INTEGRATING IEHPs INTO THE WORKFORCE

Is there a role for workplace assessment?

Andrea BaumannNursing Health Services Research UnitMcMaster University

Perspectives in Competency AssessmentMaRs Collaboration Centre, Toronto, CanadaFebruary 5th, 2015

PRESENTATION/OUTLINE• Canadian study on workforce assessment and

integration• Integration of IENs into the workforce: an Ontario

model• Bridge training programs• Employment integration project• Key messages• Is there a role for workplace assessment?

CANADIAN STUDY/WORKFORCE ASSESSMENT AND INTEGRATIONCanadian Society of Medical Laboratory Science

•2011 study on workforce integration of IEHPs• Medical laboratory science,

physiotherapy, occupational therapy, and medical radiation technology

•Investigated the extent to which IEHPs who met licensing/registration standards have become truly integrated into the workforce

• Focus groups and online surveys with IEHPs and Canadian trained health professionals

• Interviews with employers

CANADIAN STUDY/WORKFORCE ASSESSMENT AND INTEGRATIONStudy findings on workplace integration needs

•Greater need for clinical placements• Difficulty securing work in field during assessment

licensing process• Higher success finding job immediately after

becoming licensed.•Desire for additional training education related to:

• Professional communication, machine/technology use, working as a team, structured mentoring, stress management, understanding Canadian culture

•Desire access to peer support networks

CANADIAN STUDY/WORKFORCE ASSESSMENT AND INTEGRATIONStudy findings on workplace integration needs

•Need for greater access to cultural sensitivity workshops for Canadian employers and staff

•Need for best practices for hiring and integrating IEHPs o be shared among employers

• Business case for hiring IEHPs• Outline of work/internship placement models• Interview tips• Diversity training modules• Mentorship program modules

INTEGRATION OF IENs INTO WORKFORCE/AN ONTARIO MODELCommunity Engagement Model for Internationally Educated Nurses (IENs) and English as a Second Language (ESL) Nurse Integration

•The Hamilton Health Sciences Centre (HHS) IEN ESL nurse Integration Project aims to ensure that IEN and ESL registered nurses and registered practical nurses are integrated into the HHS workforce

•Assists IEN/ESL nurses to acquire clinical and communication skills

INTEGRATION OF IENs INTO WORKFORCE/AN ONTARIO MODEL

Community Collaboration Engagement Model (CCEM)

•Enables HHS to access a range of external resources•Engages all stakeholders in helping IEN/ESL nurses integrate into the workforce

Educational and Community Partners

•Mohawk College BIEN Program•CARE Centre for Internationally Educated Nurses•Hamilton Centre for Civic Inclusion (HCCI)•McMaster Nursing Health Services Research Unit

INTEGRATION OF IENs INTO WORKFORCE/AN ONTARIO MODELIEN ESL Integration Project: Interventions and opportunities provided by project partners

•CARE Language Communication for IENs•BIEN Mohawk College Learning Resource Centre

• Simulation laboratory, CELBAN testing•HCCI Cultural Competency Awareness Workshop•HHS Job Coaching/Mock Interviews•CNO Learning Plan/HHS Policies and Procedures on the internet•SharePoint•HHS Professional Workplace Experience/Integration

• Job shadowing, general nursing orientation, use of e-Lab, workshop, lunch and learn sessions.

INTEGRATION OF IEHPs INTO WORKFORCE/BRIDGE TRAINING PROGRAMSCollege/University/Association Bridge Training Programs for IEHPs work with employers/clinical partners to enhance work readiness

•Provide preceptor program workshop for IEHPs and preceptors•Create work readiness buddy programs•Assist with mock interviews, resume assistance•Work with HR departments, professional educators, and others at clinical sites to assist in integration

EMPLOYMENT INTEGRATION PROJECT/INTERNATIONALLY EDUCATED NURSES

Partnering with Employers (2014-2017): Increasing IEN Employment in Healthcare Organizations

•Increase employment of IENs in Ontario by raising awareness of qualified IEN pool of nurses currently prepared and available for hire

•Assist employers and IEN new hires to achieve successful integration by developing and delivering orientation training strategies.

Funded by Ontario Ministry of Citizenship, Immigration and International TradeFunded by:

INTEGRATION OF IEHPs INTO WORKFORCE/KEY MESSAGES• Partnerships & Engagement of relevant stakeholders

• Employers, community/settlement agencies, bridge programs, educational institutions, government.

• Workforce integration generically important for employers

• Understanding workforce challenges (external and internal stresses)

• Quality improvement component for programs (evaluation framework)

INTEGRATION OF IEHPs INTO WORKFORCE/KEY MESSAGES• Understanding Federal and Provincial Government

Initiatives• HealthForceOntario (Ontario Ministry of

Health and Long-term care)• Express Entry Program (Citizenship and

Immigration Canada)• Communication and knowledge translation activities

(employer awareness of work ready, diverse pool of IEHPs)

• Existing successful models adapted to different sectors and professions

INTEGRATION OF IEHPs INTO WORKFORCE/CONCLUSIONSIs there a role for workplace assessment?

It should fit into the assessment framework that is used for employees depending on the setting.

Medicine self-assessment: random audits

Nursing self-assessment: employer evaluation frameworks

INTEGRATION OF IEHPs INTO WORKFORCE/CONCLUSIONSIs there a role for workplace assessment?

If there is assessment, there has to be structures within the system to ensure success.

Integration requires community support, employer support and access to government initiatives.

REFERENCES

Baumann, A., Hunsberger, M., Crea-Arsenio, M., & Idriss-Wheeler, D. (2012). Series report 35. Employment integration of nursing graduates: Evaluation of a provincial policy strategy nursing graduate guarantee 2011-2012. Hamilton, ON: Nursing Health Services Research Unit, McMaster University

Canadian Society for Medical Laboratory Science (2011). Assessing the Workforce Integration of Internationally Educated Health Professionals. Report: http://csmls.org/csmls/media/documents/publications/CSMLS-KS-0001_WFI_Report_ENG.pdf

College of Nurses of Ontario. (2014). Online Data Query Tool. Available at: http://www.cno.org /about/stats/dqt_disclaimer.htm

Ministry of Health and Long Term Care: HealthForceOntario (2013). Retrieved from http://www.healthforceontario.ca/en/Home/Nurses/Training_|_Practising_In_Ontario/Nursing_Strategy/Nursing_Career_OrIENtation/Program_Overview April 2014.

THANK YOU/CONTACTAndrea Baumann, PhD

Scientific Director Nursing Health Services Research UnitMcMaster University

Michael DeGroote Centre for LearningMDCL 3500(905) 525 9140 ext. 22581Website: http://nhsru.com/

baumanna@mcmaster.ca