Experiences of internationally qualified registered nurses enrolled in a bridging program in Australia: A pilot study

Abstract

BackgroundThe recruitment of internationally qualified registered nurses (IQNs) is one strategy to meet Australia’s healthcare needs. New Australian Standards require some IQNs to complete an approved bridging program run by an eligible higher education institution in Australia. Little is known about the experiences of the IQNs enrolled in these bridging programs or their intention to remain in the workforce. AimThe aim of this pilot study was to investigate the experiences of IQNs enrolled in an approved bridging program and explore their intention to remain and seek employment in the Australian healthcare system. MethodsStudents enrolled in the Graduate Certificate in Australian Nursing program for internationally qualified registered nurses at a regional Australian university were invited to participate. A longitudinal, mixed-methods, exploratory design was used. Participants completed the Six-dimension Scale of Nursing Performance (Schwirian, 1978) and the Casey-Fink Graduate Nurse Experience Survey (Casey et al., 2004) pre, and post-program, and also participated in post-program focus groups. FindingsThe program met participant expectations, provided confidence in clinical practice and perceived competence, particularly in the leadership domain. However, the cultural differences and expectations in nursing and academia experienced by participants require further investigation and intervention. Over time, the participants experienced stress related to social and financial issues, with the greatest concern around gaining employment. All participants indicated their intention to remain and seek employment in the Australian healthcare system. DiscussionIQNs enrolled in approved bridging programs intend to remain in the workforce. Consideration of how to support IQNs experiencing social and financial stress, and achieve successful employment post program is warranted. ConclusionA transition to professional practice program may support the integration of IQNs into the Australian healthcare workforce.