Head, School of Nursing and Midwifery, La Trobe University, Bundoora VIC 3086, Australia; Nursing and Midwifery, Monash University Clayton, VIC 3800, Australia.
Nursing and Midwifery, Monash University Clayton, VIC 3800, Australia.
Int J Nurs Stud. 2017 Sep;74:85-94. doi: 10.1016/j.ijnurstu.2017.06.007. Epub 2017 Jun 17.
There are increasing numbers of international students undertaking health professional courses, particularly in Western countries. These courses not only expose students to the usual stresses and strains of academic learning, but also require students to undertake clinical placements and practice-based learning. While much is known about general issues facing international students, less is known about factors that impact on those studying in the health professions.
To explore what is known about factors that influence the psychological wellbeing of international students in the health professions.
A scoping review.
A range of databases were searched, including CINAHL, Medline, Scopus, Proquest and ERIC, as well as grey literature, reference lists and Google Scholar.
The review included qualitative or quantitative primary peer reviewed research studies that focused on international undergraduate or postgraduate students in the health professions. The core concept underpinning the review was psychological issues, with the outcome being psychological and/or social wellbeing. Thematic analysis across studies was used to identify key themes emerging.
A total of 13 studies were included in the review, from the disciplines of nursing, medicine and speech-language pathology. Four key factor groups emerged from the review: negotiating structures and systems, communication and learning, quality of life and self-care, and facing discrimination and social isolation.
International health professional students face similar issues to other international students. The nature of their courses, however, also requires negotiating different health care systems, and managing a range of clinical practice issues including with communication, and isolation and discrimination from clinical staff and patients. Further research is needed to specifically explore factors impacting on student well-being and how international students can be appropriately prepared and supported for their encounters.
越来越多的国际学生选择攻读健康专业课程，尤其是在西方国家。这些课程不仅使学生面临学术学习的常见压力和紧张，还要求学生进行临床实习和实践学习。虽然人们对国际学生普遍面临的问题了解很多，但对于影响健康专业学生的因素了解甚少。
探讨影响健康专业国际学生心理健康的因素。
范围综述。
对包括 CINAHL、Medline、Scopus、Proquest 和 ERIC 在内的多个数据库进行了搜索，还包括灰色文献、参考文献列表和 Google Scholar。
该综述包括以健康专业的国际本科生或研究生为重点的定性或定量的原始同行评审研究。该综述的核心概念是心理问题，其结果是心理和/或社会福利。对研究进行主题分析，以确定出现的关键主题。
该综述共纳入了 13 项研究，涵盖护理、医学和言语病理学等学科。综述中出现了四个关键因素组：协商结构和系统、沟通和学习、生活质量和自我保健、以及面临歧视和社会孤立。
国际健康专业学生面临与其他国际学生类似的问题。然而，他们课程的性质还要求他们协商不同的医疗保健系统，并处理一系列临床实践问题，包括沟通、与临床工作人员和患者的隔离和歧视。需要进一步研究来专门探讨影响学生福祉的因素，以及如何为国际学生的遭遇做好适当的准备和支持。
