Creating integration management

In order to be able to meet the needs of the recruited nurses from abroad effectively, many companies have already discovered that setting up an integration management department or a personnel department for this area has been a good idea. All topics, questions and issues related to the recruitment, arrival, induction training and recognition procedure can be channelled and processed in integration management. Integration managers can develop tailored suggestions for the strategic facilitation of a welcome culture – and bring them together conceptually.

Integration management requires resources

Field reports show that the implementation of a structurally anchored integration management is worth the investment, even if there is only a small number of internationally recruited nurses. But it is important to define clear responsibilities in advance. Suitable employees must be found, and these must be entrusted with creating and maintaining the necessary structures. This also means writing the fields of responsibility in the job description of the respective employees, and giving them the relevant resources in respect of working time, a budget and room to manoeuvre.

Even if a department cannot (yet) be established for integration management, it is absolutely necessary to clarify the relevant responsibilities. It is important not to underestimate the coordinating and moderating role of the facility in the international recruitment of nurses. Even if a company works with a recruitment agency, a central contact person who attentively follows the entire process, taking action where necessary, is essential. This also applies if the commissioned recruitment agency offers to accompany the recognition procedure or to help with relocation and social integration according to the agreed services.

Integration management requires a concept

We absolutely recommend that you write down in a concept paper the various integration-promoting measures and services that a company provides in the course of international recruitment and promoting the welcome culture. This has several advantages:

  • It helps the company to reflect upon the services it is offering: Which measures do we offer and how are they linked to one another? Have we thought of everything?
  • Responsibilities can be clearly defined: Which positions or which people are responsible for which measures? How are processes regulated?
  • It brings transparency: With an understandable concept, the existing employees are transparently shown which measures are planned as regards international recruitment; at the same time nurses who are thinking about being recruited by a company get an overview of the integration-promoting measures that a company actually offers, so that they can evaluate these themselves
  • It brings structure and reliability: Having a conceptual framework also relieves the pressure because it defines the field of responsibilities in which companies want to be active and guarantee reliability
  • It serves as a work aid. Employees use the concept and possible checklists to work through work tasks
  • The collaboration with service providers becomes plannable: If a company decides to outsource certain activities to external service providers such as recruitment agencies, relocation service agencies or trainers, contracts can be more clearly defined and points of intersection can be designed more smoothly
  • It is important to check and evaluate the concept in terms of its up-to-dateness and accuracy on a regular basis.
  • Collaboration with a recruitment agency that has been awarded the “Fair Recruitment Healthcare Germany” seal of quality is made easier. According to the requirements catalogue of the quality association “Anwerbung und Vermittlung von Pflegekräften aus dem Ausland e.V.”, recruitment agencies with the seal of quality will request their commissioning company to write an integration management concept

An operational integration management concept should also be compiled according to the requirements of the seal of quality
“Fair Recruitment Healthcare Germany”

Gütesiegel “Faire Anwerbung Pflege Deutschland”

The structure of the Welcome Culture & Integration Toolbox can also be a helpful guide in conceiving and writing down a company-own integration concept. Your company then decides on the content and concrete measures that you will use to fill out this structural framework. You can find further tools that may be helpful in compiling an integration management concept in the following two examples:

Tool to develop an integration concept (EIk)
Ein Fragenkatalog entwickelt von der Hochschule Fulda

To support healthcare facilities in designing an integration concept for international skilled workers, Fulda University of Applied Sciences has compiled a catalogue of questions with the project IntIP. The EIk tool is a catalogue of questions intended to guide those responsible for personnel and managers through the process of recruitment and integration of internationally qualified nursing staff, thus helping to create clarity regarding which decisions need to be made and which measures can be taken, to design the integration process of internationally qualified personnel.

Further to the PDF “Tool to develop an integration concept (EIk)”

A future-oriented integration concept

Experiences of ´Die Zieglerschen e.V.`

Die Zieglerschen e.V., a diaconal company and large multiple sponsor of diaconal services in Baden-Württemberg, developed a comprehensive integration concept over a period of about four months in the context of the international recruitment of nurses. The concept, whose content focus is close to the main business area of geriatric care, aims to implement a holistic approach and to map the procedures from the recruitment itself to the internal retention of international nurses. The Zieglerschen e.V. received support from the Welcome Center Sozialwirtschaft Baden-Württemberg, which carried out an actual state analysis in the form of a multidimensional questionnaire at around 30 locations of geriatric care, in order to enhance existing experiences, expertise and resources, and develop these further in the form of recommendations for action. The subsequent development of the integration concept within the Zieglerschen e.V. developed around the core concern of combining ethical principles that have been elaborated as comprehensively as possible with small-step and effective practicability.

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Welcome Center Social Economy Baden – Württemberg
Sponsor-independent information centre and centre of expertise

Logo Welcomecenter BWThe Welcome Center Sozialwirtschaft Baden-Württemberg has been supporting all stakeholders in the social economy of Baden-Württemberg since 2014 on behalf of the Ministry of Economics, Labour and Housing and sponsored by social service institutions in Baden and Württemberg to counteract the shortage of skilled workers.

Overview of services:

  • Advising companies on the recruitment of international skilled workers who would like to build a professional future in Baden-Württemberg. Information on the topics of recognition, residency, qualification, language and integration
  • Supporting international skilled workers with an initial consultation and guiding them to the right advice services and authorities
  • Facilitating the networking of institutions and sponsors with each other and with the relevant authorities and advice centres
  • Events, e.g. on the topics of recruitment, recognition & qualification as well as on the topic of diversity-oriented onboarding / integration for companies
  • Specialist expertise for advice centres and authorities
  • Current online information and newsletter for international skilled workers, companies and interested parties

Further information about the Welcome Center BW

What integration managers can be entrusted with

As the international recruitment of nurses demands more from employers than recruiting people from Germany, it is well worth while considering the following points and discussing them in your team:

  • the fundamental decision of whether international recruitment should take place
  • the choice of the recruitment channel:
    • via a state recruitment agency such as the ZAV or the programme Triple Win
    • with the help of a private internationally active recruitment agency
    • through independent recruitment abroad
  • the decision for an applicant:
    • for the decision with which applicant an employment contract should be signed, the opinion of the integration management department can also be taken into consideration
  • the support of the arrival management:
    • after the decision which people should in future be employed in the company in Germany, a (currently still) laborious process of arrival management starts; from the employment contract to obtaining necessary documents, submitting the application to booking the flight, there are various points in which integration managers need to act on behalf of their company
  • the preparation of the company:
    • an integration concept may still need to be agreed and written
    • the employees’ representative should be informed, as well as the team of the host company
    • a suitable, tiered induction training plan should be compiled
    • the decision of whether a mentoring programme should be used and which employees will take part
  • accompanying the recognition procedure:
    • the integration managers can be in contact with the recognition authority on behalf of the company and open up the possibilities of preparatory courses for the knowledge test, professional alignment courses and language support with their own or cooperating educational institutions
  • Contact persons for the newly arrived employees:
    • once the newly recruited employees have arrived, they appreciate having reliable contact persons; integration managers can of course also refer to the appropriate persons or institutions
  • Contact persons for the other colleagues from the existing team:
    • for the members of the existing team too, contact persons are very important for dealing with suggestions, conflicts or simply queries
  • Contact person from the company management:
    • in smaller companies, the managers themselves will often also take over the integration management; in larger companies, it may be helpful for the management to be able to rely on one employee who keeps track of these multifaceted topics and can make recommendations

The Stiftung Liebenau code of ethics for the acquisition of employees from abroad
Example of a code of ethics as a value-oriented foundation for an integration concept

Illustration zu Ethikkodex mit KompassThe example of the code of ethics by the Stiftung Liebenau illustrates how it is possible to analyse the ethical issues around international recruitment. With this as a basis, it is then easier to develop a suitable operational integration concept.

You can find the code of ethics of the Stiftung Liebenau as a PDF file here:

Stiftung Liebenau code of ethics

If you have questions about the code of ethics or want to get in touch with the Stiftung Liebenau, you can find further information here:
Stiftung Liebenau – International Training & Recruiting

Operational integration of nurses from abroad
A study by the Hans Böckler StiftungFurther in-depth information on the operational integration processes can be found in a study by the Hans Böckler Stiftung, which highlights areas of tension that can arise between newly migrated and existing employees at the workplace. The study also highlights solution strategies.

You can download the study here

The most important things for your to-do list

  • Being aware and able to reach the integration managers is definitely important for both existing and new colleagues, from recruitment abroad to induction training in the country of destination.

  • The integration managers ensure that the concerns of the new and existing employees are heard, thereby minimising any potential for frustration.

  • Managing integration measures is teamwork and the profile of tasks involved is correspondingly dynamic.

  • Integration managers relieve the pressure and create clarity as well as promote a professional working climate in day-to-day operations.

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