University of Surrey, Centre for Research in Nursing and Midwifery Education, Faculty of Health and Medical Sciences, Guildford, UK.
Nurs Ethics. 2010 Sep;17(5):603-13. doi: 10.1177/0969733010368747.
In this article it is argued that there are barriers to effective and non-discriminatory practice when mentoring overseas nurses within the National Health Service (NHS) and the care home sector. These include a lack of awareness about how cultural differences affect mentoring and learning for overseas nurses during their period of supervised practice prior to registration with the UK Nursing and Midwifery Council. These barriers may demonstrate a lack of effective teaching of ethical practice in the context of cultural diversity in health care. This argument is supported by empirical data from a national study. Interviews were undertaken with 93 overseas nurses and 24 national and 13 local managers and mentors from six research sites involving UK health care employers in the NHS and independent sectors in different regions of the UK. The data collected showed that overseas nurses are discriminated against in their learning by poor mentoring practices; equally, from these data, it appears that mentors are ill-equipped by existing mentor preparation programmes to mentor overseas-trained nurses from culturally diverse backgrounds. Recommendations are made for improving mentoring programmes to address mentors' ability to facilitate learning in a culturally diverse workplace and thereby improve overseas nurses' experiences of their supervised practice.
本文认为,在国民保健制度(NHS)和养老院部门指导海外护士时,存在着有效且非歧视性实践的障碍。这些障碍包括对文化差异如何影响海外护士在注册英国护理和助产理事会之前的监督实践期间的指导和学习缺乏认识。这些障碍可能表明在医疗保健中文化多样性的背景下,没有有效地教授道德实践。这一论点得到了一项全国性研究的实证数据的支持。对来自六个研究地点的 93 名海外护士和 24 名国家和 13 名地方经理和导师进行了访谈,涉及英国国民保健制度和英国不同地区独立部门的医疗保健雇主。收集的数据表明,海外护士由于指导不佳而在学习中受到歧视;同样,从这些数据中可以看出,导师们似乎没有准备好通过现有的导师准备计划来指导来自文化背景多样化的海外培训护士。为了改进指导计划,以解决导师在文化多元化工作场所促进学习的能力,并改善海外护士的监督实践体验,提出了建议。