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June 20 Integration Graduates discussing Hungary's MIPEX
Hlmdi-The first graduates of the migration -integration pilot project will be sharing the results of their learning through a professional round table on june 20th in pécs
The professional committee of the round-table will be hosting experts in the fields of migration and integration governance ,mediation and facilitation,psycho-sociology, epidemiology , economics and sustainable planning,innovation capacity building and empowerment,pharmacy,public health and global health
Reflections on Hungary's current and previous status on MIPEX provides an interesting center of attention for the professional discourse
Results of MIPEX and Hungary related research 2015
see:http://www.mipex.eu/
INTERNATIONAL KEY FINDINGS
Changes in context: can integration policies respond to the needs?
Nearly 20 million residents (or 4%) are non-EU citizens
The low-educated make up 37% of working-age non-EU immigrants in EU
Risk of poverty or social exclusion increased 4 points to 49%
Employment rates (aged 20-64) dropped 6 points on average in the EU to 56.5%
- Within the EU, nearly 20 million residents (or 4%) are non-EU citizens. The number of non-EU newcomers was relatively stable from 2008-2013, due to fewer labour migrants and more recognised beneficiaries of international protection)
- Since 2008 and crisis/austerity, non-EU citizens’ employment rates (aged 20-64) dropped 6 points on average in the EU to 56.5% in 2014 , while their risk of poverty or social exclusion increased 4 points to 49%, twice the level for EU citizens
- The low-educated make up 37% of working-age non-EU immigrants in EU (aged 18-64); a growing share are university-educated (around 1/4) , compared to 45% of immigrants in traditional countries
- Immigration should be a top item on the EU agenda, according to an increasing number of EU residents (24% in autumn 2014, up +16% since 2012, esp. BG, DK, DE, IT, MT, SE, UK), ranked just after the economy (33%), unemployment (29%) and public financing (25%)
- This agenda comes at a time of major government changes and close elections in several major destinations (e.g. between 2010-2014 in AU, BE, FR, GR, IT, PT, ES, UK, Nordics)
- Far-right parties have never done better in recent European history, threatened mainstream parties and even entered into government/kingmaker positions (unthinkable in 2000 with EU boycott threat of AT over FPÖ); e.g. 2014 European Parliament elections saw vote shares of ≈25% in DK, FR, UK, 20% in AT, 15% in FI, HU, LV, LT and NL and 10% in GR and SE
- Public opinion on immigration is divergent across the EU and generally uninformed. In 2012, 2/3 thought that immigrants should have equal rights, from 30-40% in CY, HU, LV to 80-90% in Nordics, NL, PT and ES . In 2014, non-EU immigration evoke ‘negative feelings’ in 57% EU residents, especially in Baltic, Central and Southeast Europe . While the public is grossly over-estimates the number of immigrants and correcting this improves their attitudes, few think that their public immigration debates are based on facts.
Policy indicators: Key Findings
Integration policies in the 38 MIPEX policies are, on average, ambivalent about equal rights and opportunities for immigrants. Scoring 52/100, integration policies in these developed democracies create slightly more obstacles than obstacles for immigrants to fully participate in economic, social and democratic life.
Immigrants generally face greater obstacles in emerging destination countries with small numbers of immigrants and high levels of anti-immigrant sentiment (the Baltics, JP, Central and Southeast Europe; EU13 average is 41/100). Immigrants usually benefit from more equal rights and opportunities in wealthier, older and larger countries of immigration, for example in Western Europe (EU15 average is 60/100) and traditional countries of immigration (67/100 on average for AU, CA, NZ, US). But political will may matter more than a country’s tradition of immigration, since more inclusive integration policies may both encourage more immigrants to settle permanently and the public to trust immigrants more.
For example, integration policies differ significantly between DE and AT/CH, DK and SE, BE and FR, PT and ES, JP and KR or between EE, LV and LT.
The greatest areas of strength are that migrant workers, reunited families and permanent residents enjoy basic security, rights and protection from discrimination. Within Europe, national policies are more strong and similar in these areas covered by EU law. The greatest obstacles are for foreign citizens to become citizens or politically active and for mainstream services to guarantee equal access and opportunities for immigrants (targeted employment, education and health support). In Europe, policies are generally weaker and divergent in these areas of national policy.
Ranking 2014 | Score | Change Since 2010* | |
---|---|---|---|
1 | Sweden | 78 | 0 |
2 | Portugal | 75 | 1 |
3 | New Zealand | 70 | 0 |
4 | Finland | 69 | 2 |
4 | Norway | 69 | 1 |
6 | Canada | 68 | 1 |
7 | Belgium | 67 | 2 |
8 | Australia | 66 | 0 |
9 | USA | 63 | 1 |
10 | Germany | 61 | 3 |
11 | Netherlands | 60 | 8 |
11 | Spain | 60 | 0 |
13 | Italy | 59 | 1 |
Ranking 2014 | Score | Change Since 2010* | |
---|---|---|---|
13 | Denmark | 59 | 10 |
15 | Luxembourg | 57 | 2 |
15 | United Kingdom | 57 | 6 |
17 | France | 54 | 1 |
18 | South Korea | 53 | 1 |
19 | Ireland | 52 | 1 |
20 | Austria | 50 | 3 |
21 | Switzerland | 49 | 1 |
22 | Estonia | 46 | 1 |
23 | Hungary | 45 | 1 |
23 | Iceland | 45 | |
23 | Czech Republic | 45 | 3 |
23 | Romania | 45 | 1 |
Policy indicators: changes
* +1 point on average, on the MIPEX 100-point-scale, between 2010-2014
- Integration policies continue to improve little-by-little, sometimes with great effects on specific aspects of people’s lives
- +1 point on average on the MIPEX 100-point-scale from 2010-2014 (similar to +1 point trend from 2007-2010)
- 13 countries made these +1 average improvements by reinforcing current programmes (PT, US), improving procedures (FR, IE, JP, CH, TU) or implementing EU law (HU, IT, LT, RO)
- 10 countries passed more major reforms (DK’s several reforms catching up with policies in Nordics, DE and international trends; more targeted support in AT and DE and dual nationality for 2nd generation in DE; CZ and PL adopt EU-required anti-discrimination laws and domestic citizenship reforms; BG implements EU law)
- 7 countries lost -1 point (or more for GR, NL, UK) due to restrictions and cuts: GR on citizenship and voting rights (-2); NO on national consultative body; AU, CA and KR on family reunion; major drops in only NL (-8) and UK (-6) in nearly all areas with residence restrictions and targeted support cuts)
- 6 countries receive the same score due to small improvements (SE) or restrictions (NZ, SI, ES) or none at all (CY, SK)
- Between 2007-2010, major reforms were passed in just a handful of countries (+11 in LU on all areas, +10 in GR on citizenship & voting rights, +5 in AT on targeted employment support, +4 in CZ on anti-discrimination, +3 in LV on access to education and training)
Beneficiaries: who could benefit from integration policies?
5-7%
5-7% of non-EU citizen adults in the EU were not living with their spouse or partner
33%
1/3 of working-age non-EU citizens were not in employment, education or training, especially women and the low-educated
27/13%
Discrimination reported experienced by: 27% of people belonging to ethnic minorities 13% belonging to religious minorities
The need for ambitious integration policies is clear across European countries, according to the latest comparable data (mostly from 2013). 5-7% of non-EU citizen adults in the EU were not living with their spouse or partner in 2011/2 and thus may be potential sponsors for family reunion. On average, 1/3 of working-age non-EU citizens were not in employment, education or training, especially women and the low-educated.
Discrimination was reportedly experienced by 27% of people belonging to ethnic minorities and 13% belonging to religious minorities. While the public often talks about immigrants as newcomers, on average 3/4 of non-EU citizens were settled for 5+ years in most European countries, including Southern and Central Europe. More than half lived there long enough to apply for citizenship across the EU.
Beneficiaries: who really benefits?
The links between integration policies and outcomes are not always clear. Some countries actively improve their policies to respond to problems on the ground, while others ignore them. Some policies are reaching many eligible immigrants, while others are poorly implemented or limited to small-scale projects and best practices. The MIPEX review of statistics and evaluations (Bilgili 2015) suggest that ambitious policies are helping immigrants and their children in practice to reunite together, get basic training, become permanent residents, voters and citizens and use their rights as victims of discrimination. This can benefit everyone in society.
Researchers using MIPEX around the world find that the countries with inclusive integration policies also tend to be more developed, competitive and happier places for immigrants and everyone to live in.
Inclusive policies may also help us trust immigrants and see the benefits of immigration to our society, while restrictive policies harden distrust and xenophobic attitudes among the public. A drop in a country’s MIPEX score usually signals a rise in anti-immigrant attitudes and the success of far-right parties. The MIPEX network hopes to continue monitoring whether integration policies become more ambitious and effective, learning from the latest research and improving its indicators. We aim to bring a greater level of maturity and evidence to the often politicized debates about the successes and failures of integration policies around the world.
Written by Gabriella Gombar
EU díj: Dr.Jarjabka Ákos üzenete Szilárd István Professzornak
Integration College Pilot Prj at the Forefront
Integration College Pilot Project at the Forefront
HLMDI's Gabriella Gombár called together a tripatriate meeting between HLMDI, Department of Operational Medicine,Dept of Language and Communication Institute of the School of Medicine around the best methods for knowledge haring and collaborations around the integration platforms and programs designed , operated and hosted by the parties yesterday June 13th.
Key areas:
1)- Tailor Made Inter-Cultural Educational Simulation of Doctor-Patient programs under the management of the Language and Communication Institute (Skills Lab project)
2)-The "Culturally Competent in Medical Education" program of the OPM department held Sept 21-23
3)-Integration Community Building Activities by HLMDI-Dept of OPM under the Integration Platforms and Programs with a major focus on Diaspora engagement
The enthusiastic participants agreed on expanding relationships at the levels of training of the trainers (OFTEX CDP), Doctor-Patient Simulation, Research, Migrant Community Development Coaching and Facilitation , New program and Integration platform development
The German and Iranian communities represent the largest amongst the foreign students at the medical school requiring a special attention
During the meeting examples of the pilot Integration College and Platform initiated by HLMDI and jointly researched by the Department of Operational Medicine were shared providing important impulses regarding the spectrum and content of the future areas of collaboration
Future Collaboration Horizons
-Programs and platforms for the students
-Programs and platforms for the trainers/educators
Hosted by the University of Amsterdam, the colleagues of the Department of Operational Medicine together with 11 American and European Universities had participated in a joint international research program titled "Culturally Competent in Medical Education” leading the Quality Assurance WP.
The above research project made clear the fact that the current Cultural Competence and Capacity Building programs are way below standard and tragically insufficient, especially at the level of trainers and educators
As a result the Dept has developed an OFTEX CDP course that can be promoted by the parties under the "Cultural Competence in Medical Education and Service". The training will be taking place between Sept 21-23, 2017
The Circular Migration and Integration Platform as well as the Integration College project provide a beneficial base for facilitating the operational goals of the collaboration
-Participants from the Language and Communication Institute:
Dr. Koppán Ágnes, Eklicsné Dr. Lepenye Katalin, Dr. Németh Tímea, Szántóné Dr. Csongor Alexandra, John Marquette
-Participants from the OPM dept:
Dr.Erika Marek, Prof.Istvan Szilard,Dr.Kia Goolesorkhi
-Participants on behalf of HLMDI:
Gabriella Gombár (Community Development Manager,Mediator, Responsible for Informal Learning and Networking)
The conclusions of the meeting were reported to the Head of the Department of Operational Medicine Professor Lajos Bogár
Conclusions of the Integration Pilot project shared with all covered the following areas of attention:
1)- The High Context-Low Context Communication
Difference appears to be a serious area of conflict
(Hungarians represent High Context Communication vs. Germans and Iranians represent High Context in comparison to Hungarians)
2)-The Rural vs. Cosmopolitan Culture of Origin
According to the findings of the pilot integration college project :
Arriving migrants from the same country are not uniform in terms of their culture of origin
Rural vs. Cosmopolitan cultures are distinguishable categories and require redesigned methods of communication when targeting integration through educational programs and platforms
-Iranians coming from the cosmopolitan regions were offended when they were categorized under "religious","no pork-no alcohol" members. The students coming from rural Iran were stressed when they were told that global doctors should be open to respecting and participating in host culture rituals i.e. rural Hungary attending the Sunday prayers, drinking the palinka and eating kolbassi
Rural Iranians are more traditional, religious just like rural Hungarians. Drinking alcohol and eating pork for example is not forbidden under the old Iranian religion Zaraostrianism which is a moral benchmark for Cosmopolitan Iranians . However, rural Iranian families, tend to keep the frames and levels defined by Islam and within Islam the Shia version
3)-The Role Consciousness and Role Playing Capacity of the Trainer
Integration is an applied discipline. The Integration College pilot project provided evidence that Trainers should be screened and prepared in order to be able to fulfill their expected roles, which are different from that of a traditional educator. The integration college example proved that even the migrant , leading scholars and educators in the fields related to integration will not be able to assist integration at the absence of FACILITATOR ThROLE CONSCIOUSNESS
-The above stresses the need for the Training of Trainers program offered by the Migration and Integration group at the OPM dept
4)-The Importance of Peer to Peer Learning Platforms
This oopportunity was highlighted by the colleagues from the Language and Communication Institute
5)-Community Development
The experience of the Community Based Participatory Action Research (CBPAR)model used under the Integration College Pilot project proved the importance of learning with-from migrants under informal circumstances
The above represents a fundamental pillar of the future programs
Written by Gabriella Gombár
CRAIN's Cleveland Biz : Lay offs at Cleveland Clinic
Sodexo will lay off more than 380 workers at the Cleveland Clinic
Scott Suttel:
Food services contractors Sodexo plans to lay off more than 380 people who work at the main campus of the Cleveland Clinic. In a notice filed with the state of Ohio and Cuyahoga County, Gaithersburg, Md.-based Sodexo said it received notice from the Clinic on April 22 that "effective June 30, 2017, the client will no longer use Sodexo to perform Food and Nutrition services." The layoffs of 383 people are "expected to be permanent," and "Sodexo's operation at this account will be closed"
Written by Gabriella Gombar
CRAIN's Cleveland Biz :Nurse Training CSU 4 Metro Health
LYDIA COUTRÉ:Cleveland State University will offer bachelor's and master's of science degrees in nursing for registered nurses through a new partnership with MetroHealth.
The blended-delivery approach will include some classes taught at MetroHealth, and in-person and online coursework taught by Cleveland State professors.
The goal is to enable working nurses to affordably and conveniently enhance their education in a time when Northeast Ohio has an increasing need for highly educated nurse managers, according to a news release.
"CSU and MetroHealth both recognize the importance of expanding the number of qualified nursing professionals who can meet growing demand for quality care," said Dr. Timothy Gaspar, dean of the School of Nursing at Cleveland State, in a statement. "This partnership seeks to provide a pathway for current nurses to augment their credentials and clinical expertise as an added value to MetroHealth and the community as a whole."
The programs will be eligible for employee reimbursement by MetroHealth and will have some openings to nurses at other health systems in the area. The two institutions plan to enroll up to 30 nurses in the master's program and up to 30 in the bachelor's program each year.
"Our nurses are compassionate caregivers and patient care is their top priority," said Melissa Kline, vice president and chief nursing officer at MetroHealth, in a prepared statement. "Advancing their education will ultimately lead to better outcomes for our patients."
http://www.crainscleveland.com/article/20170509/NEWS/170509810/cleveland-state-metrohealth-partner-in-effort-to-educate-nurses
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Effort seeks to ensure region can meet demand for nursing professionals
Due to the growing population of older Americans, as Baby Boomers age, and the ageing-out of many nurse leaders/executives, Northeast Ohio has an increasing need for highly-educated nurse managers who can help meet the needs of our community. Cleveland State University and The MetroHealth System are combining forces to ensure the region has enough nursing professionals to meet health care demand by providing enhanced educational opportunities for nurses.
Through the partnership, CSU will offer both a Master’s of Science in Nursing and a Bachelor’s of Science in Nursing for individuals who are already registered nurses, on-site at MetroHealth. The blended delivery approach, which will be eligible for employee reimbursement by MetroHealth, will include in-person and online coursework taught by CSU professors. The initiative is designed to allow working nurses to enhance their education affordably and conveniently, minimizing disruptions to other aspects of their lives.
“CSU and MetroHealth both recognize the importance of expanding the number of qualified nursing professionals who can meet growing demand for quality care,” notes Dr. Timothy Gaspar, dean of the School of Nursing at Cleveland State. “This partnership seeks to provide a pathway for current nurses to augment their credentials and clinical expertise as an added value to MetroHealth and the community as a whole.”
"Our nurses are compassionate caregivers and patient care is their top priority," says Melissa Kline, MSN, RN, NEA-BC, vice-president and chief nursing officer at MetroHealth. "Advancing their education will ultimately lead to better outcomes for our patients."
CSU and MetroHealth plan to enroll up to 20-30 nurses in the master’s program and up to 20-30 in the bachelor’s program annually and will offer some openings in each program to nurses at other health systems in the region. This is one of the first blended educational programs being offered by a university at a health care system.
“As one of the largest undergraduate nursing schools in the State of Ohio, CSU is dedicated to working with our community to address the educational and health care needs of the region,” Gaspar adds. “This effort is just one of several unique initiatives we are undertaking to work with our health care partners to provide the best nursing education possible in our community.”
https://www.csuohio.edu/news/csu-metrohealth-partner-enhance-nursing-education-and-public%E2%80%99s-health
Written by Gabriella Gombar
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