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Therapeutic syncretism: a conceptual framework of persistence and change for international nursing.

International nursing, as well as the entire nursing profession, has committed itself to a change paradigm. An alternative to the change paradigm has been proposed to account for elements of stability and persistence. This alternative, therapeutic syncretism, is defined and described, emphasizing an individual's effect on the syncretic process. Finally, the Kingdom of Swaziland illustrates therapeutic syncretism in action as the nation, nurses, and indigenous healers reflect qualities of persistence and change.

Acculturation↗

The relevance of transcultural nursing to international nursing.

Does transcultural nursing as taught in United States' nursing education programmes adequately prepare US nurses for experiences in international health as they assist with the implementation of changes in another country's health care delivery system? That's the question posed by Lydia DeSantis, who is concerned that US nurses need a broader perspective of health care and culture in order to effect changes needed at the national level of policy and decisionmaking to meet the challenges of the Declaration of Alma-Ata. Her concerns about the focus of transcultural nursing are also relevant to INR's international readers, as it offers another perspective on how to persuade policymakers in their countries to reassess and initiate the health programmes needed to attain WHO's HFA goal.

Cross-Cultural Comparison↗

Developing a new resource on international nurse migration: the international centre on nurse migration.

A new collaborative project on nurse migration was recently launched by the International Council of Nurses and the Commission on Graduates of Foreign Nursing Schools. This collaboration, the International Centre on Nurse Migration, guided by the principles of ethical recruitment and equitable treatment of migrating nurses, focuses on promoting, collecting, creating, and disseminating data and information on nurse migration; acting as a resource center; tracking trends and patterns of global health care workforce migration; analyzing policy; generating policy options; advocating for sound policy concerning nurse migration; promoting, undertaking, and disseminating research; providing consultant and expert advice; and offering continuing education about migration.

Foreign Professional Personnel↗

International Nurses' Day.

International Nurses' Day 1996 was a day of national celebration. From the smallest nursing home to the largest regional hospital, activities took place which recognised the vital role nurses play in the provision of quality health care. Hospitals and health centre management planned varied activities as a recognition of the specialist work their nurses do as health care professionals. This year's International Nurses' Day took the theme 'Quality Care: Nurses Are the Difference'.

Australia↗

The term preceptor: its interpretation in South African nursing colleges and international nursing literature.

The purpose of this study was two-fold, namely: 1) to obtain clarity on the meaning of the term preceptor, and 2) to establish how the term preceptor is interpreted in the nursing colleges of the RSA and to ascertain whether this interpretation is consistent with the general connotation of the term in contemporary nursing literature. Dictionaries and relevant contemporary nursing literature formed the unit of analysis for obtaining clarity on the meaning of the term preceptor, while the unit of analysis for the second section of the study comprised responses of nursing college principals to a questionnaire. The data obtained in the investigation indicate that the term has acquired a specific connotation within the international nursing context and that specific defined attributes distinguishes it from the broad and general definition found in standard dictionaries. Within the South African nursing context the term preceptor has not yet acquired a specific connotation, but appears to mean different things to different people.

Education, Nursing, Baccalaureate↗

Strategic planning for international nursing education.

International educational program planning is a complex process that benefits from the use of a strategic planning framework. The NANC project is presented as a demonstration model, utilizing the concepts and principles of strategic planning as outlined in the Regis Model. Developing and following a strategic plan in international nursing education is a necessity, rather than a luxury, in order to provide the necessary direction for your future providing a suggested "Blueprint for Action." Employing an effective strategic plan as your individualized "Blueprint for Action" can mean the difference between success and failure in your international "bridge-building efforts." The extensive assessment, planning, and review process identified through the utilization of the Regis Model that preceded the implementation of the NANC project was the key factor to project success. It is hoped that utilization of a strategic planning model such as the Regis Model, used in this project, will provide a general "Blueprint for Success" for those who are committed to quality international nursing education.

Education, Nursing↗

International nursing exchange programs.

International nursing programs provide a venue for nurses from many countries to have a dialogue about nursing practice, education, and research. This article provides an overview of a comprehensive international nursing program at a large academic medical center. Two aspects of the international nursing program are addressed: hosting international nurse visitors and facilitating visits of U.S. nurses abroad. The history, objectives, selection of participants, and design of the program are described. A retrospective review of outcomes of the international program is provided based on feedback from participants.

Academic Medical Centers↗

Nursing shortages and international nurse migration.

BACKGROUND: The United Kingdom and the United States are among several developed countries currently experiencing nursing shortages. While the USA has not yet implemented policies to encourage nurse immigration, nursing shortages will likely result in the growth of foreign nurse immigration to the USA. Understanding the factors that drive the migration of nurses is critical as the USA exerts more pull on the foreign nurse workforce. AIM: To predict the international migration of nurses to the UK using widely available data on country characteristics. METHOD: The Nursing and Midwifery Council serves as the source of data on foreign nurse registrations in the UK between 1998 and 2002. We develop and test a regression model that predicts the number of foreign nurse registrants in the UK based on source country characteristics. We collect country-level data from sources such as the World Bank and the World Health Organization. RESULTS: The shortage of nurses in the UK has been accompanied by massive and disproportionate growth in the number of foreign nurses from poor countries. Low-income, English-speaking countries that engage in high levels of bilateral trade experience greater losses of nurses to the UK. CONCLUSION: Poor countries seeking economic growth through international trade expose themselves to the emigration of skilled labour. This tendency is currently exacerbated by nursing shortages in developed countries. Countries at risk for nurse emigration should adjust health sector planning to account for expected losses in personnel. Moreover, policy makers in host countries should address the impact of recruitment on source country health service delivery.

Age Factors↗

The counterpart relationship: a model for clinical nurse specialists in international nursing practice.

The proposed counterpart relationship model can be an effective tool in blending role functions to provide culturally sensitive nursing care in international settings. The authors explore their experience in developing a counterpart relationship where the CNS enters into a mutually collaborative relationship with a host counterpart from a cultural base different from the CNS's. The goal is to improve the level of health care provided to a specific cultural group and to transition the responsibilities of the CNS to the host counterpart.

Global Health↗