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When the Windrush Empire arrived in the U. That black and minority ethnic nurses have made and continue to make an enormous contribution to the NHS is well known. But who was the first and how did it happen? In fact, the first is known and her story well documented, if hardly known: Kofoworola Abeni Pratt , a Nigerian who trained at the Nightingale School, a deliberate choice because she identified with Florence Nightingale, its founder. She instead became a school teacher and, while teaching, married a pharmacist who later trained in medicine in London, at St.
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Moreover, economic constraints in the National Health Service in the United Kingdom have To date, however, the federal response to the nurse shortage has been Nigeria is the only sub-Saharan African country among the top 10 source.
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To review estimates of U. Production capacity of nursing schools is lagging current and estimated future needs, suggesting a worsening shortage and creating a demand for foreign-educated nurses. About 8 percent of U. Eighty percent are from lower-income countries. The Philippines is the major source country, accounting for more than 30 percent of U. Nurse immigration to the United States has tripled since , to close to 15, entrants annually. Foreign-educated nurses are located primarily in urban areas, most likely to be employed by hospitals, and somewhat more likely to have a baccalaureate degree than native-born nurses.
There is little evidence that foreign-educated nurses locate in areas of medical need in any greater proportion than native-born nurses. Although foreign-educated nurses are ethnically more diverse than native-born nurses, relatively small proportions are black or Hispanic. Job growth for RNs in the United States is producing mounting pressure by commercial recruiters and employers to ease restrictions on nurse immigration at the same time that American nursing schools are turning away large numbers of native applicants because of capacity limitations.
Increased reliance on immigration may adversely affect health care in lower-income countries without solving the U. The current focus on facilitating nurse immigration detracts from the need for the United States to move toward greater self-sufficiency in its nurse workforce. Expanding nursing school capacity to accommodate qualified native applicants and implementing evidence-based initiatives to improve nurse retention and productivity could prevent future nurse shortages.