Foreign Born Healthcare Workers in the U.S., Quality of Care, and Leadership

Diane L. Kelly

Abstract


The focus of the article is a midsize community hospital in New York City, where the percentage of foreign-born workers, healthcare workers, doctors and nurses is higher than national levels. The hospital is located in the area containing more immigrants and higher concentrations of immigrant groups than any other part of the city. Dynamics related to the hospital’s 90% non-white, mostly foreign-born, multilingual workforce appeared to influence hospital’s capability to change and improve performance. Also, observations and issues about community and organizational demographics, language context and proficiency, immigrant assimilation rates, contrasting country cultures and other related topics are explored in the article. This exploratory study revealed numerous areas that could be relevant to the quality of care, patient safety and organizational effectiveness, including language proficiency and context, cultural perceptions, immigrant assimilation and demographics of the area, in which the hospital is located.

Keywords


healthcare workforce; healthcare management; multinational workforce; immigrant assimilation; healthcare leadership; intercultural communication; quality of care; workplace diversity, country cultures

Full Text:

PDF

References


Bal, A.M. (2010). Medicine, merit, money and caste: the complexity of medical education in India. Indian Journal of Medical Ethics. 7(1):25-8

Commission on Graduates of Foreign Nursing Schools. Credential Evaluation Service. Retrieved from:

http://www.cgfns.org/

DiNapoli, T.P., Bleiwas, K.B. (2010). The role of immigrants in the New York City economy. Office of the State Comptroller, New York City Public Information Office. Retrieved from: http://www.osc.state.ny.us/osdc/rpt17-2010.pdf

Educational Commission for Foreign Graduates. About ECGF. Retrieved from: http://www.ecfmg.org/about/index.html

Educational Commission for Foreign Graduates. About ECGF Cerfication. Retrieved from: http://www.ecfmg.org/certification/index.html

Farzad, S., Jamarani, J. eds. (2013). Language and Intercultural Communication in the New Era. New York, Routledge

Fessenden, F., Roberts, S. (2011) Then as Now — New York’s Shifting Ethnic Mosaic. New York Times. Retrieved from: http://www.nytimes.com/interactive/2011/01/23/nyregion/20110123-nyc-ethnic-neighborhoods-map.html?_r=0

Grieco, E.M.,Acosta, Y.D., de la Cruz, G.P.; Gambino, C., Gryn, T. Larsen, L.J., Trevelyan, E.N., Walters, N.P. (2012) The Foreign-Born Population in the United States: 2010. American Community Survey Reports. Retrieved from: http://www.census.gov/prod/2012pubs/acs-19.pdf

Hoffmann, P.B., Perry, F. (2005). Management mistakes in healthcare: Identification, correction and protection. Cambridge, UK: Cambridge University Press.

House, R.J., Hanges, P.J., Javidan, M., Dorfman, P.W., Gupta, V. eds. (2004). Culture, Leadership, and Organizations in The GLOBE Study of 62 Societies. Sage Publications, Inc., Thousand Oaks, California.

Jiménez, T.R. (2011) Immigrants in the United States: How well are they integrating into society? Migration Policy Institute and the European University Institute.

Kellerman, B. (2007). What every leader needs to know about followers. Harvard Business Review. 85(12):84-91.

McCabe, K. (2011). U.S. in focus: African immigrants in the United States. Migration Policy Institute. Retrieved from:

http://www.migrationinformation.org/USfocus/display.cfm?ID=847

McCabe, K. (2011). U.S. in focus Caribbean immigrants in the United States. Caribbean. Migration Policy Institute. Retrieved from: http://www.migrationinformation.org/USfocus/display.cfm?ID=834#15

McCabe, K. (2012). Foreign born healthcare workers in the United States. Migration Policy Institute. Retrieved from: http://www.migrationinformation.org/USfocus/display.cfm?id=898

MacNulty, C.A.R. (2007). Truth, Perception and Consequences. The Proteus Monograph Series, 1(1), 1-48

National Council on State Boards of Nursing. n.d. About NCLEX. Retrieved from: New York Department of Education (2012). Regulations of the Commissioner of Education, Part 59: General Provisions, §59.3 E. Retrieved from: http://www.op.nysed.gov/title8/part59.htm

New York City Department of City Planning. n.d. DDP05: Demographic and Housing Characteristics , 2009-2011 American Community Survey 3-Year Estimates, New York City Community Districts. Retrieved from: http://www.nyc.gov/html/dcp/pdf/census/puma_demo_09to11_acs.pdf

New York City Department of City Planning. (2013). Community Data Portal. Retrieved from: http://www.nyc.gov/html/dcp/html/neigh_info/nhmap.shtml

New York Department of Education (2012). Regulations of the Commissioner of Education, Part 59: General Provisions, §59.3 E. Retrieved from: http://www.op.nysed.gov/title8/part59.htm

Nishimura, S., Nevgi, A., Tella, S. (2008). Communication Style and Cultural Features in High/Low Context Communication Cultures: A Case Study of Finland, Japan and India. Proceedings of a subject-didactic symposium in Helsinki on Feb. 2, 2008. Retrieved from: http://www.helsinki.fi/~tella/nishimuranevgitella299.pdf

Reason, J. 1997. Managing the risks of organizational accidents. Hampshire, UK: Ashgate Publishing Company.

Rogerson-Revell, P. (2010). Can you spell that for us nonnative speakers? Accommodation strategies in international business meetings. Journal of Business Communication. Sage Publications.

Terrazas, A., Batog, C. (2010). U.S. in focus: Indian immigrants in the United States. Migration Policy Institute. Retrieved from:

http://www.migrationinformation.org/USfocus/display.cfm?ID=785

The United States Census Bureau. The Foreign-Born Population in the United States: 2010, American Community Survey Reports. Retrieved on 7/20/13 from: http://www.census.gov/prod/2012pubs/acs-19.pdf

Senge, P.M., 2006. The Fifth Discipline: The Art and Practice of the Learning Organization. New York: Doubleday Currency.

Shakiba, J.P., Mohammad, K., Tabatabaei, H.A.(2009) System Dynamics Modeling of Emigration and Brain Drain: The Case of Iran. Conference Proceedings

The 27th International Conference of the System Dynamics Society

United States Government. n.d. The CIA Fact Book: Languages. Retrieved from: https://www.cia.gov/library/publications/the-world-factbook/fields/2098.html

Vidgor, J.L. (2009). Measuring immigrant assimilation in the United States. Manhattan Institute for Policy Research. Retrieved from: http://www.manhattan-institute.org/html/cr_59.htm

Wilson, J.H..Singer A. (2011). Immigrants in 2010 Metropolitan America: A Decade of Change. Metropolitan Policy Program at Brookings. Retrieved from: http://www.brookings.edu/research/papers/2011/10/13-immigration-wilson-singer

Woo, A., Gross, L., Weiwei, L. (2011). 2010 Nurse Licensee Volume and NCLEX Examination Statistics. National Council of State Boards of Nursing, Inc. Retrieved from: https://www.ncsbn.org/12_REVISED_2010NCLEXExamStats_Vol52.pdf

World Health Organization. (2008) Safe Surgery Saves Lives. Retrieved http://www.who.int/patientsafety/safesurgery/tools_resources/SSSL_Manual_finalJun08.pdf




DOI: http://dx.doi.org/10.13165/SPV-13-1-5-06

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Refbacks

  • There are currently no refbacks.




"Health Policy and Management" ISSN online 2029-9001 / ISSN print 2029-3569