ArticleJournal of nursing regulation2017
U.S. Hospital Employment of Foreign-Educated Nurses and Patient Experience: A Cross-Sectional Study.
Article in Journal of nursing regulation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- From imperialism to inpatient care: Work differences of Filipino and White registered nurses in the United States and implications for COVID-19 through an intersectional lens.Gender, work, and organization · 2021Article
- Internationally educated nurses' and medical graduates' experiences of getting a license and practicing in Sweden - a qualitative interview study.BMC medical education · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
introductionFor over half a century, hospitals in the United States have actively recruited foreign-educated nurses (FENs) in response to nurse shortages in hospitals and nursing homes. Little attention has been paid to the quality of care in the United States related to employment of FENs.
aimsThe purpose of this retrospective study was to determine whether employment of FENs in U.S. hospitals is associated with patient care experience.
methodThis study used cross-sectional data from three sources in 425 hospitals in four large states to evaluate the relationship between patient perceptions of care and hospital employment of FENs. The study linked data from publicly reported patient experience of care surveys, nurse surveys, and administrative data using unique hospital identifiers common across the data sets.
resultsPatient-reported care experience was found to be more negative in hospitals employing more FENs, after controls for other possible explanations. Each 10% increase in FENs was associated with a decrease in the percentage of patients who would recommend their hospital and a decrease in the percentage of patients giving favorable reports on five nursing-specific aspects of patient experience.
conclusionsThe results of this study suggest that employment of substantial numbers of nurses educated outside the United States may have implications for quality of care. The findings suggest that research on the outcomes of transition programs for FENs would be useful to inform regulatory policies.
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