Empowering Nursing Newcomers Program
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeNot listed
SponsorUniversity Medical Center Groningen
About this trial
In the Netherlands, more and more nurses with an international background, such as refugees and migrants, are starting to work in healthcare. Many of them already have a lot of knowledge and experience, but it is not always easy to quickly adapt to the Dutch healthcare system and a new language. That is why the programme "Empowering Newcomers Nurses" was developed.
This study aims to better understand how the programme works in practice. Participants and supervisors will be asked about their experiences to identify what works well and what could be improved. The costs and the benefits are also taken into account. The results will be used to further improve the programme.
It will also be assessed whether the work environment is inclusive and welcoming for participants. For example, this may involve (unconscious) microaggressions, exclusion, or negative comments, including those that may be discriminatory or racist. By making these experiences visible, it becomes easier to address them and make improvements. In addition, scientific articles will be published so that other hospitals can also learn from these insights.
Who can participate? Nursing newcomers who are already participating in the programme or who will start the programme soon are invited to take part in the study. Sometimes participants with another paramedical background also take part. For this study, it is expected that over a period of 9 years about 160-230 participants will take part in total, of whom 120-150 will be from the northern region of the Netherlands. This number is not strictly required, but it helps to better understand how the programme works, what works well, and where improvements may be possible. In this way, a more complete picture of the programme can be obtained.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
refugee or migrant with a nursing background or other paramedical background and sufficient indications that the relevant hospital department is prepared to cooperate in a fast-track integration trajectory
holding at least a diploma equivalent to the Dutch MBO-4 level
having practical experience, preferably in a hospital setting
residence in one of the three northern provinces
Disqualifiers
diploma lower than Dutch MBO-4 level
refugee or migrant with a background as medical doctor
Trial population
The study population consists of newcomers to the Netherlands with a nursing background including refugees with residence status and other migrants. Participants have obtained a nursing qualification outside the Netherlands and enroll in a program designed to support their integration into the Dutch healthcare system.
Trial design
Design model
Cohort
Time perspective
Other
Treatments tested in this trial
Not listed
Trial groups
227 Participants
are grouped into 1 trial groupGroup A: Nursing newcomers
Trial outcomes
Primary outcomes
1
Proportion participants progressing as planned or successfully completing the program
The proportion of participants who either progressed as planned, successfully completed the program by obtaining a (conditional) certificate of professional competence, or transitioned to employment as care assistants
Time frame
From enrolment through programme completion (up to 36 months)Secondary outcomes
1
Societal business case
Societal business case: Conducted by Social Finance NL (SFNL), this analysis quantifies the programme's societal impact by mapping participant trajectories and expressing effects in financial terms where possible. Outcomes are calculated over a four-year period: two years during programme participation and two years following exit. Effects not attributable to the programme are accounted for using a zero alternative scenario, with assumptions on attribution, indexation, and discount rates applied.
Time frame
Approximately 2-3, 6 and 9 years after study start.2
Qualitative analysis
A qualitative analysis to assess the impact of the programme on participants and departments. The UMCG project coordinator invites participants to complete an anonymous survey developed jointly by Regioplan and UMCG (Appendix). The survey contains 46 multiple-choice questions and 35 open-ended questions assessing participant experiences, satisfaction, and perceived programme effectiveness.
Time frame
Approximately 2-3, 6 and 9 years after study start.3
The influence of WEF-identified skills on the need for additional guidance
Competencies of participants are assessed using a survey optimized during the early stages of the study. The survey evaluates participants across multiple domains identified by the World Economic Forum (WEF) as the most in-demand skills by organizations: cognitive skills, self-efficacy, collaboration, ethics, physical skills, management skills, and technological skills. The outcome measure assesses the relationship between participants' competency levels and the need for additional guidance or support during the programme. An ordinal, Likert-type scale with three response options will be used. The scale ranges from 1 to 3, with clearly defined response categories. Data are collected systematically at predefined intervals through the REDCap system to ensure comprehensive coverage of all competency domains.
Time frame
Approximately 5, 7 and 9 years after study start.4
Racial microaggressions in the workplace assessed using the modified Racial Microaggressions Scale (RMAS)
This outcome measures the occurrence of potential unconscious and conscious racial microaggressions in the workplace and identifies opportunities to address and mitigate unconscious forms. Participants complete a modified Racial Microaggressions Scale, originally developed by Torres-Harding et al. and modified by King et al. The RMAS includes six subscales: invisibility, criminality, dysfunctional culture, sexualization, foreigner/not belonging, and environmental microaggressions. This instrument is widely used and validated for assessing microaggressions in workplace settings.
Time frame
Approximately 5-6 years and 9 years after study start.Sponsors and contacts
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Source ClinicalTrials.gov