The international recruitment of nurses as a strategy for managing labour shortages in Germany: the case of Hesse

Lauxen, Oliver; Larsen, Christa; Slotala, Lukas

doi:10.1007/s00103-019-02956-4

Cited by 9 publications

(6 citation statements)

References 12 publications

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“…The added pressures of learning and mastering a new language while simultaneously learning a new system can cause stress for nurse migrants (Schilgen et al, 2019). The evidence also suggests that some migrant nurses may experience discrimination from patients, other nurses and from service users (Alexis & Vydelingum, 2009;Lauxen et al, 2019).…”

Section: Discriminationmentioning

confidence: 99%

“…This phenomenon may be explained by a different understanding of who is described and categorised as 'Qualified Nurse' and who as 'Care Personnel' in the respective statistics. Lauxen et al (2019) discusses that the definition of nursing by a professional title may not be the same in every country and may be protected in law in different ways. In Germany, for example, there are three different professional titles for nurses that are mainly educated in a traditional hospital-based vocational training system: Adult Nurse (Gesundheits-und Krankenpfleger*in), Paediatric Nurse (Gesundheits-und Kinderkrankenpfleger*in) and Care of the Older Person Nurse (Altenpfleger*in).…”

Section: Declaration Of Conflicting Interestsmentioning

confidence: 99%

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Nurse Migration in Australia, Germany, and the UK: A Rapid Evidence Assessment of Empirical Research Involving Migrant Nurses

Smith

Herinek

Woodward‐Kron

et al. 2022

Policy, Politics, & Nursing Practice

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Forecasts predict a growing shortage of skilled nursing staff in countries worldwide. Nurse migration is already a common strategy used to address nursing workforce needs. Germany, the UK, and Australia are reviewed here as examples of destination countries for nurse migrants. Agreements exist between countries to facilitate nurse migration; however, it is not evident how nurse migrants have contributed to data on which these arrangements are based. We examined existing primary research on nurse migration, including educational needs and initiatives to support policymakers’, stakeholders’, and health professions educators’ decisions on measures for ethical and sustainable nurse migration. We conducted a rapid evidence assessment to review available empirical research data which involved, was developed with, or considered migrant nurses to address the research question: what are the findings of research that directly involves migrant nurses in producing primary research data? A total of 56 papers were included. Four main themes were identified in this research data: Research does not clearly define what is meant by the term migrant nurses; discrimination is often reported by migrant nurses; language and communication competencies are important; and structured integration programs are highly valued by migrant nurses and destination healthcare employers. Migrant nurses continue to experience discrimination and reduced career opportunities and therefore should be included in research about them to better inform policy. Structured integration programs can improve the experience of migrant nurses by providing language support (if necessary), a country-specific bridging program and help with organisational hurdles. Not only researching migrant nurses but making them active partners in research is of great importance for successful, ethical, and sustainable migration policies. A broader evidence base, especially with regard to the views and experiences of migrant nurses and their educational support needs, should be promoted to make future immigration policy more needs-based, sustainable and ethically acceptable.

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Section: Discriminationmentioning

confidence: 99%

Section: Declaration Of Conflicting Interestsmentioning

confidence: 99%

Nurse Migration in Australia, Germany, and the UK: A Rapid Evidence Assessment of Empirical Research Involving Migrant Nurses

Smith

Herinek

Woodward‐Kron

et al. 2022

Policy, Politics, & Nursing Practice

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“…This can support them in developing workforce planning policies and creating adapted contexts for more barrier-free nurse labor mobility, taking into account feasibility, cost-effectiveness, care quality and patient outcomes. After all, the international mobility of nurses is an increasing phenomenon in the EU, as well as worldwide, and several advantages have been described: a balanced supply and demand for the health workforce; foreign-trained health professionals can fill service gaps and nurse shortages; increased cultural diversity; decreased average age to keep salary levels in check; and sending remittances to the less wealthy home countries [70,71].…”

Section: Implications For Clinical Practice Research Education and Policymentioning

confidence: 99%

The NUPHAC-EU Framework for Nurses’ Role in Interprofessional Pharmaceutical Care: Cross-Sectional Evaluation in Europe

Baetselier

Rompaey

Dijkstra

et al. 2021

IJERPH

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Clear role descriptions promote the quality of interprofessional collaboration. Currently, it is unclear to what extent healthcare professionals consider pharmaceutical care (PC) activities to be nurses’ responsibility in order to obtain best care quality. This study aimed to create and evaluate a framework describing potential nursing tasks in PC and to investigate nurses’ level of responsibility. A framework of PC tasks and contextual factors was developed based on literature review and previous DeMoPhaC project results. Tasks and context were cross-sectionally evaluated using an online survey in 14 European countries. A total of 923 nurses, 240 physicians and 199 pharmacists responded. The majority would consider nurses responsible for tasks within: medication self-management (86–97%), patient education (85–96%), medication safety (83–95%), monitoring adherence (82–97%), care coordination (82–95%), and drug monitoring (78–96%). The most prevalent level of responsibility was ‘with shared responsibility’. Prescription management tasks were considered to be nurses’ responsibility by 48–81% of the professionals. All contextual factors were indicated as being relevant for nurses’ role in PC by at least 74% of the participants. No task nor contextual factor was removed from the framework after evaluation. This framework can be used to enable healthcare professionals to openly discuss allocation of specific (shared) responsibilities and tasks.

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“…International mobility of nurses in the European Union (EU) and worldwide is a growing phenomenon [ 9 ]. Several benefits have been described in the literature, including: balancing supply and demand within the workforce; health professionals trained abroad can fill gaps in care and shortages of nurses; greater cultural diversity; a lower average age to keep salary levels in check; and remittances to less affluent home countries [ 10 , 11 ]. Healthcare professionals are permitted to practise anywhere in the EU’s single market and free movement zone.…”

Section: Introductionmentioning

confidence: 99%

Cross-sectional evaluation of pharmaceutical care competences in nurse education: how well do curricula prepare students of different educational levels?

De Baetselier,

Dijkstra,

Batalha

et al. 2024

BMC Nurs

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Background Nurses play an important role in interprofessional pharmaceutical care. Curricula related to pharmaceutical care, however, vary a lot. Mapping the presence of pharmaceutical care related domains and competences in nurse educational programs can lead to a better understanding of the extent to which curricula fit expectations of the labour market. The aim of this study was to describe 1) the presence of pharmaceutical care oriented content in nursing curricula at different educational levels and 2) nursing students’ perceived readiness to provide nurse pharmaceutical care in practice. Methods A quantitative cross-sectional survey design was used. Nursing schools in 14 European countries offering educational programs for levels 4–7 students were approached between January and April 2021. Through an online survey final year students had to indicate to what extent pharmaceutical care topics were present in their curriculum. Results A total of 1807 students participated, of whom 8% had level 4–5, 80% level 6, 12% level 7. Up to 84% of the students indicated that pharmaceutical care content was insufficiently addressed in their curriculum. On average 14% [range 0–30] felt sufficiently prepared to achieve the required pharmaceutical care competences in practice. In level 5 curricula more pharmaceutical care domains were absent compared with other levels. Conclusions Although several pharmaceutical care related courses are present in current curricula of level 4–7 nurses, its embedding should be extended. Too many students perceive an insufficient preparation to achieve pharmaceutical care competences required in practice. Existing gaps in pharmaceutical care should be addressed to offer more thoroughly prepared nurses to the labour market.

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The international recruitment of nurses as a strategy for managing labour shortages in Germany: the case of Hesse

Cited by 9 publications

References 12 publications

Nurse Migration in Australia, Germany, and the UK: A Rapid Evidence Assessment of Empirical Research Involving Migrant Nurses

Nurse Migration in Australia, Germany, and the UK: A Rapid Evidence Assessment of Empirical Research Involving Migrant Nurses

The NUPHAC-EU Framework for Nurses’ Role in Interprofessional Pharmaceutical Care: Cross-Sectional Evaluation in Europe

Cross-sectional evaluation of pharmaceutical care competences in nurse education: how well do curricula prepare students of different educational levels?

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