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Turnover and Associated Factors in Asian Foreign-Educated Nurses.

Hyo Geun Geun1, Richard W Redman, Marjorie C McCullagh

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The Journal of Nursing Administration
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PubMed
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Asian foreign-educated nurses (FENs) often experience a gap between expectations and reality in their first year. Those with less responsibility than anticipated are more likely to leave their jobs.

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Area of Science:

  • Nursing Workforce Research
  • Organizational Psychology
  • Immigrant Health

Background:

  • Limited understanding of turnover factors for Asian foreign-educated nurses (FENs).
  • Need to explore the acculturation and integration challenges faced by FENs in US healthcare settings.

Purpose of the Study:

  • To identify the discrepancy between anticipated and actual organizational experiences for Asian FENs.
  • To investigate factors influencing first-year employment turnover among Asian FENs.

Main Methods:

  • Cross-sectional study design utilizing convenience sampling.
  • Data collected via web-based and mail surveys from 201 participants.
  • Statistical analysis included simple and multivariable logistic regressions.

Main Results:

  • Asian FENs reported significantly higher expectations than their actual organizational experiences.
  • A perceived lack of organizational responsibility compared to expectations was a key predictor of turnover in the first year.

Conclusions:

  • Findings highlight a significant expectation-experience gap impacting Asian FEN retention.
  • Understanding these factors can inform organizational strategies to improve retention plans for foreign-educated nurses.