SynthesisJournal of nursing management2026
Barriers and Facilitators to Career Progression Among International Nurses in Developed Countries: A Qualitative Meta-Synthesis.
Synthesis in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled 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.
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.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Barriers and Facilitators to Career Progression Among International Nurses in Developed Countries: A Qualitative Meta-Synthesis.Journal of nursing management · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
aimThe systematic review aims to synthesise evidence on the barriers and facilitators of career progression of international nurses in developed countries.
backgroundInternational nurses migrate for career progression but face several challenges that impede their progress in their careers. However, evidence is scattered, and a comprehensive understanding is underdeveloped.
methodA systematic review and qualitative meta-synthesis was carried out across PubMed, CINAHL, PsycINFO and Scopus. The review followed the PRISMA guidelines. Data were analysed using thematic synthesis and interpreted through the combined theoretical lenses of critical race theory and social justice theory to explore the structural and racialised dimensions of international nurses' career progression. The Joanna Briggs critical appraisal tool for qualitative evidence was used to assess the methodological rigour of the papers.
resultsFollowing critical appraisal, 15 studies were included that identified that communication and language, access to support and mentorship, discrimination and racism, and issues with social and cultural integration influence the career progression of international nurses. DISCUSSION: Interpreted through critical race theory and social justice theory, the findings of this review point to a persistent lack of structural and cultural support for international nurses within host healthcare systems. Rather than isolated challenges, barriers such as communication difficulties, exclusion from training and limited mentorship reflect broader systemic issues, including institutional discrimination and unequal access to opportunity. These dynamics not only constrain international nurses' career development but also risk undermining workforce diversity and retention.
conclusionInternational nurses face systemic challenges to career progression; this highlights the urgent need for structural support, mentorship and equitable policies.
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Registered trials
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