week 5: chapter 26:Internationalization in Canadian nursing Flashcards
Which recruitment strategy has been developed by Canada to address the predicted global nurse shortage?
a. Recruiting international nurses
b. Increasing staff nurses’ salaries
c. Developing magnet hospitals
d. Increasing professional development
ANS: A
Predicted global nurse shortages has led developed countries like Canada, the United States, the United Kingdom, and Australia to undertake and establish international nurse recruitment practices.
What is the predicted shortage of full-time registered nurse (RN) positions in Canada by the year 2022?
a. 20,000
b. 60,000
c. 80,000
d. 100,000
ANS: B
A nurse shortage of about 60,000 full-time RN positions is predicted by 2022, particularly in the care of seniors and community work settings.
Which push factor facilitates the movement of nurses migrating out of their home countries?
a. Better career opportunities in another country
b. Reunion with family in another country
c. Lower wages in the home country
d. More jobs in another country
ANS: C
The push factors include low wages and limited job opportunities. The pull factors that can facilitate the movement of nurses migrating out of their home countries include prospects of better career opportunities and reunion with family.
Which of the following is one of the three major constructs in a health human resources planning framework?
a. Assessment and planning
b. Population health needs
c. Implementation and evaluation d. Process and structure
ANS: B
The three major constructs that make up a health human resources planning framework include population health needs, system design, and resources development and utilization.
Which of the following is a significant challenge faced by many internationally educated nurses (IENs) prior to obtaining their licences in Canada?
a. Credential evaluation
b. Expensive registration processes
c. Lack of employment
d. Travel expenses
ANS: A
IENs experience many challenges prior to obtaining their regulated nurse licence, including credential evaluation, low licensure exams pass rates, and access to bridging programs.
Which type of post-hire program for internationally educated nurses (IENs) combines both theoretical and practical knowledge and tailors the education to the nurse’s area of practice? a. Downgrade
b. Upgrade
c. Bridge d. Practical
ANS: B
A post-hire upgrade program combines both theoretical and practical knowledge for IENs and tailors upgrade education to their areas of practice and employment.
Which two Canadian provinces are participating in the North American Mobility Project?
a. Quebec, Ontario
b. New Brunswick, Alberta
c. Nova Scotia, Prince Edward Island
d. Newfoundland, British Columbia
ANS: C
The highly relevant North American Mobility Project is an initiative taking place between two university schools of nursing in Canada (Dalhousie University and University of Prince Edward Island), two university schools of nursing in the United States, and two university schools of nursing in Mexico
Within a nursing exchange program, approximately how many months does the process of acculturation take?
a. 1 month
b. 2 months
c. 3 months
d. 4 months
ANS: C
The process of acculturation takes approximately 3 months.
Which of the following reflects an institutional building project?
a. Educating nursing faculty
b. Developing learning modules
c. Evaluating nursing programs
d. Developing health policy
ANS: D
Institutional building projects are concerned with the institution’s mission and goals, management style, leadership, planning, potential to influence nursing, and health policy formulation.
Establishing an overseas branch campus of a university as a means of assisting another country to promote the generation and utilization of nursing knowledge is known as which of
the following?
a. Institutional support
b. Institutional building
c. Institutional capacity
d. Institutional creation
ANS: B
An emerging approach to institutional building is the establishment by a university of an overseas branch campus as a means of assisting another country in developing its nursing workforce and/or promoting the generation and utilization of nursing knowledge addressing global health and nursing issues in general and national or regional issues in particular.
Capacity building involves complex learning, adaptation, and which other following element at the individual, group, organizational, and societal levels?
a. Money
b. Sustainability
c. Attitudinal changes
d. Behavioural modification
ANS: C
Capacity building involves complex learning, adaptation, and attitudinal changes at the individual, group, organizational, and societal levels.
Why do nurses who are recruited internationally often require extended educational preparation and assessment of their clinical competency?
a. Additional education requirements by the institution
b. Inconsistencies in their educational preparation
c. Lack of clinical experience
d. Poor clinical judgement
ANS: B
When nurses are recruited internationally to fill positions in host countries, often they require extended educational preparation and assessment of their clinical competency due to inconsistencies in their educational preparation and scope of practice as nurses within their source countries.
Which challenge is associated with implementing bridging educational programs for internationally educated nurses (IENs)?
a. Obtaining clinical placements
b. Lack of clinical faculty
c. Low enrollments
d. Language barrier
ANS: A
One of the challenges with bridging educational programs for IENs includes obtaining clinical placements for participants.
Which of the following factors have contributed to the increasing nurse shortage in developing countries? (Select all that apply.)
a. Aging nursing population
b. Rising health care costs
c. Reduced work hours by nurses
d. Decrease in the allotment of full-time university nursing positions
e. Increased co-morbid conditions
f. The use of technology
g. Poor working conditions
ANS: A, C, D, E, F
Factors that have contributed to increasing the nurse shortage in developing countries include an aging nursing population, reduced work hours by nurses, a decrease in the allotment of full-time university nursing positions, increased co-morbid conditions, and the use of technology.
Even after successfully obtaining their registered nurse (RN) licensure, internationally educated nurses (IENs) experience which of the following challenges? (Select all that apply.)
a. Lack of awareness of professional standards
b. Lack of accommodations
c. Lack of understanding medical and professional terminology
d. Weak communication and fluency in English
e. Lack of health insurance
f. Lack of awareness of the extent of scope of practice
g. Poor salary
h. Cultural obstacles
ANS: A, C, D, F, H
Even after successfully obtaining their RN licensure, IENs experience challenges such as understanding medical and professional terminology, being unaware of professional standards and the extent of a nurse’s scope of practice, having weak communication and fluency in the English language, and facing cultural and nonverbal communication obstacles that can create confusions in social interactions.
