Immigration-specific Stress and Its Impact on Overseas Qualified Nurses’ Performance

This study investigates the influence of immigration-related stress on the nursing work performance (NWP) of overseas qualified nurses (OQNs) in Japanese healthcare institutions, in response to the global nursing shortage. It also offers policy recommendations for healthcare administrators. A national questionnaire survey was carried out from September 2023 to January 2024, with 214 valid responses collected. The survey evaluated the demographic profiles of OQNs, immigration-specific stress using the Demands of Immigration (DI) scale, and nursing performance utilizing the Nursing Performance Instrument (NPI) scale. The results revealed that factors such as residential condition and immigration-specific stresses associated with ‘Loss’, ‘Novelty’, and ‘Language’ have a significant impact on NWP. The study suggests that supporting living arrangements, enabling family accompaniment, addressing novel challenges, and providing ongoing language training are crucial for enhancing the NWP of OQNs.