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Demographic and Social Characteristics of Internationally Educated Nurses in Sweden: Descriptive Statistical Study Comparisons Between Two Different Pathways for Recertification
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-2008-0744
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Region Kalmar County, Sweden.ORCID iD: 0000-0002-0961-5250
Luleå University, Sweden.
Linnaeus University, Faculty of Social Sciences, Department of Social Studies.ORCID iD: 0000-0002-7024-5789
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2025 (English)In: Sage Open Nursing, E-ISSN 2377-9608, Vol. 11, article id 23779608251313901Article in journal (Refereed) Published
Abstract [en]

Background Nurse migration impacts global healthcare, which has a shortage of nurses, as many nurses move from lower-income to higher-income countries for better opportunities, working conditions, and salaries. Internationally educated nurses (IENs) have often been seen as a crucial solution to this issue. However, policies and regulations have been set in place to protect the public, including the recertification process and training to ensure educational comparability and competence. IENs' contributions to the nursing workforce are significant, underscoring the importance of these policies and regulations. Aim The aim was to describe the demographic and social characteristics of IENs who had completed recertification for nurses' licenses in Sweden and to compare these characteristics among those who completed recertification through the National Board of Health and Welfare (NBHW) or bridging programs. Methods A cross-sectional design using a survey and 818 questionnaires was sent to IENs with an identified postal address who had undergone the recertification process in Sweden. Of them, 296 (38%) were completed. Data were analyzed with descriptive statistics, chi-square tests, Fischer's exact tests, and independent sample t-tests. Results Most IENs who had participated in a bridging program were women, commonly aged between 31 and 40 years of age who had immigrated mainly from Asian or Middle Eastern countries for family-related reasons. The average time to obtain a nursing license was 5.9 years, starting from the year they immigrated until recertification. IENs who received recertification by the NBHW were significantly younger (p < .001), had been in Sweden for a shorter time (p < .001), and the time to license was shorter (p < .001). Significant differences were also shown for origin (p < .001) and reason for immigration (p < .001). Conclusions The findings can be used by decision-makers and authorities when developing higher education strategies for legalization and immigration policy to contribute to IENs' career advancement opportunities.

Place, publisher, year, edition, pages
Sage Publications, 2025. Vol. 11, article id 23779608251313901
Keywords [en]
cross-sectional survey, employment, immigration, internationally educated nurses, professional recertification, workforce integration
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-137271DOI: 10.1177/23779608251313901ISI: 001433779600001PubMedID: 40017806Scopus ID: 2-s2.0-105000789049OAI: oai:DiVA.org:lnu-137271DiVA, id: diva2:1946180
Available from: 2025-03-20 Created: 2025-03-20 Last updated: 2025-04-04Bibliographically approved

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Hadziabdic, EminaÅrestedt, KristoferSarstrand Marekovic, Anna-MariaHeikkilä, Kristiina
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