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Han Roeters

Han Roeters

Universal college of Learning, New Zealand

Title: Integration of ESL International Qualified Nurses (IQN) in the NZ health workforce

Biography

Biography: Han Roeters

Abstract

Contempory literature identifies that IQNs encounter significant issues when assimilating into a foreign workforce which may impact on their safety in practice, confidence, and ability to become fully productive members of the health care team  First world English speaking countries have a commonality in the increasing number of ESL IQNs assimilating in their Nursing workforce. 26% of the current NZ workforce  consists of  IQNs and this is predicted to increase to 35% by 2035. In 2015 45.2% of the RN workforce was over 50 year of age and a large proportion will be retiring between 2017 and 2035. Medical advancements has resulted in an increasing population age and this is associated with an increase in comorbidities. This presentation will discuss some the issues ESL IQNs experience including competency versus capability issues, communication challenges, cultural safety, professional expectation variables and clinical decision making. Finaly the presenter will discuss some potential strategies for improvement in assimilation support. The information is gathered from literature related to the preliminary results of two articles cowritten by the presenter, currently in preparation for publication in scientific nursing journals in 2017. One article describes the succesfull development of a professional diagnostic assessement using nursing simulation to establish suitability to enter the competency assessment programme. The second article evaluates the research of a Graduate Diploma for IQNs which includes competency assessment prior to registration as a NZRN and the potential (dis)advantages of extended comprehensive induction programmes and clinical placements as part of pre-registration preparation of a more in depth preparation using prior.