Abstract

Purpose:The purpose of this integrative review was to describe the experience of being outsiders in nursing as described by Black African Born Nurses and Student Nurses (BABN&SN) in the U.S., give voice to their experiences in U.S. academia and healthcare settings, discuss the implications of the BABN&SN othering on the U.S. healthcare systems, and offer recommendations to address the issues based on the literature.Methods:An integrative review approach discussed by Whittemore and Knafl was utilized to review literature from nursing journal published from 2008 to 2019.Results:Major findings include collegial/peer isolation and loneliness; racism and discrimination, unwelcoming environment, silencing of voices, personal resilience, and sense of belonging. The results of this review indicate that BABN&SN experience in U.S. nursing contribute to harrowing periods of feeling like ‘an outsider.’Conclusions:BABN&SN are integral part of the U.S. nursing workforce and the healthcare system. Academic and work environments that support all nurses and students, despite their perceived differences, are essential to promoting an inclusive environment. Understanding the relational pattern that guides the BABN&SN socialization into nursing is vital to developing targeted support especially when entering the clinical practice environment.

Highlights

  • Globalization has increased the number of Black African Born Nurses and Student Nurses (BABN&SN) in the United States

  • Educated Nurses (IENs) from Black African nations migrate in large numbers to the western countries such as the United States (U.S.), the United Kingdom (UK), Australia, and Canada for many reasons

  • This review summarizes the results of articles published in peer-reviewed nursing journals from 2008 to 2019 dealing with Black African born nurses and nursing students

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Summary

Introduction

Globalization has increased the number of Black African Born Nurses and Student Nurses (BABN&SN) in the United States. Educated Nurses (IENs) from Black African nations migrate in large numbers to the western countries such as the United States (U.S.), the United Kingdom (UK), Australia, and Canada for many reasons. These motives include financial, professional, political, social and personal reasons [1 - 5]. As such, restricting participation of all people results in deprivation of human capabilities, which sets the context for inequities [16]. Exclusionary practices create outsiders, cause deprivations, restrict opportunities, prevent full engagement, and widen inequities

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