{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T02:32:48Z","timestamp":1793241168637,"version":"4.5.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Micheal Smith Health Research Foundation","award":["C2 - 2023-2024"],"award-info":[{"award-number":["C2 - 2023-2024"]}]},{"name":"Provincial Health Authority, Northern Health & UNBC Health Research Institute Seed Grant","id":[{"id":"https:\/\/ror.org\/009k7c907","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Nurs Res"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine the experiences, motivations, and perceived inequities of internationally educated nurses (IENs) residing in northern British Columbia and to identify systemic, geographic, and regulatory barriers to workforce integration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although IENs are critical to Canada's health workforce, many face prolonged licensure processes and limited access to education and employment, particularly in rural and remote communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Guided by Equity Theory and organizational perspectives, this mixed-methods study explored how perceived inequities influence motivation, engagement, and workforce participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data were collected through three focus groups and interviews (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200913), an online survey (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200979), and a key partner workshop with regulators, assessors, educators, a union and health system partners (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200916).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four themes emerged: resourcefulness, rural life, mental health and identity, and challenges within the registration process. Participants demonstrated resilience and strong professional commitment but reported delays, financial strain, and limited access to local training and navigational support. Survey findings echoed these barriers. The key partner workshop translated findings into partnership-based strategies to improve educational access, regulatory collaboration, and rural workforce pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Effective IEN integration requires coordinated, equity-oriented partnerships across regulators, educators, and employers. Strengthening these collaborations can improve licensure access, support retention, and enhance healthcare capacity in underserved regions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08445621261454191","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T13:28:32Z","timestamp":1780406912000},"page":"592-602","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["From Gatekeeping to Collaboration: Supporting Internationally Educated Nurses in Rural and Northern British Columbia"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3240-538X","authenticated-orcid":false,"given":"Caroline","family":"Sanders","sequence":"first","affiliation":[{"name":"University of Northern British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6184-9467","authenticated-orcid":false,"given":"Danielle","family":"Haggarty","sequence":"additional","affiliation":[{"name":"University of Northern British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madison","family":"Friesen","sequence":"additional","affiliation":[{"name":"Northern Health and UNBC graduate student"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8690-8549","authenticated-orcid":false,"given":"Terri","family":"McKellar","sequence":"additional","affiliation":[{"name":"University of Northern British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0025-6458","authenticated-orcid":false,"given":"Carolee","family":"Clyne","sequence":"additional","affiliation":[{"name":"Okanagan College, Kelowna Campus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3656-2171","authenticated-orcid":false,"given":"Catharine","family":"Schiller","sequence":"additional","affiliation":[{"name":"University of Northern British Columbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6965-4435","authenticated-orcid":false,"given":"Ibolya","family":"Agoston","sequence":"additional","affiliation":[{"name":"Northern Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8471-8396","authenticated-orcid":false,"given":"Alison","family":"Roots","sequence":"additional","affiliation":[{"name":"Independant Researcher, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0040968"},{"key":"e_1_3_3_3_1","unstructured":"Ahmed H. 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