This thesis examines the lived experience of economic migration of young and degree level educated migrants from Poland to Britain. The main aim is to explore how the participants of economic migration within the borders of the European Union experience migrating. The special feature of this migration is the fact that they leave a postcommunist country and come to a country with a well established capitalist economy and long-standing democracy. The particular questions are: how these migrants construct their experience of migrating, are they faced with any problems while doing it, and if so - how do they resolve them? The data comes from twenty-two semi-structured interviews with migrants educated to degree level who were residents and worked in one of the regions of England at a professional level or below their qualifications (manual or simple clerical work). The research utilises the critical discourse analysis perspective; the data is approached with analysis focused on linguistic choices (lexical and grammatical) evident in the respondents’ statements. This kind of analysis enables observation and in-depth interpretation of the way experiences of migrating are constructed. The migrants’ narratives were full of discursive struggle while constructing their experience of migrating. Firstly, the interviewees made an effort to present their migration as rational. Secondly, they were trying to rationalise their financial needs to refute accusations of greed for money. Thirdly, the underemployed migrants justified their employment choices by distancing themselves from work below that which they were qualified for. Fourthly, the interviewees were making an attempt to withdraw from a multicultural community by constructing the negative Other. Exploring lived experience of living and working abroad reveals competitive discourses and ways of coping with ambivalence. Understanding these discursive practices requires knowledge of their beliefs and values that underpin the discourses available in the Polish postcommunist society. Overall, the narratives overflowed with dilemmas that showed this migration as more complicated on an individual level than the official discourse of free movement of people in the EU suggests. This thesis captures the migrants’ lived experience within one year after the EU enlargement; it reflects on the narratives being shaped when migrants were given the opportunity to introduce the new discourses on migration or re-think the old ones as a result of new macro-processes in the European Union. This research complements other studies exploring migrants’ voices in search of insight into what their experiences were and how they made sense out of them. However, with the methodology used, it focuses more on uncovering the struggle over arguments available to build their stories. It offers explanation to their discursive practices by analysing them against the discourses as being products of postcommunism. The study’s results may shed more light on recent processes within this group of migrants and also inform institutional policy and practice about problems affecting members of this group, reported in this thesis.

Mental Violence in present study is similar to a western concept, bullying. But is has its characteristics, forms and causes in Chinese workplace. It is a form of indirect interpersonal aggression and identified through the perceptions of its receivers. It does not involving touching receivers physically but is psychologically damaging. It exists between individuals of equal status, such as colleagues. Moreover, it is a two-way phenomenon, which could be reversible. Mental Violence may be the result of a conflict of values. It is particularly evident among the Chinese New Educated Youth. Chinese New Educated Youth is that cohort of young people who were partly Confucian and Collectivistic for emphasizing harmony but also partly Individualistic and Westernized for pursuing personal goals. For this cohort, the above two orientations were incompatible and dissonant leading to stress. Furthermore, they had a competitive lifestyle which was no longer supported by the welfare of a planned economy this exacerbates their stress. To relieve stress, Mental Violence was employed in their daily contacts, e.g. in workplaces. The evidence in support of this account was discussed and evaluated. There is no excuse for any violence. However, we have to say sometimes a kind of violence is not always too noxious for someone, such as the sender of violence. To some limited extent, violence could be considered as positive and it at least helped people to relieve stress and recover a balance from unbalanced situation. Mental Violence is such violence. It is a result of negotiation and a side effect of stress as well. Nevertheless, most of things are double-edged swords. Mental Violence is no exception. For the sender, it might be a buffer and makes him or her relaxed; for the receiver, it is absolutely negative, discomfort and even aggressive. For helping readers to clearly understand such violence, and for advising others to raise their awareness of the violence, this study would explore its causes and characteristics. From ancient traditional society to the present modern one, Confucianism and Collectivism afterwards represent a kind of gentle culture which deeply influences traditional Chinese. Chinese traditional philosophy, such as Confucianism and Taoism, stresses the significance of the harmony relationship for the growing, maturing and success of the Chinese. Chinese New Educated Youth who were disciplined for such a culture in thoughts and behaviours while growing up. Therefore, to keep harmony and to avoid conflict becomes a key characteristic for Chinese interactions in a collective society. However, the opening policy to the West world exposed China to the influence of Individualism which is absolutely unlike Confucian or Collectivism. Confucianism s influence has been challenged by Westernized values because of globalization. The difference between two values made Chinese New Educated Youth confused in their thoughts and appropriate behaviours in interpersonal relationships. To recover a balance, they need to relieve such a stress from the confusion and other stressors as well. While using the two value systems in interaction with others, Mental Violence usually happened. Therefore, the conflict of two different values in dealing with social relationship became one cause for Mental Violence. In present research, I tried to reveal Mental Violence, a particular kind of daily conflict in interactions among modern Chinese. For pursuing why Chinese New Educated Youth was special and experienced Mental Violence often, they were compared with other generations in China. Therefore, this research invited participants from three generations (Chinese New Educated Youth, the older generation who were born before 1970s, and the younger generation who were born in 1980s) and from different cities in China. Participants occupations covered different professions, and all of them worked in three sizes of offices (small, big and single). Both of qualitative and quantitative data collecting methods were used in the study. They contained semi-structural interviewing and filling up the questionnaire. And main methods of data analysis are factor analysis, correlation and Thematic Analysis. The result indicated that Mental Violence of Chinese educated youth occurred in workplace was the most often, but was largely unseen by people outside of the group. Because I had to establish why this cohort would be inclined to apply more Mental Violence in daily life, I compared them with their previous generation and the later generation through measuring demographics, westernised, individualism and collectivism. Three generations are different in the Individualism-Collectivism tendency. Chinese New Educated Youth were always in the middle. They were seemed as partly Collectivistic and partly Individualistic. Linked with categories of Mental Violence Chinese New Educated Youth usually experienced, it seems they applied double standards to deal with social interactions. Due to such standards made them failed in establishing good relationships with colleagues, in other words, whatever Chinese New Educated Youth or their colleagues did not feel happy in their social interactions, it means Chinese New Educated Youth have conflict in Individualism-Collectivism tendency. Otherwise, through the investigation, I noticed significant demographical difference other than the generation in experiencing Mental Violence. Male participants reported experiencing Mental Violence more than female ones. The higher education the participant got, the more he or she experienced Mental Violence. Comparing with other occupations, intellectual respondents reported sending Mental Violence the most. Participants who worked as staffs experienced Mental Violence more than people who worked as administrators in the workplace. And people who were singles experienced Mental Violence the most in workplace. Because conflict of relationship seems a sensitive topic for Chinese, I started interviews from talking about overviews of participants workplaces with them. Therefore, the result also shows characteristics of structure and social relationship of Chinese modern offices. China had lot of small size offices in which 2 to 10 staffs worked. Small offices organised small relative closed groups. In such a group, staffs had long time for face to face interaction everyday. Such offices were much more than single offices where only one person worked in and big offices where more than ten persons in. Both of the above characteristics of workplace are not beneficial for physical aggressions as previous study proved but could considered as a structural factor for Mental Violence. Actually, the Mental Violence which reported occurring in small offices is the most often, especially among Chinese New Educated Youth. Hope this research could be a model for further more thorough relevant study. All of the above would be a step towards further study on Mental Violence and Chinese New Educated Youth.

Competition for seats in Canadian medical schools has driven many Canadians to seek medical education abroad. Systematic barriers make it necessary for internationally educated physicians (IEPs) hoping to practice in Canada to complete postgraduate residencies. To do so, they must transition into new medical education systems. The transitional experiences of internationally educated physicians are not well understood. This phenomenological qualitative study reveals the perspectives of twenty recent graduates from the University of Manitoba Family Medicine residency program. Canadians Studying Abroad constituted the majority of participants. Participant interviews revealed the presence of clinical practice gaps, created by curricular differences in the timing of graduated clinical responsibility between the Canadian and international medical education systems. Participants also shared their experiences of being singled out (visibility and invisibility), rejected and mistreated. They perceived that IEP residents were assigned low status in resident hierarchies. Their experiences are conceptualized as stigmatization.

Despite evidence that suggests that nurses migrate to Ontario through the Live-in Caregiver Program, no research has been conducted on this group of nurses in Ontario. This study addresses that gap utilizing the transnational feminist concept of “global care chains” in a single holistic case study design to explore the experience of nurses who migrate to Ontario through the Live-in Caregiver Program (2001-2011), and examine the diverse perspectives of stakeholders on issues of rights and obligations of these nurses. Fifteen live-in caregivers and nine policy stakeholders were interviewed, and an analysis undertaken of immigration and nursing policy documents. Findings indicate that familial discourses and perspectives on global social status shape these women’s decision to migrate from the Philippines to Canada, often via a second country (especially Saudi Arabia), as well as their subsequent Canadian experiences. Results are consistent with Rhacel Parrenas’ idea of ‘contradictory class mobility’ that describes the phenomenon of decrease in social status coupled with an increase in financial status among immigrant care workers. As professional women undertaking unskilled work, the nurses’ contradictory class status was reinforced by the emotional labour and domestic work they were required to perform. Furthermore, as temporary workers on a path to permanent residency, their professional integration as nurses was complicated by Canada’s immigration policy and the paradox between the government’s stated short-term goal (to address labour force shortage of live-in caregivers) versus its long-term goal (to ensure the integration of permanent residents). Within this policy paradox immigration policy makers emphasized the short-term obligation of fulfilling labour needs, while live-in caregivers and advocacy groups emphasized the long-term obligations of the Canadian government related to gaining permanent residence status. The lack of congruence between the Live-in Caregiver Program policy and nursing policy concerning internationally educated nurses, as well as prioritization of their familial obligations complicated the process of professional integration for this group of women. Recommendations arising from the study concern the need to bridge these policy gaps and address the shortcomings of the Live-in Caregiver Program to leverage the integration of this group of internationally educated nurses in Canada.

This study is a historical analytical investigation and theological interpretation of Wesleyan Methodists' political teaching and practice in Zimbabwe from 1891 to 1980. In an attempt to come up with an informed interpretation of the political teaching and activities, the study traced Wesleyan Methodist political praxis John Wesley, the founder of Methodism and interpreted his teaching and practice from a third world perspective. That perspective was used as a basis for evaluating the contextualisation of his teaching by Wesleyan Methodists in Zimbabwe. The Zimbabwean Wesleyan Methodists' political teaching and practice during the colonial era were explored using four themes: politics of land, race relationships, Federation and war. Two hypothetical statements were tested in this study: Wesleyan Methodism outlines a framework for constructive participation in politics, and the Wesleyan Methodist Church in Zimbabwe provided and supported positions of political leadership in Zimbabwe. The objectives of this study are to: unveil successes and failures of Wesleyan Methodists in Zimbabwean political arena, expose the historical significance of Wesleyan Methodist influence in politics for Zimbabwean history and present a historical account of the Wesleyan Methodist Church in Zimbabwe. The methodology preferred in this study included oral history and a combination of the ecumenical and southern approaches to Church history. The study utilised archival and oral data as primary sources, the translation model of contextual theology, holistic framework for analysing history, the principle of the overriding right and the conflict transformation model as part of the methodology. Through the use of the translation model of contextual theology, the study revealed how John Wesley used principles from the Christian message and Church tradition in addressing his political context. The study exposed that John Wesley was obsessed with accountability to God and constituency, respect for every person, respect for political structures as well as authorities and relationships among people as fundamental pillars in political activities. He based these on his understanding of God's free grace, people's liberty to accept or reject that grace and the validity of popular religious expression. The study revealed that Wesleyan Methodists in Zimbabwe had a special relationship with the colonial government due to an invitation by Cecil John Rhodes for the church to participate in the Pioneer Column. The relationship determined how retrogressive or progressive ministers responded to government requirements and made demands on government until the country's independence in 1980. The study also exposed how retrogressive Wesleyan Methodists moved from acceptance and collaboration to acceptance and selective rejection of colonial policies and how both retrogressive and progressive ministers employed the concept of non-contestation of participation in armed conflict and throwing one’s lot on the expected side. It also showed how progressive ministers contributed to the political emancipation of Africans and the role played by the mission-educated elite in Zimbabwe. The study ended with pointing out that Zimbabwean Wesleyan Methodist political teaching and practice had very bright future prospects at the independence of the country in 1980. / Thesis (PhD)--University of Pretoria, 2011. / Church History and Church Policy / Unrestricted

Unemployment is a debated topic in Sweden, and it is higher among people with a foreign background than among native-born people. The main purpose of this study is to examine the experiences of low-educated unemployed people with a foreign background who are experiencing difficulties in entering the Swedish labour-market, and to examine how they experience being without work, and how unemployment affects them negatively. The method used in this study is a qualitative and with five semi-structured interviews were implemented. The interviewees are unemployed. They also have a foreign background and they are low educated. We used a thematic analysis to analyse our collected material. The results of the study show that low-educated unemployed people with a foreign origins face difficulty in improving themselves in the Swedish labour-market. They experience that there are several different factors that weakened their establishment in the labour-market. The factors are, their level and the parents' low level of education, lack of the Swedish language as well as lack of social networks. They also experience discrimination both on the basis of its ethnicity and that they have a lower-class position in Swedish society as a result of being low educated. Unemployment leads these people to experiencing negative consequences, for example, feeling ashamed because their financial resources have deteriorated, which in turn leads to them having a lower economic position in the Swedish society. / Arbetslöshet är ett debatterat ämne i Sverige och den är högre hos personer med utländsk bakgrund än bland inrikesfödda personer. Syftet med denna uppsats är att undersöka hur lågutbildade arbetslösa med utländsk bakgrund upplever svårigheter att ta sig in på den svenska arbetsmarknaden, samt att undersöka hur de upplever att vara utan arbete, det vill säga hur arbetslösheten påverkar dem negativt. Uppsatsens metod är en kvalitativ och fem semistrukturerade intervjuer genomfördes. Intervjupersonerna är arbetslösa. De har även en utländsk bakgrund och en låg utbildnings nivå. En tematisk analys har använts för att analysera det insamlade materialet. Resultatet i studien visar att lågutbildade arbetslösa med utländsk bakgrund upplever svårigheter att etablera sig på den svensk arbetsmarknaden. De upplever att det är flera olika faktorer som försvagar deras etablering på arbetsmarknaden. Dessa faktorer är deras och även föräldrarnas låga utbildningsnivå, brist på det svenska språket samt brist på sociala nätverk. De upplever även diskriminering både utifrån sin etnicitet och att de har lägre klassposition i det svenska samhället till följd av att de är lågutbildade. Arbetslösheten leder till att dessa personer upplever negativa konsekvenser exempelvis, de upplever skamkänsla på grund av att deras ekonomiska resurser har försämrats, vilket i sin tur leder till att de får lägre ekonomisk position i det svenska samhället.

Bakgrund: Traditionellt har vården varit källan till information för människans sjukdomsdiagnos, behandling och prognos. I dagens digitala samhälle, finns samma evidensbaserade sidor som sjuksköterskan hämtar kunskap från tillgängliga för gemene man. Kunskap om sitt egna upplevda hälsotillstånd är idag ett av de mest sökta ämnet på internet och möjligheten att besitta specialistkunskap om sitt tillstånd är därför stor. Sjuksköterskor beskriver i mötet med den pålästa patienten, en känsla av förlägenhet i sin profession då de betraktar det som osannolikt att vara uppdaterad i nivå med den senaste kunskapen som patienten hämtat. Motiv: Det är angeläget att genomföra denna studie för att belysa de utmaningar en distriktssköterska som arbetar på en hälsocentral ställs inför, i ett samhälle där digitaliseringen gjort kunskap lättillgängligt.  Syfte: Syftet med studien är att belysa distriktssköterskors erfarenheter av att möta pålästapatienter som hämtat information från internet inför ett primärvårdsbesök. Metod: Data för denna studie har inhämtats från åtta distriktssköterskor från fem hälsocentraler i Västerbotten. För att öka förståelsen av sjuksköterskans erfarenheter av den pålästa patienten har åtta semistrukturerade intervjuer utförts. Intervjuerna har analyserats utifrån en kvalitativ innehållsanalys. Resultat: Studien synliggör varierande erfarenheter av den pålästa patienten. Det framkom att distriktssköterskorna var eniga om att pålästa patienter som hämtat information från internet inför ett primärvårdsbesök kan vara både ansträngande och tidskrävande. Samtliga distriktssköterskor hävdar samtidigt att en påläst patient inte behöver vara något negativt. Konklusion: Slutsatsen pekar försiktigt mot att dagens digitaliserade samhälle medför att patienten ställer högre krav på distriktssköterskans kompetens. Studien belyser utmaningar och känslor som sjuksköterskor kan möta i sitt arbete med en påläst patient och synliggör potentiella behov av åtgärder som kan underlätta arbetet med den pålästa patienten som hämtat information från internet inför ett primärvårdsbesök. / Background: Traditionally, healthcare has been the source of information for diagnosis, treatment and prognosis. In today's digital society, the same evidence-based pages that the nurses' draws knowledge from is available to the public. Knowledge of one's own experienced health condition is today one of the most sought-after topics and the opportunity to possess specialist knowledge of one's condition is high. Nurses describe feelings of embarrassment in their profession as they consider it unlikely to be up to date with the latest knowledge. Motive: It is important to perform this study to describe the challenges a primary health care nurse faces in daily work where digitalisation has made knowledge easily accessible. Aim: Primary health care nurses’ experiences of meeting knowledgeable patients who retrieved information on the internet prior to a primary care visit. Methods: Data has been obtained from eight primary health nurses’ from five health centers in Västerbotten. To increase the understanding of the primary health nurses' experience of the knowledgeable patient, eight semi-structured interviews were held. The interviews were analyzed according to a qualitative content analysis. Result: The study highlights varying experiences. It emerged that primary health care nurse’s agreed that knowledgeable patients who obtained information from the internet prior to a primary care visit can be both exhausting and time-consuming. Although, all primary health care nurses’ claim that a knowledgeable patient does not have to be something negative. Conclusion: The conclusion cautiously points to the fact that today's digitalized society sets higher demands on the primary health care nurse's competence. The study highlights the challenges and emotions that the primary health care nurse may encounter. The study highlights potential needs for measures that can facilitate the work.

This paper investigates occupational mismatch of highly educated refugees in Sweden and aims to study what factors are impacting their labour market integration process. In contrast to the extensive number of quantitative reports based on registered data in the field, this research applies a qualitative approach by conducting interviews with the target group and incorporating a temporal aspect of the process. The results confirm existing theories such as human capital deficit, lack of social capital and signalling issues, but also indicates that contextual factors, being family demands and financial pressure, affect the process. An openness towards a change of field and lack of guidance from authorities emerged as factors for mismatch too. Lastly, feelings of stress and frustration seems to influence the process to a big extent which leads us to the conclusion that the labour market integration process of educated refugees is highly influenced by the aspect of time - and more specifically the lack of it.

Investeringar i transportinfrastruktur är dyra och kräver god planering, även då blir det inte alltidsom tänkt. Denna studie ämnar att se relationen mellan en investering i transportinfrastruktur iÖresundsregionen och regional attraktionskraft samt ekonomisk tillväxt. Öresundsmetron ärännu en vision som planeras och diskuteras av Malmö Stad och Köpenhamns Kommun. Sedan1800-talet har företagen i västvärlden förändrats vilket har ökat behovet och efterfrågan på bratransportinfrastruktur i regionen. Tidigare studier visar att investeringar i transportinfrastrukturenkan öka den ekonomiska tillväxten och attraktionskraften genom lokalisering- ochurbaniseringsekonomier. De visar även att företag fortfarande resonerar på samma sätt som detidigare gjort när det kommer till lokalisering men efter att företag och samhälle utvecklats harval av lokalisering förändrats eftersom behoven har förändrats. Eftersom västvärlden inte kankonkurrera med produktionseffektiviteten som utvecklats i Asien har västvärlden gått från enfabriksindustri till kunskapsintensiva innovationsföretag. Innan den industriella revolutionen varråvaran och transportkostnader företagets högsta kostnad, när industriproduktionen ersattes medkompetent arbetskraft blev lönen företags högsta kostnad. Företag vill lokaliseras där de har lägstkostnad, här har Öresundsregionen chans att locka företag genom att öka attraktionskraftengenom bland annat en god infrastruktur som möjliggör för företag att ha tillgång till högutbildadpersonal, det vill säga den kreativa klassen. Studien är byggd på en kvalitativ metod där empirinbestår av artiklar från dagstidningar, en motion i Sveriges Riksdag, en undersökning avDemoskop samt en intervju gjord med Projektledaren för Öresundsmetron. Empiri haranalyserats utifrån tidigare forskning och de teoretiska modellerna. Resultatet visar att enÖresundsmetro kan leda till ökad attraktionskraft för Öresundsregionen och ekonomisk tillväxtgenom att företag och arbetskraft attraheras till regionen, med förutsättningen att den befintligainfrastrukturen fungerar som förväntat där Öresundsmetron kompletterar snarare än ersätter. / Investments in transport infrastructure are expensive and require planning, even then it does notalways work as intended. This study aims to see the relationship between an investment intransport infrastructure in the Öresund region and regional attractiveness as well as economicgrowth. The Öresundsmetro is still a vision which is planned and discussed in Malmö City andCopenhagen City. Since the 19th century companies in the western world have changed theirproduction which has increased the demand for good transport infrastructure. Previous studieshave shown that investments in transport infrastructure can increase the economic growth andattractiveness through localization- and urbanization economies. Previous studies have alsoshown that companies have a similar mindset as they have had historically when choosinglocalization, but as companies and society change, the demand and choice of localization haschanged. When the western world could not compete with the production efficiency which wasdeveloped in Asia, the western world’s companies developed from an industry toknowledge-intensive companies. Before the industrial revolution, raw materials andtransportation costs were the company's highest cost, when replacing the industrial productionwith skilled labor the salaries became companies highest cost. Companies want to be locatedwhere they have the lowest costs. Here, the Öresund region has a chance to attract companies byincreasing its attractiveness through, among other things, a good infrastructure that enablescompanies to have access to a higher educated workforce, the creative class. We have used aqualitative method where the empirical data consists of articles in newspapers, a motion in theSwedish Parliament, a survey of Demoskop and an interview with the Project Manager for theÖresundmetro. This empiric data has been analyzed based on previous research and theoreticalmodels. The results shows that the Öresundmetro can lead to increased attractiveness andeconomic growth, for the region in Öresund, by attracting companies and labor to the region,with the conditions that existing infrastructure works as it should where the Öresundsmetrocomplements rather than replaces.

Le but de la présente recherche est de documenter, à partir d’une approche de recherche pragmatique qui s’inspire d’une méthode de recherche de type mixte, ce qui influence la performance des personnes formées à l’étranger (ci-après « PFÉ ») à l’examen d’admission à la profession infirmière au Québec (ci-après « examen »). Un devis séquentiel explicatif permet de découper cette recherche en deux grandes phases qui s’intéressent, respectivement, à des données quantitatives et à des données qualitatives. Les objectifs de cette recherche sont de 1) déterminer s’il existe une différence entre les scores observés à l’examen du 12 septembre 2020 pour les PFÉ et les personnes formées au Québec (ci-après « PFQ »), 2) déterminer s’il existe une association entre certaines caractéristiques connues des PFÉ et les scores observés à l’examen du 12 septembre 2020 et 3) décrire les caractéristiques reliées aux PFÉ et aux items qui influencent la mise en œuvre du jugement clinique infirmier lors de la détermination des réponses aux items de l’examen du 12 septembre 2020. Les deux échantillons de la première phase contiennent 1 050 PFQ et 199 PFÉ en premier essai à l’examen de septembre 2020. La collecte de données pour cette première phase a été réalisée à l’aide d’un fichier d’information obtenu auprès de l’Ordre des infirmières et infirmiers du Québec. Des analyses comparatives des deux échantillons permettent de conclure qu’il existe une différence statistiquement significative entre les scores moyens observés à l’examen pour l’échantillon des PFQ et celui des PFÉ et que la taille de l’effet est considérée comme étant modérée. Des analyses additionnelles sont réalisées afin de déterminer s’il existe une association statistiquement significative entre certaines variables disponibles, notamment l’âge, le sexe, le délai depuis la diplomation, l’indice de développement humain (ci-après « IDH ») du pays de diplomation et les scores moyens observés pour les PFÉ. Ainsi, les résultats suggèrent l’absence d’association entre l’âge ou le délai depuis la diplomation et les scores observés à l’examen. Par ailleurs, les analyses permettent d’observer une association statistiquement significative entre les scores observés des PFÉ à l’examen et le sexe ainsi que l’IDH du pays de diplomation, même si la taille de l’effet est considérée comme étant faible. L’échantillon de la deuxième phase de cette recherche contient huit PFÉ en premier essai à l’examen de septembre 2020. La collecte de données s’est effectuée à l’aide d’entrevues individuelles semi-structurées réalisées à distance et enregistrées à l’aide du logiciel Microsoft Teams. Le guide d’entrevue, explorant les thèmes tirés du cadre de référence, est construit à partir de la littérature consultée au sujet des caractéristiques pouvant agir sur les réponses aux items d’un examen. Les données ont fait l’objet d’un codage thématique à l’aide d’une grille. Les résultats indiquent que la mise en œuvre du jugement clinique infirmier, incluant la mobilisation des savoirs appropriés lors de la résolution d’items de l’examen, constitue un défi pour les PFÉ qui participent aux entrevues (ci-après « PFÉP »). Ainsi, les savoirs infirmiers mobilisés s’appuient, en partie, sur des connaissances et des expériences acquises avant l’arrivée au Québec qui diffèrent des savoirs qui sont ciblés par les items de l’examen. Ceci n’est pas surprenant puisque les PFÉP constituent un groupe hétérogène d’individus avec des parcours professionnels extrêmement variés et le contenu de l’examen cible spécifiquement les aspects requis pour exercer au Québec. Bien que les savoirs acquis après l’arrivée au Québec soient aussi mobilisés lors de la résolution des items de l’examen, ces nouvelles connaissances sont parfois insuffisantes pour certaines PFÉP qui présentent de trop grands écarts de savoirs professionnels. Par ailleurs, l’état psychologique des PFÉP, les difficultés à lire et à bien comprendre les situations cliniques de l’examen et le manque de temps influencent certainement la capacité de choisir les réponses attendues aux items de l’examen. Les résultats de cette recherche contribuent aux connaissances en éducation puisqu’ils permettent une meilleure documentation des caractéristiques qui influencent la détermination des réponses à un examen en contexte d’immigration professionnelle. Ils contribuent aussi aux connaissances en matière d’intégration professionnelle des PFÉ en mettant en lumière le caractère hétérogène de ce groupe de personnes qui exerçaient la profession infirmière dans leur pays d’origine et l’importance d’adopter une approche individuelle aux défis de ces personnes qui souhaitent obtenir un permis d’exercice au Québec, notamment les outils de préparation à l’examen. Les résultats peuvent aider les instances touchées par l’administration d’un examen à considérer différentes caractéristiques reliées à la personne ou aux items qui influencent la détermination des réponses aux items. / The goal of this research project is to document, using a pragmatic approach inspired by a mixed-method paradigm, what influences the performance of internationally educated nurses (IENs) at the entry-level exam in Québec. As is done with an explanatory sequential design, this research is divided into two phases. The first phase relates to quantitative data and the second phase relates to qualitative data. The objectives of this research are 1) to determine if there is a difference between the scores observed at the exam for IENs and Québec trained nurses (QTNs), 2) to determine if there is an association between certain IEN characteristics and the scores observed at the exam and 3) to describe the characteristics of IENs that influence the use of nursing clinical judgement while responding to the items in the September 12, 2022 exam. The two samples for the first phase of this research are made up of 1,050 QTNs and 199 IENs who were first-time writers at the September 2020 exam. The data collection for this first phase was done using information obtained from the Ordre des infirmières et infirmiers du Québec. Comparative analysis of the two samples suggests that there is a statistically significant difference between the mean scores observed at the exam for the QTN and IEN samples with an effect size that is considered moderate. Additional analyses were used to determine if there is a statistically significant association between certain variables such as age, sex, time lapse since graduating, human development index (HDI) for the country of graduation and the mean scores observed at the exam for IENs. The results suggest the absence of an association between age or the time elapsed since graduation and the observed scores at the exam. Moreover, the analyses show that there is a statistically significant association between the mean scores observed at the exam for IENs, sex and the HDI for the country of graduation, although this effect size is considered weak. The sample for the second phase of this research is made up of 8 IENs who were first-time writers at the September 2020 exam. The data collection was done through individual semi-structured interviews held remotely and recorded using Microsoft Teams. The interview guide explored themes inspired by the framework based on available literature related to characteristics which can influence item response. The data collected was coded using a themed grid. The results suggest that the use of nursing clinical judgement, including the mobilization of appropriate knowledge to respond correctly to exam items, is challenging for the participating IENs. Moreover, the nursing knowledge mobilized during item response refers, partly, to knowledge and experience acquired before arriving in Québec, which are different from the knowledge tested in the exam items. This is not surprising since IENs are a heterogeneous group with a variety of professional pathways and the content of the exam targets specific aspects required for nursing practice in Québec. Although the knowledge acquired after arriving in Québec is also mobilized by the IENs during item response at the exam, this new knowledge is sometimes insufficient for some IENs who have an important knowledge gap. Also, the psychological state of IENs, challenges with reading and understanding the clinical situations presented in the exam, and the lack of time during the examen certainly influenced the capacity to respond correctly to the items. The results of this research will contribute to the educational knowledge base because they document some of the characteristics that influence exam item response in the context of professional immigration. These results will also contribute knowledge related to the professional integration of IENs who previously practised nursing in their country of origin by highlighting the heterogeneity of this group and the importance of adopting an individualized approach to the unique challenges ¬– such as those associated with exam preparation materials – faced by IENs who wish to obtain a nursing permit in Québec. These results can help all organizations involved in administering entry-level professional exams take into consideration the different personal characteristics or items that could influence the item response process.