Evidence map›Paper›PMID 42087137›Full record

ArticleBMC nursing2026

Strategies to support Internationally Educated Nurses from non-English speaking backgrounds transition into the Western healthcare workforce: a systematic review.

Cath Connolly, Jacalyn Mcdonald, Lou Unger, Damon Williams, Grace Cains, Kate Laver

Abstract read
In one paragraph

Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Cath ConnollyCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, 5042, Australia.
Jacalyn McdonaldSouthern Adelaide Local Health Network, Adelaide, South Australia, Australia.
Lou UngerSouthern Adelaide Local Health Network, Adelaide, South Australia, Australia.
Damon WilliamsSouthern Adelaide Local Health Network, Adelaide, South Australia, Australia.
Grace CainsSouthern Adelaide Local Health Network, Adelaide, South Australia, Australia.
Kate LaverCollege of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, 5042, Australia. kate.laver@flinders.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe globalisation of the healthcare workforce has led to a growing proportion of Internationally Educated Nurses within health care organisations. While their contributions are invaluable, many face challenges in adapting to new professional environments, highlighting the urgent need for organisations to implement evidence-based strategies to support their successful integration.

objectiveThe aim of this review was to identify and describe workplace support strategies shown to be helpful in supporting Internationally Educated Nurses from non-English-speaking backgrounds transitioning into the Western healthcare workforce. STUDY DESIGN AND

methodsA systematic review was conducted including primary research studies reporting qualitative and/or quantitative data. The population of interest was Internationally Educated Nurses from non-English speaking backgrounds who were employed in Western health care settings including Australia, New Zealand, Canada, United States of America and the United Kingdom. The intervention of interest was strategies that could be put in place by the workplace to improve outcomes for the nurse or the workplace. Three databases (Medline, PsycInfo, CINAHL) and grey literature were searched in November 2024. Risk of bias was assessed using corresponding tools from the Joanna Briggs Institute. Results were tabulated and presented in a narrative synthesis.

resultsA total of 20 studies were included with most (n = 13) being qualitative. Studies were conducted in a range of countries with nurses from a range of different cultural backgrounds. Nine key approaches were identified to support successful integration, spanning organisational strategies (e.g., anti-racism policies and equitable career pathways), educational programs on cultural competence for all nurses, and structural supports such as tailored orientation and mentoring.

conclusionsWe were unable to identify any experimental studies which provided quantitative data on the effects of strategies to support Internationally Educated Nurses. The included studies provided information about a range of different ways to enhance transition. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Healthcare workforceInternationalInternationally educated nursesMigrationNursesNursing educationNursing researchSystematic reviewTranscultural nursing

Identifiers

PMID42087137
PMCPMC13335233

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.