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A National Initiative to Support Internationally Educated Nurses: Implementation and Policy Insights from the PNAA Cy
Mary Joy Garcia-Dia1, Reynaldo R Rivera2,3, Maria Luisa B Ramira4
1Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH 44106, USA.
Healthcare (Basel, Switzerland)
|June 26, 2026
Summary
The Philippine Nurses Association of America
Area of Science:
- Healthcare Workforce Development
- Nursing Integration Studies
- International Nurse Migration
Background:
- Globally, internationally educated nurses (IENs) are increasingly integrated into healthcare systems.
- Organization-led support models for IEN integration are understudied.
- Ethical recruitment, structured onboarding, and stakeholder engagement are crucial for IEN transition and retention.
Purpose of the Study:
- To examine the conceptualization, implementation, and policy implications of a national initiative by the Philippine Nurses Association of America (PNAA) Cy Pres Task Force.
- To support the onboarding and transition of IENs into the U.S. healthcare system.
- To identify best practices and policy priorities for IEN integration.
Main Methods:
- Descriptive program evaluation using governance documents, planning records, and survey findings.
- Narrative synthesis to characterize program structure, stakeholder engagement, and policy priorities.
- Analysis of materials from policy summits involving diverse stakeholders.
Main Results:
- The PNAA Cy Pres initiative established a governance model focused on ethical recruitment, workforce integration, and advocacy.
- National and regional policy summits were conducted, involving nurse leaders, healthcare organizations, and policy experts.
- Key outputs include a national governance structure and identified policy priorities for ethical recruitment, onboarding, and retention.
Conclusions:
- The PNAA Cy Pres initiative offers an implementation-informed approach for future IEN workforce integration efforts.
- The study demonstrates how ethical recruitment, workforce integration, and stakeholder engagement translate policy principles into practice.
- Collaboration among healthcare institutions, policymakers, and professional organizations is vital for standardizing IEN support mechanisms.
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