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  1. The International Council of Nursing (ICN) Position Statement on Scope of Nursing Practice (ICN, 2013) states that employers have a responsibility to support nurses in practicing within their full scope of practice. This includes not placing nurses in situations where they are asked to practice beyond their level of competence or outside their legal scope of practice and providing practice ...

    • Sweden

      Sweden is a Northern European country with a consti-tutional...

  2. Sweden is a Northern European country with a consti-tutional monarchy and a parliamentary government (Anell, Glenngård & Merkur, 2012) and a total population of 10 million (Eurostat, 2017). Cornerstones of the Swedish health care system are the principles of human dignity, need and solidarity, and cost-effectiveness, with an emphasis on equal access to care regardless of socioeconomic status ...

    • 2019
  3. Jan 5, 2021 · The analysis revealed two main themes: Return to nursing and The bridging program as a tool for transition to nursing in Sweden (see Table Table2). 2). The first theme includes conditions and experiences which the participants interpreted as important for achieving the goal to re-establish themselves as registered nurses in Sweden.

    • Emina Hadziabdic, Anna-Maria Sarstrand Marekovic, Johanna Salomonsson, Kristiina Heikkilä
    • 2021
  4. Apr 22, 2024 · Long-term care workers per 100 people aged 65 and over, 2021: 11.7. Share of informal carers among the population aged 50 and over, 2019. – Daily carers: 4. – Weekly carers: 10. Share of long-term care workers who work part time or on fixed contracts, 2021. – Part-time: 50.3%. – Fixed-term contract: 26.8%.

    • International Nurses Day
    • Demographics
    • Challenges Faced by IENs: 3 Common Themes
    • Challenge #1: Communication Barriers
    • Challenge #2: Culture
    • Advice from Established Iens For New Iens
    • More Cultural Tips For Iens
    • Challenge #3: Care Systems - Workplace Differences
    • Tips For Iens in The Workplace
    • Tips For Healthcare Team Members Working with Iens

    To celebrate International Nurses Day (May 12), I explored the experiences of other IENs now working in the U.S. and interviewed a number of them. In learning about their stories, I realized that, as an IEN myself from the Philippines, I faced many of the same challenges and similar experiences.

    My interviewees: 1. Migrated from India, the Philippines, South Africa, and the United Kingdom 2. Had up to 29 years of nursing experience prior to migration 3. Experienced two to 16 years of visa application processing 4. Worked in California, Indiana and Ohio 5. Worked in different specialties: critical care, emergency department, medical-surgica...

    Based on my discussions with the IENs and my own experiences, three themes emerged as the IENs' top challenges. I call it the 3Cs - Communication, Culture and Care Systems.

    Communication barriers, both verbal and nonverbal, top the list. Although they must pass an English language proficiency exam as a requirement to work in the U.S., most IENs are challenged by nuances of language such as accents, slang words, acronyms, colloquialisms, differences in interpersonal communication and cultural norms of interaction. It's...

    Culture is the second most common theme of challenges for IENs. Settling in a new workplace can be difficult for anyone, even more for someone who is also in a new country. Following are some reported socio-cultural challenges for IENs: 1. Homesickness and Loneliness:Most IENs have families they left behind in their home country. 2. Weather:Climate...

    When I interviewed IENs already living and working in the United States, they offered advice for others considering or making the transition: 1. "Familiarize yourself with where you want to live. Do a search. Learn how to drive before coming over to the U.S., bring some backup money in case you need it. Further your studies even outside of nursing ...

    Connect with other IENs, especially those who come from your country, and nurture those relationships. They can share experiences, advice or practical tips.
    Learn to drive if you don't know how. It is a necessity in the U.S., especially if you will live in an area that doesn't have a robust public transportation system.
    Learn about other cultures that you might encounter in your community or workplace.
    Research where you want to live. Explore the different cultures, weather, etc.

    The American healthcare system and workplace are unique, posing challenges to IENs. Based on the conversations I had with IENs and from my own experiences, I have summarized these obstacles in the acronym CARE: 1. C - Clients:Differences in the clients or the patients and their loved ones, their roles and involvement in the delivery of care, decisi...

    Be proactive with your learning:
    Ask questions. Direct questions to your preceptor/mentor, a trusted colleague, educator or nurse leader. Participate in interprofessional collaboration activities.
    Use materials and services from professional nursing organizations. Many professional nursing organizations, such as AACN, have a wealth of clinical resources that can support your patient care lea...
    Be patient and accommodating. Remember that a newly arrived IEN is going through a lot of challenges not only at work but outside of work. Consider learning about their culture to better understand...
    Create a culturally sensitive educational program for IENs transitioning to practice in your organization with a focus on strengthening their patient safety competencies.
    Maintain a Healthy Working Environment(HWE), which can impact nursing retention, a sense of inclusion, satisfaction and improved patient outcomes.
  5. Dec 5, 2018 · Background The Swedish healthcare system has an increased need for nurses and physicians, and the number of International Educated Nurses (IENs) and International Medical Graduates (IMGs) seeking job opportunities and a license to practice in Sweden is rising. This study explored how IENs and IMGs describe their experience of getting a license to practice, their perceptions of working in ...

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  7. Despite having a great interest in the literature on the experiences and issues faced by internationally educated nurses, a distinct gap still exists. There is an absence of knowledge on the challenges experienced by internationally educated nurses concerning their cultural beliefs, values, and prac …

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