Nurses and other health care professionals are in a unique position to shift the paradigm around migration debates. As caregivers and advocates for patients and other providers, nurses are crucial to the health and well-being of individuals, families, and communities. This is especially true for migrants, including increasingly vulnerable refugee populations around the world. As negotiations surrounding the Global Compact for Migration and Global Compact on Refugees come to a close, nurses' roles are becoming more apparent. Nurses are facilitators of migration and can help ensure that the benefits of migration are maximized and the challenges are mitigated. Often, nurses are migrants themselves. Leveraging nurses' knowledge, experience, talents, and compassion is crucial for attaining the objectives of both the Global Compact for Migration and the Global Compact on Refugees. Nurses are large contributors to the United Nations' 2030 Agenda for Sustainable Development and its 17 Sustainable Development Goals. The global nursing workforce has enormous potential to advance the achievement of these goals and objectives. In a world that appears to be increasingly xenophobic and hostile to migrants, nurses stand out as professionals who can change the narrative while providing compassionate care for the most vulnerable.
Background: In 2007 AcademyHealth published a landmark report on the U.S.-based international nurse recruitment industry. This article provides an update to that report, describing the current state of recruitment of foreign-educated health professionals (FEHPs), in particular foreign-educated nurses (FENs), to the United States. Areas covered include the regulatory landscape, economic issues, recruitment industry changes, and current demographic and migration trends. Purpose: To learn more, CGFNS International, Inc., formerly known as the Commission on Graduates of Foreign Nursing Schools, and its Alliance for Ethical International Recruitment Practices division conducted a study designed to elicit qualitative and quantitative data that would further illuminate the recruitment experience. Methods: Researchers conducted a survey of FEHPs, recruited from those who used VisaScreen services between 2015 and 2017, designed to assess their recruitment experiences. They also conducted interviews with a smaller sample of FENs and recruiters to elicit greater detail. Results: While there was evidence of progress relative to the ethical recruitment of FEHPs, issues such as high breach fees, inadequate orientation, and misalignment of expectations regarding work environment and location were also revealed. Conclusion: Given that FEHP migration to the United States is likely to continue its upward trajectory, better strategies to implement market-wide practices that ensure the safe, orderly, and ethical recruitment of FEHPs are needed.
Aim(s) The main aim of this article is to outline the devastating aftereffects of COVID‐19 in terms of ethical recruitment and the respect of dignity of nurses and health care professionals. Background Nations experience the ominous impacts of the COVID‐19 pandemic in terms of an exacerbated shortage of nurses worldwide. In this situation, migration flows of nurses are skyrocketing and the respect of the migrant nurses' dignity as human beings should be guaranteed. Evaluation Data from reports elaborated by the International Centre on Nurse Migration (ICNM) were examined and outlined the central role of the respect of dignity of every nurse to prevent unethical exploitation of them. Key issue(s) The respect of human dignity is a complex concept. Human dignity denotes the inner nature of human beings but also their rights at work. Conclusion(s) In a post‐COVID‐19 world with increased flows of nurse migration, it is crucial to guarantee dignity at work for migrant nurses. Implications for Nursing Management Nurse leaders should prioritize the ethical recruitment of health care workers and give a prominent role to the WHO ‘Code of Practice on the International Recruitment of Health Personnel’ which recognizes the ethical bedrocks of employment.
No other event has put healthcare – and nursing – at the forefront of local, national, and global discussions in the same way as the COVID-19 pandemic. Studies suggest that immigrant nurses are a critical part of U.S. healthcare and we are increasingly reliant on the skills they bring and the care they provide. To quantify and qualify this contribution, CGFNS International designed a data-collection survey and distributed to nearly 74,000 foreign-educated healthcare professionals currently practicing in the United States during the COVID-19 pandemic. While some challenges were reported, most nurses surveyed reported working with patients diagnosed with COVID-19 and having access to adequate PPE, and many felt the public perception of nurses has improved since the beginning of the pandemic. Continued research on the experiences of immigrant nurses during ongoing global pandemic response and beyond could provide more comprehensive information on the immigrant nurses that drive the U.S. health system.
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