Exploring the experiences of internationally and locally qualified nurses working in a culturally diverse environment

Abstract

Objective: This article explores the support needs, attitudes and experiences of both internationally and locally qualified nurses working within a culturally diverse environment. Design: Open and closed survey questions. Setting: Hospital in Sydney, Australia. Subjects: 108 nurses were surveyed, representing 14% of the nursing staff at the hospital. Main outcome measure(s): The research project measured the experiences encountered by internationally qualified nurses (IQNs) in relation to language use, discrimination, culture and differing health systems. It provided a forum to discuss how their cultural background, professional background and linguistic skills affect interactions with patients and other staff. It also explored suggestions for improvement in cross-cultural relations between staff, and support for IQNs and their peers in a diverse staff environment. Results: Although IQNs feel they are adjusting well to their role, locally qualified nurses largely disagree. Staff were aware of discrimination from patients towards staff, and from other staff towards staff. The research revealed that IQNs are unsure when to use their language skills, have different approaches to nursing and expectations of the staffpatient/family relationship. Conclusion: Adjustment to the Australian healthcare system for IQNs is challenging. There are a number of strategies that can support both IQNs in their integration, as well as all nurses to work more effectively together in a cross-cultural work environment.