Viken Berit, Solum Eva Merethe, Lyberg Anne
Centre for Women's, Family and Child Health Faculty of Health and Social Sciences University College of Southeast Norway Kongsberg Norway.
Nurs Open. 2018 Apr 17;5(4):455-468. doi: 10.1002/nop2.146. eCollection 2018 Oct.
The aim of this systematic review was to identify the evidence contributed by qualitative research studies of foreign educated nurses' work experiences in a new country and to link the results to patient safety competencies.
A systematic literature review of qualitative studies.
Electronic searches in the Ovid MEDLINE, Embase, PsycINFO, Cochrane Library and Cinahl databases and additional manual searches in five scientific journals. A content analysis of 17 qualitative articles was conducted.
The analysis revealed one main theme: "Being an outsider at work" and two themes: "Cultural dissonance and Unfamiliar nursing practice. Two sub-themes emerged from the first theme; Loneliness and discrimination" and "Communication barriers". The second theme was based on the following two sub-themes: "Handling work-related stress" and "Role uncertainty and difficulties in decision-making". A better prepared and longer orientation period with continual clinical supervision including systematic reflection on practice experiences is needed to support foreign educated nurses in the transition period and strengthen their Patient Safety Competencies. Nurse Managers have an important role in ensuring the inclusion of foreign educated nurses and providing desirable working conditions.
本系统评价旨在识别关于在新国家的外国受过教育的护士工作经历的定性研究贡献的证据，并将结果与患者安全能力联系起来。
对定性研究进行系统文献综述。
在Ovid MEDLINE、Embase、PsycINFO、Cochrane图书馆和Cinahl数据库中进行电子检索，并在五种科学期刊中进行额外的手工检索。对17篇定性文章进行了内容分析。
分析揭示了一个主要主题：“工作中的局外人”以及两个主题：“文化失调和不熟悉的护理实践”。第一个主题产生了两个子主题：“孤独和歧视”以及“沟通障碍”。第二个主题基于以下两个子主题：“应对工作相关压力”以及“角色不确定性和决策困难”。需要一个准备更充分、持续时间更长的入职培训期，并提供持续的临床监督，包括对实践经验进行系统反思，以支持外国受过教育的护士度过过渡期，并增强他们的患者安全能力。护士长在确保外国受过教育的护士融入并提供理想工作条件方面发挥着重要作用。
