Background
Countries all over the world are experiencing a shortage of registered nurses (RNs). Therefore, some countries, including Sweden, have tried to solve this by recruiting internationally educated nurses (IENs). Countries offer bridging programs as educational support to qualify IENs for nursing work in the destination country. However, there is little research on IENs’ experiences of bridging programs in European countries and how these programs facilitate their integration into the world of work and their new society. The aim of this study is to explore the experiences of nurses, originally educated outside the EU (European Union)/EES, of the Swedish bridging program and of the program’s role in facilitating their integration into the nursing profession in Sweden.
Methods
A qualitative descriptive design was used to explore the topic based on 11 informants’ perspectives and experiences. Purposive sampling was used to recruit participants at one university in Sweden. Data were collected by individual interviews using a semi- structured interview guide during the year 2019 and were analysed using an interpretative thematic approach.
Results
Two main themes emerged from the analysis: 1) Return to nursing, and 2) The bridging program as a tool for transition to nursing in Sweden. The first theme includes conditions and experiences such as personal motivation and determination, and support from others that the participants described as important in order to achieve the goal of re-establishing themselves as registered nurses in Sweden. Furthermore, the second theme describes the participants’ experiences of the bridging program as mostly positive because it led to new learning and achievements that were valuable for the transition to nursing in Sweden; however, the participants also emphasised the challenges of their transition into the nursing profession, which were related to instances of misrecognition of their professional competence and the uncertain outcome of the program.
Conclusions
This study found that the bridging program facilitated integration into the nursing profession for nurses educated outside the EU/EES, especially knowledge gained in clinical-based training. Thus, it is important to recognise and value the IENs’ experience and previous knowledge and training when developing the bridging program’s curriculum.
This article focuses on phrases which include the word misunderstand (missverstehen) in German discussion forums. The article shows that the word misunderstanding not only is bound to actual misunderstandings in conversation but also is used as face work in order to stabilize communication. It is not a sign of a disturbance or interruption in interaction. Rather, the aim of the use of misunderstanding is to stabilize interaction in the forum and construe . Understanding occurs when the participants in the interaction can interpret the information in a message as relevant. This information is built on contextualisation cues, which make it possible for the receiver to connect an utterance to the context. Missing/irrelevant contextualization cues make the content of the message irrelevant and this causes a , since the interlocutors do not share the same understanding of the context. The is negotiated on a meta level in an interactional sequence, referred to as a script in this article. Each contribution in the forum sequence is considered to be a slot in this script. The verb misunderstand can be used in different slots in these scripts for specific purposes. This article shows that the distribution of specific components in the message defines these purposes.
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