Feature| Volume 20, ISSUE 1, P43-47, February 2022

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The Ethical Recruitment of Internationally Educated Nurses

A Leadership Perspective on Labor Migration
Published:December 22, 2021DOI:


      The trend in labor migration depends on variables such as the country’s economy, immigration policy, aging and population health, and the health care industry’s supply and demand prospects. The World Health Organization (WHO) and the Migration Policy Institute reported a steady rise in hiring international educated nurses with developed countries relying on foreign-born nurses to fill vacancies. According to a survey conducted by the International Council of Nurses in 2020, the National Nurses Association reported a 20% increase in nurses leaving the profession. The aging nursing workforce, heavy workload, insufficient staffing, burnout, stress, mass trauma, and the growing effects of COVID-19 on nurses’ psychosocial and emotional health exacerbated the nurses’ intention to leave. Although health care organizations are strained dealing with the outbreak, nurses are either retiring or quitting, leaving administrators to rely on temporary employees while struggling to fill permanent positions. This cyclical nursing shortage in the past, now exacerbated by the global pandemic crisis, has prompted policymakers to revisit the WHO’s Code on recruitment of health workers and its impact on sending and receiving countries.
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      Mary Joy Garcia-Dia, DNP, RN, FAAN, is president of the Philippine Nurses Association of America, 2020-2022, and Coldiron Senior Nurse Executive Fellow at Marian K. Shaughnessy Nurse Leadership Academy, Frances Payne Bolton School of Nursing, Case Western Reserve University in Cleveland, Ohio, and program director, nursing informatics, at New York-Presbyterian in New York, New York. As the 21st President of the Philippine Nurses Association of America, Dr. Mary Joy Garcia-Dia’s theme on Stories of People, Achievement, Resilience and Kindness is grounded on the power of storytelling highlighting the significant contributions of Filipino nurses in healthcare. Her significant contribution in addressing health inequities and disparities in Asian communities and member of the National Advisory Council on Asian American Native Hawaiian and Pacific Islander Health led to her fellowship at the New York Academy of Medicine and American Academy of Nursing in 2019. Mary Joy authored numerous journal articles and contributed chapters on nursing theories and informatics. She recently published a book on Project Management in Nursing Informatics. She develops graduate-level courses on nursing informatics and holds adjunct faculty position at France Payne Bolton School of Nursing Case Western Reserve University and City University of New York School of Professional Studies. She is member of the Editorial Board of Nursing Management Journal writing topics on leadership and technology. Mary Joy is a board member and chairs the Advocacy and Diversity Committees at New York State Health Information Management Systems Society (HIMSS). She serves as a member of the American Nurses Association’s National Commission Addressing Racism in Nursing. She can be reached at [email protected] or [email protected]