241289605

David Omiyi, Elaine Wilkinson, Beverly Snaith

{"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":"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 (n = 19), midwives (n = 1), and various allied health professions (n = 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.","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}

引用次数: 0

Nursing Brain Drain, How Do We Retain Our Internationally Qualified Nurses: A Close Examination of Push and Pull Factors. 护理人才流失，我们如何留住我们的国际合格护士：推动和拉动因素的密切检查。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-02-20 DOI: 10.1177/15271544251314338

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":"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.","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}

引用次数: 0

Utilizing Federal Data Sources to Support Nursing Workforce Analysis. 利用联邦数据源支持护理人员队伍分析。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2024-10-22 DOI: 10.1177/15271544241286078

Byunggu Kang, Theekshana Fernando, Jinman Pang, Peter Shirey, David P Armstrong

引用次数: 0

Let Your Voice Be Heard. 让别人听到你的声音。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-03-25 DOI: 10.1177/15271544251324274

引用次数: 0

A Courageous Journey of a Foreign-Born Intensive Care Unit Nurse in Finland: A Narrative Case Study. 一位外国出生的芬兰重症监护室护士的勇敢之旅：一个叙事案例研究。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-01-29 DOI: 10.1177/15271544241309312

Floro Cubelo

{"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":"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.","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}

引用次数: 0

Development and Implementation of a Policy Hackathon to Address Nursing Staffing Issues. 制定和实施解决护理人员配备问题的政策黑客马拉松。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2025-02-24 DOI: 10.1177/15271544251317196

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":"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.","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}

引用次数: 0

Analysis of Ohio Nurses' Voting Behaviors 2020-2023. 俄亥俄州护士 2020-2023 年投票行为分析。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-05-01 Epub Date: 2024-11-11 DOI: 10.1177/15271544241298259

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":"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.","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}

引用次数: 0

Through the Eyes of Black Nurses: The Impact of the Nurse Training Act of 1964. 通过黑人护士的眼睛：1964 年护士培训法案》的影响。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2025-01-03 DOI: 10.1177/15271544241296825

Hafeeza Anchrum

{"title":"Through the Eyes of Black Nurses: The Impact of the Nurse Training Act of 1964.","authors":"Hafeeza Anchrum","doi":"10.1177/15271544241296825","DOIUrl":"10.1177/15271544241296825","url":null,"abstract":"The Nurse Training Act (NTA) was passed by the United States Congress in 1964 in response to growing national concerns about a shortage of nurses. The legislation provided substantial funding for nursing education to increase the supply of nurses and improve the quality of nursing services. However, contemporary investigations into the causes of the shortage focused on the professional lives and experiences of white women, who were the main target of nurse recruitment and retention efforts. This research shifts the focus to Black women nurses, examining both the causes of the shortage and the impact of the NTA on the nursing workforce from their perspective. It argues that a key achievement of the NTA-alongside the Civil Rights Act of 1964-was the dismantling of legalized racial segregation in professional nursing schools, a major barrier to the development of the Black professional nursing class. Yet, this federal intervention was not simply bestowed; it was the result of decades of sustained advocacy by Black nurses from the 1890s to the 1960s to secure equal educational opportunity and federal support for their civil liberties. Viewing this landmark legislation through the eyes of Black nurses underscores the federal government's pivotal role in both promoting and obstructing racial and healthcare equality. As the nation faces yet another nursing shortage, coupled with the eradication of affirmative action and diversity, equity, and inclusion initiatives, this perspective is especially timely and important for informing current and future issues pertaining to health equity.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"56-64"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11731403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923927","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}

引用次数: 0

The Role of Communities in Nurse-Led Clinics, 1965-2000: Lessons From History. 1965-2000年社区在护士领导的诊所中的作用：历史的教训。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-10-30 DOI: 10.1177/15271544241289416

Dominique Tobbell

{"title":"The Role of Communities in Nurse-Led Clinics, 1965-2000: Lessons From History.","authors":"Dominique Tobbell","doi":"10.1177/15271544241289416","DOIUrl":"10.1177/15271544241289416","url":null,"abstract":"Since the 1960s, nurses have worked to improve access to health care services among underserved communities through the establishment of community-based nurse-led clinics (NLCs). Evidence demonstrates NLCs' effectiveness in delivering high quality and cost-effective primary care services to underserved communities. However, few studies have analyzed the role and meaning of community within NLCs. This article uses historical research to analyze and evaluate the roles played by communities in three community-based NLCs established between the 1960s and 1990s. This research shows that how nurses entered the communities they intended to provide care, the degree to which they collaborated with community members to conceptualize, operationalize, and maintain NLCs, and how they balanced community needs with academic imperatives are critical to understanding and addressing the difficulties NLCs have encountered delivering sustained, community-centered care. This research also addresses the impact on communities when NLCs fail, making clear the need for policy interventions that address the financial and political factors undermining NLCs' sustainability, particularly limitations on nurse practitioners' practice authority and credentialing as Medicaid providers, and reduced reimbursement rates for nurse practitioners. Ultimately, it argues that NLCs' engagement with underserved communities should be historically informed and integrate community expertise, robust community engagement, and community-centered definitions of quality care.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"6-15"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548904","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}

引用次数: 0

The "Right Kinds of Nurses": Centering LPNs in the Nursing Labor Force. 合适的护士"：以护理劳动力中的 LPN 为中心。

IF 2.1

Policy, Politics, and Nursing Practice Pub Date : 2025-02-01 Epub Date: 2024-11-08 DOI: 10.1177/15271544241278626

Barbra Mann Wall, William A Cessato, Victoria Tucker

{"title":"The \"Right Kinds of Nurses\": Centering LPNs in the Nursing Labor Force.","authors":"Barbra Mann Wall, William A Cessato, Victoria Tucker","doi":"10.1177/15271544241278626","DOIUrl":"10.1177/15271544241278626","url":null,"abstract":"The nursing profession is currently grappling with an ongoing nursing shortage illuminated during the COVID-19 pandemic. While this burgeoning health and environmental crisis exacerbated this workforce issue, it did not create it. This study seeks to expand the idea of \"who is a nurse\" by arguing for the use of Licensed Practical Nurses (LPNs) as safe, credentialed persons in the nursing workforce. Archival research using primary and secondary sources highlights the history of the LPN movement. Historical case studies of LPN schools show how LPNs enhanced not only the quantity but also the quality of nursing practice. Case studies also reveal successful collaborations between nurses, communities, and hospitals to enhance the nursing workforce and community well-being. Aspects of this study were either approved by or deemed not human subjects research by institutional review boards. The increased emphasis on the registered nurse in the mid-20th century led to the marginalization of LPNs. Yet, history has revealed that collaborations that enhance diversity in the workforce and improve health-care access for patients, without compromising quality of care, can be formed by engaging LPNs. LPNs must be respected as consistent contributors to the country's health-care workforce. As the AACN commits to diversifying nursing, it is significant that LPNs have added to a more diverse, inclusive nursing labor force. For LPNs who wish to advance their nursing education, pathway programs must be supported-thus increasing diversity in the professional and advanced practice workforce.","PeriodicalId":53177,"journal":{"name":"Policy, Politics, and Nursing Practice","volume":" ","pages":"24-39"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607384","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}

引用次数: 0