United Kingdom Team
To identify competences for nurses’ mobility and to propose a practical framework.
Nurses working in the East Midlands face changes in patient populations as new countries access the EU, as well as working with existing migrant populations who are increasingly entering healthcare workforce. An open and supportive multi-cultural approach to both patient care and multi-agency working is needed by all staff. Whilst new learners can learn skills in newer courses, nurses already in the workforce are less able to access development around mobility, due to lack of original opportunity in older curricula, commitments of family life, financial issues and time constraints whilst at work.
'TRaNSforM' will offer mature nurse learners accessing work-based learning from across the East Midlands opportunity to develop practical ideas and materials for improving nursing skills for mobility in the workplace. They will do this with colleagues from other East Midlands practice trusts and from other countries, and can return experience and outcome materials for use in their own health communities, thus improving patient care and working environments. As the majority workforce in nursing in the East Midlands are women, 'TraNSforM' meets UK supplementary considerations relating to diversity and equality.
The University of Nottingham will be the lead co-ordinator role for this work, offering extensive experience in providing nursing education and training, work-based learning and return to nursing practice programmes. Nottingham also has specialist expertise in international nursing education and trans-cultural nursing (eg Hall 2008, Greatrex-White 2008 Narayanasamy 2002). As the Nursing Division works across health communities, work-based learners can participate from a wide geography and range of practice settings. Mansfield in the North includes specific issues concerning unemployment and with mature entrance to nursing limiting mobility; whilst Boston in the East has continuing healthcare employment recruitment difficulties and high patient immigration from countries where employment has been traditionally agricultural. This includes established an Portugese community and more recently attracted immigration from Albania and Poland who may increasingly become healthcare workforce locally and who may return to home countries with changing economy. Nottingham and Derby represent urban communities with differing health experiences. Their needs are eclectic, with overseas immigration and European working, with some outgoing and circular migration.
As a team we would like to acknowledge the contribution of John Digan, a lecturer from the University’s Boston Centre, until July 2012. We would like to thank him for his focus group work with mentors in Lincolnshire. Valuable insights were provided by his group and John, accompanied by a couple of the students, was able to travel to Germany to present their findings and share in the project work that took place in November 2011. We thank him for his hard work and enthusiasm and wish him all the best for the future.
Self assessment toolkit