Downward occupational mobility of baccalaureate-prepared, internationally educated nurses to licensed practical nurses
Abstract
AIM: This study explored the experience of baccalaureate-prepared, internationally educated nurses who work as licensed practical nurses in Canada. BACKGROUND/INTRODUCTION: Internationally educated nurses experience several barriers to workforce integration on arrival in destination countries. Given these barriers, evidence suggests that internationally educated nurses sometimes experience downward occupational mobility and deskilling in destination countries. Some baccalaureate-prepared, internationally educated nurses work as licensed practical nurses in destination countries, but there is minimal research on this population. METHODS: We used an exploratory transnational feminist qualitative research design. Following ethics approval, a total of 14 baccalaureate-prepared, internationally educated nurses who currently or recently worked as practical nurses in Canada were interviewed for the study. Data were thematically analysed with the aide of NVivo 11 data software. RESULTS: Our results revealed four key themes related to the experiences of this group of nurses: they migrate to Canada with hope for a better personal and professional life; they experience barriers to workforce integration as registered nurses and discover an easier path in the licensed practical nurse registration process; they experience deskilling and ambivalent skill recognition; and they feel dissatisfied as a licensed practical nurse in Canada. DISCUSSION/CONCLUSION: There is a need for policy to support the upward mobility of baccalaureate-prepared, internationally educated nurses who work as practical nurses. IMPLICATIONS FOR NURSING POLICY: Implications for policymakers include the need to address the barriers to becoming registered nurses, including application processing times and lack of adequate access to educational programmes.
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Despite significant changes to registration processes from 2007 to 2018, there is little reported change in the experiences of IENs during this period.
“For example, despite significant changes to registration processes from 2007 to 2018, there is little reported change in the experiences of IENs during this period [119–122,125,127,129,156,158,181,186,187,207].”
From Nursing regulation in Canada: Insights from a scoping review (2025) · cites this paper as [127]
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- Authors
- Salami, B., Meherali, S., & Covell, C. L.
- Affiliations
- University of Alberta (CA)
- Corresponding author
- Salami, B.
- Venue
- International Nursing Review
- Publisher
- Wiley
- Published
- 2017-08-08
- Volume
- 65
- Issue
- 2
- Pages
- 173-181
- ISSN
- 0020-8132 (ISSN-L)
- 1466-7657
- OpenAlex
- W2743831173
- Cited by
- 53
- References
- 25
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 11 · 2023: 6 · 2022: 4 · 2021: 8 · 2020: 6 · 2019: 2 · 2018: 1
- FWCI
- 4.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Nursing Review (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Faculty of Nursing, University of Alberta Endowment Fund for the Future
- Advancement of Scholarship (EFF-SAS) Research Fund
- Faculty of Nursing, University of Alberta Establishment Grant
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Education, Practice, and Leadership
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Keywords
- internationally educated nurses, licensed practical nurses, downward occupational mobility, deskilling, workforce integration, nurse migration, skills recognition, nursing policy, Canada
- MeSH terms
- Canada, Career Mobility, Clinical Competence, Emigration and Immigration, Humans, Personnel Selection, Nurse's Role, Qualitative Research, Nurses, International, Licensed Practical Nurses
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