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• W220679115 abstract "Executive Summary The continuing shortage of nursing professionals in the United States may threaten the core foundation of trust in the nursing in the country. Nursing providers have been assessing a number of alternative solutions to the shortage by focusing attention on: 1.) retention and recruiting more proactively from medical and nursing programs; 2.) developing incentive programs for newly hired workers, reducing the specific assignments for new hires (i.e., prolonged third-shift assignments); 3.) development of teams to tie nursing workers to organizations; 4.) improvement of benefits; and 5.) recruiting nursing workers from outside the United States (i.e., inpatriates). Although bringing these nursing immigrants may likely have the potential to alleviate some of the pressures associated with shortage of some types of nursing professionals, this practice may also entail a whole new set of ethical issues/problems that need to be addressed by domestic nursing providers. This paper provides the critical milestones to address the ethical issues associated with inpatriating foreign nursing professionals by the nursing providers in the United States. Introduction Human resource challenges specific to vacancies in Healthcare organizations in the United States continue to entail ethical dilemmas in their recruiting attempts. In 2001, the average national vacancy rates for selected occupations were 11% for registered nurses (RNs), 21% for pharmacists, 18% for radiology technicians, 12% for lab technicians, 18% for coders and 9% for social workers (Advisory Board Company, 2001). Over the last five years, the standard efforts to increase the supply of workers in the nursing profession have not adequately addressed this labor shortage (MacDonald, 2002; Cox, 2003). In response, many healthcare organizations have decided to recruit internationally by engaging in inpatriation- the transfer of foreign nationals into the home country organization on a semi permanent basis. It is anticipated that more emphasis will be placed on this method of staffing as competition for qualified nursing workers escalates (Harvey & Buckley, 1997; Doverspike, 2000; Shusterman, 2002). The inpatriation alternative is increasingly becoming a staffing imperative being used to address chronic shortage of human capital in the nursing. One of the most significant ethical challenges that healthcare organizations must address when recruiting abroad is the accompanying 'liability of foreignness' of inpatriated nursing workers. Although 'liability of foreignness' has been traditionally associated with doing business abroad (Hymer, 1976; Zaheer, 1995; Calhoun, 2002; Luo, Shenkar & Nyaw, 2002; Mezias, 2002; Petersen & Pedersen, 2002; Sethi & Guisinger, 2002; Zaheer, 2002), it can also be applied to foreign immigrants used to deliver nursing services in the United States. In particular, healthcare organizations that recruit international/foreign nursing professionals may unintentionally engender with their nursing consumers' (e.g., patients') perception that they could receive a sub-standard level of nursing service from the 'imported' nursing professionals (Calhoun, 2002; Mezias, 2002). While the level of the 'liability of foreignness' does not commonly have any ethical validity in the actual delivery of nursing, the issue nonetheless exists if the customer/patient perceives there could be a diminution in the quality of services provided. Therefore, healthcare organizations must proactively attempt to minimize the impact of attributions related to foreign nursing professionals being used to reduce the shortage of workers in the nursing profession. Developing an Inpatriation Process/Program for Immigrant Nursing Workers As healthcare organizations in the United States appear to be in urgent need of additional nursing professionals, the idea of immediately bringing foreign nursing workers into the United States to begin work is appealing. …" @default.
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• W220679115 date "2006-10-01" @default.
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• W220679115 title "Addressing Ethical Issues Associated with the Inpatriation of Nursing Professionals" @default.
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