NORCE, Norwegian Research Centre AS, Bergen, Norway.
Department of Child Welfare and Social Work, UiT the Arctic University of Norway, Alta, Norway.
J Nurs Manag. 2019 Oct;27(7):1522-1529. doi: 10.1111/jonm.12838.
To contribute to knowledge of how healthcare managers can promote connection and ethnic equality among staff in multicultural organisations.
The increase in migrant care workers often leads to deskilling, discrimination, communication difficulties and harsh working conditions.
A constructivist grounded theory approach was used to examine the work experiences of healthcare workers in a strategically selected nursing home unit with minority and majority workers well balanced across positions.
Three golden rules were identified: (a) take responsibility for the quality of care in the unit, (b) should engage in all aspects of the care work within scope of practice and (c) collaborate and help each other. Organisational measures supporting these norms were also identified.
It is possible, by means of golden rules and organisational measures, to foster connection and cooperation among nursing home staff and to promote an inclusive work environment where the workers' skills and competences are recognized across educational and migration backgrounds.
Healthcare managers can contribute to challenge the ethnic pyramid often identified in multicultural institutions by implementing diversity-sensitive measures. This may increase the quality of care and the well-being of residents.
为医疗保健管理者如何在多元文化组织中促进员工之间的联系和种族平等提供知识。
移民护理人员的增加往往导致技能下降、歧视、沟通困难和恶劣的工作条件。
采用建构主义扎根理论方法，研究了一家战略选择的养老院中医疗保健工作者的工作经验，该养老院的少数族裔和多数族裔工作人员在职位上均衡分布。
确定了三条黄金法则：（a）对单位的护理质量负责，（b）应从事实践范围内的所有护理工作，（c）合作并互相帮助。还确定了支持这些规范的组织措施。
通过黄金法则和组织措施，可以促进养老院工作人员之间的联系和合作，并促进一个包容的工作环境，在这个环境中，工作人员的技能和能力在教育和移民背景方面得到认可。
医疗保健管理者可以通过实施对多样性敏感的措施来帮助应对多元文化机构中经常出现的种族等级制度。这可能会提高护理质量和居民的幸福感。
