1. INTEGRATING IEHPs INTO THE WORKFORCE Is there a role for workplace assessment? Andrea Baumann Nursing Health Services Research Unit McMaster University Perspectives in Competency Assessment MaRs Collaboration Centre, Toronto, Canada February 5 th, 2015

2. 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?

3. CANADIAN STUDY/ WORKFORCE ASSESSMENT AND INTEGRATION Canadian 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

4. CANADIAN STUDY/ WORKFORCE ASSESSMENT AND INTEGRATION Study 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

5. CANADIAN STUDY/ WORKFORCE ASSESSMENT AND INTEGRATION Study 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

6. INTEGRATION OF IENs INTO WORKFORCE/ AN ONTARIO MODEL Community 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

7. 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

8. INTEGRATION OF IENs INTO WORKFORCE/ AN ONTARIO MODEL IEN 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.

9. INTEGRATION OF IEHPs INTO WORKFORCE/ BRIDGE TRAINING PROGRAMS College/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

10. 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 Trade Funded by:

11. 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)

12. 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

13. INTEGRATION OF IEHPs INTO WORKFORCE/ CONCLUSIONS Is 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

14. INTEGRATION OF IEHPs INTO WORKFORCE/ CONCLUSIONS Is 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.

15. 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 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. http://www.healthforceontario.ca/en/Home/Nurses/Training_|_Practising_In_Ontario /Nursing_Strategy/Nursing_Career_OrIENtation/Program_Overview

16. THANK YOU/ CONTACT Andrea Baumann, PhD Scientific Director Nursing Health Services Research Unit McMaster University Michael DeGroote Centre for Learning MDCL 3500 (905) 525 9140 ext. 22581 Website: http://nhsru.com/http://nhsru.com/ baumanna@mcmaster.ca