In recent decades, the number of nurses, along with many other healthcare professionals undergoing international migration from the countries of origin where they obtained their initial nursing education and degrees to more developed countries, has drastically increased [44]. The immigration of internationally educated nurses (IENs) to Canada plays a critical role in addressing the country’s nursing shortage, a pressing issue exacerbated by an aging population, an increase in healthcare demand, and a retiring workforce. With the baby boomer generation aging and expected to reach retirement by the early 2030s, Canada is confronted with a workforce crisis in various sectors, including health care. The immigration of skilled professionals, such as IENs, helps bridge this gap, allowing Canada to bolster its healthcare workforce to meet the demands of its rapidly growing population (CIHI 2020). Canada’s recent population surge, spurred largely by immigration, introduces a mix of advantages and challenges. On the one hand, a growing labor force helps fill specific industry shortages, including those in nursing, where demand remains critical. On the other hand, rapid population growth affects housing, infrastructure, and services, putting pressure on the resources needed to support both the existing and new populations. The impact of immigration on the labor force is nuanced, while it does expand the workforce size, it has a minimal effect on the rate of overall labor force participation or on offsetting the aging workforce trend, which will persist as baby boomers retire. Nursing shortages, however, benefit directly from targeted immigration policies. By allowing IENs into the Canadian workforce, Canada can alleviate some of the burden on its healthcare system. Immigrants with specialized skills, such as nursing, can directly fill vacancies where domestic supply cannot meet demand. This approach not only supports health care but also aligns with Canada’s broader strategy of using immigration to fill critical roles in specific industries rather than relying solely on immigration to reshape labor demographics on a broader scale. Looking forward, population projections suggest that by the 2030s, when the last baby boomers reach 65, some of the pressures related to aging may stabilize. However, the projections also reveal that immigration alone will not solve all workforce challenges. Other initiatives, such as improving IEN integration and retention into the Canadian workforce and investing in bridging programs, are essential to sustain and renew Canada’s nursing labor force. Immigration, while vital, is just one part of a multifaceted strategy to secure Canada’s economic and social future, particularly in critical sectors such as health care, where IENs play an indispensable role.

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Streamlining Integration and Licensure: Strategies to Capture the Contribution of International Nurses to the Canadian Healthcare System

  • Rola El Moubadder,
  • Ruth Lee,
  • Ruth Wojtiuk

摘要

In recent decades, the number of nurses, along with many other healthcare professionals undergoing international migration from the countries of origin where they obtained their initial nursing education and degrees to more developed countries, has drastically increased [44]. The immigration of internationally educated nurses (IENs) to Canada plays a critical role in addressing the country’s nursing shortage, a pressing issue exacerbated by an aging population, an increase in healthcare demand, and a retiring workforce. With the baby boomer generation aging and expected to reach retirement by the early 2030s, Canada is confronted with a workforce crisis in various sectors, including health care. The immigration of skilled professionals, such as IENs, helps bridge this gap, allowing Canada to bolster its healthcare workforce to meet the demands of its rapidly growing population (CIHI 2020). Canada’s recent population surge, spurred largely by immigration, introduces a mix of advantages and challenges. On the one hand, a growing labor force helps fill specific industry shortages, including those in nursing, where demand remains critical. On the other hand, rapid population growth affects housing, infrastructure, and services, putting pressure on the resources needed to support both the existing and new populations. The impact of immigration on the labor force is nuanced, while it does expand the workforce size, it has a minimal effect on the rate of overall labor force participation or on offsetting the aging workforce trend, which will persist as baby boomers retire. Nursing shortages, however, benefit directly from targeted immigration policies. By allowing IENs into the Canadian workforce, Canada can alleviate some of the burden on its healthcare system. Immigrants with specialized skills, such as nursing, can directly fill vacancies where domestic supply cannot meet demand. This approach not only supports health care but also aligns with Canada’s broader strategy of using immigration to fill critical roles in specific industries rather than relying solely on immigration to reshape labor demographics on a broader scale. Looking forward, population projections suggest that by the 2030s, when the last baby boomers reach 65, some of the pressures related to aging may stabilize. However, the projections also reveal that immigration alone will not solve all workforce challenges. Other initiatives, such as improving IEN integration and retention into the Canadian workforce and investing in bridging programs, are essential to sustain and renew Canada’s nursing labor force. Immigration, while vital, is just one part of a multifaceted strategy to secure Canada’s economic and social future, particularly in critical sectors such as health care, where IENs play an indispensable role.