1 James Cook University, Townsville, Queensland, Australia.
2 Massey University, Palmerston North, New Zealand.
J Transcult Nurs. 2018 May;29(3):274-284. doi: 10.1177/1043659617723075. Epub 2017 Aug 21.
International nurses account for 20% of the Australian nurse workforce. This review aims to identify and appraise research findings on the experiences of internationally qualified registered nurses working in the Australian healthcare system.
The review was structured using Whittemore and Knafl modified framework for integrated reviews. A systematic database search was undertaken. Articles ( n = 48) were identified for appraisal based on set inclusion and exclusion criteria. Evaluation using the Critical Appraisal Skills Program tool resulted in ( n = 16) articles in the final data set.
Three broad themes were identified: (a) Transitioning-Need for appropriate, timely, and adequate supports to assist transition to practice; (b) Practicing within local contexts-How expectations were different to the reality of clinical practice; and (c) Experiencing prejudice-when racial prejudice occurred.
Appropriate programs including cultural-safety education can mitigate adverse workforce dynamics within culturally diverse health care teams to enable provision of culturally congruent health care.
国际护士占澳大利亚护士劳动力的 20%。本综述旨在确定和评估有关在澳大利亚医疗保健系统中工作的具有国际资格的注册护士的经验的研究结果。
该综述使用 Whittemore 和 Knafl 改良的综合评价框架进行构建。进行了系统的数据库搜索。根据设定的纳入和排除标准，确定了（n=48）篇文章进行评估。使用批判性评价技能计划工具进行评估，最终数据集为（n=16）篇文章。
确定了三个广泛的主题：（a）过渡-需要适当、及时和充分的支持来帮助过渡到实践；（b）在当地环境中实践-期望与临床实践的现实有何不同；以及（c）经历偏见-当出现种族偏见时。
适当的方案，包括文化安全教育，可以减轻文化多元化医疗保健团队中不利的劳动力动态，从而能够提供文化上一致的医疗保健。
