Internationally Educated Nurses | New York City | Foreign Trained
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Internationally Educated Nurses | New York City | Foreign Trained

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Internationally Educated Nurses | New York City | Foreign Trained

filipino nurses Internationally Educated Nurses | New York City | Foreign TrainedMost people don’t realize that American educated nurses are the minority among Manhattan’s hospital bedside staff.  In the 2008 National Sample Survey of Registered Nurses [NSSRN] half of all internationally educated nurses [IENs] work in only four states:  California, New York, Florida, and Texas.  Of the 12% who live in New York, most of them work in a New York City hospital.  50% of all IENs come from the Philippines.

Also, most people are confused about the recent nursing shortage in the U.S.  When the real estate bubble popped and the market crashed in 2008, many nurses lost their retirement savings forcing them to remain at the bedside.  This quelled the shortage and the need for nurses isn’t expected to rise again until 2020.

Across the nation, new nursing graduates are struggling to find jobs within the profession and many have had to seek employment in other fields.  75,857 students were turned away from U.S. nursing programs in 2011.

So why are hospitals still hiring IENs from overseas when we have new nurses scrambling for jobs here at home?

  1. Not every American trained nurse has a bachelor’s degree.  In fact, only half of all nurses in the United States do.  Less than 1/3 of nurses in New York State have a Bachelor’s of Science in Nursing [BSN].  U.S. hospitals are now beginning to hire only BSN degreed nurses (in part to achieve Magnet status) and that puts many American educated nurses at a disadvantage.  Nurses from the Philippines and India graduate with a bachelor’s degree as part of their nursing curriculum.
  2. An IEN with many years of experience will theoretically make fewer mistakes than a new grad.  This is good for patient safety while saving the hospital money in lawsuit prevention.
  3. An IEN with ten years experience and a bachelor’s degree is paid the same entry-level salary as a new grad with no experience.
  4. The IEN also commits to work full-time for several years in exchange for a work visa.  New grads do not sign contracts and most bachelor degreed new grads are estimated to remain at the beside for only 18 months before advancing their education or leaving the profession altogether.
  5. The costs associated with recruiting and relocating an IEN are less than the training of a new grad.  On-boarding a new nurse is extensive and costs a hospital approximately $96,000.  Or in some estimates, 0.75 to 2.0 times a nurse’s salary.

Hospitals are businesses and the bottom line rules many decisions that affect hiring nurses.  That’s not to say hospital boards don’t have a great deal to consider when hiring IENs.  For example, the international brain drain or the impact on the future of nursing in America.  Those are discussions for future blog entries.  For now, I enjoy my daily dose of pancit and tagalog lessons.  Salamat.

 

Originally published June 25, 2012.

One Comment

  • noelrude423@yahoo.com' matet says:

    I am an internationally educated registered nurse who came from the Philippines during the time of nursing shortage in the 1970’s . iI practiced my profession for 1 year and a half in the Philippines before i was recruited in 1971 by a small community hospital in southwest Virginia. I am practicing nursing up to the present and preparing for the upcoming retirement when i turn 65. i will say that the nursing profession has been good to me.it has provided me an opportunity to have a profession and raise a family at the same time. Being both a career person and a mother requires flexibility and nursing profession has given me that. i have seen changes in the profession and the changes aren’t that good. But ,we can not stop progress,but the ultimate person who is the victim of the changes are the consumers. electronic documentation takes a lot of nurses’ time way from the bedside. when we do patient education,we just give the patients the facts,and since we have a lot of things to do ,we can not afford to get a feedback from the patient.first of all,the patients are too ill to even disseminate information,and then it is complicated by the nurses’ very little time for the patient. we have to answer patient’s call for basic needs of the patients , and whatever teaching we have started with one patient will be interrupted and thereby the patient would have lost the opportunity to have a one to one patient education.the tragedy is, we have to do this to pacify JACHO ,we are always in a hurry so that we can document that patient education in the computer ,every shift.. Being a nurse from the old school, i miss that evening backrub that i do for the patient when i work on evening shift. our patients who were on ICU during the olden days are now on the regular MED-SURG units. it seems like all the patients now in the hospital ar over the age of 75 and all requiring total care, the incidence of bedsores are very high–poor nutrition to begin with,obesity,high patient-nurse ratio, and sometimes not very caring unlicensed professional..contribute to the big problems. now ,the patients come to the hospital and they are very,very,very sick. i am thinking,when i get to be a patient,i will worry who will take care of me in the US hospital. i have observed some nursing care ,when i visit friends at the hospital. when you walk in the hallways,the nurses are in an alcove with a WOW–(work on wheels)
    .nowadays,based from a study of Masters prepared nurses,patient satisfaction can be achieved by hourly rounding and in my hospital we have to do a checklist that we fill out at the end of the shift..another unnecessary paperwork .we are in patient’s room more than once in an hour,now we have our own cell phone to answer. when the patient calls,it goes to the nurses’ phone.so ,if you are stucked in a patient room suctioning tacheostomy tube or bathing a patient ,or doing dressing change wearing an isolation gown,you have to stop whatever you are doing so someone can attend to the call. we also have a device that tracks us down..i feel like i am a prisoner that i have to be monitored wherever i am. all the rooms have sensors that senses the tracker. thank god that they did not put a sensor in the bathroom, at least ,i can have peace in the bathroom. but we can still recieve calls in our cell phone while using the bathroom. ther is no such thing as lunch break or BREAKS!! the phone still rings. and your coverage can be busy so the call goes back to you…this is all about PATIENT SATISFACTION !!!!! and reimbursement is the bottom line..i can enumerate so many things..i am glad i am at the end of my career…i will go back to the philippines and will have my own helper inside my hospital room so that my basic need will not be neglected while i am a patient. here in america,being old is not the best thing that can happen to you if you don’t have a family to help take care of your needs,because a nurse with 5-6 total care patients will not be able to give you that TLC that you need..and ot all CNA’s can provide you with that. sometimes the CNA has 10 patients to take care of,how do you expect one CNA to take care of 10 pateints with total care needs in 8 hours,sometimes all these patients can not do anything for themselves. i am just stating the status of hospitalized patients in the hospitals now adays,,it is a very sad state..and i am not sure if Obamacare will change anything..for the worst or the better..let’s wait and see !!

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