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Episode 48

2026-04-21

Overcoming Nursing Shock: Dina Paoloni on the International Nurse Experience

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Overcoming Nursing Shock: Dina Paoloni on the International Nurse Experience

In this episode, Mariam is joined by Dina Paoloni, a pioneer in international nursing with over 22 years of global healthcare experience and the founder of Nurses Move. Dina shares her deeply personal journey into the nursing profession following the tragic loss of her mother, and how her move from Italy to the UK exposed her to the stark cultural and professional differences in nursing worldwide.

KEY TAKEAWAYS

The Concept of "Nursing Shock": International nurses often experience a severe culture shock when they transition to new countries. This phenomenon, coined "nursing shock" by Dina, occurs because nurses must navigate vastly different professional regulations, scopes of practice, and levels of recognition compared to their native countries.

The Need for a Global Identity: Unlike the medical profession, which has a centuries-old established global identity, nursing is a relatively young profession with only about 200 years of history.

Systemic Exploitation of International Nurses: Wealthy countries frequently use their monetary power to recruit highly skilled nurses from poorer nations. Unfortunately, these international nurses are often placed in entry-level or lower-banded roles with low pay.

The Compounding Nursing Crisis: The healthcare system is facing a severe retention crisis, with undervalued and burned-out nurses leaving the profession entirely. This mass exodus places unprecedented pressure on the remaining staff, including junior doctors, and threatens the stability of the entire healthcare ecosystem.

Education as Empowerment: To combat exploitation, it is crucial to educate international nurses about their rights, the new culture, and career pathways before and after they migrate.

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