The Experiences of Internationally Qualified Registered Nurses Working in the Australian Healthcare System: An Integrative Literature Review

J Transcult Nurs. 2018 May;29(3):274-284. doi: 10.1177/1043659617723075. Epub 2017 Aug 21.

Abstract

Introduction: International nurses account for 20% of the Australian nurse workforce. This review aims to identify and appraise research findings on the experiences of internationally qualified registered nurses working in the Australian healthcare system.

Methodology: The review was structured using Whittemore and Knafl modified framework for integrated reviews. A systematic database search was undertaken. Articles ( n = 48) were identified for appraisal based on set inclusion and exclusion criteria. Evaluation using the Critical Appraisal Skills Program tool resulted in ( n = 16) articles in the final data set.

Results: Three broad themes were identified: (a) Transitioning-Need for appropriate, timely, and adequate supports to assist transition to practice; (b) Practicing within local contexts-How expectations were different to the reality of clinical practice; and (c) Experiencing prejudice-when racial prejudice occurred.

Discussion: Appropriate programs including cultural-safety education can mitigate adverse workforce dynamics within culturally diverse health care teams to enable provision of culturally congruent health care.

Keywords: Australia; health care system; internationally qualified; registered nurse.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Delivery of Health Care / standards*
  • Humans
  • Life Change Events*
  • Nurses, International / psychology*
  • Nurses, International / standards