Internationally Educated Nursing Staff Caring for Older Adults: A Scoping Study

Area of Science:

• Nursing
• Gerontology
• Sociology

Background:

• Internationally Educated Nurses (IENs) are crucial to healthcare systems in high-income countries.
• Older adults represent a significant patient demographic receiving care from IENs.
• Synthesizing IENs' experiences is vital for improving elder care.

Purpose of the Study:

• To synthesize existing research on the experiences of Internationally Educated Nurses (IENs) providing care to older adults.
• To identify challenges and facilitating factors influencing IENs' elder care practices.

Main Methods:

• A scoping study methodology based on Arksey and O'Malley's framework was utilized.
• Comprehensive literature searches were conducted across major academic databases (PubMed, CINAHL, PsycINFO, Web of Science, Google Scholar).
• Expert consultation with a labor and employment relations researcher and a health science librarian ensured thoroughness.

Main Results:

• Three overarching themes emerged: transitional challenges, IENs' specific experiences with older adults, and factors impacting their service delivery.
• Seven subthemes were identified, detailing the nuances of IENs' practice.
• Cultural beliefs and communication barriers were significant challenges encountered by IENs.

Conclusions:

• Findings highlight the need for targeted support systems for IENs to address cultural and communication barriers in elder care.
• Identified facilitating factors can inform the development of effective administrative and practice initiatives.
• Recognized research gaps and limitations provide a foundation for future studies on IENs in gerontological nursing.