Cancer Nursing Research Unit, Susan Wakil School of Nursing and Midwifery, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Level 6 - North, Chris O'Brien Lifehouse, Camperdown NSW 2050, Australia.
Discipline of Work and Organisational Studies, Business School, The University of Sydney, Corner Abercrombie Street and Codrington St, Darlington NSW 2006, Australia.
Int J Nurs Stud. 2021 Jun;118:103930. doi: 10.1016/j.ijnurstu.2021.103930. Epub 2021 Mar 19.
Internationally educated nurses experience multidimensional challenges affecting their acculturation process in a foreign country. Cultural differences have been highlighted by research as a common barrier. There is a need to understand the cross-cultural challenges experienced by internationally educated nurses to promote a culturally inclusive workplace, particularly when these nurses practice in another country wherein cultural attitudes and beliefs are different from their own.
To identify and synthesise the challenges to cultural values, beliefs, and practices of internationally educated nurses working in a foreign country.
An umbrella review was undertaken by synthesising evidence from systematic reviews.
Databases searched were MEDLINE, Embase, PsychINFO, CINAHL and Scopus. Reviews published between 2000-2019 were considered.
The review protocol was guided by the guidelines from the Joanna Briggs Institute. The Joanna Briggs Institute Critical Appraisal Instrument for Systematic Reviews and Research Syntheses was used to evaluate the methodological quality of the retrieved reviews. The extracted findings were tabulated, categorised into themes, and presented in a narrative synthesis.
Ten reviews met the inclusion criteria. These reviews examined the experiences of internationally educated nurses from different countries. The reviews highlighted that cultural differences had impacted the adaptation and professional experiences of internationally educated nurses. Four themes were identified: cultural differences lead to the feeling of being an outsider, intercultural communication issues transcend beyond fluency, differing nursing cultures complicate adaptation, and ethnic identity challenges work adjustment.
Despite having a great interest in the literature on the experiences and issues faced by internationally educated nurses, a distinct gap still exists. There is an absence of knowledge on the challenges experienced by internationally educated nurses concerning their cultural beliefs, values, and practices. Further work is needed to enhance understanding and to promote a culturally sensitive workplace.
国际教育背景的护士在融入外国文化的过程中会经历多方面的挑战。文化差异已被研究强调为一个常见的障碍。需要了解国际教育背景的护士所经历的跨文化挑战，以促进一个文化包容的工作场所，特别是当这些护士在另一个文化态度和信仰与自己不同的国家工作时。
识别和综合在国外工作的国际教育背景护士在文化价值观、信仰和实践方面所面临的挑战。
通过综合系统评价的证据进行伞式评价。
检索的数据库包括 MEDLINE、Embase、PsychINFO、CINAHL 和 Scopus。考虑了 2000-2019 年期间发表的综述。
该综述方案遵循了 Joanna Briggs 研究所的指南。使用 Joanna Briggs 研究所系统评价和研究综合批判性评价工具评估检索到的综述的方法学质量。提取的发现被制表、分类为主题，并以叙述性综合呈现。
符合纳入标准的有 10 篇综述。这些综述考察了来自不同国家的国际教育背景护士的经验。综述强调，文化差异影响了国际教育背景护士的适应和专业经验。确定了四个主题：文化差异导致了局外人的感觉、跨文化交流问题超越了语言能力、不同的护理文化使适应复杂化、种族认同挑战工作调整。
尽管对国际教育背景护士的经历和面临的问题文献有浓厚的兴趣，但仍存在明显的差距。缺乏关于国际教育背景护士在文化信仰、价值观和实践方面所面临的挑战的知识。需要进一步的工作来增强理解并促进一个文化敏感的工作场所。
