title: Does international nurse recruitment influence practice values in U.S. hospitals?
abstract: OBJECTIVE
  To determine if both U.S. and international nurses place high value on organizational attributes that comprises the elements of professional nursing practice and if the absence of these attributes is associated with high levels of burnout in both U.S. and international nurses.
  
  
  METHODS
  A secondary analysis of survey data was conducted with a sample of 799 nurses; 547 were born in the United States (US) and 252 were from 34 other countries.
  
  
  METHODS
  Culture of origin was coded according to Hofstede's classification system. Nursing values related to the professional practice environment were measured using the Nursing Work Index, and burnout was measured using the Maslach Burnout Inventory. Analysis of variance and least-squares regression procedures were used to test hypotheses.
  
  
  RESULTS
  No significant differences were found between U.S. and international nurses in the overall degree to which they valued a professional nursing practice environment. A professional practice environment had a significant, inverse effect on job-related burnout on both U.S. and international nurses.
  
  
  CONCLUSIONS
  These findings challenge a prevailing sentiment that international nurses hold values inconsistent with professional practice models as defined in the U.S. context. These findings also show that absence of a professional practice environment will produce similar high levels of burnout in both U.S. and foreign-born nurses. To address the nursing shortage, administrators should ensure that organizational attributes are consistent with a professional nursing practice environment.
authors.affiliation: Center for Health Outcomes & Policy Research, University of Pennsylvania, 420 Guardian Drive, Nursing Education Building, Philadelphia, PA 19104-6096, USA. lflynn@nursing.upenn.edu
authors.forename: Linda
authors.initials: L
authors.lastname: Flynn
authors.forename: Linda H
authors.initials: LH
authors.lastname: Aiken
mesh_terms: D004641:Emigration and Immigration; D009729:Nursing; D010560:Personnel Selection; D012945:Social Values / Q000208:ethnology*; D014481:United States; D000078329:Workforce