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Foreign-Trained Nurses’ Experiences and Socioprofessional Integration Best Practices: An Integrative Literature Review

Primeau, Marie-Douce PhD; Champagne, François PhD; Lavoie-Tremblay, Mélanie PhD

doi: 10.1097/HCM.0000000000000018

This article examines the evidence available on obstacles and facilitating factors for the socioprofessional integration of internationally educated nurses (IENs) and tries to generate best practices concerning their workforce integration. In the nursing shortage context, more and more attention is given to IEN recruitment. Still, IENs’ integration experiences into their new environment are strenuous. Differences in nursing practice and in cultural values, communicational barriers, discrimination, and competency recognition delays complicate this transition. Yet few guidelines are found concerning the best practices to implement to ease this process. This literature review suggests the necessity for a collaborative approach of IEN integration.

Author Affiliations: École de Santé Publique, Université de Montréal (Drs Primeau and Champagne), and Faculty of Medicine, Ingram School of Nursing, McGill University (Dr Lavoie-Tremblay), Montréal, Canada.

The authors have no conflict of interest.

Correspondence: Marie-Douce Primeau, PhD, École de Santé Publique, Université de Montréal, Montréal, Québec H3N 1X9, Canada (

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