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Abstract

Introduction:

The challenges for internationally educated nurses are complex and nuanced, with employers implementing various support mechanisms. Nurses may experience cultural displacement, perceived differences in practice and communication problems. Little research exists about which interventions best address these issues. The review aimed to develop a comprehensive understanding of support interventions for internationally educated nurses.

Methods:

Whittemore and Knafl’s methodological approach guided the review. Literature searches were conducted across five databases between 2010 and 2024.

Results:

A total 23 papers were examined. Two themes were developed: “Support interventions” and “Factors influencing the success of interventions.”

Discussion:

The review found that organizational interventions should address internationally educated nurses’ competencies, be multifaceted, and include two-way learning. No evidence was found evaluating the success of multi-dimensional interventions. The review may support policy and practice recommendations.

Keywords

international nurse internationally educated overseas nurses transition support retention immigration migration culture

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References

Adams

McCarthy

A. M.

(2007). Evidence-based practice guidelines and school nursing. The Journal of School Nursing, 23(3), 128–136. https://doi.org/10.1177/10598405070230030201

Allan

(2010). Mentoring overseas nurses: Barriers to effective and non-discriminatory mentoring practices. Nursing Ethics, 17(5), 603–613. https://doi.org/10.1177/0969733010368747

Atack

Cruz

E. V.

Maher

Murphy

(2012). Internationally educated nurses’ experiences with an integrated bridge program. The Journal of Continuing Education in Nursing, 43(8), 370–378. https://doi.org/10.3928/00220124-20120615-62

Bae

S. H.

(2011). Organizational socialization of international nurses in the New York metropolitan area. International Nursing Review, 59(1), 81–87. https://doi.org/10.1111/j.1466-7657.2011.00928

Bond

Merriman

Walthall

(2020). The experiences of international nurses and midwives transitioning to work in the UK: A qualitative synthesis of the literature from 2010 to 2019. International Journal of Nursing Studies, 110, Article 103693. https://doi.org/10.1016/j.ijnurstu.2020.103693

Braun

Clarke

(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Brunton

Cook

Kuzemski

Brownie

Thirlwall

(2019). Internationally qualified nurse communication: A qualitative cross-country study. Journal of Clinical Nursing, 28(19–20), 3669–3679. https://doi.org/10.1111/jocn.14968

Buchan

Bazeer

Kelly

(2024, June 10). UK nurse mobility: Thinking global. Nursing Times. https://www.nursingtimes.net/opinion/uk-nurse-mobility-thinking-global-10-06-2024

Buchan

Catton

(2023). Recover to rebuild workforce for health systems effectiveness. International Council of Nurses. https://www.icn.ch/news/icn-report-says-shortage-nurses-global-health-emergency

10.

Chen

Ogata

Sasaki

(2025). Factors associated with burnout among internationally educated nurses: A scoping review. International Nursing Review, 72(1), Article e13073. https://doi.org/10.1111/inr.13073

11.

Covell

C. L.

Primeau

M. D.

St-Pierre

(2018). Internationally educated nurses in Canada: Perceived benefits of bridging programme participation. International Nursing Review, 65(3), 400–407. https://doi.org/10.1111/inr.12430

12.

Dagus

M. M.

Lacambra

Mindano

Magalona

Narvaez

R. A.

Paredes

M. K.

(2024). Culture shock in nursing: A concept analysis. World Journal of Nursing Research, 3(1), 1–35. https://www.researchgate.net/publication/378763486_Culture_Shock_in_Nursing_A_Concept_Analysis

13.

Dahl

Nortvedt

Schrøder

Bjørnnes

(2022). Internationally educated nurses and resilience: A systematic literature review. International Nursing Review, 69(3), 405–415. https://doi.org/10.1111/inr.12787

14.

Davda

L. S.

Gallagher

J. E.

Radford

D. R.

(2018). Migration motives and integration of international human resources of health in the United Kingdom: Systematic review and meta-synthesis of qualitative studies using framework analysis. Human Resources for Health, 16(1), Article 22. https://doi.org/10.1186/s12960-018-0293-9

15.

Dubois

H. F.

Padovano

Stew

(2006). Improving international nurse training: An American–Italian case study. International Nursing Review, 53(2), 110–116. https://doi.org/10.1111/j.1466-7657.2006.00464.x

16.

Goldstone

McCarthy

Byrne

Keen

(2023). Levelling the playing field for the international migration of nurses: The India language programme. BMC Nursing, 22, Article 169. https://doi.org/10.1186/s12912-023-01271-y

17.

Hadziabdic

Marekovic

A.-M. S.

Salomonsson

Heikkilä

(2020). Experiences of nurses educated outside the European Union of a Swedish bridging program and the program’s role in their integration into the nursing profession: A qualitative interview study. BMC Nursing, 20, Article 103. https://doi.org/10.1186/s12912-020-00525-8

18.

Isakov

Kamau

Koskenranta

Kuivila

Oikarainen

Ropponen

Mikkonen

(2023). Culturally and linguistically diverse nurses’ experiences of how competence facilitates integration into the working environment: A qualitative study. Nurse Education in Practice, 67, 103553. https://doi.org/10.1016/j.nepr.2023.103553

19.

Jing

Kondo

Wang

Ganchuluun

(2023). Job satisfaction, intention to leave and related factors among foreign educated nurses in Japan: A cross-sectional study. Journal of Nursing Management, 31(8), e967–e974. https://doi.org/10.1111/jonm.16874

20.

Jordan

Brown

(2011). “20 days protected learning”: Students’ experiences of an overseas nurses’ programme – 4 years on: A retrospective survey. BMC Nursing, 10, Article 7. https://doi.org/10.1186/1472-6955-10-7

21.

Lanada

J. A.

Culligan

(2024). The experiences of internationally educated nurses who joined the workforce in England. British Journal of Nursing, 33(2), 84–90. https://www.britishjournalofnursing.com/content/professional/the-experiences-of-internationally-educated-nurses-who-joined-the-nursing-workforce-in-england

22.

Miyata

(2023). Challenges and career consequences of internationally educated nurses: Empirical qualitative research. Nursing Open, 10(7), 7244–7254. https://doi.org/10.1002/nop2.1835

23.

NHS England. (2023). Capital/AHP: International recruitment best practice handbook. https://www.hee.nhs.uk/sites/default/files/documents/CapitalNurse%20and%20CapitalMidwife%20International%20Recruitment%20Best%20Practice%20Handbook%20-%20June%202023%20%281%29.pdf

24.

Ohr

S. O.

Jeong

Parker

McMillan

(2014). Organizational support in the recruitment and transition of overseas-qualified nurses: Lessons learnt from a study tour. Nursing & Health Sciences, 16(2), 255–261. https://doi.org/10.1111/nhs.12085

25.

Page

M. J.

McKenzie

J. E.

Bossuyt

P. M.

Boutron

Hoffmann

T. C.

Mulrow

C. D.

Shamseer

Tetzlaff

J. M.

Akl

E. A.

Brennan

S. E.

Chou

Glanville

Grimshaw

J. M.

Hróbjartsson

Lalu

M. M.

Loder

E. W.

Mayo-Wilson

McDonald

. . . Moher

(2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. British Medical Journal, 372, Article n71. https://doi.org/10.1136/bmj.n71

26.

Parry

Lipp

(2006). Implementation of an adaptation programme for Filipino nurses in a UK adult cancer hospice. International Journal of Palliative Nursing, 12(2), 83–89. https://doi.org/10.12968/ijpn.2006.12.2.20536

27.

Philip

Manias

Woodward-Kron

(2015). Nursing educator perspectives of overseas qualified nurses’ intercultural clinical communication: Barriers, enablers and engagement strategies. Journal of Clinical Nursing, 24(17–18), 2628–2637. https://doi.org/10.1111/jocn.12865

28.

Pressley

Garside

Newton

Holbrough

Bagshaw

McDonald

Cox

(2024). Supporting internationally educated nurses to stay and thrive in the NHS. Nursing Times, 120(6), 18–21. https://www.nursingtimes.net/leadership/supporting-internationally-educated-nurses-to-stay-and-thrive-in-the-nhs-13-05-2024/

29.

Pressley

Newton

Garside

Simkhada

(2022). Global migration and factors that support acculturation and retention of international nurses: A systematic review. International Journal of Nursing Studies Advances, 4, 100083.

30.

Pung

L. X.

Goh

Y. S.

(2017). Challenges faced by international nurses when migrating: An integrative literature review. International Nursing Review, 64(1), 146–165. https://doi.org/10.1111/inr.12355

31.

Rajpoot

Merriman

Rafferty

Henshall

(2024). Transitioning experiences of internationally educated nurses in host countries: A narrative systematic review. International Journal of Nursing Studies Advances, 6, Article 100195. https://doi.org/10.1016/j.ijnsa.2024.100195

32.

Riden

Jacobs

Marshall

(2014). New Zealand nurses’ views on preceptoring international nurses. International Nursing Review, 61(2), 179–185. https://doi.org/10.1111/inr.12089

33.

Roth

Breckner

Wensing

Mahler

Krug

Berger

(2023). Barriers and enabling factors for workplace integration of internationally qualified nurses: A qualitative study of perceptions of German nurses. Nursing Open, 10(9), 5225–5235. https://doi.org/10.1002/nop2.1884

34.

Shen

Bolstad

Covelli

Torpey

Colosimo

(2012). Effects of a short-term linguistic class on communication competence of international nurses. Nursing Economics, 30(1), 21–28. https://pubmed.ncbi.nlm.nih.gov/22479960/

35.

Shiju

Hall

Lee

Whitehouse

(2024). Barriers and enablers of successful workplace integration of internationally educated nurses (IENs) in a host country: A qualitative evidence synthesis. Policy, Politics, & Nursing Practice, 25(4), 228–240. https://doi.org/10.1177/15271544241276860

36.

Stubbs

(2017). Recruitment of nurses from India and their experiences of an overseas nurses program. Nursing in Critical Care, 22(3), 176–183. https://doi.org/10.1111/nicc.12145

37.

Takeno

(2010). Facilitating the transition of Asian nurses to work in Australia. Journal of Nursing Management, 18(2), 215–224. https://doi.org/10.1111/j.1365-2834.2010.01064

38.

Tan

Alpert

(2013). A teaching intervention to improve the self-efficacy of internationally educated nurses. The Journal of Continuing Education in Nursing, 44(2), 76–80. https://doi.org/10.3928/00220124-20121201-77

39.

Tanaka

Yoshimura

(2024). Factors associated with foreign educated nurses’ willingness to continue working in Japan: A qualitative study. BMC Nursing, 23, Article 228. https://doi.org/10.1186/s12912-024-01509-1

40.

Thekdi

Wilson

B. L.

(2011). Understanding post-hire transitional challenges of foreign-educated nurses. Nursing Management, 42(9), 8–14. https://doi.org/10.1097/01.NUMA.0000403285.34873.c7

41.

Van Schaik

Lynch

Stoner

Sikorski

. (2014). Can a web-based course improve communication competence of foreign-born nurses? Language Learning & Technology, 18(1), 11–22. https://scholarspace.manoa.hawaii.edu/server/api/core/bitstreams/22010591-3512-4d5a-af49-7bc2fec48957/content

42.

Walker

Gavin

(2019). Family presence during resuscitation: A narrative review of the practices and views of critical care nurses. Intensive & Critical Care Nursing, 53, 15–22. https://doi.org/10.1016/j.iccn.2019.04.007

43.

Whittemore

Knafl

(2005). Methodological issues in nursing research: The integrative review—Updated methodology. Journal of Advanced Nursing, 52(5), 546–553. https://doi.org/10.1111/j.1365-2648.2005.03621

44.