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Integration of internationally educated nurses into the U.S. Workforce
Krista Wolcott1, Suzanne Llamado, Denise Mace
1Krista Wolcott, MSN, RN, is Staff Nurse, Critical Care, Santa Rosa Memorial Hospital, Santa Rosa, California. Suzanne Llamado, MSN, RN, is Home Health Case Manager, Sonoma County, California. Denise Mace, MSN, RN, is Chief Operations Officer, Kentfield Acute Long-Term Rehab Center, San Rafael, California.
Abstract:
This study describes the integration experiences of internationally educated nurses, managers, and educators working in Northern California. The purpose of this qualitative pilot study was to explore the experiences of internationally educated nurses and the nurse managers and educators working with them, to understand the issues, and to highlight potential solutions for addressing integration challenges. Through interviews and qualitative analysis, successful strategies and persistent challenges were identified. Major themes identified included communication difficulties; financial challenges; the need for outside social support; and educational orientations focused on culture, nurse role, and communication techniques.
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Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution itself.

