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Local networks help researchers obtain a prestigious Changjiang scholarship faster. Local networks help researchers obtain a prestigious Changjiang scholarship faster.

Background The Philippines continues to overproduce nurses for export. Little first-hand evidence exists from leading organisations in the Philippines concerning their experiences and perceptions in relation to Filipino nurse migration. What are their views about health workforce migration? This paper addresses this research gap by providing a source country perspective on Filipino nurse migration to Australia. Methods Focus-group interviews were conducted with key informants from nine Filipino organisations in the Philippines by an Australian-Filipino research team. The organisations were purposively selected and contacted in person, by phone, and/or email. Qualitative thematic analysis was performed using a coding framework. Results Health workforce migration is perceived to have both positive and negative consequences. On the one hand, emigration offers a welcome opportunity for individual Filipino nurses to migrate abroad in order to achieve economic, professional, lifestyle, and social benefits. On the other, as senior and experienced nurses are attracted overseas, this results in the maldistribution of health workers particularly affecting rural health outcomes for people in developing countries. Problems such as ‘volunteerism’ also emerged in our study. Conclusions In the context of the WHO (2010) Code of Practice on the International Recruitment of Health Personnel it is to be hoped that, in the future, government recruiters, managers, and nursing leaders can utilise these insights in designing recruitment, orientation, and support programmes for migrant nurses that are more sensitive to the experience of the Philippines’ education and health sectors and their needs.

If the RCVS was given the power to pick and choose between EU qualifications, we would need to consider potential systems for the accreditation of qualifications offered by any individual schools in Europe that would wish their graduates to have a degree that is eligible for RCVS registration, perhaps in conjunction with the European Association of Establishments for Veterinary Education.

[...]a number of British students are attending veterinary schools in continental Europe with the expectation of returning to the UK following graduation.

Background: The caregiver burden on foreign paid caregivers (FPCs) is currently not well understood. This study identified predictors and differences in caregiver burden between FPCs and family caregivers who provided care for patients with dementia. Methods: We recruited 489 patients with dementia (diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition) and used the Neuropsychiatric Inventory (NPI) and Clinical Dementia Rating (CDR) Scale to assess their neuropsychiatric behavioral problems and severity of dementia. All caregivers [FPCs (n = 42) and family caregivers with (n = 42) and without (n = 447) FPCs] completed three questionnaires: the Zarit Burden Interview (ZBI), the Center for Epidemiological Studies–Depression Scale (CES-D), and caregivers’ knowledge of dementia (KD). To understand caregiver burden, we analyzed the correlations between ZBI and other variables and investigated the differences between family caregivers and FPCs. Results: NPI and CDR scores were higher among patients assisted by FPCs than among those whose families did not employ FPCs. Burdens were greater among family caregivers assisted by FPCs than among FPCs and family caregivers who were not assisted by FPCs. Family caregivers had greater knowledge of dementia than did FPCs. For family caregivers, CES-D scores (Spearman's r = 0.650; p < 0.01) and patients’ NPI scores (Spearman's r = 0.471; p < 0.01) were correlated with caregiver burden. For FPCs, only CES-D scores (Spearman's r = 0.511; p < 0.01) were correlated with caregiver burden. A linear regression model showed that CES-D scores contributed most to caregiver burden in all groups [β = 0.560 (family caregivers without FPCs), 0.546 (family caregivers with FPCs), and 0.583 (FPCs); p < 0.005]. Conclusion: Both family caregivers and FPCs need emotional support. Adequate treatment to reduce the neuropsychiatric symptoms of patients with dementia might reduce the burden on family caregivers.

Report on a European Commission review of legislation concerning the recognition of nursing qualifications across the European Union. Requirements of regulatory bodies in different countries, including language proficiency, are discussed. 2 references

Nurses' recognition of their own level of skills and abilities (ie perceived competence) is a prerequisite for ensuring they can practice in a safe manner. The demand for competence, in the operating room, may vary between clinical environments. It is, however, unclear what competency levels migrating nurses need in order to be deemed safe. This paper describes Canadian and Australian nurses' levels of perceived perioperative competence and discusses these results in the context of nurse migration. A survey was distributed to operating room nurses in six hospital sites (three in Canada and three in Australia). Perioperative competence was measured with a 40-item self-report survey which consisted of six domain subscales: foundational knowledge and skills; leadership; collaboration; proficiency; empathy; and professional development. Non-parametric tests were used to describe differences between groups based on country of origin, years of experience and specialty qualifications. Canadian and Australian nurses reported their overall competency levels as high across all domains. Significant differences were found, between countries, in three of the six competency domains; foundational knowledge and skills (p < .001), collegiality (p = .023), and empathy (p < .0001). Describing perioperative competence cross-nationally represents the first step in generating international dialogue around educational preparation for migrating nurses. The increasing global mobility of nurses makes it imperative to further standardise, with an international perspective, knowledge and practice expectations in perioperative settings.

In Japan, nurses are increasingly expected to use English in various settings. English language proficiency is indispensable in almost all aspects of the clinical experience and for career development of Japanese nurses. This article introduces the idea of Japanese nurses learning the English language to enhance their career development and provides succinct survey results about the perceived need for learning English, based on responses from 145 nursing faculty members across Japan. Analyses showed that most faculty members considered English language proficiency important for nursing expertise and career development. Overall, the results indicated that Japanese nurses require continuing English language education. Further study of their need to learn English and ways to implement English education programs is required.

Increasingly, the U.S. health care system relies on internationally educated nurses to meet the staffing shortage. Many of these nurses come to the United States from Asian countries, especially the Philippines, India, Korea, and increasingly China. Because of conflicting professional and socioeconomic expectations, a growing body of literature has documented a range of challenges experienced by internationally educated nurses during their transition to the U.S. health care environment and American society. This article describes an increase in perceived self-efficacy for a group of internationally educated nurses (Increasingly, the U.S. health care system relies on internationally educated nurses to meet the staffing shortage. Many of these nurses come to the United States from Asian countries, especially the Philippines, India, Korea, and increasingly China. Because of conflicting professional and socioeconomic expectations, a growing body of literature has documented a range of challenges experienced by internationally educated nurses during their transition to the U.S. health care environment and American society. This article describes an increase in perceived self-efficacy for a group of internationally educated nurses ( N = 18) who participated in an adverse cardiac event with the use of computer-assisted simulation training. The findings indicate that internationally educated nurses may increase their self-efficacy in caring for patients in U.S. health care facilities if they receive some pre-employment simulation training to help them transition to the U.S. health care work force.