Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 352
Filtrar
1.
Nurs Outlook ; 68(3): 345-354, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32115225

RESUMO

BACKGROUND: The concept of sustainability has received growing attention since the adoption of the United Nations' (UN) Sustainable Development agenda. Yet, in the context of sweeping changes regarding the status and profile of global nursing, sustainability has not been fully conceptualized. PURPOSE: To explore the concept of sustainability in global nursing in order to develop an operational definition and model. METHODS: Concept analysis using Rodger's Evolutionary method to explicate the term "sustainability" in a global nursing context. FINDINGS: Key features of sustainability were described. Existing models of global nursing focus on partnerships and lack a clear conceptualization and integration of sustainability. An operational definition and model of sustainability in global nursing were developed. DISCUSSION: Evolutionary review and analysis led to clarity in operationalizing sustainability in global nursing. The definition and model compliment existing models and provide a road map for global nursing to contribute toward the UN Sustainable Development agenda.


Assuntos
Modelos Organizacionais , Enfermeiras Internacionais/organização & administração , Desenvolvimento Sustentável , Formação de Conceito , Humanos , Nações Unidas
3.
J Clin Nurs ; 29(3-4): 468-479, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31737956

RESUMO

AIMS AND OBJECTIVES: To explore how Philippine-educated nurses explain their choice of Norway as their migration destination and their experience with the credential assessment process in Norway. BACKGROUND: Norway has an increasing need for nurses, and nurses educated in non-EU countries are an important resource for the Norwegian health service. Philippine nurses compose the largest group of internationally educated nurses from outside the EU, but their Philippine nursing education is only credited as equivalent to 2 years in Norway. Migration is known to engender stressful experiences amongst migrant nurses, which may affect their health. However, studies on Philippine nurses' experiences of migrating to and working in Norway are lacking. DESIGN AND METHODS: The study used a hermeneutic design, conducting qualitative research interviews with ten Philippine nurses. All of them had a certification as auxiliary nurses, but not as registered nurses. The Consolidated Criteria for Reporting Qualitative Research is used. RESULTS: The nurses' choice of a migration country appeared to be both random and based on the opportunity to find well-paid work, as well as having acquaintances who had already migrated to Norway. The migrated Philippine nurses seemed experienced and competent. In Norway, they were disappointed as they felt undervalued. The nurses struggled to learn Norwegian, while striving for survival when acquiring jobs or accommodations. They were excluded from acting as legal nurses in the Norwegian healthcare system; they fulfilled the governmental requirements, but they were repeatedly rejected. The informants saw this as harsh, but still hoped to be successful. CONCLUSIONS: There is a need to facilitate effective language training and a well-founded, predictable system of credentialing. RELEVANCE TO CLINICAL PRACTICE: Attention should be paid to the integration of immigrants and safeguarding and strengthening the professional competence the nurses bring with them.


Assuntos
Comportamento de Escolha , Emigrantes e Imigrantes/psicologia , Enfermeiras Internacionais/psicologia , Certificação , Coragem , Educação em Enfermagem , Feminino , Humanos , Idioma , Noruega , Filipinas/etnologia , Pesquisa Qualitativa
4.
Nurs Adm Q ; 44(1): E1-E10, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31789753

RESUMO

The objective of this study was to evaluate sleep quality and its relationship to cognitive factors among nurses. Sleep quality among nurses is an important issue, which requires more extensive study. Its correlation with cognitive ability has not been sufficiently considered. Five hundred forty nurses (66.3% female) working in 6 hospitals were selected as the sample of the study. Results show that nurses do not experience good quality of sleep. That is, 77.4% of the sample population of nurses have a poor quality of sleep, and nurses working the night shift have more sleep problems than other nurses. The results show that there is a relationship between dysfunctional beliefs and attitudes about sleep and metacognitive process and the quality of sleep, and that these variables can predict sleep quality. Based on the results of the study, it can be said that cognitive and metacognitive processes play an important role in sleep quality. Lack of sufficient sleep can create numerous problems for nurses and patients. Attention to the role of cognitive and metacognitive processes can help improve the sleep quality of nurses.


Assuntos
Cognição , Recursos Humanos de Enfermagem no Hospital/psicologia , Transtornos do Sono-Vigília , Sono/fisiologia , Adulto , Feminino , Humanos , Irã (Geográfico) , Masculino , Pessoa de Meia-Idade , Enfermeiras Internacionais , Jornada de Trabalho em Turnos , Tolerância ao Trabalho Programado , Adulto Jovem
5.
Creat Nurs ; 25(4): 316-321, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31796620

RESUMO

Diversity initiatives are being implemented widely within academia and society more broadly; however, the School of Nursing (SoN) at Dalhousie University in Halifax, Nova Scotia, Canada, is taking an innovative approach. Faculty members recognized the need to support students at the graduate and undergraduate levels from Black, Indigenous, LGBTQ2S (Lesbian, Gay, Bisexual, Transgender, Queer, and Two-Spirit), and International communities in a student-led initiative with the mission to promote diversity, inclusion, and equity within the SoN. This coalition seeks to offer students who are often rendered invisible within the academy and society more broadly in relation to dominant cultures and normative expectations an opportunity to build relationships and expose shared histories of oppression in such a way that issues of social justice are uncovered. In response to nursing students and faculty who self-identify as members of dominant groups and who sought inclusion as allies, the leaders of the student community groups recognized a need to develop a position statement on allyship. The collaboration that transpired between the four groups of communities to develop the position statement led to the formation of the Student Equity Coalition. This article begins with the authors' definition of allyship, followed by a description of the context in which this unique initiative is taking place, the rationale behind developing a shared position statement on allyship, and the significance of this work in positioning and supporting nursing students of minority status as emerging nurse leaders.


Assuntos
Afro-Americanos/estatística & dados numéricos , Povos Indígenas/estatística & dados numéricos , Liderança , Grupos Minoritários/estatística & dados numéricos , Enfermeiras Administradoras/psicologia , Enfermeiras Internacionais/estatística & dados numéricos , Minorias Sexuais e de Gênero/estatística & dados numéricos , Atitude do Pessoal de Saúde , Canadá , Humanos , Relações Interpessoais , Nova Escócia
6.
Int J Nurs Educ Scholarsh ; 16(1)2019 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-31863694

RESUMO

The Accreditation Commission for Education in Nursing (ACEN) is committed to being a supportive partner in strengthening the quality of nursing education for all levels of nursing programs domestically and internationally. With a longstanding history of accreditation dating back 66 years, the ACEN accredited its first international program in 2004 adding international accreditation to its repertoire. Recognizing geographic, cultural, and national differences, the ACEN common core of Standards and Criteria equip faculty with autonomy to embrace unique attributes of their programs regardless of location, culture, and nationality. Further, the ACEN review process fosters self-evaluation, peer review, and the promotion of educational equity, access, and mobility. As a result, the number of international nursing programs pursuing and attaining accreditation with the ACEN has increased thus validating the inclusiveness and relevance of the ACEN Standards and Criteria. The purpose of this article is to highlight ways in which ACEN Standards and Criteria apply to domestic and international nursing programs.


Assuntos
Acreditação/organização & administração , Educação em Enfermagem/organização & administração , Enfermeiras Internacionais/educação , Currículo , Docentes de Enfermagem/organização & administração , Humanos , Avaliação de Resultados em Cuidados de Saúde , Garantia da Qualidade dos Cuidados de Saúde/organização & administração
7.
Int Nurs Rev ; 66(4): 474-481, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31606912

RESUMO

In this report from the field, we describe the challenges and opportunities for nursing practice and education, and ways to improve nurse mobility across Asia. We also explain the collaboration within the Southeast and East Asian Nursing Education and Research Network to influence policy development and review. The collaborative process was supported by evidence drawn from discussions at Network meetings, and with nursing and other leaders, an examination of literature and policy documents, and member surveys. We reviewed the region's regulatory statutes which all support diversity in the nursing workforce. The Southeast Asian Nursing Education and Research Network was established in 2015 to support policy development around the upgrading of nurse education, clinical competencies and research capacity, in hospital and primary health care; and facilitating the movement of nurses across national boundaries. Most countries have tried to address policy gaps and their efforts to implement changes are seen in policy expansion and development at the national level. We focus on two policies from the Association of Southeast Asian Nations from 2006 and 2012, that cover nurse mobility, information exchange, nurse capacity building and education and mutual professional recognition of nurses' credentials. However, we found significant variances in education, regulatory policies and clinical competencies that have restricted, and continue to restrict policy implementation. Nursing in South-East Asia has made significant progress in upgrading standards for education by increasing bachelor degree bridging programs, master and doctoral degrees. Participating countries have passed legislation on licensure, competencies and credentialing of internationally qualified nurses wishing to practice in various contexts. However, much work remains to be done. IMPLICATIONS FOR NURSING POLICY, EDUCATION AND PRACTICE: Governing bodies determine entry into practice law which requires dialogue to enhance policies for domestic and international practitioners for mutual exchange and recognition. Nursing practice and education are under government regulatory bodies but require new policies and laws to ensure adequate educational requirements for safe quality practice.


Assuntos
Competência Clínica , Educação em Enfermagem/tendências , Política de Saúde , Enfermeiras Internacionais , Ásia Sudeste , Fortalecimento Institucional , Mobilidade Ocupacional , Humanos , Liderança , Pesquisa em Enfermagem/tendências , Área de Atuação Profissional
8.
Nurs Sci Q ; 32(4): 320-321, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31514610

RESUMO

The nursing profession in the Sultanate of Oman in the past 50 years has undergone considerable growth and development. Its modernization was assisted by visiting professors from outside the country and by sending some nurses to study abroad. Visiting nurses and nurse educators who go to work in countries like Oman should consider implementing the ethic behind the mission statement of Partners in Health, which holds a preferential option for the poor, rather than just considering global health as another international business or job opportunity.


Assuntos
Educação em Enfermagem/métodos , Enfermeiras Internacionais , Saúde Global , Humanos
9.
Nurs Adm Q ; 43(4): 370-373, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31479059

RESUMO

For decades, refugee policies on local, national, regional, and international levels have set the narrative surrounding refugees' identities and roles in society. Often, these policies negatively affect refugees and can hinder any effort for successful integration (ie, employment). The focus of this article is to identity how refugees, specifically refugee nurses, are reshaping standard policy practices when it comes to integration and inclusion, as well as economic and social well-being. With an estimated 68.5 million forcibly displaced persons worldwide (25.4 million of which are refugees), it is important to shed light on the importance of including their voices in the dialogue during all stages of the policy development process. They should be included in the dialogue, from agenda setting to evaluation, in order to challenge current beliefs and attitudes. It is critical for societies to recognize refugee nurses' professional qualifications, skills, and abilities in order to address the ongoing shortages of health professionals that many nations are facing today.


Assuntos
Emprego/métodos , Política de Saúde/tendências , Refugiados/psicologia , Competência Cultural/psicologia , Emprego/normas , Emprego/estatística & dados numéricos , Previsões/métodos , Humanos , Enfermeiras Internacionais/legislação & jurisprudência , Enfermeiras Internacionais/tendências
10.
Artigo em Inglês | MEDLINE | ID: mdl-31480829

RESUMO

PURPOSE: We aimed to review and provide a quality improvement for the document utilized by the relevant Korean government body to verify and evaluate foreign university/college graduates' eligibility for nursing and qualification to take the Korean nursing licensing examination. METHODS: This was a descriptive study. We analyzed the current Korean qualification system for foreign graduates to Korean nursing licensing examination and the same system utilized in some other countries. Then, we created a draft of the reviewed qualification standards document based on the 2 prior analyses and their comparisons, and applied a questionnaire in an open hearing with 5 experts to enhance the draft's quality. Finally, we presented and discussed the final draft. RESULTS: The reviewed criteria of the qualification standards included confirming whether the foreign graduate's university has an accreditation provided by its relevant government body, the exclusion of foreign graduates' provision of several documents previously required, a minimum number of credits (1,000 hours) for their original course, a 3-year minimum enrollment period for their original course, and a mandatory reassessment of the foreign graduates' university recognition in a 5-year cycle. DISCUSSION: We believe that by creating a review draft that addresses the flaws of the current document utilized to determine the qualification for foreign graduates to take the Korean nursing licensing examination, we have simplified it for a better understanding of the application process. We hope that this draft will contribute to a more objective and equitable qualification process for foreign university nurse graduates in Korea.


Assuntos
Avaliação Educacional/normas , Licenciamento em Enfermagem/legislação & jurisprudência , Enfermeiras Internacionais/educação , Desempenho Acadêmico/normas , Acreditação/normas , Humanos , Licenciamento em Enfermagem/normas , Enfermeiras Internacionais/estatística & dados numéricos , Melhoria de Qualidade/normas , República da Coreia/epidemiologia
11.
Nurse Educ Today ; 81: 7-12, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31295662

RESUMO

BACKGROUND: Globalisation and a shortage of registered nurses in New Zealand have caused an increase in the number of overseas qualified registered nurses and nurse educators migrating to New Zealand. This reflects the overall international context. If overseas qualified nurse educators are to work optimally, providing the maximum benefit for students, their experiences need to be examined in order to identify potential issues and provide support. OBJECTIVES: To investigate the experiences of overseas qualified nurse educators teaching in New Zealand nursing schools and relate this to the international context. DESIGN: A qualitative study using van Manen's hermeneutic approach to phenomenology. METHODS: The lived experiences of 17 overseas qualified nurse educators were explored through in-depth, semi -structured individual interviews. RESULTS: The study revealed that overseas qualified nurse educators initially experienced a sense of non-belonging in New Zealand, while their separation from their homeland and migration to a new country resulted in a sense of disorientation. Integration was the preferred method of adaptation to New Zealand among the study participants. However, they wanted to choose which aspects of the new culture they would adopt and to what extent they would adapt. CONCLUSION: The initial phase of adaptation was a difficult process for the majority of participants, however, it was found that the adaptation process was easier for the participants who were actively engaging in New Zealand society. Understanding and improving the experiences of overseas qualified nurse educators will enable nursing students to receive maximum educational benefits wherever they train in the world.


Assuntos
Aculturação , Docentes de Enfermagem/psicologia , Enfermeiras Internacionais/psicologia , Enfermeiras Internacionais/provisão & distribução , Ensino , Hermenêutica , Humanos , Entrevistas como Assunto , Nova Zelândia , Pesquisa Qualitativa
12.
Nurse Educ Pract ; 38: 105-111, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31254942

RESUMO

Internationally qualified nurses represent 25% of the New Zealand nursing workforce, similar to Australia, Canada, the US and UK. The transition from vastly different health systems can have implications for patient safety. Through understanding the perspectives of internationally qualified nurses, educational and healthcare agencies may be better able to support this transition. This study investigated internationally qualified nurses' perceptions of the competencies that pertain to patient safety. These were analysed alongside the Nursing Council of New Zealand (NCNZ) competencies designed to define and measure competence for patient safety. Qualitative case studies of four internationally qualified nurses were discussed using Communities of Practice theory as the conceptual framework. The primary data sources were two semi-structured interviews with each of the internationally qualified nurses during a Competency Assessment Programme to obtain New Zealand nursing registration. Competency Assessment programme documents also provided data. Thematic analysis of the individual cases followed by cross-case analysis revealed that the social, cultural, and historical context of the health system and nursing role mediates how maintaining patient safety is perceived and enacted in practice. Recommendations from the findings of this study are important for ongoing internationally qualified nurses' transition support.


Assuntos
Competência Clínica/normas , Enfermeiras Internacionais/psicologia , Segurança do Paciente/normas , Percepção , Adulto , Feminino , Humanos , Entrevistas como Assunto/métodos , Masculino , Nova Zelândia , Filipinas/etnologia , Pesquisa Qualitativa
13.
J Clin Nurs ; 28(19-20): 3505-3521, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31162853

RESUMO

AIMS AND OBJECTIVES: To understand the interprofessional and intraprofessional communication patterns of overseas qualified nurses as they coordinate care for patients in Australian hospitals. BACKGROUND: Numerous studies have informed the transitioning experiences of overseas qualified nurses with non-English-speaking backgrounds working in English-speaking workplaces. Only a few observational studies have involved examining the intercultural communication experiences of overseas qualified nurses, and none have considered their intra- and interprofessional communication patterns. DESIGN: A qualitative design was adopted, using participant observation and discourse analysis. METHODS: This study was from January 2017 to March 2017. Thirteen overseas qualified nurses working in acute, subacute and interventional cardiology settings in a Melbourne metropolitan hospital were shadowed over a period of 12 weeks to collect data that inform their communication patterns. The COREQ checklist was used. RESULTS: This observational study informed by genre analysis revealed that intra- and interprofessional communication occurred more commonly under the clinical communication goals of coordinating care and less commonly under facilitating intervention. Communication strategies ranged from structured interactions with use of communication tools to unstructured ad hoc interactions. Analysis of the discourse patterns demonstrated that effectiveness of interactions was affected by hesitancy, lack of assertion and few strategies to manage inadequate or aggressive communication by other team members. Poor clinical communication with peers was not always caused by the nurses from non-English-speaking backgrounds. Positive interpersonal interactions with laughter, language-switching and small talk were evident in interactions with nurses from similar cultural backgrounds but were rare with local colleagues. CONCLUSION: The linguistic evidence from this study shows variations in communication competency between participants, which emphasises the importance of not viewing overseas qualified nurses' communication training needs as homogenous. With the growing multicultural nature of healthcare teams, this study underscores the need for intercultural communication training for team integration and patient safety. RELEVANCE TO CLINICAL PRACTICE: Continuous professional development should incorporate intercultural communication training to ensure team effectiveness within nursing teams as well as interprofessional teams.


Assuntos
Competência Clínica , Competência Cultural , Relações Interprofissionais , Enfermeiras Internacionais , Atitude do Pessoal de Saúde , Austrália , Feminino , Humanos , Recursos Humanos de Enfermagem no Hospital/psicologia , Relações Médico-Enfermeiro , Pesquisa Qualitativa
14.
J Clin Nurs ; 28(19-20): 3669-3679, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31216389

RESUMO

AIMS AND OBJECTIVES: To compare the communication and practice experiences of migrant nurses in geographically distant, culturally dissimilar countries in Eastern and Western contexts. BACKGROUND: Considerable research has focused on the experience of acculturation of migrant nurses into geographically diverse locations. However, there remains scant comparative research which considers the ways in which migrant nurses interpret their experience through making "sense" of events encountered in their practice. DESIGN: An exploratory qualitative study was conducted using face-to-face interviews with 36 migrant nurses currently practising in New Zealand and 20 migrant nurses practising in the United Arab Emirates. METHODS: The same question schedule was used to explore influences on communication and practice in both settings. Thematic analysis and sensemaking theory guided coding and analysis of data. COREQ guidelines informed the reporting of qualitative data. RESULTS: Qualitative analysis resulted in five representative themes, three illustrating similarities across diverse cultures and two that demonstrate the differences migrant nurses require to navigate across contrasting cultural environments successfully. CONCLUSION: Cultural value-based differences in both locales caused both systemic and interpersonal sensemaking challenges for migrant nurses that emphasise the importance of orientation and education programmes for internationally qualified nurses. However, cultural conflicts also exist within groups. Orientation programmes should address culturally patterned responses among different groups of internationally qualified nurses. RELEVANCE TO CLINICAL PRACTICE: Findings demonstrate a need for migrant nurses to be willing to embrace ambiguity in order to acculturate into a collaborative team culture in each of the geographical locations in this study. As registered nurses (RNs) also carry their cultural imprint, orientation interventions targeting the cultural variations of nurses in less standardised orientation programmes may be more beneficial in enhancing acculturation and in turn, staff retention.


Assuntos
Assistência à Saúde Culturalmente Competente , Relações Interpessoais , Enfermeiras Internacionais/normas , Aculturação , Comunicação , Feminino , Humanos , Masculino , Nova Zelândia , Enfermeiras Internacionais/educação , Pesquisa Qualitativa , Emirados Árabes Unidos
16.
Am J Nurs ; 119(6): 49-60, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31135433

RESUMO

: Purpose: This qualitative study was conducted to explore the perceptions and concerns of Liberian RNs who work for international nongovernmental organizations (NGOs) in Liberia, and to elicit insights and suggestions about how to improve collaboration between national and expatriate nursing staff. METHODS: Five focus groups involving 19 nurses and an individual interview with one nurse were conducted. A semistructured interview guide was used to gather perspectives and garner suggestions. A phenomenological approach was used to identify emergent themes. RESULTS: Regarding positive experiences, participants from all 10 NGOs reported that working with expats gave them opportunities to be mentored, learn new skills, and try out new techniques and equipment. Negative experiences included problems with disrespect and expats' lack of cultural competency. Participants spoke of adverse patient outcomes that resulted when expats made assumptions and wouldn't listen to national staff. CONCLUSIONS: The findings indicate that changes are warranted in the current work culture between national and expatriate nursing staff. Improving collaboration between national and expatriate RNs could lead to higher-quality care and better patient outcomes. Predeployment training for expatriates that incorporates the voices of national staff is recommended; this would raise awareness of the realities of nursing in low-resource settings and promote respect for national staff.


Assuntos
Altruísmo , Competência Cultural/psicologia , Cooperação Internacional , Enfermeiras Internacionais/psicologia , Enfermeiras e Enfermeiros/psicologia , Local de Trabalho/psicologia , Adulto , Feminino , Humanos , Libéria , Masculino , Pesquisa Qualitativa
17.
J Prof Nurs ; 35(3): 174-180, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31126393

RESUMO

BACKGROUND: Strategies are needed to address social and cultural challenges faced by international students pursuing education at American universities. PURPOSE: The purpose of this study was to explore the lived experiences of graduate international nursing students enrolled in a graduate nursing program. METHOD: This descriptive phenomenological study explored the experiences of twelve international graduate nursing students. RESULTS: Through the use of Colaizzi's (1978) method of qualitative data analysis, five emergent themes were identified: Experiencing Cultural Differences, Taking on the New Role, Navigating Challenges, Reaping Benefits, and Unfulfilled Wishes. Within these themes, unique ideas of 'wanting to do good for their home country', strategies students used for 'cultural adjustment', and 'unmet or conflicting expectations' were present that have implications for nurse educators and program administrators. CONCLUSIONS: Future recommendations for faculty include front loading professional writing support for students, exploring opportunities for increased intercultural interactions in and out of the classroom, and workshops to increase faculty cultural awareness. The theme of 'unfulfilled wishes' provides a rich understanding of goals that international students bring to the learning environment. Additional research studies are needed to explore the experiences of international nursing students in other fields and after they return home to their native country.


Assuntos
Aculturação , Educação de Pós-Graduação em Enfermagem , Aprendizagem , Enfermeiras Internacionais/psicologia , Estudantes de Enfermagem/psicologia , Humanos , Pesquisa Qualitativa , Estados Unidos
18.
J Prof Nurs ; 35(3): 216-223, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31126399

RESUMO

BACKGROUND: Educational taxonomies are utilised within nursing programmes to design curriculum, develop learning objectives, and measure attainments including the assessment of values, behaviours, and attitudes. Current measurement of the affective domain is limited, relying on quantitative tools, often immediately before and after learning activities. PURPOSE: This paper examines the reliability of a qualitative framework to assess the long-term impact of learning activities known to stimulate affective domain development. METHOD: Epstein's (1977) qualitative framework was applied to the self-reported responses of twelve international nurses (20-24 months post nurse registration) who had engaged in learning activities during their pre-registration programme that were considered to be enrichment (international placement, interprofessional learning, simulation and blended learning). RESULTS: Epstein's framework was used to measure the degree of affective domain development from the self-reported responses of the students. The degree of modification in affective domain development was assessed as dentification level (assuming a different attitude or behaviour) for four nurses and internalisation stage for eight nurses (embracing new values and attitudes). CONCLUSION: Epstein's framework is a reliable tool that can capture the short and long-term modification in affective domain development of nurses after they have experienced transformational learning activities. Key elements that move a nurse from identification to internalisation level are the motivating reason for undertaking the activity and reflection on the learning.


Assuntos
Atitude do Pessoal de Saúde , Competência Clínica , Enfermeiras Internacionais/psicologia , Aprendizagem Baseada em Problemas/métodos , Currículo , Bacharelado em Enfermagem , Teoria Fundamentada , Humanos , Relações Interprofissionais , Reprodutibilidade dos Testes
19.
Int Nurs Rev ; 66(3): 309-319, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31131898

RESUMO

AIM: To evaluate effectiveness of specific policy and practice changes to the process of registration for internationally educated nurses. BACKGROUND: Little research exists to inform registration policy for internationally educated health professionals. INTRODUCTION: Internationally educated nurse employment can help address nursing shortages. Regulators assess competencies for equivalency to Canadian-educated nurses, but differences in health systems, education and practice create challenges. METHODS: The study setting was a Canadian province. We used a mixed methods approach, with a pre-post-quasi-experimental design and a qualitative evaluation. Previous analysis of relationships between applicant variables, registration outcomes and timelines informed changes to our registration process. Implementation of these changes composes the intervention. Comparisons between pre- and post-implementation exemplar subgroups and timeline analyses were conducted using descriptive statistics, univariate analysis and non-parametric tests. Data were collected from complete application files before (n = 426) and after (n = 287) implementation of the intervention. Interviews, focus groups and consultations were completed with various stakeholders. FINDINGS: The time between steps in the process was significantly reduced following implementation. Stakeholders reported an increase in perceived efficiency, transparency and use of evidence. DISCUSSION: Results indicated that initial impacts of the policy changes streamlined the process for applicants and staff. CONCLUSION: Maintaining a consistent and systematic review of an organization's data coupled with implementation of findings to effect policy and practice change may have an important impact on regulatory policy. IMPLICATIONS FOR NURSING POLICY: These findings represent the beginning of an international policy conversation. Policy changes based on organizational data can underlie major process improvement initiatives. Ongoing nursing shortages across the globe and increasing mobility of nurses make it important to have efficient and transparent regulatory policy informed by evidence.


Assuntos
Credenciamento/organização & administração , Emprego/normas , Licenciamento em Enfermagem/normas , Enfermeiras Internacionais/normas , Seleção de Pessoal/métodos , Canadá , Competência Clínica , Humanos , Enfermeiras Internacionais/organização & administração , Pesquisa Qualitativa , Local de Trabalho/normas
20.
BMC Health Serv Res ; 19(1): 294, 2019 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-31068175

RESUMO

BACKGROUND: To test the validity of the Finnish version of the Bernhard et al.'s Cross-Cultural Competence instrument of Healthcare Professionals (CCCHP). METHODS: The study sample comprised registered nurses (N = 810) from the Finnish "Competent workforce for the future" -project (COPE). Exploratory factor analyses and structural equation modelling were applied to test structural validity of the CCCHP. Internal consistency of the sub-scales was evaluated using the Cronbach's alphas. Criterion validity was explored in terms of received education for multicultural work, perceived difficulty of patients, and job satisfaction variables. RESULTS: The revised version of the instrument including four (motivation/curiosity, attitudes, skills and emotions/empathy) of the five original dimensions provided satisfactory psychometric properties (internal consistency, a good model fit of the data). Of the four remaining competence sub-scales, motivation/curiosity, attitudes and emotions/empathy were associated with the amount of received education for multicultural work, and all with perceived difficulty of patients, and all but attitudes with job satisfaction. CONCLUSION: This revised Finnish version of the CCCHP provides a useful tool for studies focusing on the healthcare personnel's cross-cultural competence in delivering effective and culturally sensitive healthcare services for patients from different cultures.


Assuntos
Competência Clínica/estatística & dados numéricos , Competência Cultural , Enfermeiras Internacionais/estatística & dados numéricos , Enfermagem Transcultural , Adulto , Competência Cultural/educação , Diversidade Cultural , Feminino , Finlândia , Pesquisa sobre Serviços de Saúde , Humanos , Satisfação no Emprego , Masculino , Enfermeiras Internacionais/psicologia , Psicometria/instrumentação , Reprodutibilidade dos Testes , Inquéritos e Questionários
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA