Challenges and Accomplishments of Overseas-Trained Nurses in Australian Aged Care: A Qualitative Study of Indian...

Appropriate and adequate staffing is critical in Australian Residential aged care facilities (RACFs). The multicultural workforce in RACFs is constantly increasing to address workforce shortages and maintain the quality of care provided. Indian nurses comprise a significant proportion of the registered nurses (RNs) working in RACFs in Australia. As we work to enhance staffing levels in RACFs, it is equally essential to provide proper support for overseas-trained nurses in their roles. This research aims to explore the experiences of RNs trained in India and working in or have worked in Australian RACFs, focusing on the factors that have influenced their work in these facilities. This study adopted a qualitative descriptive methodology. Fourteen Indian nurses (n = 14) who had completed their basic nursing qualifications in India and worked in the aged care sector in Australia participated in this study. The diversity of the participants was maintained in terms of years of experience and work location (metropolitan and regional). One-on-one semistructured interviews were conducted via a virtual platform (Teams or Zoom). The interviews were transcribed and coded descriptively. This study identified various vulnerabilities, challenges, supportive factors, and opportunities experienced by Indian nurses at the Australian RACFs. Five themes emerged from this study: "The journey through a challenging transition," "psychological impact," "rewarding experience," "support system," and "pathways to improve." Working in RACFs is a rewarding experience despite the challenges associated with transition issues, workload, and cultural diversity. Specific experiences can even psychologically impact nurses working in aged care facilities. The availability of support personnel, orientation programs, and feedback opportunities positively impacts the effective transition and overall experience of Indian nurses in residential care settings.