Innovations in health care delivery: responses to global nurse migration--a research example.

Using data from a large survey of Canadian nurses, we examined how internationally born nurses (IBNs) in Canada experience their work environment. There are significant differences in demographics and in work status and practice environment. Significantly more IBNs are members of visible minorities than are their Canadian-born counterparts. IBNs work more hours, including more overtime, and are more likely to experience physician, verbal, and emotional abuse. Self-rated health status was worse for IBNs in physical and mental health. Changes are needed to improve the nursing work environment and nurses' perception of the effectiveness of care, and to improve their health status.