Ylona Chun Tie1, Melanie Birks1, Jane Mills2. 1. 1 James Cook University, Townsville, Queensland, Australia. 2. 2 Massey University, Palmerston North, New Zealand.
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.
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.
Keywords:
Australia; health care system; internationally qualified; registered nurse