Internationally recruited nurses and their initial integration into the healthcare workforce: A mixed methods study

Area of Science:

• Healthcare Workforce Studies
• International Nursing Migration
• Professional Integration

Background:

• Growing nursing deficits necessitate sustainable workforce solutions beyond overseas recruitment.
• Long-term retention of internationally recruited nurses is critical for healthcare systems.
• Ethical considerations in building a stable nursing workforce are paramount.

Purpose of the Study:

• To investigate the motivations for migration among internationally recruited nurses.
• To explore the initial integration experiences of these nurses within the English healthcare system.

Main Methods:

• A mixed-methods survey was employed.
• 655 internationally recruited nurses who recently began working in England participated.
• Data collection included quantitative and qualitative feedback on demographics, motivations, application, arrival, settlement, and integration experiences.

Main Results:

• Internationally recruited nurses are highly educated and experienced, motivated by career development and quality of life.
• While initial support was perceived positively, workplace integration presented challenges, including mismatched positions and fluctuating support.
• Qualitative data highlighted difficulties during arrival and integration, impacting mental well-being.

Conclusions:

• Employers in developed countries have a responsibility to protect the experiences of international nursing recruits.
• Investing in targeted support and retention strategies is essential for international nurses.
• Proactive employer strategies can mitigate integration challenges and improve retention.