Experience of overseas nurses: the potential for misunderstanding

Area of Science:

• Nursing
• Healthcare Management
• Cross-cultural Studies

Background:

• International recruitment of nurses is a growing trend in healthcare systems globally.
• London NHS Trusts face challenges integrating nurses from diverse cultural backgrounds.
• Understanding cultural nuances is crucial for effective patient care and team collaboration.

Purpose of the Study:

• To explore the experiences of nurses recruited from Ghana and the Philippines by a London NHS Trust.
• To identify potential issues affecting patient care, nurse-patient relationships, and interprofessional dynamics.
• To inform strategies for better cultural adaptation and integration of internationally recruited nurses.

Main Methods:

• Qualitative study exploring the experiences of internationally recruited nurses.
• Analysis of communication difficulties, cultural misinterpretations, and intergroup relations.
• Focus on ethnocentricity, family care practices, and attitudes towards death and dying.

Main Results:

• Significant communication barriers were identified, stemming from differing customs and conventions.
• Ethnocentric attitudes and judgmental views on family care created tensions between nurses and families.
• Cultural differences in attitudes towards death and dying were a source of potential misinterpretation.
• Professional skills and clinical safety were acknowledged, alongside the need for robust induction and mentorship.

Conclusions:

• Induction, training, and mentorship are vital for overseas nurses' adaptation.
• A shift in focus is needed, preparing UK-based mentors and colleagues for cultural sensitivity.
• Enhanced cultural awareness and knowledge are essential for facilitating effective integration and improving care quality.