Other Titles
Rapid Presentation Round
Abstract
Purpose: The purpose of this abstract and research is to establish the efficacy of a hospital-based nurse residency program for newly arrived internationally educated nurses to the United States.
Background: Healthcare institutions are recruiting Internationally educated nurses (IEN) to fill gaps in staffing (Spetz et al., 2013). Internationally educated nurses are coming from an entirely different country and healthcare system and are then placed into foreign clinical settings amongst a foreign culture and having to find their place within the culture at the same time (Rosenkoetter et al., 2017). Literature delineates that an approach to support IENs is needed to ease transition into US healthcare as well as ensure a streamlined recruitment and retention process exists (Ghazal et al., 2020; Primeau et al., 2014). Little research has explored or examined the transition to practice programs for internationally educated nurses worldwide.
Method: The residency program is held over seven months. The first month is weekly four-hour sessions, followed by one four-hour session monthly for six months. To measure transition experience the Casey-Fink graduate nurse experience survey will be used (Casey-Fink, 2023). This includes the following outcome variables: practice confidence in clinical skills, role confidence, care prioritization, support, role satisfaction, stress, burnout, resilience and organizational commitment. Nurse retention after 1 year will be measured as an outcome variable.
Study Procedures: A quantitative quasi-experimental single-group time-series design will be used for this research. This design establishes a baseline through pre-tests and can establish causation without using a control group (Gliner et al., 2016). This research has two variables, transition experience and retention, so approximately 60 participants will be needed.
Results: There are currently 21 IENs to date, with 13 successfully completing the program. The anticipated findings are that this residency program will help to promote an increase in self-perceived practice confidence in working in a new country, an increased feeling of hospital support, decreased stress and burnout, increased resilience thus promoting nurse satisfaction and ultimately retention and organizational commitment of these IENs. The findings from this research will help to establish an evidence-based program for institutions to implement when onboarding IENs to the US healthcare system.
Notes
References: 1. Casey, K. & Fink, R. (2023). 2023 Graduate nurse experience survey. Casey-Fink Surveys. https://www.caseyfinksurveys.com/surveys
2. Ghazal, L. V., Ma, C., Djukic, M., & Squires, A. (2020). Transition-to-U.S. practice experiences of internationally educated nurses: An integrative review. Western Journal of Nursing Research, 42(5), 373–392. https://doi.org/10.1177/0193945919860855
3. Gliner, J.A., Morgan, G.A., & Leech, N.L. (2016). Research methods in applied settings: An integrated approach to design and analysis, Third Edition (3rd ed.). Routledge. https://doi-org.proxy1.lib.uwo.ca/10.4324/9781315723082
4. Primeau, M., Champagne, F. & Lavoie-Tremblay, M. (2014). Foreign-trained nurses’ experiences and socioprofessional integration best practices. The Health Care Manager, 33 (3), 245-253. https://doi.org/10.1097/HCM.0000000000000018.
5. Rosenkoetter, M. M., Nardi, D., & Bowcutt, M. (2017). Internationally educated nurses in transition in the United States: Challenges and mediators. The Journal of Continuing Education in Nursing, 48(3), 139-144. https://doi-org.proxy1.lib.uwo.ca/10.3928/00220124-20170220-10
6. Spetz, J., Gates, M., & Jones, C. B. (2014). Internationally educated nurses in the United States: Their origins and roles. Nursing Outlook, 62(1), 8-15. https://doi.org/10.1016/j.outlook.2013.05.001.
Sigma Membership
Tau Upsilon
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Quasi-Experimental Study, Other
Research Approach
Quantitative Research
Keywords:
Transition to Practice, Onboarding, Teaching and Learning Strategies, Curriculum Development, Nursing Education, Advances in Education, Nurse Residency, Internationally Educated Nurses
Recommended Citation
Morgan, Jaclynn and Trojand, Torri Nicole, "A Hospital Based Residency Program for Newly Arrived Internationally Educated Nurses to the USA" (2025). Biennial Convention (CONV). 159.
https://www.sigmarepository.org/convention/2025/presentations_2025/159
Conference Name
48th Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Date of Issue
2025-12-04
A Hospital Based Residency Program for Newly Arrived Internationally Educated Nurses to the USA
Indianapolis, Indiana, USA
Purpose: The purpose of this abstract and research is to establish the efficacy of a hospital-based nurse residency program for newly arrived internationally educated nurses to the United States.
Background: Healthcare institutions are recruiting Internationally educated nurses (IEN) to fill gaps in staffing (Spetz et al., 2013). Internationally educated nurses are coming from an entirely different country and healthcare system and are then placed into foreign clinical settings amongst a foreign culture and having to find their place within the culture at the same time (Rosenkoetter et al., 2017). Literature delineates that an approach to support IENs is needed to ease transition into US healthcare as well as ensure a streamlined recruitment and retention process exists (Ghazal et al., 2020; Primeau et al., 2014). Little research has explored or examined the transition to practice programs for internationally educated nurses worldwide.
Method: The residency program is held over seven months. The first month is weekly four-hour sessions, followed by one four-hour session monthly for six months. To measure transition experience the Casey-Fink graduate nurse experience survey will be used (Casey-Fink, 2023). This includes the following outcome variables: practice confidence in clinical skills, role confidence, care prioritization, support, role satisfaction, stress, burnout, resilience and organizational commitment. Nurse retention after 1 year will be measured as an outcome variable.
Study Procedures: A quantitative quasi-experimental single-group time-series design will be used for this research. This design establishes a baseline through pre-tests and can establish causation without using a control group (Gliner et al., 2016). This research has two variables, transition experience and retention, so approximately 60 participants will be needed.
Results: There are currently 21 IENs to date, with 13 successfully completing the program. The anticipated findings are that this residency program will help to promote an increase in self-perceived practice confidence in working in a new country, an increased feeling of hospital support, decreased stress and burnout, increased resilience thus promoting nurse satisfaction and ultimately retention and organizational commitment of these IENs. The findings from this research will help to establish an evidence-based program for institutions to implement when onboarding IENs to the US healthcare system.
Description
A hospital based nurse residency program has been created for newly arriving internationally educated nurses (IEN) to the United States to support their initial onboarding and orientation. The residency program is seven months long with 10 4-hour sessions. Research is looking at the efficacy of the program using the Casey-Fink graduate nurse experience survey (Casey-Fink, 2023). There are currently 21 IENs to date, with 13 successfully completing the program.