Background
The current global environment has led to increased mobility of nurses—and increasing
pressure from governments to recruit more nurses into their workforces.
Purpose
To explore whether transjurisdictional mobility was possible, members of the International
Nurse Regulator Collaborative (INRC) participated in research to investigate the possibility
of recognizing existing licensure or registration and thereby reducing barriers and
allowing for more streamlined mobility between INRC jurisdictions.
Methods
Using a mixed methods, multi-phased, multiple-case study design, regulatory processes
and practices were investigated in each jurisdiction; findings were then compared
across eight participating jurisdictions. Three research phases moved from a high-level
jurisdictional overview, through expected standards underpinning nursing practice,
to specific operational processes and outcomes. Issues and challenges in licensing/registering
transjurisdictional INRC applicants were identified.
Results
A high level of consistency was found in the expectations, standards, and operational
processes across jurisdictions. Challenges existed in relation to requirements for
and assessments of educational qualifications despite entry to practice competencies
and educational program approval requirements being largely the same. Jurisdictional
regulators worked under different legislative frameworks, which may potentially create
different challenges and timelines for moving toward transjurisdictional mobility.
Balancing mobility with the core regulatory responsibility of maintaining public safety
will be a key challenge.
Conclusion
Transjurisdictional mobility could potentially exist between jurisdictions with common
regulatory principles, processes, and standards. Applicants moving between these jurisdictions
present low risk. Streamlining processes could reduce regulatory workload while maintaining
safety to the public.
Keywords
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Article info
Footnotes
This research was funded by NCSBN with contributions from the other participating INRC jurisdictions.
Identification
Copyright
© 2023 National Council of State Boards of Nursing. Published by Elsevier Inc. All rights reserved.
