ArticleBMC nursing2025
Integrating internationally qualified nurses: a qualitative exploration of nurse managers' influence from nurses' experiences.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Trajectories and associated factors of life-space in older patients following percutaneous coronary intervention: a mixed-methods study.Journal of health, population, and nutrition · 2026Article
- The Assessment of Workplace Integration of Migrant Nurses and Midwives in Global Healthcare Settings: A Scoping Review.International nursing review · 2026Article
- Structured Onboarding of International Nurses in an Italian Healthcare Organization: An Exploratory Multi-Stakeholder Pilot and Feasibility Observational Study.Healthcare (Basel, Switzerland) · 2026Article
- How are nurses' individual and their colleagues' diversity factors associated with their cooperation behaviors in teams? - Results of an online factorial survey.BMC nursing · 2026Article
- How Divergent Views of Specialist Nurse Status Affect IQNs' Skill Utilisation in Australia.Journal of nursing management · 2026Article
- Perspectives and Meaning of Role Transition Lived by Experienced Nurses: A Phenomenological Study.Journal of nursing management · 2025Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundHealthcare systems globally are confronted with a shortage of nurses. Various strategies to address this have been applied, including active recruitment of internationally qualified nurses. Nurse managers may have a central role in supporting workplace integration. This study aimed to explore how domestically qualified nurses and internationally qualified nurses viewed the role of nursing management and its impact on workplace integration.
methodSemi-structured interviews with 21 domestically and 14 internationally qualified nurses were conducted. Nurses were selected using purposive sampling. Snowball sampling was applied to reach a sufficient sample size. Interviews were pseudonymized and transcribed. Transcripts were coded according to Qualitative Content Analysis with data structured into themes and subthemes.
resultsFive key themes related to impact of nursing management on workplace integration were identified: (a) Appropriate Placement, (b) Recruitment Process, (c) Leadership Support, (d) Workforce Shortage, and (e) Additional Burden/ Increased Workload. Active support by nursing leadership and the opportunity for shared-decision making was seen as a key factor. Increased workload, additional time and resources requirements associated with orientation of internationally qualified nurses and pressures from staff shortages were highlighted as hindrances. Inappropriate placement of internationally qualified nurses was perceived as key hindrance that could be addressed by nursing management. An imbalanced ratio between domestically and internationally qualified nurses was perceived as challenging by domestically qualified nurses.
conclusionIntegration of internationally qualified nurses to clinical practice brings several challenges that may be positively impacted by nursing management through appropriate placement of internationally qualified nurses, supportive nurse managers and adequate preparation of domestically qualified nurse mentors/preceptor. IMPLICATIONS FOR PRACTICE: Nurse managers should ensure that internationally qualified nurses' work experience matches local clinical unit vacancies before hiring them. Peer support is a supportive factor for internationally qualified nurses. Nurse managers should find a balanced ratio between internationally and domestically qualified nurses in the roster. Introducing mentors or preceptors at ward level may be a strategy decrease work-related stress in both nursing groups. REGISTRATION NUMBER: The study has been prospectively registered (27 June 2019) at the German Clinical Trial Register (DRKS00017465).
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