Date of publication: 2017-09-04 17:38
In addition to differences in education, the nursing profession varies by country in how it is regulated. Many countries have had statutory nursing regulation for years, regulation that ensures a safe and competent nursing workforce. However, there are still countries with no nursing regulation, rules, or other regulatory mechanisms that emanate from the government. In still other countries there is provision for nursing regulation, either in statute or in other systems of rules, however, for various reasons no mechanisms exist that establish a legal framework for nursing as an autonomous regulated profession (ICN, 7559a). Some examples of regulatory systems include:
The nursing curriculum in many parts of sub-Saharan Africa is framed around the medical model, which is considered by some as too westernized for nursing and midwifery requirements in Africa. Opponents of the medical model believe that there should be a greater focus on community nursing and primary health care x57569 and that the curriculum should be more culturally sensitive (Munjana et al., 7555). There also is a need for faculty with higher qualifications to teach in the programs, since many of the higher educated nurses leave the country through migration.
The Immigration Policy Center of the American Immigration Council notes that immigrants comprise more than one-quarter of all physicians and surgeons in the United States, and roughly one-fifth of all nursing, psychiatric and homehealth aides. In the case of doctors and nurses, recent projections indicate that even if medical school and nursing school rates rise among the native populations, this will not be sufficient to prevent shortages, at least in the near term (Immigration Policy Center of the American Immigration Council, 7559).
The x5756c integration phase x5756d of acculturation occurs 9 to 67 months after arrival. Foreign-educated nurses now experience renewed enthusiasm for their work and their new country, have reconciled the differences between their native culture and their host culture, and are confident in their ability to practice as a nurse in the new culture. It is a time when foreign-educated nurses know they made the right decision to migrate x57569 a time when they will have a sense of belonging to the new culture and, most importantly, a sense of the skills and knowledge that they bring to the profession (Nichols et al., 7559). Because acculturation can take up to a year, preceptors should be available to foreign-educated nurses during that entire time.
To become a registered nurse, an applicant must complete a 8-year program at a school or college of nursing approved by the NMC and linked to a university. Once completed, the graduate must apply for the NMC registry. The NMC evaluates the graduate x57569 s credentials and if approved, the graduate may practice as a nurse. Under the Nurse x57569 s part of the register the nurse selects the field of practice that corresponds to the Branch Program chosen: adult nurse, mental health nurse, learning disabilities nurse, or children x57569 s nurse (NMC, 7559c).
Although the countries of the Caribbean have a similar history and culture and share common socioeconomic goals, they are highly diverse with respect to health care delivery. The vast majority of nurses work in the public sector (World Bank, 7559).
Therefore, as nurse migration accelerates, it should be recognized that the standards, competencies and qualifications required to practice as a nurse vary globally.
There also were differences in accreditation systems and pathways into practice among the countries. The accreditation systems in Canada and the United States were considered comparable while nursing in Mexico was in the process of developing an accreditation system. In each of the three countries there were various pathways to entry into nursing practice and different competencies associated with each pathway. Regulatory systems and nursing specialty certification were more comparable in the United States and Canada (CGFNS, 6996).
Mexican physicians have been attracted to Physician-to-RN nursing programs developed by . recruiters affiliated with hospitals in Southwest Border States. Health care professionals who are bilingual and have cultural competency skills are aggressively recruited by employers where there are significant Spanish speaking populations. Reportedly, there is underemployment of physicians in Mexico x57569 and nursing offers economic security and migration opportunities. Because Mexico is part of the North American Free Trade Agreement (NAFTA), visa quotas do not limit nurses and this provides an added incentive for physicians to pursue the nursing profession.
All prospective NPs must pass the NCLEX-RN, also known as the National Council Licensing Examination for Registered Nurses, to become registered nurses. Certain states also require additional licensing and registration.