ISSUES AND TREND IN NURSING : ESSENTIAL KNOWLEDGE FOR TODAY AND TOMORROW

1. ISSUES AND TREND IN NURSING : ESSENTIAL KNOWLEDGE FOR TODAY AND TOMORROW UKEME A. UDOH WORK-FORCE INTEGRATION

2. RECRUITMENT The process of finding and hiring the best-qualified candidate (from within or outside of an organization) for a job opening, in a timely and cost effective manner. (Business Dictionary, 2012)

3. REASON FOR INTERNATIONAL RECRUITMENT OF NURSES(GLOBAL NURSING WORKFORCE) • *Disparities between supply and demand of nurses from country to country • Inconsistent planning for nursing workforce needs from country to country • Aging nurse workforce • Aging population • A solution to nursing skill shortage in some countries (Roux & Halstead, 2009)

4. ETHICAL DILEMMA/ISSUES IN INTERNATIONAL NURSE RECRUITMENT • Discrimination • Underutilization- Nurses working in assistive roles in some host countries • Reception/integration of nurses by colleagues in host country • Migration adding to shortage in developing countries • Impact of migration on developing countries heath care system • Recruiting nurses who were educated at the expense of the national government. • Creating a brain drain of professional workers • Are the nurses meeting the health care need of the developing country

5. ETHICAL NURSE RECRUITMENT 1.Transparency 2.Fairness 3.Mutuality of benefits for the countries involved. 4.Credible nursing regulation 5.Effective human resources planning and development 6. Access to full employment 7. Good faith contracting. 8. Equal pay for work of equal value 9. Access to grievance procedures 10. Safe work environment 11. Effective orientation/mentoring and supervision 12. Freedom of movement

6. DEVELOPING AN ETHICAL INTERNATIONAL NURSE RECRUITMENT PLAN • Choose from countries not at risk for severe shortage for example is hiring nurses from Canada, UK, and new Zealand as supposed to Nigeria, Zimbabwe and India (Stewart, Darlene & Clark, 2007) • Is language going to be an issue? • Is there a built in community for RN’s from targeted countries in your area to ease assimilation • Is there a welcoming culture among current staff • Create an environment to help retain new recruits- climate, activities, religious institution, social activities, educational opportunities, sports

7. FOREIGN NURSES PRACTICING IN THE US • Meet the educational requirement-Furnish proof that they have a BSN in nursing with at least 2 years of nursing practice & clean criminal record • Pass an English language proficiency test- TOEFL ( Test of English as a foreign language), TOEIC (test of English for international communication),IELTS ( International English language testing system) • Pass the NCLEX • Find a recruiting agency or US based employer • Get an RN immigrant visa/green card • Get an RN visa interview/ medical examination • Accept the job offer and take employment medical exam • Get a resuscitation certification/ ACLS, BLS, PALS

8. HOW CAN THE PROFESSION REASSURE EMPLOYERS THAT INTERNATIONAL NURSES MEET THE STANDARDS REQUIRED FOR NURSING PRACTICE IN THE USA. • Knowing what employers are looking for when they are hiring both nationally and internationally • Getting clinical managers as part of the interview process when hiring IENs • Adopting a Pre-screening measure. • Pre-employment checks • Furnish proof of classes, certifications and CE’s taken by new hires

9. RESPONSIBILITY THE EMPLOYER HAVE TO ENSURE NURSES ARE MEETING THE COMPETENCY STANDARD FOR SAFE AND EFFECTIVE NURSING PRACTICE Getting nurses involved in continuous education, yearly mandatories and the creating awareness of the legality of their practice (Austin, 2008) Importance of following the nursing process Administer medication properly Monitor & report for deterioration Communicate effectively i.e. SBAR Delegate responsibly Document in a accurate & timely manner Know and follow facility policies and procedures Use equipment properly

10. RESPONSIBILITY THE PROFESSION HAVE TO ENSURE NURSES ARE MEETING THE COMPETENCY STANDARD FOR SAFE AND EFFECTIVE NURSING PRACTICE ("Current nursing," 2010) • 1.Quality of Practice • 2. Education • 3. Professional practice evaluation • 4. Collegiality • 5. Collaboration • 6. Ethics • 7. Research • 8. Resource Utilization • 9. Leadership

11. KEY BENEFIT OF ETHICAL INTERNATIONAL RECRUITMENT Continuity in the delivery of high standard of patient care Maintenance of safe levels of care Retention of local staff Diversity in the workplace

12. VIDEOS • Interview with senior consultant, nursing recruitment and retention: • http://www.youtube.com/watch?v=uVTpU58dCVM • Shortage of nurses is worldwide, but worst in poorer nation video: • http://www.youtube.com/watch?v=PpZWMPUgUdk

13. References • Austin, S. (2008). Lippincott. Retrieved from http://www.nursingcenter.com/prodev/ce_article.asp?tid=777004 • Business Dictionary. (2012). Recruitment. Retrieved from http://www.businessdictionary.com/definition/recruitment.html • Roux, g., & Halstead, J. A. (2009). Issues and trends in nursing.Sudbury: Jones and Bartlett Publishers, LLC.

14. References • Stewart, J., Darlene, C., & Clark, P. (2007, August 7).Migration and recruitment of healthcare professionals: Causes, consequences and policy responses. Retrieved from http://focus-migration.hwwi.de/The-Migration-and-Re.2496.0.html?&L=1 • Current nursing. (2010, December 22). Retrieved from http://currentnursing.com/nursing_management/nursing_standards.html