{"id":{"repo_id":"calgary","oai_identifier":"oai:ucalgary.scholaris.ca:1880/123664"},"canonical_url":"https://search.dev.ndltd.org/etd/calgary/oai:ucalgary.scholaris.ca:1880/123664","repository":{"repo_id":"calgary","name":"University of Calgary","base_url":"https://ucalgary.scholaris.ca/server/oai/request"},"display":{"title":"A Conceptual Model to Enhance Employer Readiness: An Adaptive Leadership Approach to the Integration of Internationally Educated Nurses","abstract":"Canada’s healthcare system is navigating a significant nursing workforce crisis. In response, Alberta Health Services, the largest healthcare authority in the province of Alberta, launched the Recruitment, Transition, and Integration of Internationally Educated Nurses (RTIEN) initiative to recruit 1,000 IENs. Although this plan addresses immediate workforce shortages, it exposes deeper systemic gaps in employer readiness, integration infrastructure, and equity-informed support practices. This Doctor of Nursing project introduces the conceptual model to enhance employer readiness for IEN integration (CMEERI), a field-based, evidence-informed framework designed to guide structured, sustainable, and inclusive IEN integration across diverse healthcare settings. Grounded in the EPIS Implementation Science Framework, adaptive leadership theory, and knowledge translation principles, CMEERI repositions IEN integration as a relational and systemic transformation rather than a technical or transactional process. Findings revealed that system readiness, leadership capacity, and relational infrastructure, such as psychological safety, DEI supports, and mentorship, were critical to integration success. Sites with stronger leadership engagement and team-based learning cultures demonstrated more inclusive and sustained outcomes. 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