Global Nurses, Local Impact: Advancing Internationally Educated Nurses in a Changing World

Internationally educated nurses (IENs) play an essential role in sustaining health care systems facing ongoing workforce shortages, yet their integration is often disrupted by structural, cultural, and educational challenges. This narrative synthesis examines global migration patterns, the factors shaping nurses' decisions to relocate, and the barriers they encounter in host countries. Drawing on recent global and US workforce data, the review highlights the magnitude of nursing shortages and the growing reliance on IENs to stabilize care delivery. Findings highlight the need for coordinated strategies that strengthen transition support, promote equitable advancement, and foster inclusive professional environments. A 3-pillar framework is presented to guide IEN-specific skill development, role advancement, and academic progression. Enhancing support for IENs can improve workforce stability and advance high-quality, culturally responsive care.