1,720,966 research outputs found
Filipino Internationally Educated Nurses' Challenges in the Finnish Social and Healthcare Services: A Qualitative Descriptive Analysis
Policy Reform on the Qualification Pathway of Internationally Educated Nurses in Greenland and Its Relationship With the Danish System: A Qualitative Discourse Analysis
The nursing profession in Greenland, particularly in rural and remote areas, faces challenges due to geographical limitation and a lack of interdisciplinary collaboration. The registration process and status of internationally educated nurses (IENs) in Greenland are unclear. This article aimed to analyze existing policies and propose recommendations for an independent registration process for IENs in Greenland. A qualitative discourse analysis was used to critically discuss existing policies and regulations governing nursing registration in Greenland. Relevant legislation, government reports, and official documents were reviewed. Legislative regulations protect the title of registered nurse in both Greenland and Denmark. To work in Greenland, an IEN must have a residence permit. With recent health agreements between Greenland and Denmark, both countries have streamlined the permit acquisition process for foreign healthcare professionals, making it more accessible. However, the process of acquiring a license to work as a registered nurse for IENs lacks clarity. Policy reform is needed to establish a group of diverse nurse experts under the National Board of Health responsible for the assessment and registration of IEN qualifications. There is also a need for a bridging education program or national licensure examination which could facilitate faster IEN recognition. Mutual recognition of nurse licenses between Greenland and Denmark should be established to ensure efficient healthcare delivery and maintain professional standards. Embracing IENs can address nursing shortages and improve healthcare services in Greenland
High-Fidelity Simulation in an International Nursing Education: A Qualitative Descriptive Study
Background
Finland's healthcare sector faced significant nursing shortages, prompting government strategies to recruit international nursing students (INS) and enhance their language skills. However, integration challenges persisted due to language proficiency barriers.
Aim
The aim of the study was to explore the use of the 24/7 bilingual nursing report simulation tool to improve language fluency and clinical skills among INS in Finland.
Methods
Data from fourteen INS were collected via an online survey questionnaire and analyzed using a qualitative content analysis method.
Results
INS reported positive experiences with immersive learning and improved language proficiency using the 24/7 tool. Challenges included weak Finnish language skills and instructional constraints. INS suggested increased simulation frequency, additional Finnish language courses, and smaller group sizes. They also recommended expanding debriefing rooms to accommodate larger groups during discussions.
Conclusions
Integrating bilingualism into healthcare simulation education effectively prepared INS for Finland's healthcare system, addressing labor shortages and enhancing patient care quality. Further research is needed to evaluate the long-term impact of bilingual simulation education on INS integration and patient outcomes
A Courageous Journey of a Foreign-Born Intensive Care Unit Nurse in Finland: A Narrative Case Study
Finland is facing a severe shortage of nurses. While uncommon, the deportation of a foreign-born nurse could exacerbate this already critical situation. However, research on the deportation experiences of migrants, particularly healthcare workers such as nurses, remains scarce. This study aimed to provide a descriptive analysis of a deportation case involving a foreign-born intensive care nurse in Finland and examined the implications of this case for nursing education, the healthcare workforce, and government policies. Using a narrative case study approach, publicly available data from various sources, including mainstream and social media platforms, were analyzed. The nurse in this narrative left the country following disappointment with government officials, despite winning the deportation case. The findings of the study also revealed that the deportation decision faced by the foreign-born intensive care nurse has significant implications for nursing education, healthcare management, and government policies, indicating the need for necessary reforms. Intergovernmental collaboration is crucial to expedite the just and equitable processing of residence permits for highly skilled migrant health workers, promoting more effective government policies
Assessing Alzheimer’s disease in long-term care: an autoethnographic study of a proposed innovative tool
Purpose
The Nordic region is projected to experience a substantial increase in the number of older adults diagnosed with dementia, reaching approximately half a million. Given this expanding demographic, the dissemination of innovative solutions developed by nurses is imperative to ensure the effective and continuous management of older adults in nursing facilities. This study aims to communicate the author’s experience with the effective selection of an innovative concept, entitled the memory passport, with the goal of enhancing care services for older adults residing in nursing homes.
Design/methodology/approach
This study used the autoethnographic approach to recount the author’s experiences in professional caregiving for residents and patients with Alzheimer’s disease, grounding these experiences in self-reflexivity.
Findings
Drawing from autoethnographic observations, it is evident that nursing staff members have encountered significant challenges in implementing the physical, mental and social dimensions of health due to a prevailing nursing shortage. The onerous documentation requirements and the involvement of other health professionals, family members and next of kin have led to the development of a proposed innovative tool. The memory passport aims to address all the health dimensions and streamline nursing documentation while ensuring the implementation of a client-centered approach.
Originality/value
The memory passport as a proposed innovative tool considers a comprehensive, client-centered care approach to long-term care residents in nursing homes. It has also the potential to be used in home health services daily, integrated within the patient information system. The dissemination of innovative concepts by nurses, such as the memory passport, is of paramount importance, as it encourages nurses to explore avenues for enhancing the lives of older adults
The challenges of diversity in nursing faculty recruitment: the case of Finland
Background
Diversity considerations in hiring faculty in higher education have garnered significant attention globally in recent years. However, analyses of faculty recruitment dynamics outside the United States, particularly in schools and colleges of nursing, have been limited.
Purpose
This paper explores how concepts related to racism apply to recruitment in nursing education, focusing on the specific context of Finland.
Methods
Discourse Approach.
Discussion
Despite the increased admission of foreign students to English-language nursing programs, potential biases against the recruitment of nurse educators from foreign backgrounds could exist in Finland. Local data, anecdotes, and an analysis of the broader literature suggest that robust diversity, equity, and inclusion (DEI) policies and guidelines are necessary to enhance the experiences of both instructors and students. Additionally, training and support mechanisms may be needed to enable nursing faculty members from foreign backgrounds to thrive and fully participate in shared governance within academic institutions.
Conclusion
By examining the challenges and proposing strategies for increasing diversity in Finnish nursing education, this paper aims to contribute to the broader discourse on diversity in nursing as a profession
Bilingual modified flipped learning in international nursing education: A discursive approach
Finland is experiencing a nurse shortage, leading to the recruitment of internationally educated nurses (IENs). The Finnish education system aims to attract more international students, including those in healthcare. International nursing students (INS) face challenges due to language barriers and cultural differences. This paper introduced the bilingual modified flipped learning (BMFL) approach to address these issues. The BMFL, grounded in constructivist learning theory, incorporated flipped learning and learning stations to facilitate INS integration. It emphasized autonomy and collaboration, with students engaging in pre-class content and in-class interactive activities. The strategy enhanced language skills, clinical decision-making, and communication. Policy and practice recommendations were proposed to support the integration of BMFL, targeting the alleviation of nurse shortages and facilitating the harmonious integration of INS into the Finnish healthcare workforce
Manifestation of Chronic and Non‐Communicable Diseases Among Filipino Internationally Educated Nurses in Finland: A Qualitative Study
Limited research has explored the impact of migration on the manifestation of noncommunicable diseases (NCDs) among internationally educated nurses (IENs) in Finland. This study aimed to describe Filipino IENs' experiences with the manifestation of NCDs among them. Secondary data from 10 IENs working in two hospitals were analyzed using Braun and Clarke's thematic analysis. The study adhered to the consolidated criteria for reporting qualitative research (COREQ) checklist. Three key themes emerged: insufficient knowledge and lack of interest in health promotion, migration as a factor, and occupational health challenges. Migration was found to impact NCD occurrence. Inadequate knowledge and underutilization of occupational health services were identified as a barrier to prevent the risk of getting NCDs. Long waiting periods for appointments and language barriers exacerbated these risks. Limited awareness of available occupational health services and disinterest in health promotion contributed to NCD manifestation among IENs. Lengthy waiting times highlighted the need for educational campaigns on health-promoting activities. Cultural competence training for local healthcare providers can improve culturally sensitive occupational healthcare for IENs. Health promotion education should be provided to IENs before their migration. Upon arrival, nurse managers should inform the nurses about the availability of occupational healthcare services provided by the employer, ensuring easy access. Additionally, efforts should be made to ensure that nurses integrate well into society, including facilitating access to recreational activities
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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