Nepali Shobha, Einboden Rochelle, Rudge Trudy
Cumberland Hospital, Mental Health Service, Westmead, New South Wales, Australia.
School of Nursing, University of Ottawa, Ottawa, Ontario, Canada.
Nurs Inq. 2023 Apr;30(2):e12523. doi: 10.1111/nin.12523. Epub 2022 Aug 31.
Immigrant nurses make up a large percentage of the Australian nursing workforce. Since the support in the workplace is expected to be inclusive for all nurses, the aim of this article is to explore how support and opportunities for professional growth, learning and development are distributed across different categories of nurses working in a neonatal intensive care unit (NICU). An ethnographic approach has opened an examination of the everyday workplace practices in the NICU to gain insight into how nurses made sense of the social and power relations occurring between themselves and their senior colleagues and how they experienced the support and opportunities they received in their workplace. As today's workplaces such as the NICU are diverse in races, culture and experiences, the concepts of intersectionality and cultural safety assisted in identifying inequality and injustice related to such diversity. The results showed how patronage relations rendered nurses with immigrant status with major disadvantage and left them clinically and culturally vulnerable. Such inequity defeats the reasons for encouraging skilled migration of nurses and poses questions on the cultural competency of recruiting organisations. Considering how cultural safety might guide staff development offers opportunities for authentic support to culturally diverse nurses.
移民护士在澳大利亚护士劳动力中占很大比例。由于工作场所的支持预计应包容所有护士，本文旨在探讨专业成长、学习和发展的支持与机会是如何在新生儿重症监护病房（NICU）工作的不同类别护士中分配的。一种人种志方法开启了对NICU日常工作场所实践的审视，以深入了解护士如何理解他们自己与资深同事之间发生的社会和权力关系，以及他们如何体验在工作场所获得的支持和机会。由于如今像NICU这样的工作场所存在种族、文化和经历方面的多样性，交叉性和文化安全的概念有助于识别与这种多样性相关的不平等和不公正现象。结果表明，庇护关系使具有移民身份的护士处于极大劣势，并使他们在临床和文化方面变得脆弱。这种不公平违背了鼓励护士技术移民的初衷，并对招聘机构的文化能力提出了质疑。考虑文化安全如何指导员工发展为真正支持文化多元的护士提供了机会。
