Toward a Holistic Framework for the Integration of Internationally Educated Nurses Into the Canadian Nursing Workforce: Insights From Key Partners in Nova Scotia

Recruiting internationally educated nurses (IENs) has been recognized as a policy strategy to address Canada's longstanding nursing shortage. Despite collective efforts, IENs continue to face challenges in integrating into the Nova Scotia workforce. A key gap is the paucity of data on the integration experiences of IENs from both IENs' and systems partners' perspectives in Nova Scotia. Using the socioecological model as a theoretical underpinning, our mixed methods study addresses this gap by identifying key priorities and support strategies to address barriers to IENs' integration into the Nova Scotia health workforce. This article presents the findings of qualitative interviews with Nova Scotia key partners on their perspectives and key priorities for promoting IENs' integration and retention. Lastly, we introduced a framework outlining the components and sub-components of IEN integration and retention, with individual, interpersonal, organizational, and systems levels of intervention at the core.

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Publication Details

Journal
Healthcare Management Forum
Published
2026-09-28
DOI
https://doi.org/10.1177/08404704261479566
Primary Topic
Global Health Workforce Issues
Type
article
Field-Weighted Citation Impact
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article

Toward a Holistic Framework for the Integration of Internationally Educated Nurses Into the Canadian Nursing Workforce: Insights From Key Partners in Nova Scotia

Steve Iduye, Jennifer Boone, Damilola Iduye, Joshna Shrestha et al.
Healthcare Management Forum
Global Health Workforce Issues
article

Toward a Holistic Framework for the Integration of Internationally Educated Nurses Into the Canadian Nursing Workforce: Insights From Key Partners in Nova Scotia

Steve Iduye, Jennifer Boone, Damilola Iduye, Joshna Shrestha, Apple Hermosisima, Manju Kochukunju
article en

Abstract

Recruiting internationally educated nurses (IENs) has been recognized as a policy strategy to address Canada's longstanding nursing shortage. Despite collective efforts, IENs continue to face challenges in integrating into the Nova Scotia workforce. A key gap is the paucity of data on the integration experiences of IENs from both IENs' and systems partners' perspectives in Nova Scotia. Using the socioecological model as a theoretical underpinning, our mixed methods study addresses this gap by identifying key priorities and support strategies to address barriers to IENs' integration into the Nova Scotia health workforce. This article presents the findings of qualitative interviews with Nova Scotia key partners on their perspectives and key priorities for promoting IENs' integration and retention. Lastly, we introduced a framework outlining the components and sub-components of IEN integration and retention, with individual, interpersonal, organizational, and systems levels of intervention at the core.

Healthcare Management Forum
Dalhousie University (CA), University of Toronto (CA), St. Francis Xavier University (CA), Nova Scotia Health Authority (CA)
Openalex Percentile: Top 7%
Global Health Workforce Issues
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Toward a Holistic Framework for the Integration of Internationally Educated Nurses Into the Canadian Nursing Workforce: Insights From Key Partners in Nova Scotia — Steve Iduye, Jennifer Boone, et al. · Healthcare Management Forum (2026) | TGRS Research Map | TGRS