CGFNS International to address these issues, thus creating a comprehensive data base on variances in nursing, education, regulation and practice worldwide, making it a global resource.

A major challenge for all countries is to establish workforce planning mechanisms that effectively meet nursing resource requirements in terms of supply and demand. In that regard, nursing shortages in the United States mirror the growing interdependency of labor markets throughout the world and the need for national and international nursing workforce policies. The challenge for workforce planning related to the global migration of nurses, however, is to focus not only on the number of nurses entering the country, but also on the number of nurses leaving the country, the number of new nurse graduates and the effect of internal migration, such as the movement of nurses from state to state and from rural to urban areas. Also essential is an understanding of the education and licensure systems of migrating nurses to ensure a proper skill mix for the nursing workforce of a country (Kingma, 2006).

Thus, the global nurse workforce must be viewed, not only within the context of the health status of nations, government investment in health budgets, nurse/health care migration, economic realities, and working conditions but also within the context of the diverse preparation and practice of its practitioners.

Recommendations for the Future of the U.S. Nursing Workforce

The authors believe that the Committee has an unparalleled opportunity to challenge the status quo in nurse utilization and to significantly contribute not only to a national but also a global health workforce agenda. Such an agenda requires reliable, stable and competent nurses functioning at all levels of health care systems. The authors have provided specific recommendations for your consideration, and present them within a contextual framework that acknowledges the historic and current leadership role U.S. nursing plays in the international nursing community. That framework suggests that the Committee’s recommendations will have dramatic domestic and global implications. The authors have identified six recommendations for action:

  1. Promote targeted educational investment in foreign-educated nurses in the U.S. nursing workforce.

  2. Promote baccalaureate education for entry into nursing practice in the United States.

  3. Harmonize nursing curricula.

  4. Add global health as subject matter to undergraduate and graduate nursing curricula.

  5. Establish a national system that monitors and tracks the inflow of foreign-educated nurses, their countries of origin, the settings in which



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