Introducing SIENNA’s White Paper: The PITCH IEN TTP Model™
Standardizing Transition-to-Practice for Internationally Educated Nurses in the U.S. Healthcare System
The Society of Internationally Educated Nurses and Nursing Allies (SIENNA) is pleased to introduce its new White Paper, “Standardizing Transition-to-Practice for Internationally Educated Nurses in the U.S. Healthcare System,” featuring the Preparation-Integration-Transition-Consolidation-Heightening (PITCH) IEN TTP Model™.
The transition of Internationally Educated Nurses (IENs) into U.S. healthcare systems is a complex process shaped by clinical, professional, and cultural adaptation, as well as the conditions of the practice environment. With Transition-to-Practice (TTP) programs varying across organizations, there is a need for structured, standardized, and coordinated support.
The PITCH IEN TTP Model™ introduces a competency-based framework that guides IEN progression from preparation through long-term professional development. The model emphasizes flexible, competency-driven advancement supported by mentorship, preceptorship, and organizational readiness.
Findings underscore that successful integration depends on coordinated organizational strategies, supportive practice environments, and sustained investment in professional development. The PITCH IEN TTP Model™ provides a practical framework to strengthen workforce integration, retention, and overall healthcare system capacity.
Free download available to SIENNA Global Ambassadors.
Lead Authors
Paul Biluan, DNP, APRN, FNP-C, CEN, FFNMRCSI, FSIEN
President, Society of Internationally Educated Nurses and Nursing Allies; Nurse Practitioner, Memorial Hermann-GoHealth Urgent Care
Meredith Padilla, PhD, RN, CCRN, NPDA-BC, FSIEN
Continuing Professional Development Director, Society of Internationally Educated Nurses and Nursing Allies; Clinical Practice Specialist, Clinical Nursing Education and Content Team (CNECT) – Clinical Excellence, American Association of Critical-Care Nurses
Jasper Erwin Tolarba, EdD, DNP, RN, CGNC, CNE, NPD-BC, FESNO, FSIEN, FFNMRCSI, FAAN
Founder and Immediate Past President, Society of Internationally Educated Nurses and Nursing Allies; Endowed Chair of Nursing Education, Research and Innovation / Director of Global Health Nursing, Northwell Health
Contributors
Luis Caso-Vega, DNP, MBA, RN, CEN, CPEN, NE-BC, TCRN, FADLN, FSIEN
Secretary, Society of Internationally Educated Nurses and Nursing Allies
Rola El Moubadder, RN, MQM, CNed, FSIEN
Board Director, Society of Internationally Educated Nurses and Nursing Allies
Mary Jane Genuino, DNP, APRN, MED-SURG-BC, AGPCNP-BC, FSIEN
Past Board Director and Education Committee Co-Chair, Society of Internationally Educated Nurses and Nursing Allies
Naseem Issani, MN, BSN, RN, CACCN
Board Director, Society of Internationally Educated Nurses and Nursing Allies
Sharon Jackson, MSN, RN, NE-BC, CPHIMS, FSIEN, FFNMRCSI
Past Board Director, Society of Internationally Educated Nurses and Nursing Allies
Sherif Olanrewaju, PhD, MPS, RN, FSIEN
Board Director, Society of Internationally Educated Nurses and Nursing Allies
Rasha Wahid, PhD, RN, RP
Vice President, Society of Internationally Educated Nurses and Nursing Allies
Explore the PITCH IEN TTP Model™
Discover the PITCH IEN TTP Model™ and learn more about advancing structured, competency-based Transition-to-Practice support for Internationally Educated Nurses in the U.S. healthcare system.
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