国际教育护士的执照途径：加拿大护理监管机构的环境扫描

IF 6.3 4区医学 Q1 NURSING

Journal of Nursing Regulation Pub Date : 2025-07-01 DOI:10.1016/j.jnr.2025.06.004

Patrick Chiu , Nasrin Alostaz , Apple Hermosisima , Rio Li , Houssem Eddine Ben-Ahmed , Jelena Atanackovic , Damilola Iduye , Natalie Thiessen , Bukola Salami , Kathleen Leslie

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引用次数: 0

摘要

在加拿大，国际教育护士（IENs）的许可途径一直被批评为太长，复杂和昂贵。简化外籍人员执照的改革在加拿大各司法管辖区并不一致，关于哪种执照途径最能支持外籍人员公平和道德的监管政策的证据有限。目的本研究旨在绘制监管格局，以确定IEN许可要求的关键特征、相似点和差异，并探索满足加拿大护理监管机构这些要求的可用选项。方法对加拿大20个护理监管机构的网站进行环境扫描。数据被提取并组织到Excel电子表格中，以便进行比较，并使用定向内容分析进行分析。调查结果分为两大类：许可要求和满足这些要求的选项。各个司法管辖区和护理指定（例如，持牌执业护士、注册护士、注册精神科护士）的执照要求大致相似，但有一些明显的例外，包括执业的近代性或时代性要求，以及特定国家的IENs可获得的快速途径。满足执照要求的可选方案差别很大，这可能造成护理监管机构改革的混乱，可能造成IEN执照和整合方面的不平等。满足许可证要求的选择的变化突出了需要加大努力来协调和简化加拿大各地的IEN许可证。需要进一步研究评估改革的影响和可行性，以确定长期、可持续、合乎道德和公平的解决方案。

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Licensure pathways for internationally educated nurses: An environmental scan of Canadian nursing regulatory bodies

Background

Licensure pathways for internationally educated nurses (IENs) in Canada have historically been criticized for being too lengthy, complex, and costly. Reforms to streamline IEN licensure have been inconsistent across Canadian jurisdictions, with limited evidence regarding which licensure pathways best support equitable and ethical regulatory policies for IENs.

Purpose

The present study aimed to map the regulatory landscape to identify key characteristics, similarities, and differences in IEN licensure requirements and explore the options available to meet these requirements across Canadian nursing regulators.

Methods

We conducted an environmental scan of 20 Canadian nursing regulators’ websites. Data were extracted and organized into Excel spreadsheets to facilitate comparisons and were analyzed using directed content analysis.

Results

Findings were organized into two broad categories: licensure requirements and options for meeting these requirements. Licensure requirements were broadly similar across jurisdictions and nursing designations (e.g., licensed practical nurses, registered nurses, registered psychiatric nurses), with certain notable exceptions, including recency or currency of practice requirements and expedited pathways available for IENs from specific countries. The options available to meet licensure requirements varied significantly, creating a potentially confusing patchwork of reforms across nursing regulators that could create inequities in IEN licensure and integration.

Conclusion

The variation in options to meet licensure requirements highlights the need for greater efforts to harmonize and simplify IEN licensure across Canada. Further research is required to evaluate the impact and feasibility of reforms to identify long-term, sustainable, ethical, and equitable solutions.

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来源期刊

Journal of Nursing Regulation NURSING-

CiteScore

4.60

自引率

12.50%

发文量

审稿时长

54 days

期刊介绍： Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.