MidCentral District Health Board, Palmerston North, New Zealand.
School of Nursing College of Health, Massey University, Auckland, New Zealand.
Nurs Inq. 2019 Oct;26(4):e12311. doi: 10.1111/nin.12311. Epub 2019 Jul 8.
A dearth of literature focuses on the relationship between acculturation, power distance and liminality for migrant nurses entering foreign workplaces. Expectations are for migrant nurses to be practice-ready swiftly. However, this aspiration is naïve given the complex shifts that occur in deeply held cultural beliefs and practices and is dependent on an organisational climate of reciprocal willingness to adapt and learn. This exploratory study identified that although a plethora of literature addresses challenges migrant nurses face, there are limited data that link these transitional processes to concepts that might usefully guide transitions. This study draws from the overarching concept of acculturation, together with Hofstede's (2011) notion of power distance and the theory of liminality to explore the experiences of eight migrant nurses. Data highlighted that adjusting to altered hierarchical relationships took many months because negotiating power distance challenged deeply held beliefs and assumptions about professional and organisational hierarchies. Migrant nurses' accounts indicated a paucity of organisational processes to address these difficulties; therefore, they navigated this liminal space of adjustment to power distance differences in an ad hoc manner. Their acculturation experiences, arguably unnecessarily prolonged, indicate the value in workplace commitment to exploring a collaborative, critically reflective approach to optimise transitions.
针对移民护士进入外国工作场所后面临的文化适应、权力距离和阈限之间的关系，相关文献十分匮乏。人们期望移民护士能够迅速做好实践准备。然而，鉴于在根深蒂固的文化信仰和实践中发生的复杂转变，这种愿望是幼稚的，并且依赖于一种相互愿意适应和学习的组织氛围。这项探索性研究表明，尽管大量文献探讨了移民护士所面临的挑战，但将这些过渡过程与可能有助于指导过渡的概念联系起来的数据有限。本研究借鉴了文化适应的总体概念，以及霍夫斯泰德（2011）的权力距离概念和阈限理论，以探索八名移民护士的经历。研究数据突出表明，调整到改变后的等级关系需要数月时间，因为协商权力距离挑战了关于专业和组织等级的根深蒂固的信念和假设。移民护士的报告表明，缺乏解决这些困难的组织流程；因此，他们以临时的方式在适应权力距离差异的阈限空间中进行导航。他们的文化适应经历，可以说是不必要地延长了，这表明了工作场所承诺探索一种协作、批判性反思的方法来优化过渡的价值。
