Abstract
Background
There are numerous studies examining the experiences of migrant nurses. However, there
is less literature related to the concomitant experience of host nurses.
Objective
This is the first identified study of the cultural influences on perceptions, practices
and cross-cultural communication interface between Registered Nurses (RNs) from diverse
ethnicities across the Aotearoa-New Zealand (NZ) health sector.
Design
A mixed-methods online questionnaire survey was designed to identify key influences
on RNs in a rapidly culturally-diversifying healthcare environment. The critical incident
technique provided further insight into cultural influences on communication and practice.
Participants
259 respondents completed the questionnaire sent to a random sample of RNs in the
New Zealand Nurses Organisation (NZNO) database.
Methods
The survey identified key factors present in the cross-cultural interface between
host and migrant nurses. Principal components analysis uncovered the underlying structure
of variables and thematic analysis of the qualitative data provided enhanced insight.
Results
Three key areas accounted for 57.23% of variance: Factor 1: teamwork (40.2%); Factor
2: management (12.2%) and Factor 3: Organisational culture (4%). Sub-themes accompanied
each factor to illustrate the impact on both groups of RNs.
Conclusion
There was a clear desire for RNs, both host and migrant nurses, for support to enable
them to foster good working relationships in collaborative teams. Empathetic, culturally-competent
managers and organisational resources are required to facilitate this process.
Keywords
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Article info
Publication history
Published online: November 27, 2019
Accepted:
August 12,
2019
Received in revised form:
May 23,
2019
Received:
November 7,
2018
Identification
Copyright
© 2019 Australian College of Nursing Ltd. Published by Elsevier Ltd.
