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Teixeira G, Lucas P, Gaspar F. Impact of Nurse Manager's Attributes on Multi-Cultural Nursing Teams: A Scoping Review. NURSING REPORTS 2024; 14:1676-1692. [PMID: 39051361 DOI: 10.3390/nursrep14030125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2024] [Revised: 07/08/2024] [Accepted: 07/12/2024] [Indexed: 07/27/2024] Open
Abstract
BACKGROUND As global migration increases, nurse managers' effectiveness in multi-cultural nursing work environments is crucial due to the rising cultural diversity within healthcare teams. Despite the increasing international recruitment of qualified nurses to address the worldwide nursing shortage, no studies have synthesised the impact of nurse managers' attributes on nurses in multi-cultural nursing teams. Therefore, it was conducted a literature review aimed to synthesise the available literature on how nurse managers' personality traits, competencies, behaviours, and leadership styles influence nurse outcomes in multi-cultural nursing teams. METHODS Scoping review conducted according to the Joanna Briggs Institute guidelines to map the relationship or influence of nurse managers' personality traits, competencies, behaviours, and leadership styles on the outcomes of nurses in multi-cultural settings across various clinical environments. Searches were conducted across electronic databases such as CINAHL and MEDLINE, along with grey literature. RESULTS This review included 39 studies, highlighting 29 personality traits, 9 competencies, 115 behaviours, and 5 leadership styles that impact nurses' outcomes. Key findings emphasise the importance of nurse managers being supportive, culturally competent, and effective communicators, with transformational leadership style being particularly beneficial. CONCLUSIONS These findings provide insights for planning and developing training programmes to equip current and future nurse managers with skills to effectively lead in multi-cultural care settings.
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Affiliation(s)
- Gisela Teixeira
- Nursing Research Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, 1600-190 Lisbon, Portugal
| | - Pedro Lucas
- Nursing Research Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, 1600-190 Lisbon, Portugal
| | - Filomena Gaspar
- Nursing Research Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon, 1600-190 Lisbon, Portugal
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Zeng D, Shimosaka M, Wu X, Anagnostou D, Asakura K, Kinoshita A. Why do male nurses choose to work in foreign countries? A qualitative study on Chinese male nurses working in Japan. Heliyon 2024; 10:e23262. [PMID: 38332879 PMCID: PMC10851210 DOI: 10.1016/j.heliyon.2023.e23262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Revised: 11/16/2023] [Accepted: 11/29/2023] [Indexed: 02/10/2024] Open
Abstract
Aim This study aimed to examine foreign-educated male nurses' motivation to emigrate for work, as well as explore the contextual factors that shape their career trajectories. Background To that end, we interviewed Chinese male nurses working in Japan. No previous study has examined why male nurses seek employment abroad or the problems they face. Methods This study employed a qualitative and inductive research design. Sixteen Chinese male nurses working in Eastern and Western Japan were recruited using convenience and snowball sampling methods and were interviewed via video calls. Co-researchers of both genders from different occupational and cultural backgrounds coded the findings and identified common themes in participants' responses. We analysed our findings vis-à-vis various theoretical perspectives and developed an explanatory model. Results Participants' experience as nurses in Japan ranged from six months to eight years. The findings confirmed that factors identified in earlier reports influenced nurses' motivation and work. Two new factors emerged: influence by others and social reasons. Moreover, two factors that affected male nurses' motivation to work abroad, namely, external factors and the influence of others, were identified. Social reasons were identified as a pull factor. Conclusion Our study provides valuable insights into recruiting and retaining foreign male nurses in developed countries facing issues such as ageing populations and nursing shortages. Implications for nursing policy This study has important implications for nursing management. Our findings highlight the importance of orienting foreign-educated nurses regarding the local work culture to increase the recruitment and retention of foreign talent. Moreover, enhanced salary packages and benefits to improve motivation can lead to improved job performance, which can positively impact patient and safety outcomes.
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Affiliation(s)
- Derong Zeng
- Graduate School of Medicine, Kyoto University, Kyoto, Japan
| | | | - Xiaoyu Wu
- Faculty of Health Science, Department of Nursing, Kyoto Koka Women's University, Kyoto, Japan
| | | | - Kyoko Asakura
- Graduate School of Medicine, Tohoku University, 2-1 Seiryo-Machi, Aoba-ku, Sendai, Japan
| | - Ayae Kinoshita
- Graduate School of Medicine, Kyoto University, Kyoto, Japan
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Zhong Y, McKenna L, Copnell B, Zhao W, Moss C. Professional Adaptation Experiences of Chinese Migrant Nurses in Australia: A Qualitative Study. West J Nurs Res 2023; 45:626-633. [PMID: 37021833 PMCID: PMC10278380 DOI: 10.1177/01939459231167711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/07/2023]
Abstract
Chinese-educated nurses are increasingly important to the international labor market. This study aimed to examine how Chinese migrant nurses adapt and evolve professionally while pursuing nursing careers in Australia, using a qualitative descriptive approach. A total of 17 Chinese-educated nurses were recruited by purposive and snowball sampling in Australia during 2017. Data were collected by individual semi-structured interviews and analyzed using thematic analysis. Three central themes and eight subthemes were generated. Perceived differences in nursing involved: work options and flexibility, professional autonomy and independence, and freedom of expressing professional opinions. Elements comprising challenges to adaptation included communication barriers, nursing workload and responsibilities, and collegial relationships. Participants' professional transition journeys were accompanied by two key areas of self-evolution: Embracing the authentic self and embracing individual differences. Our findings have important implications for migrant-host nursing workforce integration in Australia and internationally.
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Affiliation(s)
- Yaping Zhong
- School of Nursing and Midwifery, Monash University, Victoria, Australia
- Peter MacCallum Cancer Centre, Victoria, Australia
| | - Lisa McKenna
- School of Nursing and Midwifery, La Trobe University, Victoria, Australia
| | - Beverley Copnell
- School of Nursing and Midwifery, La Trobe University, Victoria, Australia
| | - Wenjuan Zhao
- Department of Nursing Administration, Shanghai Cancer Center, Shanghai, China
- Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China
| | - Cheryle Moss
- School of Nursing and Midwifery, Monash University, Victoria, Australia
- School of Nursing and Midwifery, La Trobe University, Victoria, Australia
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Farashah A, Blomqusit T, Al Ariss A, Guo GC. Perceived employability of skilled migrants: a systematic review and future research agenda. INTERNATIONAL JOURNAL OF HUMAN RESOURCE MANAGEMENT 2022. [DOI: 10.1080/09585192.2022.2099226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Ali Farashah
- Management and Organization Department, The School of Society, Business & Engineering, Mälardalen University, Västerås, Sweden
| | - Tomas Blomqusit
- Umeå School of Business and Economics, Umeå University, Umeå, Sweden
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Smith JB, Herinek D, Woodward-Kron R, Ewers M. Nurse Migration in Australia, Germany, and the UK: A Rapid Evidence Assessment of Empirical Research Involving Migrant Nurses. Policy Polit Nurs Pract 2022; 23:175-194. [PMID: 35747915 PMCID: PMC9274786 DOI: 10.1177/15271544221102964] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Forecasts predict a growing shortage of skilled nursing staff in countries worldwide. Nurse migration is already a common strategy used to address nursing workforce needs. Germany, the UK, and Australia are reviewed here as examples of destination countries for nurse migrants. Agreements exist between countries to facilitate nurse migration; however, it is not evident how nurse migrants have contributed to data on which these arrangements are based. We examined existing primary research on nurse migration, including educational needs and initiatives to support policymakers’, stakeholders’, and health professions educators’ decisions on measures for ethical and sustainable nurse migration. We conducted a rapid evidence assessment to review available empirical research data which involved, was developed with, or considered migrant nurses to address the research question: what are the findings of research that directly involves migrant nurses in producing primary research data? A total of 56 papers were included. Four main themes were identified in this research data: Research does not clearly define what is meant by the term migrant nurses; discrimination is often reported by migrant nurses; language and communication competencies are important; and structured integration programs are highly valued by migrant nurses and destination healthcare employers. Migrant nurses continue to experience discrimination and reduced career opportunities and therefore should be included in research about them to better inform policy. Structured integration programs can improve the experience of migrant nurses by providing language support (if necessary), a country-specific bridging program and help with organisational hurdles. Not only researching migrant nurses but making them active partners in research is of great importance for successful, ethical, and sustainable migration policies. A broader evidence base, especially with regard to the views and experiences of migrant nurses and their educational support needs, should be promoted to make future immigration policy more needs-based, sustainable and ethically acceptable.
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Affiliation(s)
- Jamie B Smith
- Institute of Health and Nursing Science, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Doreen Herinek
- Institute of Health and Nursing Science, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Robyn Woodward-Kron
- 85084The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Australia
| | - Michael Ewers
- Institute of Health and Nursing Science, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
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6
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Transition experiences of internationally qualified health care professionals: A narrative scoping review. Int J Nurs Stud 2022; 129:104221. [DOI: 10.1016/j.ijnurstu.2022.104221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 03/01/2022] [Accepted: 03/01/2022] [Indexed: 10/18/2022]
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Lee SY, Soh KL, Japar S, Ong SL, Soh KG, Tsujita Y. Job satisfaction of foreign-educated nurses in Malaysia: A cross-sectional study. BELITUNG NURSING JOURNAL 2021; 7:361-369. [PMID: 37496510 PMCID: PMC10367981 DOI: 10.33546/bnj.1682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 08/12/2021] [Accepted: 09/13/2021] [Indexed: 07/28/2023] Open
Abstract
Background The transition process of migration to work abroad can be challenging and, depending on how it is handled, can impact the job satisfaction level of these foreign-educated nurses. A clear understanding of migrant nurses' job satisfaction is critical for effective translation of nursing practice across the health systems and cultures. Objective This study examined the job satisfaction of the foreign-educated nurses in Malaysia, which includes the job satisfaction dimensions and the significant difference between sociodemographic status and job satisfaction. Methods A cross-sectional survey of 102 foreign-educated nurses working in private hospitals, clinics, hemodialysis centers, nursing homes, and private homes in Malaysia was conducted from September 2017 to March 2018. Data were collected using a structured questionnaire. Descriptive statistics, Mann-Whitney U, and Kruskal Wallis tests were used to analyze the data. Results The study revealed that the participants had a median satisfaction score of 22 (IQR = 19 to 24). Serving the sick and needy and participants' self-respect were the highest satisfaction dimensions among the participants (Median = 3, IQR = 3 to 3). Moreover, the job satisfaction was significantly higher for registered foreign-educated nurses (mean rank = 62.5) than for unregistered foreign-educated nurses (mean rank = 48.65) when working in other countries (p = 0.02). Indian nurses (mean rank = 60.36) also expressed higher satisfaction in terms of working in other countries than Filipino nurses (mean rank = 46.88; p = 0.02). In addition, positive relationships with colleagues and superiors led to higher satisfaction among Indian nurses (mean rank = 61.02) than among Filipino nurses (mean rank = 47.24; p = 0.04). The job satisfaction of male foreign-educated nurses was significantly higher than their female counterparts in terms of self-respect, relationship with fellow nurses and superiors, working in other countries, career development, and ease of finding employment (p < 0.05). Conclusion The overall job satisfaction among the foreign-educated nurses in Malaysia is high, mainly when serving the sick and needy, and their degree of self-respect. Understanding job satisfaction among foreign-educated nurses in Malaysia enables the management team to develop effective strategies for addressing nursing shortages and improving the quality of patient care.
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Affiliation(s)
- Su Yen Lee
- Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
- School of Nursing, Ramsay Sime Darby Healthcare College, Selangor, Malaysia
| | - Kim Lam Soh
- Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Salimah Japar
- Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Swee Leong Ong
- School of Nursing Science, Faculty of Medicine, Universiti Sultan Zainal Abidin, Terengganu, Malaysia
| | - Kim Geok Soh
- Department of Sports Studies, Faculty of Education, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Yuko Tsujita
- Bangkok Research Center, Institute of Developing Economies, Japan External Trade Organization, Bangkok, Thailand
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Zanjani ME, Ziaian T, Ullrich S, Fooladi E. Overseas qualified nurses’ sociocultural adaptation into the Australian healthcare system: A cross-sectional study. Collegian 2021. [DOI: 10.1016/j.colegn.2020.12.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Roth C, Berger S, Krug K, Mahler C, Wensing M. Internationally trained nurses and host nurses' perceptions of safety culture, work-life-balance, burnout, and job demand during workplace integration: a cross-sectional study. BMC Nurs 2021; 20:77. [PMID: 33993868 PMCID: PMC8127287 DOI: 10.1186/s12912-021-00581-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Accepted: 04/07/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The shortage of qualified nurses is a problem of growing concern in many countries. Recruitment of internationally trained nurses has been used to address this shortage, but successful integration in the workplace is complex and resource intensive. For effective recruitment and retention, it is important to identify why nurses migrate and if their expectations are met to ensure their successful integration and promote a satisfying work climate for the entire nursing team. The aim of this study was to examine the perceptions of safety culture, work-life-balance, burnout and job demand of internationally trained nurses and associated host nurses in German hospitals. METHODS A multicentric, cross-sectional study was conducted with internationally trained nurses (n = 64) and host nurses (n = 103) employed at two university hospitals in the state of Baden-Wuerttemberg, Germany. An anonymous paper-based survey was conducted between August 2019 and April 2020. The questionnaire included sociodemographic questions, questions regarding factors related to migration, and the German version of the Assessment of your work setting Safety, Communication, Operational Reliability, and Engagement (SCORE) questionnaire. SCORE is divided into three sections: Safety Culture Domains (six subscales), Work-Life-Balance (one subscale), and Engagement Assessment Tool (four subscales). RESULTS Nurses who migrated to Germany were primarily seeking better working conditions, a higher standard of living, and professional development opportunities. Internationally trained nurses reported lower work-related burnout climate (Mean 55.4 (SD 22.5)) than host nurses (Mean 66.4 (SD 23.5)) but still at a moderately high degree (Safety Culture Domains). Host nurses indicated a higher workload (Mean 4.06 (SD 0.65)) (Engagement Assessment Tool) and a lower Work-Life-Balance (Mean 2.31 (SD 0.66)) (Work-Life-Balance) compared to nurses who trained abroad (Mean 3.67 (SD 0.81) and Mean 2.02 (SD 0.86), respectively). No differences were detected for the other subscales. The Safety Culture Domains and Engagement Assessment Tool showed room for improvement in both groups. CONCLUSION The study suggest that the expectations migrant nurses had prior to migration may not be met and that in turn could have a negative impact on the integration process and their retention. With increasing recruitment of internationally trained nurses from within Europe but also overseas, it is crucial to identify factors that retain migrant nurses and assist integration. TRIAL REGISTRATION The study has been prospectively registered (27 June 2019) at the German Clinical Trial Register ( DRKS00017465 ).
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Affiliation(s)
- Catharina Roth
- Department of General Practice and Health Services Research, Heidelberg University Hospital, Marsilius Arcades, West Tower, Im Neuenheimer Feld 130, 69120, Heidelberg, Germany.
| | - Sarah Berger
- Centre for Postgraduate Nursing Studies, University of Otago-Christchurch Campus, 2 Riccarton Ave, Christchurch, 9140, New Zealand
| | - Katja Krug
- Department of General Practice and Health Services Research, Heidelberg University Hospital, Marsilius Arcades, West Tower, Im Neuenheimer Feld 130, 69120, Heidelberg, Germany
| | - Cornelia Mahler
- Department of Nursing Science, University Hospital Tuebingen, Hoppe-Seyler-Str. 9, 72076, Tuebingen, Germany
| | - Michel Wensing
- Department of General Practice and Health Services Research, Heidelberg University Hospital, Marsilius Arcades, West Tower, Im Neuenheimer Feld 130, 69120, Heidelberg, Germany
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Abuliezi R, Kondo A, Qian HL. The experiences of foreign-educated nurses in Japan: a systematic review. Int Nurs Rev 2020; 68:99-107. [PMID: 33150969 DOI: 10.1111/inr.12640] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Revised: 09/25/2020] [Accepted: 10/08/2020] [Indexed: 11/28/2022]
Abstract
AIM To conduct a systematic review to understand the experiences of foreign-educated nurses in Japan. BACKGROUND The experiences of foreign nurses in host countries, and the challenges they face, have been widely investigated around the world. However, no systematic review has focused on the experience of foreign-educated nurses in Japan. METHODS A systematic literature review was conducted by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guidelines. Japan Medical Abstract Society, Citation Information by National Institute of Informatics, Cumulative Index to Nursing and Allied Health Literature, and PubMed databases were used for the literature search. Inclusion criteria were research articles published between 2013 and 2020 written in Japanese or English. A quality assessment was performed using Version 2018 of the Mixed Methods Appraisal Tool. Selected articles were read repeatedly, and relevant contents were extracted and summarized thematically. RESULTS Twenty-five studies were selected for the review. The themes generated included (1) reasons for nurses to come to Japan, (2) experiences and current situations among the Economic Partnership Agreement nurses/nurse candidates living in Japan, and (3) experiences and current situation of nurses who had returned to their home countries. The second theme was classified into four categories: language and communication barriers, low pass rates for the national qualification exam, adaptation to workplaces and social environments, and psychological distress. CONCLUSION Foreign nurses in Japan face various challenges and difficulties, even after they return to their home countries. Solving these problems may improve the wellbeing of foreign-educated nurses in Japan. IMPLICATIONS FOR NURSING POLICY The results from the current review highlight the necessity for immediate intervention by policymakers to improve the current support system for Economic Partnership Agreement nurses/nurse candidates. A thorough pre-arrival orientation should be provided for the nurse candidates to able them to make a well-informed choice.
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Affiliation(s)
- R Abuliezi
- International Nursing Development, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - A Kondo
- International Nursing Development, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - H L Qian
- International Nursing Development, Graduate School of Health Care Sciences, Tokyo Medical and Dental University, Tokyo, Japan
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Aggar C, Shinners L, Thomas T, Stockhausen L. Experiences of internationally qualified registered nurses enrolled in a bridging program in Australia: A pilot study. Collegian 2020. [DOI: 10.1016/j.colegn.2019.09.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Solum EM, Viken B, Lyberg A. First Year's Work Experiences of Foreign Educated Nurses Coming to Norway From Other European Countries. SAGE Open Nurs 2020; 6:2377960820970003. [PMID: 35155763 PMCID: PMC8832326 DOI: 10.1177/2377960820970003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 07/15/2020] [Accepted: 10/04/2020] [Indexed: 11/15/2022] Open
Abstract
Introduction Nurses educated in the European Union and European Economic Area
are automatically given professional authorization to work in
all member states, facilitating workforce mobility between
countries. Along with many other European countries, Norway
faces nursing shortages in healthcare. European Foreign Educated
Nurses are often recruited to work in Norway by agencies or
apply for work themselves. Aims To explore the experiences Foreign Educated Nurses from European
Union and European Economic Area had with their preparation and
orientation programs and their first year of work in Norwegian
elderly care institutions Methods The study followed a qualitative explorative design. Nine open,
dialogue-based, semi-structured interviews were conducted with
Foreign Educated Nurses from Poland, Lithuania, Latvia, Iceland,
and Spain. Data were analyzed using qualitative content
analysis. Findings One main theme, struggling to adjust to professional competence
standards, and four subthemes emerged from our data (1)
deficiencies in preparation and orientation by recruitment
agencies and institutions, (2) language skills and communication
challenges at work, (3) cultural differences in the nursing role
in clinical practice, and (4) social interactions at work. Conclusion More comprehensive preparation and orientation programs regarding
language skills and local healthcare systems are needed. Foreign
Educated Nurses make important contributions to the Norwegian
healthcare work force, but the challenges brought to light in
this study negatively affected their work conditions and can
possibly threaten patient safety. More research is suggested to
address the lack of collaboration between agencies, healthcare
institutions, and other stakeholders in establishing
professional standards and appropriate support for Foreign
Educated Nurses from European Union and European Economic
Area.
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Affiliation(s)
- Eva Merethe Solum
- Faculty of Health and Social Sciences, University College of South-Eastern Norway, Kongsberg, Norway
| | - Berit Viken
- Faculty of Health and Social Sciences, University College of South-Eastern Norway, Kongsberg, Norway
| | - Anne Lyberg
- Faculty of Health and Social Sciences, University College of South-Eastern Norway, Kongsberg, Norway
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Munkejord MC. Challenging the ethnic pyramid: Golden rules and organisational measures towards a more inclusive work environment. J Nurs Manag 2019; 27:1522-1529. [DOI: 10.1111/jonm.12838] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 08/01/2019] [Accepted: 08/03/2019] [Indexed: 12/01/2022]
Affiliation(s)
- Mai Camilla Munkejord
- NORCE, Norwegian Research Centre AS Bergen Norway
- Department of Child Welfare and Social Work UiT the Arctic University of Norway Alta Norway
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Philip S, Woodward‐Kron R, Manias E. Overseas qualified nurses’ communication with other nurses and health professionals: An observational study. J Clin Nurs 2019; 28:3505-3521. [DOI: 10.1111/jocn.14942] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Revised: 04/21/2019] [Accepted: 05/26/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Susan Philip
- Department of Medical Education The University of Melbourne Melbourne Victoria Australia
- College of Health & Biomedicine Victoria University Melbourne Victoria Australia
- School of Health Sciences The University of Melbourne Melbourne Victoria Australia
| | - Robyn Woodward‐Kron
- Department of Medical Education The University of Melbourne Melbourne Victoria Australia
| | - Elizabeth Manias
- School of Health Sciences The University of Melbourne Melbourne Victoria Australia
- School of Nursing and Midwifery, Centre for Quality and Patient Safety Research Deakin University Burwood Victoria Australia
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Javanmard M, Steen M, Vernon R, Cooper M. Transition experiences of internationally qualified midwives practising midwifery in Australia. Women Birth 2019; 33:e234-e244. [PMID: 31151889 DOI: 10.1016/j.wombi.2019.05.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2018] [Revised: 03/29/2019] [Accepted: 05/09/2019] [Indexed: 11/17/2022]
Abstract
BACKGROUND Internationally qualified midwives comprise approximately 13% of the Australian midwifery workforce. Despite their central role in the Australian midwifery system, understanding of their transitional experiences is limited. AIM To explore the transitional experiences of internationally qualified midwives practising in Australia. METHOD A descriptive qualitative study was undertaken, as the second phase of a larger mixed methods study. In this paper we present in-depth insights from 11 internationally qualified midwives practising in Australia. Individual semi-structured interviews were conducted between May-August 2018, digitally recorded and then transcribed. Transcriptions were analysed using a thematic analysis approach. FINDINGS Participants in this study identified that the different culture of the work environment, differences in midwifery practice, lack of autonomy in their practice and perceived discrimination influenced their transition into Australian midwifery practice. Four themes were identified: 'Differences in midwifery practice', 'Cultural incongruence', 'Discrimination' and 'Mixed emotions'. DISCUSSION Success during the complex transition process depends on the migrant midwives' ability to build a sense of belonging, and to develop and adopt strategies that assist in dealing with new workplaces and an unfamiliar workforce. CONCLUSION A structured transition program prior to commencing practice, as well as an evidence-based workplace mentorship program with a focus on Australian midwifery care and culture, may be effective strategies to facilitate their transition. To promote awareness of multiculturalism within the work environment, this study recommends actively encouraging host staff to further develop perspectives that enable them to create positive relationships with staff from other cultures.
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Affiliation(s)
- Mitra Javanmard
- University of South Australia, School of Nursing and Midwifery, Division of Health Sciences, 108 North Terrace, Adelaide, South Australia 5000 Australia.
| | - Mary Steen
- University of South Australia, School of Nursing and Midwifery, Division of Health Sciences, 108 North Terrace, Adelaide, South Australia 5000 Australia.
| | - Rachael Vernon
- University of South Australia, School of Nursing and Midwifery, Division of Health Sciences, 108 North Terrace, Adelaide, South Australia 5000 Australia.
| | - Megan Cooper
- University of South Australia, School of Nursing and Midwifery, Division of Health Sciences, 108 North Terrace, Adelaide, South Australia 5000 Australia.
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Javanmard M, Steen M, Vernon R, Cooper M. Transitional Experiences of Internationally Qualified Midwives Practicing in Australia: Protocol for a Mixed Methods Study. JMIR Res Protoc 2019; 8:e13406. [PMID: 31199309 PMCID: PMC6592485 DOI: 10.2196/13406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Revised: 04/15/2019] [Accepted: 04/16/2019] [Indexed: 11/30/2022] Open
Abstract
Background Approximately 13% of the total Australian midwifery workforce is internationally qualified. Although the internationally qualified midwives (IQMs) play a significant role in the Australian midwifery system, there is limited understanding of their transitional experiences. Objective The objective of this study protocol is to explore the transitional experiences and views of IQMs practicing in Australia, through the investigation of demographic profiles and key challenges that influence a smooth transition. Methods This paper presents an explanatory sequential mixed methods study protocol. This protocol incorporates an e-survey and individual interviews. The e-survey in the first phase will be distributed to IQMs in Australia via the website e-bulletins of the Australian Nursing and Midwifery Federation and the Australian College of Midwives. Additionally, potential respondents will be recruited via social media (ie, Twitter and Facebook) and associated snowball sampling. Data from the e-survey will be statistically analyzed. At the end of the e-survey, respondents will be asked whether they are willing to take part in an interview. The results of the e-survey and relevant literature review will help to develop a guideline for interview questions for the second phase. In phase two, a purposeful sample of participants will be recruited using the same selection criteria as for the e-survey. Semistructured interviews will provide a deeper insight into the transitional experiences of IQMs. Data from the interviews will then be thematically analyzed. Results An integration of the e-survey results (phase one) and interview findings (phase two) will be synthesized to explore and better understand the transitional experiences of this group of midwives. It is anticipated that data collection and analysis will be completed by June 2019 and results will be disseminated through peer-reviewed publications in late 2019. Conclusions This research protocol may generate new knowledge about the transition of IQMs in Australia. These findings could be used to formulate recommendations to inform the transition of future IQMs in Australia. International Registered Report Identifier (IRRID) DERR1-10.2196/13406
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Affiliation(s)
- Mitra Javanmard
- School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, Adelaide, Australia
| | - Mary Steen
- School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, Adelaide, Australia
| | - Rachael Vernon
- School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, Adelaide, Australia
| | - Megan Cooper
- School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, Adelaide, Australia
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The factors impacting personal and professional experiences of migrant nurses in Australia: An integrative review. Collegian 2018. [DOI: 10.1016/j.colegn.2017.06.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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18
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Henderson S, Barker M. Developing nurses' intercultural/intraprofessional communication skills using the EXCELLence in Cultural Experiential Learning and Leadership Social Interaction Maps. J Clin Nurs 2017; 27:3276-3286. [PMID: 28960547 DOI: 10.1111/jocn.14089] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/17/2017] [Indexed: 01/06/2023]
Abstract
AIMS AND OBJECTIVES To examine how the use of Social Interaction Maps, a tool in the EXCELLence in Cultural Experiential Learning and Leadership Program, can enhance the development of nurses' intercultural/intraprofessional communication skills. BACKGROUND Nurses face communication challenges when interacting with others from similar background as well as those from a culturally and linguistically diverse background. We used the EXCELLence in Cultural Experiential Learning and Leadership Program's Social Interaction Maps tool to foster intercultural/intraprofessional communication skills in nurses. Social Interaction Maps describe verbal and nonverbal communication behaviours that model ways of communicating in a culturally appropriate manner. The maps include four stages of an interaction, namely Approach, Bridging, Communicating and Departing using the acronym ABCD. DESIGN Qualitative approach was used with a purposeful sample of nurses enrolled in a postgraduate course. METHODS Fifteen participants were recruited. The Social Interaction Map tool was taught to participants in a workshop where they engaged in sociocultural communication activities using scenarios. Participants were asked to apply Social Interaction Maps in their workplaces. Six weeks later, participants completed a semistructured open-ended questionnaire and participated in a discussion forum on their experience of using Social Interaction Maps. Data were content-analysed. RESULTS Four themes identified in the use of the Social Interaction Maps were (i) enhancing self-awareness of communication skills; (ii) promoting skills in being nonconfrontational during difficult interactions; (iii) highlighting the importance of A (Approach) and B (Bridging) in interaction with others; and (iv) awareness of how others interpret what is said C (Communicating) and discussing to resolve issues before closure D (Departing). CONCLUSIONS Application of the EXCELLence in Cultural Experiential Learning and Leadership Social Interaction Mapping tool was shown to be useful in developing intercultural/intraprofessional communication skills in nurses. RELEVANCE TO CLINICAL PRACTICE Professional development programmes that incorporate EXCELLence in Cultural Experiential Learning and Leadership Social Interaction Maps can enhance nurses' intercultural/intraprofessional communication competencies when engaging with others from culturally and linguistically diverse backgrounds and improve the way nurses communicate with each other.
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Affiliation(s)
- Saras Henderson
- School of Nursing and Midwifery, Griffith University, Southport, Qld, Australia.,The Hopkins Centre Research for Rehabilitation and Resilience, Griffith University, Southport, Qld, Australia.,Women's Wellness Research Group, Menzies Health Institute Queensland, Griffith University, Southport, Qld, Australia
| | - Michelle Barker
- Department of International Business and Asian Studies, Griffith Business School, Griffith University, Nathan, Qld, Australia
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Chun Tie Y, Birks M, Mills J. The Experiences of Internationally Qualified Registered Nurses Working in the Australian Healthcare System: An Integrative Literature Review. J Transcult Nurs 2017; 29:274-284. [PMID: 29308706 DOI: 10.1177/1043659617723075] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION International nurses account for 20% of the Australian nurse workforce. This review aims to identify and appraise research findings on the experiences of internationally qualified registered nurses working in the Australian healthcare system. METHODOLOGY The review was structured using Whittemore and Knafl modified framework for integrated reviews. A systematic database search was undertaken. Articles ( n = 48) were identified for appraisal based on set inclusion and exclusion criteria. Evaluation using the Critical Appraisal Skills Program tool resulted in ( n = 16) articles in the final data set. RESULTS Three broad themes were identified: (a) Transitioning-Need for appropriate, timely, and adequate supports to assist transition to practice; (b) Practicing within local contexts-How expectations were different to the reality of clinical practice; and (c) Experiencing prejudice-when racial prejudice occurred. DISCUSSION Appropriate programs including cultural-safety education can mitigate adverse workforce dynamics within culturally diverse health care teams to enable provision of culturally congruent health care.
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Affiliation(s)
- Ylona Chun Tie
- 1 James Cook University, Townsville, Queensland, Australia
| | - Melanie Birks
- 1 James Cook University, Townsville, Queensland, Australia
| | - Jane Mills
- 2 Massey University, Palmerston North, New Zealand
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de Castro AB, Gee G, Fujishiro K, Rue T. Examining Pre-migration Health Among Filipino Nurses. J Immigr Minor Health 2017; 17:1670-8. [PMID: 25385090 DOI: 10.1007/s10903-014-0131-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
The healthy immigrant hypothesis asserts that immigrants arrive in the receiving country healthier than same race/ethnic counterparts born there. Contemporary research, however, has not evaluated pre-migration health among migrants, nor has explicitly considered comparisons with non-migrants in the country of origin. Pre-migration health was examined among 621 Filipino nurses, including self-reported physical health, mental health, health behaviors, and social stress. Measures were compared by intention to migrate and also tested as predictors of actual migration using time-to-event analysis. Nurses intending to migrate had higher proportion of depression and reported higher general perceived stress compared to those not. Predictors of actual migration included age, mentally unhealthy days, social strain, and social support. Physical health and health behavior measures had no association with migration intention or actual migration. Findings suggest that, relative to those not intending to migrate, nurses intending to migrate have worse mental health status and social stress; and, do not have a physical health advantage. Future research must span the pre- to post-migration continuum to better understand the impact of moving from one country to another on health and well-being.
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Affiliation(s)
- A B de Castro
- School of Nursing and Health Studies, University of Washington - Bothell, Box 358532, Bothell, WA, 98011-8246, USA.
| | - Gilbert Gee
- School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA
| | - Kaori Fujishiro
- Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Cincinnati, OH, USA
| | - Tessa Rue
- School of Public Health, University of Washington, Seattle, WA, USA
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Jenkins BL, Huntington A. A missing piece of the workforce puzzle. The experiences of internationally qualified nurses in New Zealand: a literature review. Contemp Nurse 2016; 51:220-31. [PMID: 26910100 DOI: 10.1080/10376178.2016.1158079] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
AIM To analyse the literature regarding the context and experiences of internationally qualified registered nurses, particularly Filipino and Indian nurses, who have transitioned to New Zealand. BACKGROUND Internationally qualified nurses are a significant proportion of the nursing workforce in many developed countries including New Zealand. This is increasingly important as populations age, escalating demand for nurses. Understanding the internationally qualified nurse experience is required as this could influence migration in a competitive labour market. DESIGN Examination of peer-reviewed research, policy and discussion documents, and technical reports. METHOD A systematic literature search sought articles published between 2001 and 2014 using Google Scholar, CINAHL, and Medline. Articles were critically appraised for relevance, transferability, and methodological rigour. RESULTS Fifty-one articles met inclusion criteria and demonstrate internationally qualified nurses face significant challenges transitioning into New Zealand. CONCLUSION The internationally qualified nurse experience of transitioning into a new country is little researched and requires further investigation.
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Affiliation(s)
- Brittany Lauren Jenkins
- a Department of Nursing and Midwifery , West Coast District Health Board , Greymouth , New Zealand
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22
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Healee D, Inada K. Working with difference: Thematic concepts of Japanese nurses working in New Zealand. Nurs Health Sci 2015; 18:91-6. [PMID: 26581948 DOI: 10.1111/nhs.12246] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2015] [Revised: 08/10/2015] [Accepted: 08/18/2015] [Indexed: 11/28/2022]
Abstract
The purpose of this study was to compare the differences experienced by Japanese nurses working in New Zealand from an organizational and personal perspective, using a qualitative approach. Interview data was analyzed using a thematic method to abstract increasing levels of themes until one main theme explained the data: finding a voice. This core theme demonstrated that Japanese nurses had to learn to accommodate difference while learning to speak up. Moreover, this needed to occur through a number of cultural filters. The principal conclusion was that migrant nurses face multiple personal and organizational challenges when working in a new environment. Finding a voice is the method in which nurses learn to communicate and work within new healthcare settings. Nurses use a number of filters to manage the transition. The host country needs to recognize these differences and accommodate them through orientation modules.
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Affiliation(s)
| | - Kumiko Inada
- Shikoku University Faculty of Nursing, Furukawa, Ojin-cho, Japan
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Stubbs F. Recruitment of nurses from India and their experiences of an Overseas Nurses Program. Nurs Crit Care 2015; 22:176-183. [PMID: 26095166 DOI: 10.1111/nicc.12181] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2014] [Revised: 02/27/2015] [Accepted: 03/18/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND Overseas recruitment has been vital to the contribution of staff growth in the National Health Service (NHS). In 2011, high nursing vacancy rates within critical care required that overseas nurses were recruited. The recruited nurses were placed in an Overseas Nurses Program (ONP), a course designed to assist overseas nurses in adapting to the NHS. AIM To describe the experiences of nurses recruited from India who participated in an ONP. DESIGN A qualitative, research approach was chosen to gather descriptions of the lived experiences of nurses from India transitioning to London, to work in critical care settings. METHOD A descriptive qualitative approach was taken using in-depth, semi-structured and audio-taped interviews. They were conducted over a 69-day period (30 November 2012 to 6 February 2013) with 16 nurses from India. The nurses were questioned about challenges, experiences and differences; they were also asked to make suggestions for other nurses undertaking an ONP in the future. Interviews were transcribed verbatim into a formal written style with NVivo10. RESULTS Eleven females and five males aged 25-33 years who had completed up to four years of university training participated in this study. The themes extracted were autonomy and responsibility, language, culture (food and climate), loneliness and work challenges (ONP and essay writing). Participants identified that they would have benefited if pre-allocated mentors from non-English speaking countries who had previously been through the transition process were available to assist them with their personal and professional integration into a new country. CONCLUSION Autonomy disparity, language barriers and cultural differences need to be recognised and acknowledged by multi-disciplinary teams, by allowing sufficient time and additional support for non-English nurses undergoing ONPs. RELEVANCE TO CLINICAL PRACTICE Overseas nurses would benefit from being mentored by another nurse from a similar culture, with a non-English background. It may be feasible for overseas nurses to receive training in cultural competencies to improve disparities.
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Affiliation(s)
- Fiona Stubbs
- Imperial College Healthcare Trust, St Mary's Hospital, Paddington W2 NY1, London, UK
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24
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Philip S, Manias E, Woodward-Kron R. Nursing educator perspectives of overseas qualified nurses' intercultural clinical communication: barriers, enablers and engagement strategies. J Clin Nurs 2015; 24:2628-37. [DOI: 10.1111/jocn.12879] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Susan Philip
- Department of Medical Education; University of Melbourne; Parkville Vic. Australia
- Health and Biomedicine; Victoria University; Melbourne Vic. Australia
| | - Elizabeth Manias
- School of Nursing and Midwifery; Deakin University; Burwood Vic. Australia
- Melbourne School of Health Sciences; The University of Melbourne; Parkville Vic. Australia
| | - Robyn Woodward-Kron
- Department of Medical Education; University of Melbourne; Parkville Vic. Australia
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25
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Westerbotn M, Kneck Å, Hovland OJ, Elrond M, Pedersen I, Lejonqvist GB, Dulavik J, Ecklon T, Nilsson IL, Sigurdardottir ÁK. Taking part in Nordic collaboration; nursing students' experiences and perceptions from a learning perspective: A qualitative study. NURSE EDUCATION TODAY 2015; 35:712-717. [PMID: 25758015 DOI: 10.1016/j.nedt.2015.01.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2014] [Revised: 11/12/2014] [Accepted: 01/15/2015] [Indexed: 06/04/2023]
Abstract
BACKGROUND Nordic networking of different kinds has a long tradition aiming to increase collaboration and understanding between citizens in different countries. Cultural competence in relation to health care and nursing is important for clinical nurses and is a central issue in nurse education. OBJECTIVE To gain an understanding of what nurse students experienced and learned during an intensive course in diabetes together with students and nurse educators from Denmark, Finland, Iceland, Norway, Sweden and the Faroe Islands. METHODS In 2012, an intensive course within the Nordic network, Nordkvist, was conducted in Faroe Islands with the theme "Nursing - to live a good life with diabetes". To answer the objective of the study, 26 students conducted written reflections based on two questions. The data was analyzed using qualitative content analysis. RESULTS Through meetings with nurse students and educators from the Nordic countries the intensive course strengthened the students' identification with the nursing profession. The students gained new perspectives on diabetes, such as how complex it can be to live with a chronic illness. Because of the difficulties in understanding one another and because of different mother tongues, the students gained a better understanding of patients' vulnerability in relation to hospital jargon and how it felt to be in an unfamiliar place. CONCLUSIONS The intensive course increased the students' personal and professional growth, cross-cultural competence, and their identification with nursing. Students' understanding of health care in the Nordic countries improved as similarities and differences were recognized.
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Affiliation(s)
- Margareta Westerbotn
- Sophiahemmet University, Box 5605, 114 86 Stockholm, Sweden; Sciences Karolinska Institutet, Division of Nursing, Department of Neurolobiology, Care Sciences and Society, Sweden.
| | - Åsa Kneck
- Sciences Karolinska Institutet, Division of Nursing, Department of Neurolobiology, Care Sciences and Society, Sweden; Ersta Sköndal University College, Department of Health Care, P.O. Box 11189, 10061 Stockholm, Sweden.
| | - Olav Johannes Hovland
- University of Agder, Faculty of Health and Sport Sciences, Institute of Health and Nursing Science, Postbox 422, 4604 Kristiansand, Norway.
| | - Malene Elrond
- University College Sjælland (UCSJ), Sygeplejerskeuddannelsen, Ingemannsvej 17, 4200 Slagelse, Denmark.
| | | | - Gun-Britt Lejonqvist
- Arcada University of Applied Sciences, Jan-Magnus Janssons plats 1, 00550 Helsingfors, Finland.
| | - Johild Dulavik
- Faculty of Natural and Health Sciences, Department of Nursing, University of the Faroe Islands, Jónas Broncksgøta 25, Fo 100 Tórshavn, Faroe Islands.
| | - Tove Ecklon
- University College Lillebaelt, Department of Nursing, Svendborg, Baagoesalle 8 b, 5700 Svendborg, Denmark.
| | - Inga-Lill Nilsson
- University of Borås, School of Health Sciences, Allégatan 1, 501 90 Borås, Sweden.
| | - Árún K Sigurdardottir
- School of Health Sciences, University of Akureyri, Nordurslod, 600 Akureyri, Iceland.
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Moyce S, Lash R, de Leon Siantz ML. Migration Experiences of Foreign Educated Nurses. J Transcult Nurs 2015; 27:181-8. [DOI: 10.1177/1043659615569538] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Purpose: Global nurse migration has a recognized impact on host and source countries, but the lived experience of foreign educated nurses is an important aspect of the success of this migration. A systematic review of the literature was conducted to understand the lived migration and acculturation experiences of foreign educated nurses. Design: A systematic review of the literature, based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, was conducted. Primary research articles or secondary analyses were selected based on keyword and citation-based searches ( n = 44). Findings: Nurses’ experiences included migration and licensing barriers, difficulty with communication, racism and discrimination, skill underutilization, acculturation, and the role of the family. Conclusions: Barriers encountered in host countries may impede acculturation and successful nursing practice, resulting in circular migration and poor patient safety outcomes. Implications for Practice: Social support systems and cultural orientation programs can mitigate the impacts of social isolation and racism. Addressing common barriers can help minimize deskilling and allow safe and effective transitions to host countries.
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Affiliation(s)
- Sally Moyce
- University of California, Sacramento, CA, USA
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27
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Zhou Y. The experience of China-educated nurses working in Australia: a symbolic interactionist perspective. PLoS One 2014; 9:e108143. [PMID: 25229564 PMCID: PMC4168214 DOI: 10.1371/journal.pone.0108143] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2013] [Accepted: 07/05/2014] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND AND PURPOSE Transnational nurse migration is a growing phenomenon. This study explored the experiences of China-educated nurses working in Australia. DESIGN Using a constructivist grounded theory method, 46 in-depth interviews were conducted with 28 China-educated nurses in two major cities in Australia. RESULTS The core category emerged was "reconciling different realities". Three phases of reconciling were conceptualised: realising, struggling, and reflecting. Realising refers to an awareness of the discrepancies between different realities. Struggling reflects the dilemma of the "middle position" and how being situated as "the other" is experienced. Reflecting is the process of making sense of the experience and rationalising the gains and losses associated with immigration. CONCLUSIONS This study produced a theoretical understanding of the experience of China-educated nurses working in Australia. The findings not only inform Chinese nurses who wish to migrate but contribute to the implementation of more effective support services for immigrant nurses.
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Affiliation(s)
- Yunxian Zhou
- School of Nursing, Zhejiang Chinese Medical University, Hangzhou, China
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28
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Foreign-Trained Nurses’ Experiences and Socioprofessional Integration Best Practices. Health Care Manag (Frederick) 2014; 33:245-53. [DOI: 10.1097/hcm.0000000000000018] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Ohr SO, Jeong S, Parker V, McMillan M. Organizational support in the recruitment and transition of overseas-qualified nurses: lessons learnt from a study tour. Nurs Health Sci 2013; 16:255-61. [PMID: 24102878 DOI: 10.1111/nhs.12085] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2013] [Revised: 06/13/2013] [Accepted: 06/16/2013] [Indexed: 11/30/2022]
Abstract
The migration of nurses has been a global phenomenon, and the integration of overseas-qualified nurses within host countries has led to debate worldwide. Evidence suggests that support provided by organizations can vary and that there is minimal information on the nature and extent of organizational support required to enhance a smooth transition of overseas-qualified nurses into nursing practice. This explorative study tour examined the organizational support provided to enhance overseas-qualified nurses' transition into the nursing workforce in two countries. The various support mechanisms provided to overseas-qualified nurses in different organizations include transition, acculturation, mentoring programs, and initial settlement assistance. The successful transition of overseas-qualified nurses into a host country is a complex issue. A robust support system for these nurses should be based on ethical considerations and a team approach that is linked to strong leadership. In addition, education and support for existing staff is essential for a successful transition of overseas-qualified nurses into practice. Lessons learnt from this study tour might also be relevant to the transition of other overseas-qualified health professionals, such as doctors and allied health professionals, in host countries.
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Affiliation(s)
- Se Ok Ohr
- School of Nursing & Midwifery, University of Newcastle, Newcastle and Nursing and Midwifery Service, Hunter New England Local Heath District, Newcastle, New South Wales, Australia
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Clendon J, Walker L. ‘Being young’: a qualitative study of younger nurses' experiences in the workplace. Int Nurs Rev 2012; 59:555-61. [DOI: 10.1111/j.1466-7657.2012.01005.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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A Comparison of Regulatory Standards for Initial Registration/Licensure of Internationally Educated Nurses in the United Kingdom, Australia, Canada, and the United States. JOURNAL OF NURSING REGULATION 2011. [DOI: 10.1016/s2155-8256(15)30270-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Kokko R. Future nurses' cultural competencies: what are their learning experiences during exchange and studies abroad? A systematic literature review. J Nurs Manag 2011; 19:673-82. [PMID: 21749541 DOI: 10.1111/j.1365-2834.2011.01221.x] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
AIM This article describes the development of cultural competence among nursing students. The focus is on illuminating the learning experiences of nursing students during their exchange. BACKGROUND As the world gets smaller, the demand for culturally competent nurses increases. Future nurses need to be open-minded towards international cooperation and willing to develop the quality of care from a cultural point of view. Nursing education in many countries provides an option for students to learn nursing in different cultures while taking part of their studies abroad. METHODS A systematic literature search was conducted. Inductive content analysis was applied to the data consisting of empirical studies (n=7) describing nursing students' studies abroad. RESULTS The process of developing cultural competence among nursing students on exchange was found to consist of three main themes, namely: (1) an increased cultural knowledge base, (2) personal growth and (3) the impact of exchange experiences on the nursing student's own practice. CONCLUSIONS Studies abroad are a beneficial strategy for the development of future nurses' cultural competence. IMPLICATIONS FOR NURSING MANAGEMENT Nursing is facing a crucial challenge to recruit culturally competent nurses, because an increasing number of patients are from different cultures. Nurses with experiences of studying abroad can offer employers a resource through their preparedness for culturally competent nursing.
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Affiliation(s)
- Raija Kokko
- Department of Health, Tampere University of Applied Sciences, Tampere, Finland.
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Yu Xu. Transitioning international nurses: an outlined evidence-based program for acute care settings. Policy Polit Nurs Pract 2010; 11:202-13. [PMID: 21159717 DOI: 10.1177/1527154410384879] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Based on synthesized evidence of transitional challenges facing international nurses and review of existing transition programs in the United States, this article outlines an evidence-based transition program specifically developed for all newly arrived international nurses. This employer-based transition program is designed to meet the unique needs of international nurses working in foreign health care environments. Implications for regulatory agencies, employers, and international nurses related to implementation of this proposed program are elaborated within national and international contexts of new developments relevant to international nurses. This article is predicated on the position that transition of newly arrived international nurses is a regulatory issue and predicts that transition program is likely to be required in the United States in the foreseeable future as is the case in both United Kingdom and Australia.
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Affiliation(s)
- Yu Xu
- School of Nursing, University of Nevada-Las Vegas, 4505 Maryland Parkway, Las Vegas, NV 89154-3018, USA.
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Abstract
Based on a review of initial evidence, this article suggests that transition of internationally educated nurses (IENs) is a regulatory issue. Given the absence of global nurse regulation, the questionable credibility in many areas where national regulation does operate, and more important, the commercialization of nurse training in some countries to meet international demand, the quality and competence of IENs are likely to be varied in both quantitative and qualitative terms. This variability in quality and competence affect their ability and readiness to practice with direct implications for patient safety and quality of care. After description of a transition program as a proposed regulatory mechanism modeled after the National Council of State Boards of Nursing's Transition Initiatives, this article calls for comparative outcomes research on IENs and U.S. educated nurses to definitively determine if transition of IENs is a regulatory issue.
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Affiliation(s)
- Yu Xu
- University of Nevada, Las Vegas, NV 89154-3018, USA.
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