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Heroic Acts in Humble Shoes: America's Nurses Tell Their Stories

CNE Article
Post-Hire Transitional Programs for International Nurses: A Systematic Review

The Journal of Continuing Education in Nursing    Vol. 40   No. 2   February 2009

By Kari A. Zizzo, BSN, RN; Yu Xu, PhD, CTN, CNE

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ABSTRACT

Both the numbers and the proportions of international nurses in some Western countries are rapidly growing. There are numerous post-hire transitional programs designed to facilitate the transition of these nurses; however, little information is available on the evaluation of the “state-of-the-art” of these programs. A systematic review of 20 post-hire transitional programs for international nurses was conducted to evaluate the status of these programs regarding country of origin, research- versus non-research-based articles, proposed versus implemented programs, program structure and content (i.e., mentorship, formal language or communication training, length, single vs. multiple component, logistics support, and theoretical or conceptual framework), and indicators for program success. Data from this review indicate that most programs were not evidence-based. In addition, there is minimal research on transitional programs, especially their effectiveness. Implications and recommendations for practice and future research are elaborated here in light of the review findings.

J Contin Educ Nurs 2009;40(2):57-64.

AUTHORS

Ms. Zizzo is Graduate Assistant, School of Nursing, and Dr. Xu is Associate Professor and PhD Program Coordinator, University of Nevada, Las Vegas.

The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity, including research support.

This project was supported in part by a graduate assistantship provided by the University of Nevada Las Vegas School of Nursing.

Address correspondence to Kari A. Zizzo, BSN, RN, 751 Wigan Pier Drive, Henderson, NV 89002.