PLoS ONE
Volume 14, Issue 11, 2019

Qualification programmes for immigrant health professionals: A systematic review (Review) (Open Access)

Khan-Gökkaya S.* , Higgen S. , Mösko M.
  • a Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Research Group on Migration and Psychosocial Health, Hamburg, Germany
  • b Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Research Group on Migration and Psychosocial Health, Hamburg, Germany
  • c Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Research Group on Migration and Psychosocial Health, Hamburg, Germany

Abstract

Background Immigrant health professionals are a particularly vulnerable group in a host country’s labour market, as they face several barriers when re-entering their occupations. International studies indicate that early interventions can increase the employability of immigrants. Qualification programmes are one of these early interventions that can support the re-integration of these health professionals into the labour market. The purpose of this review is to identify international qualification programmes for immigrant health professionals, analyse their content and evaluate their effectiveness. Methods Six international databases (PubMed, Web of Science, CINAHL, PsychInfo, EBSCO and ProQuest Social Sciences) were systematically searched. The search terms were identified using the PICOS-framework. The review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Articles were screened independently by two authors and discussed. Studies included in the final synthesis were assessed with the Mixed Methods Appraisal Tool (MMAT) and Kirkpatrick’s Training Evaluation Model. Results Out of 10,371 findings, 31 articles were included in the final synthesis. The majority of them were addressed to international health care professionals and doctors. Two of them were addressed to refugee doctors. Three types of programme elements were identified: teaching, clinical practise and social support. The programmes’ length ranged from 2 days to up to 2.5 years. Despite recommendations in its favour, pre- and post-programme support was scarce. Results also indicate a lack of transparency and quality in terms of evaluation. Effectiveness was mostly observed in the area of language improvement and an increase in self-confidence. Conclusion This review points out the lack of systematically evaluated qualification programmes for immigrant health professionals. Programme providers should focus on implementing programmes for all health professionals as well as for underrepresented groups, such as refugees. In order to generate best practises it is necessary to evaluate these programmes. This requires the development of appropriate instruments when working with immigrant population in the context of educational programmes. © 2019 Khan-Gökkaya et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Author Keywords

[No Keywords available]

Index Keywords

immigrant refugee comparative effectiveness Cinahl human synthesis clinical practice social support language Medline meta analysis sociology Web of Science PsycINFO Review Article human experiment Preferred Reporting Items for Systematic Reviews and Meta-Analyses systematic review teaching public health

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85075067032&doi=10.1371%2fjournal.pone.0224933&partnerID=40&md5=a185a257e61f272242495957e202c911

DOI: 10.1371/journal.pone.0224933
ISSN: 19326203
Original Language: English