An Integrative Literature Review Exploring Support Interventions for Nurses Who Have Trained Outside of Their Country of Employment

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.