Time of transition
Advocates of foreign nurse recruitment also cite evidence to show that international nurses are well taken care of when it comes to making the transition to the United States.
Now, facilities such as St. Mark's Hospital in Salt Lake City work hard to help international nurses make a smooth entrance into their new jobs and communities, said Pauli Marr, vice president for patient care services at St. Mark's Hospital. She's trying to negotiate a deal to have local residents house foreign nurses who are scheduled to arrive in the fall.
"It's very important to have a community for the nurses to live in," she said. "They need to have a place where they feel safe."
The hospital also initially provides meal tickets for the nurses and helps them set up bank accounts. Preceptors also accompany the nurses during their first six months to help them adjust to working in American hospitals.
For some foreign nurses, especially from countries such as the Philippines, one of these transitions is learning to be more assertive, several nurse executives said. In the Philippines, nurses often have a more technical role in which they follow a physician's instructions, while in the United States, nurses are encouraged to be more autonomous.
"We are very timid as [a] people because that's how we are raised," Garcia said. "Here in America, you have to be assertive."
Although foreign nurses may require time to adjust and, in the eyes of some, provide only a short-term solution to the nursing shortage, hospital staffing executives such as Bradney can't ignore the benefits of these international recruits.
"My personal experience has been very rewarding in working with international nurses," she said.
"We've had very good success, and they are delighted to be here. They are an absolute pleasure."
Contact Heather Stringer at heathers@nurseweek.com.
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State Rankings by Unadjusted and COLI Adjusted RN Average Salaries
Tables for:
Which Pasture is Really Greener? A Research Note on Salary Studies
[Nurs Econ. 2006;24(3):131-134. ©2006 Jannetti Publications, Inc.]
Table 1. State Rankings by Unadjusted and COLI Adjusted RN Average Salaries
State Average Annual Salary State Ranking Before Adjustment Average Salary Adjusted for COLI MERIC COLI Value State Ranking After Adjustment California $69,140 1 $45,849 150.8 44 Maryland $65,750 2 $52,266 125.8 23 Hawaii $64,320 3 $39,802 161.6 49 Massachusetts $64,120 4 $50,970 125.8 34 New York $62,140 5 $50,316 123.5 37 New Jersey $61,790 6 $46,043 134.2 43 Connecticut $61,450 7 $48,577 126.5 39 Alaska $60,420 8 $46,946 128.7 41 Washington $59,650 9 $57,633 103.5 3 Minnesota $58,980 10 $58,745 100.4 2 Nevada $58,630 11 $52,442 111.8 21 Oregon $58,380 12 $54,765 106.6 11 District of Columbia $58,330 13 $40,367 144.5 48 Delaware $57,470 14 $55,850 102.9 6 Rhode Island $56,910 15 $44,531 127.8 46 Michigan $55,380 16 $54,832 101 10 Colorado $55,010 17 $54,304 101.3 14 Arizona $54,940 18 $53,600 102.5 16 Texas $53,940 19 $60,539 89.1 1 Wisconsin $53,700 20 $56,646 94.8 4 Pennsylvania $53,670 21 $53,403 100.5 18 Virginia $53,330 22 $51,676 103.2 31 New Mexico $52,620 23 $51,945 101.3 30 Florida $52,150 24 $51,994 100.3 29 Ohio $51,840 25 $54,340 95.4 13 Illinois $51,600 26 $52,069 99.1 26 Utah $51,590 27 $55,954 92.2 5 South Carolina $50,950 28 $53,407 95.4 17 Louisiana $50,560 29 $52,178 96.9 25 North Carolina $50,450 30 $52,827 95.5 20 Georgia $50,330 31 $55,126 91.3 9 Tennessee $49,890 32 $55,619 89.7 7 Missouri $49,690 33 $54,544 91.1 12 Nebraska $49,350 34 $52,894 93.3 19 Indiana $49,100 35 $52,013 94.4 27 Kentucky $48,980 36 $53,706 91.2 15 Vermont $48,770 37 $42,706 114.2 47 Idaho $48,000 38 $51,118 93.9 33 Arkansas $47,990 39 $55,224 86.9 8 West Virginia $47,780 40 $52,219 91.5 24 Mississippi $47,220 41 $52,004 90.8 28 Alabama $47,170 42 $50,830 92.8 35 Montana $47,040 43 $47,805 98.4 40 Kansas $46,910 44 $51,268 91.5 32 South Dakota $46,830 45 $49,243 95.1 38 Oklahoma $46,660 46 $52,368 89.1 22 North Dakota $46,480 47 $50,742 91.6 36 Wyoming $46,200 48 $45,517 101.5 45 Iowa $44,000 49 $46,908 93.8 42


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