Govender Kaminie, van Wyk Neltjie, du Plessis Moselene
Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Int Nurs Rev. 2025 Sep;72(3):e70089. doi: 10.1111/inr.70089.
This study aimed to explore and describe the cohesion challenges that the multicultural nursing team of a cardiac centre in a designated hospital in Saudi Arabia experienced.
The World Health Organization predicts a huge global shortage of nurses by 2030. Healthcare services will have to recruit nurses from other countries. Internationally recruited nurses' poor understanding of their colleagues' and patients' cultural backgrounds may lead to cohesive challenges in teams to the detriment of quality patient care.
A descriptive qualitative design was applied. Face-to-face interviews were done with 15 participants (five nurse managers and ten nurses), their ages ranging between 30 and 50 years. They were from different countries and cultural backgrounds. One open-ended question was used 'What cohesion challenges does the multicultural nursing team of the cardiac centre experience, and what support should they get from management to overcome these challenges?' A thematic data analysis was done.
Cohesion challenges were experienced due to poor communication, the exclusion of members in decision making, a lack of meaningful team-building events and limited introduction of newly appointed members. The diversity of the team led to the alienation of some members, and the internationally recruited nurses felt that they were expected to conform to the expectations of the Saudi members.
The participants did not appreciate the benefits of multicultural teams and only focussed on the challenges that they experienced to function as a cohesive unit. The participants wanted to be respected, acknowledged and valued as team members.
Managers should invest in cultural competence training, the enhancement of communication practices and the encouragement of trust among members to ultimately improve team cohesion.
本研究旨在探索和描述沙特阿拉伯一家指定医院心脏中心的多元文化护理团队所面临的凝聚力挑战。
世界卫生组织预测，到2030年全球护士将严重短缺。医疗保健服务机构将不得不从其他国家招募护士。国际招聘的护士对同事和患者文化背景的了解不足，可能会导致团队凝聚力方面的挑战，从而损害患者护理质量。
采用描述性定性设计。对15名参与者（5名护士长和10名护士）进行了面对面访谈，他们的年龄在30至50岁之间。他们来自不同国家和文化背景。使用了一个开放式问题：“心脏中心的多元文化护理团队面临哪些凝聚力挑战，以及他们应该从管理层获得哪些支持来克服这些挑战？”进行了主题数据分析。
由于沟通不畅、决策过程中成员被排除、缺乏有意义的团队建设活动以及新任命成员的介绍有限，导致了凝聚力挑战。团队的多样性导致一些成员被疏远，国际招聘的护士觉得他们需要符合沙特成员的期望。
参与者没有认识到多元文化团队的好处，只关注他们作为一个有凝聚力的单位运作时所面临的挑战。参与者希望作为团队成员得到尊重、认可和重视。
管理者应投资于文化能力培训、加强沟通实践并鼓励成员之间的信任，以最终提高团队凝聚力。
