Leiden University Medical Center, Leiden, Netherlands.
The Hague University of Applied Science, The Hague, Netherlands.
J Transcult Nurs. 2020 Sep;31(5):460-467. doi: 10.1177/1043659619875196. Epub 2019 Sep 18.
Within a Dutch nursing home, the prevailing workforce culture was challenged by new personnel, which caused institutional change, which in turn, affected workforce integration. The purpose of this study was to examine social processes affecting workforce integration of first-generation immigrant health care professionals in aging citizens in a Dutch health institution in the Netherlands. A purposive sample of 10 immigrants and 10 established nurses was recruited. Ethnography was used to guide this study. 105 hours of participant observation, 8 semistructured interviews with 4 immigrants and 4 established nurses, and 2 focus-group discussions with 8 immigrants and 6 established nurses. The study identified various processes that affect culturally congruent care in the nursing home, like the imposing professional norms, the use of "weapons of the weak," mutual suspicions of indifference, and collective images of "us" versus "them." Both groups conceived the "others" as the source of their discomfort, however, both had pain of not mattering. When recruiting international educated nurses "all nursing staff" face difficulties when going through the precarious process of mutual integration in daily care practices. We recommend that nurse leaders facilitate positive intergroup interactions that promotes reciprocity for all groups of nurses for better health care outcomes for all.
在荷兰的一家养老院中，新员工挑战了当时占主导地位的员工文化，这引发了机构变革，进而影响了员工队伍的融合。本研究旨在探讨影响第一代移民医疗保健专业人员融入荷兰一家医疗机构中老龄化公民的社会过程。采用目的性抽样方法招募了 10 名移民和 10 名已有的护士。本研究采用民族志方法指导进行。通过 105 小时的参与式观察、对 4 名移民和 4 名已有护士进行的 8 次半结构化访谈、以及对 8 名移民和 6 名已有护士进行的 2 次焦点小组讨论，识别出了影响养老院中文化相适应护理的各种过程，例如强加的专业规范、使用“弱者的武器”、相互怀疑的冷漠，以及“我们”与“他们”的集体形象。这两个群体都认为“对方”是他们不适的根源，但他们都感到自己无关紧要。当招聘具有国际教育背景的护士时，“所有护理人员”在日常护理实践中相互融合的不稳定过程中都会遇到困难。我们建议护理领导者促进积极的群体间互动，为所有护士群体促进互惠互利，从而改善所有人的医疗保健结果。
