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Preparing the Nursing Workforce for Internationally Educated Nurse Integration: Implications for Nursing Leadership
Alyssa Indar1, Nasreen Alostaz2
1Director, Scholarship and Innovation, Collaborative Academic Practice, University Health Network, Toronto, ON.
Nursing Leadership (Toronto, Ont.)
|February 19, 2026
Summary
Canada faces nursing shortages exacerbated by COVID-19, leading to increased reliance on internationally educated nurses (IENs). Improving IEN integration is crucial for an ethical, equitable, and sustainable nursing workforce, aligning with global development goals.
Area of Science:
- Healthcare Management
- Nursing Workforce Development
- Public Health Policy
Background:
- COVID-19 pandemic significantly worsened existing nursing shortages across Canada.
- Increased reliance on internationally educated nurses (IENs) to fill critical vacancies.
- Varied provincial and territorial strategies for IEN integration due to diverse needs and resources.
Purpose of the Study:
- To provide a high-level overview of internationally educated nurse integration in Canada.
- To offer practical recommendations for nursing leaders on workforce development.
- To highlight the benefits of improved IEN integration for ethical, equitable, and sustainable nursing.
Main Methods:
- Discussion paper format.
- High-level overview of current IEN integration strategies.
- Analysis of benefits and alignment with global goals.
Main Results:
- Current IEN integration strategies are inconsistent across Canadian jurisdictions.
- Investing in IEN integration offers significant benefits for the nursing workforce.
- Improved integration supports the United Nations' Sustainable Development Goals.
Conclusions:
- Equity-focused reforms are needed at all levels (macro, meso, micro) to optimize IEN utilization.
- Enhanced IEN integration is vital for building a resilient and sustainable Canadian nursing workforce.
- Leveraging IEN expertise is essential for addressing healthcare challenges and achieving global health equity.
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