Evidence map›Paper›PMID 42751614›Full record

ArticleJournal of nursing regulation2026

Pathways to practice: Structural determinants of internationally educated nurses' transition into the U.S. healthcare workforce.

Maria Luisa B Ramira, Mary Joy Garcia-Dia, Reynaldo R Rivera, Carmina T V Bautista, Jacqueline Juele-Schuster, Lorraine S Evangelista, Marife Sevilla

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of nursing regulation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Maria Luisa B RamiraNursing Faculty, Southwestern College Higher Education, San Diego, California, USA.
Mary Joy Garcia-DiaAssociate Adjunct Faculty, Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, Ohio, USA.
Reynaldo R RiveraDirector of Nursing Research and Innovation, New York-Presbyterian Hospital and Assistant Clinical Professor of Nursing, Columbia University School of Nursing, New York, New York, USA.
Carmina T V BautistaChair PNAA Business Development, North Brunswick, New Jersey, USA.
Jacqueline Juele-SchusterNew York City Hospitals, Certified Wound Specialist, New York, New York, USA.
Lorraine S EvangelistaProfessor Emerita, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.
Marife SevillaChair PNAA Human Rights Committee, North Brunswick, New Jersey, USA.

Funding

Fitness Intensive Therapy (Get FIT) to Promote Healthy Living in Older AdultsR21AG053162 · NIA · UNIVERSITY OF CALIFORNIA-IRVINE · PI EVANGELISTA, LORRAINE S · 2018 to 2019
$425k
NIA NIH HHS R21 AG053162
6 · The paper itself

Abstract

Background: Nurse migration can create opportunities for career growth and financial stability; however, these nurses may face challenges related to cultural adjustment, workplace integration, and recruitment and employment practices. Purpose: To describe the career pathways of internationally educated nurses (IENs) in the United States with a focus on the recruitment process and transition of newly hired nurses into the healthcare system. Methods: A cross-sectional survey design was employed to understand the demographic and professional characteristics of IENs and to assess structural factors influencing the transition to practice, including recruitment, predeparture preparations, and support received during the transition. Results: Data showed that IENs experienced varying levels of support across recruitment, pre-arrival preparation, arrival, and onboarding. Travel and relocation assistance were commonly reported, whereas structured pre-arrival preparation, formal IEN orientation, cultural orientation, and ongoing follow-up were less consistent. These differences highlight opportunities to strengthen transition support across the pathway to practice. Conclusion: Interrelated structural processes, rather than individual adaptation alone, shape the integration of IENs into U.S. nursing practice. These findings highlight the important role of nursing regulation in promoting transparent recruitment, consistent preparation, and safe transition to practice. Strengthening these regulatory and organizational processes may improve workforce stability, patient care, and retention of internationally educated nurses.

Indexed as

Ethical recruitmentGlobal nursing workforceHealth workforce policyInternationally educated nursesPredeparture preparationWorkforce transition

Identifiers

PMID42751614
PMCPMC13580603

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.