NCT05364775

Brief Summary

The international mobility of the nursing workforce is increasing. One nurse out of every eight now works in a country where they were not born or trained. International nurses play a vital role in the NHS. This study focuses on the workplace experiences of international nurses who have trained outside of the EU. In recent years there have been increasing numbers of nurses from outside of the European Union (EU) registering to work in the UK, notwithstanding the number of nurses from European countries continues to decline as the UK prepares to leave the EU. There is currently a global shortage of nurses. Drivers for UK recruitment of international nurses are founded in shortages of nurses related to increased health care demand, emphasis on safe staffing levels, expenditure on agency nurses and too few commissions for nurse training places, meaning that not enough nurses are entering the NHS. These factors are further exacerbated by staff retention levels and high staff turnover. Nurses' motives to leave their home countries are complex, and gaps in our understandings remain. Possible drivers for migrating to the UK or "pull factors" may include career progression, postgraduate training opportunities, work environment, sensitive employment policies, and economic benefits which enable nurses to send money back to their home countries, while "push" factors have been identified as limited education, lack of health care resources, dangerous working conditions and political instability.

Trial Health

30
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Aug 2023

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 3, 2022

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 6, 2022

Completed
1.2 years until next milestone

Study Start

First participant enrolled

August 1, 2023

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2024

Completed
Last Updated

July 23, 2025

Status Verified

July 1, 2025

Enrollment Period

6 months

First QC Date

May 3, 2022

Last Update Submit

July 22, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • The findings of the study will identify factors influencing the experiences of internationally recruited nurses working in the NHS

    To identify factors influencing the experiences of internationally recruited nurses working in the NHS

    6 months

  • The findings may also suggest ways in which RWT can further support international nurses to ensure successful professional and social integration.

    To suggest ways in which RWT can further support international nurses to ensure successful professional and social integration.

    6 months

  • This support could be put in place to benefit the local teams, patients and services.

    To benefit local teams, patients and services.

    6 months

Study Arms (2)

Focus Groups with International Nurses

It is anticipated that there will be four focus groups, each comprised of 6-8 participants

Other: Focus group

Interviews with Nursing Staff

Interviews with qualified and unqualified staff who work with international nurses

Other: Focus group

Interventions

Focus group

Focus Groups with International NursesInterviews with Nursing Staff

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

International nurses, HCAs and Qualified Nurses who fit the inclusion criteria

You may qualify if:

  • Phase 1
  • International nurses recruited via the fellowship scheme and external recruitment agencies.
  • International nurses who have trained in countries outside of the EU.
  • International nurses who have been living in the UK between six months and two years.
  • The international nurses will be employees of RWT
  • Phase 2
  • Health Care Assistants and Qualified Nurses (Band 5-7) who alongside with international nurses.

You may not qualify if:

  • International nurses who trained in the EU.
  • International nurses who have lived in the UK for less than 6 months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Royal Wolverhampton NHS Trust

Wolverhampton, WV10 0QP, United Kingdom

Location

MeSH Terms

Interventions

Focus Groups

Intervention Hierarchy (Ancestors)

Data CollectionEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health
0

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 3, 2022

First Posted

May 6, 2022

Study Start

August 1, 2023

Primary Completion

February 1, 2024

Study Completion

February 1, 2024

Last Updated

July 23, 2025

Record last verified: 2025-07

Locations