Abstract：
BACKGROUND: The increasing migration of internationally educated nurses (IENs) from developing to developed countries highlights the importance of implementing integration strategies that facilitate their workplace transition, leading to improved job satisfaction and professional competence.
OBJECTIVE: The mixed-methods systematic review aimed to synthesise the current literature on factors influencing job satisfaction and professional competencies among IENs throughout their transition process, including the pre-migration, migration, and post-migration periods.
METHODS: This study conducted a mixed-methods systematic review from 2013 to 2023, using the CINAHL, Scopus, and PubMed databases and employing a Population, Interventions, Comparisons, Outcomes (PICO) framework. Quality assessment employed the Mixed Methods Appraisal Tool (MMAT), and data analysis followed a convergent parallel design. Data synthesis was presented narratively, and the literature review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
RESULTS: Out of 565 articles, eleven studies (eight qualitative, two quantitative, and one mixed-method) met the inclusion criteria. Three key themes that influenced job satisfaction and professional competencies among IENs were identified: pre-migration and pre-deployment demands, challenges in workplace integration, and post-migration career challenges and retention strategies.
CONCLUSIONS: The study primarily focused on IENs recruited from developing countries, potentially limiting the generalisability of the findings to IENs from other regions or countries. Furthermore, the inclusion of nurses from developed countries who also migrated was limited in the available studies, which further restricts the applicability of the research findings.
CONCLUSIONS: It is essential to reconsider the pre-migration language requirements and evaluate the feasibility of completing them during the integration period to enhance the job satisfaction and professional competencies of IENs. Additionally, key factors for improving job satisfaction among IENs include providing personalised support, addressing managerial barriers, facilitating career advancement, efficiently managing workloads, and promoting effective communication within the healthcare team.
OBJECTIVE: The mixed-methods systematic review aimed to synthesise the current literature on factors influencing job satisfaction and professional competencies among IENs throughout their transition process, including the pre-migration, migration, and post-migration periods.
METHODS: This study conducted a mixed-methods systematic review from 2013 to 2023, using the CINAHL, Scopus, and PubMed databases and employing a Population, Interventions, Comparisons, Outcomes (PICO) framework. Quality assessment employed the Mixed Methods Appraisal Tool (MMAT), and data analysis followed a convergent parallel design. Data synthesis was presented narratively, and the literature review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
RESULTS: Out of 565 articles, eleven studies (eight qualitative, two quantitative, and one mixed-method) met the inclusion criteria. Three key themes that influenced job satisfaction and professional competencies among IENs were identified: pre-migration and pre-deployment demands, challenges in workplace integration, and post-migration career challenges and retention strategies.
CONCLUSIONS: The study primarily focused on IENs recruited from developing countries, potentially limiting the generalisability of the findings to IENs from other regions or countries. Furthermore, the inclusion of nurses from developed countries who also migrated was limited in the available studies, which further restricts the applicability of the research findings.
CONCLUSIONS: It is essential to reconsider the pre-migration language requirements and evaluate the feasibility of completing them during the integration period to enhance the job satisfaction and professional competencies of IENs. Additionally, key factors for improving job satisfaction among IENs include providing personalised support, addressing managerial barriers, facilitating career advancement, efficiently managing workloads, and promoting effective communication within the healthcare team.
摘要：
背景：受过国际教育的护士（IEN）从发展中国家向发达国家的迁移日益增加，这凸显了实施促进其工作场所过渡的融合战略的重要性，提高工作满意度和专业能力。
目的：混合方法系统综述旨在综合当前有关IEN在整个过渡过程中影响工作满意度和专业能力的因素的文献，包括预迁移，迁移,和迁移后时期。
方法：本研究从2013年到2023年进行了混合方法系统综述，使用CINAHL，Scopus,和PubMed数据库并雇用人口，干预措施,比较,结果（PICO）框架。质量评估采用混合方法评估工具(MMAT)，数据分析遵循收敛并行设计。数据综合是叙述式的，文献综述遵循系统评价和荟萃分析（PRISMA）指南的首选报告项目。
结果：在565篇文章中，11项研究(8项定性，两个定量，和一种混合方法)符合纳入标准。确定了影响IEN工作满意度和专业能力的三个关键主题：迁移前和部署前的需求，工作场所整合方面的挑战，以及移民后的职业挑战和保留策略。
结论：该研究主要针对从发展中国家招募的IENs，可能会限制调查结果对其他地区或国家的IEN的普遍性。此外，在现有的研究中，来自发达国家的护士也是移民的，这进一步限制了研究成果的适用性。
结论：必须重新考虑迁移前的语言要求，并评估在整合期间完成这些要求的可行性，以提高IEN的工作满意度和专业能力。此外,提高IEN工作满意度的关键因素包括提供个性化支持，解决管理障碍，促进职业发展，高效地管理工作负载，并促进医疗团队内部的有效沟通。
目的：混合方法系统综述旨在综合当前有关IEN在整个过渡过程中影响工作满意度和专业能力的因素的文献，包括预迁移，迁移,和迁移后时期。
方法：本研究从2013年到2023年进行了混合方法系统综述，使用CINAHL，Scopus,和PubMed数据库并雇用人口，干预措施,比较,结果（PICO）框架。质量评估采用混合方法评估工具(MMAT)，数据分析遵循收敛并行设计。数据综合是叙述式的，文献综述遵循系统评价和荟萃分析（PRISMA）指南的首选报告项目。
结果：在565篇文章中，11项研究(8项定性，两个定量，和一种混合方法)符合纳入标准。确定了影响IEN工作满意度和专业能力的三个关键主题：迁移前和部署前的需求，工作场所整合方面的挑战，以及移民后的职业挑战和保留策略。
结论：该研究主要针对从发展中国家招募的IENs，可能会限制调查结果对其他地区或国家的IEN的普遍性。此外，在现有的研究中，来自发达国家的护士也是移民的，这进一步限制了研究成果的适用性。
结论：必须重新考虑迁移前的语言要求，并评估在整合期间完成这些要求的可行性，以提高IEN的工作满意度和专业能力。此外,提高IEN工作满意度的关键因素包括提供个性化支持，解决管理障碍，促进职业发展，高效地管理工作负载，并促进医疗团队内部的有效沟通。
