The Assessment of Workplace Integration of Migrant Nurses and Midwives in Global Healthcare Settings: A Scoping Review.

چکیده اصلی

AIM: To map the available evidence on the assessment of migrant nurse and midwife workplace integration in global healthcare settings. BACKGROUND: Globally, migrant nurses and midwives are important resources in mitigating workforce shortages. Existing evidence focuses on the orientation stages of migrant nurse and midwife transition into the healthcare setting rather than their long-term workplace integration. DESIGN/METHODS: The nine databases searched were CINAHL, Medline, Web of Science, Embase, PsycINFO, ASSIA, SicELO, Maternity & Infant Care and Global Index Medicus. An initial search was performed in December 2021 and updated in December 2025. RESULTS: A total of 91 articles were included, comprising qualitative (n = 48), quantitative (n = 13), mixed-methods (n = 6), others (n = 23) and one book chapter. Multiple definitions of workplace integration were found, and 23 tools were identified. CONCLUSIONS: Workplace integration, a multidimensional, time-dependent process, requires collaboration among stakeholders. A standard definition will help to clarify their responsibilities. Key factors ensuring successful integration include promoting effective communication, supporting knowledge advancement, facilitating career development and skill utilisation. The development of standardised interventions with flexibility for local adaptation will support successful workplace integration. IMPLICATIONS FOR NURSING/HEALTH POLICY: Findings highlight the need for policy developers to support migrant nurses and midwives with interventions focused on linguistic challenges, cultural competence and differing care models, that are key to successful integration. Future research must include host stakeholders' perspectives to fully understand the dynamics of workplace integration.

ترجمه فارسی چکیده

هدف این مطالعه، شناسایی شواهد موجود در مورد ارزیابی ادغام شغلی پرستاران و ماماهای مهاجر در محیط‌های مراقبتی جهانی است. شواهد موجود عمدتاً بر مراحل اولیه انتقال تمرکز دارند و به ادغام بلندمدت در محل کار پرداخته‌اند. در این مرور، ۹۱ مقاله شامل مطالعات کیفی، کمی و ترکیبی و همچنین فصل کتاب شناسایی شدند. تعاریف متعددی از ادغام شغلی و ۲۳ ابزار ارزیابی شناسایی گردید. ادغام شغلی یک فرآیند چندبعدی و زمان‌بر است که نیازمند همکاری ذینفعان است. عوامل کلیدی موفقیت شامل ارتقای ارتباطات مؤثر، حمایت از پیشرفت دانش، تسهیل توسعه حرفه‌ای و بهره‌برداری از مهارت‌ها است. سیاست‌گذاران باید مداخلاتی را برای چالش‌های زبانی، توانایی فرهنگی و مدل‌های مراقبتی متفاوت ارائه دهند.

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