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Supporting self-determination among internationally educated nurses: a discussion.

Paige S Randall1, Jennie C De Gagne1

  • 1School of Nursing, Duke University, 307 Trent Drive, DUMC 3322, Durham, NC 27710, USA.

Contemporary Nurse
|December 6, 2023
PubMed
Summary
This summary is machine-generated.

Internationally educated nurses face challenges like discrimination, impacting patient safety. Supporting their autonomy, competence, and relatedness is crucial for successful integration and well-being.

Keywords:
autonomycompetenceinternational nursesnursing administratorsrelatednessself-determination

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Area of Science:

  • Nursing
  • Healthcare Management
  • Psychology

Background:

  • The COVID-19 pandemic has worsened the global nursing shortage, increasing reliance on internationally educated nurses.
  • Internationally educated nurses face integration challenges, including racism and discrimination, impacting their self-determination and potentially patient safety.
  • Understanding these challenges is vital for healthcare systems and nurse leaders.

Purpose of the Study:

  • To examine the experiences of internationally educated nurses using Self-Determination Theory.
  • To identify strategies for nurse managers to support internationally educated nurses.
  • To enhance the integration and well-being of internationally educated nurses.

Main Methods:

  • This paper is a discussion paper.
  • It reviews existing literature on the experiences of internationally educated nurses.
  • The analysis is framed by Ryan and Deci's Self-Determination Theory.

Main Results:

  • Internationally educated nurses encounter significant hurdles in workforce integration.
  • Racism, discrimination, and isolation negatively affect their psychological well-being and self-determination.
  • These challenges can pose risks to patient safety.

Conclusions:

  • Healthcare organizations must invest resources in the professional transition of internationally educated nurses.
  • Fostering autonomy, competence, and relatedness is key to promoting their psychological well-being and self-determination.
  • Proactive support systems are essential for successful integration and retention.