Research Article| Volume 27, ISSUE 2, P164-173, April 2020

Home and away: A national mixed-methods questionnaire survey of host and migrant Registered Nurses in New Zealand

Published:November 27, 2019DOI:



      There are numerous studies examining the experiences of migrant nurses. However, there is less literature related to the concomitant experience of host nurses.


      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.


      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.


      259 respondents completed the questionnaire sent to a random sample of RNs in the New Zealand Nurses Organisation (NZNO) database.


      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.


      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.


      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.


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