Efendi Ferry, Pradipta Rifky Octavia, Makhfudli Makhfudli, McKenna Lisa, Houghty Grace Solely, Rahayu Fitri Kurnia, Yunita Fildzah Cindra
Department of Advance Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
School of Nursing and Midwifery, La Trobe University, Melbourne, Australia.
Int J Nurs Stud Adv. 2025 Aug 5;9:100399. doi: 10.1016/j.ijnsa.2025.100399. eCollection 2025 Dec.
Internationally qualified nurses commonly face challenges related to language barriers, cultural adaptation, and recognition of prior professional skills.
We aimed to map and synthesise the literature about the experiences of Internationally qualified nurses transitioning into the Australian healthcare system and to identify key challenges and gaps in supporting their integration and professional development.
A scoping review was conducted using a comprehensive search across five databases (Ovid MEDLINE, EBSCO CINAHL, Embase, Scopus, and Web of Science Core Collections), covering the literature from January 2014 to August 2024. Two researchers screened, selected relevant, and performed data charting, independently. The Patterns, Advances, Gaps, Evidence for practice, and Research recommendations framework was implemented to collate, summarise, and report the finding, while the review's report was formulated per the PRISMA-ScR guideline.
Fifteen studies were deemed suitable and synthesised from which we revealed that internationally qualified nurses underwent complex and multifaceted transitions. They faced language barriers, challenges in cultural adaptation, inadequate recognition of professional skills, and inconsistent access to support resources. Despite these hurdles, they demonstrated remarkable resilience. Language and communication challenges, particularly among nurses from non-English-speaking backgrounds, were common and impacted job satisfaction and integration. Meanwhile, discrimination and cultural biases were also reported, which contributed to feelings of isolation. Finally, orientation programs and mentorship proved beneficial support; however, inconsistencies in support availability remains a key gap.
Internationally qualified nurses' experiences reflected the need for tailored language support, standardised skill recognition, anti-discrimination policies, and consistent orientation resources to enhance integration. Addressing these gaps could not only improve internationally qualified nurses' job satisfaction, retention, and overall professional development within the Australian healthcare system but also contribute to a more diverse and inclusive healthcare workforce.
具有国际资质的护士通常面临与语言障碍、文化适应以及先前专业技能认可相关的挑战。
我们旨在梳理和综合有关具有国际资质的护士融入澳大利亚医疗体系的经历的文献，并确定在支持他们融入和职业发展方面的关键挑战与差距。
进行了一项范围综述，全面检索了五个数据库（Ovid MEDLINE、EBSCO CINAHL、Embase、Scopus和Web of Science核心合集），涵盖2014年1月至2024年8月的文献。两名研究人员独立进行筛选、选择相关文献并进行数据图表绘制。采用模式、进展、差距、实践证据和研究建议框架来整理、总结和报告研究结果，同时根据PRISMA-ScR指南制定综述报告。
筛选出15项合适的研究并进行了综合分析，结果显示具有国际资质的护士经历了复杂且多方面的过渡。他们面临语言障碍、文化适应挑战、专业技能未得到充分认可以及获取支持资源不一致等问题。尽管存在这些障碍，但他们展现出了非凡的适应能力。语言和沟通挑战很常见，尤其是在非英语背景的护士中，这影响了工作满意度和融入情况。此外，还报告了歧视和文化偏见，这导致了孤独感。最后，入职培训计划和导师指导被证明是有益的支持；然而，支持的可获得性不一致仍是一个关键差距。
具有国际资质的护士的经历表明，需要提供量身定制的语言支持、标准化的技能认可、反歧视政策以及一致的入职培训资源，以促进融入。解决这些差距不仅可以提高具有国际资质的护士在澳大利亚医疗体系中的工作满意度、留用率和整体职业发展，还可以促进医疗劳动力更加多元化和包容。
