The United States has always been a nation of immigrants who have added their many languages to the common language of communication, English. In recent years, the use of these languages in the workplace has become a concern for US business. As a result of changes in immigration laws, which now no longer favour Europeans, and the passage of the 1964 Civil Rights Act, making national-origin discrimination illegal, people of different cultures and languages are more visible than ever in public life. This article will begin with an overview of the history of attitudes towards immigrants and their languages in the United States. The present status of attitudes towards immigrants will be discussed with an update on the official-English movement, a discussion of three recent reports on the effect of immigration, and an analysis of a set of articles on immigration in recent business-related journals. Discussion will then focus on how businesses have adapted to the multilingual workforce. A set of articles on language issues in the workplace found in business-related journals will be classified and analysed according to the tactics described or being advised for dealing with multilingual diversity. Finally, the connection between the official-English movement and business practices will be explored, with a focus on the prospects for adult instruction in the English language.
Aim
This report from the field describes impressions of the initial impact of bilateral, multi‐sectoral field‐based activities undertaken to strengthen International Organization for Migration/United Nations Migration Agency and US‐based nurses’ capacity to address complex clinical, social and cultural challenges experienced by refugees in resettlement. Authors comment on the defined and thorough health assessment process that refugees go through prior to resettlement, and focus on the essential nursing role in the health assessment process and continuum of care. The development of the interdisciplinary and collaborative partnership is described as well as next steps to move the partnership forward.
Background
In 2017, International Organization for Migration/United Nations Migration Agency and the University of Minnesota, guided by experts from the United States Centers for Disease Control and Prevention, began a unique bilateral Intergovernmental‐Academic partnership to enhance the health care of refugees. A key component was to strengthen nursing care of refugees through the standardization of clinical practice and nursing leadership.
Sources of Evidence
Listening sessions, direct interaction between International Organization for Migration/United Nations Migration Agency and US‐based refugee resettlement stakeholders, patterns in resettlement.
Conclusion and Implications for Nursing and Health Policy
The report highlights the potential public health impact of a bilateral and collaborative initiative that develops and bridges key points in the migration and health trajectory of people with refugee status. Separated by geography, context and scope of work, health professionals in different roles in varied worldwide settings with a spectrum of resources may not fully understand the work of each other. Project activities were a platform through which US‐based and internationally based nurses established mutuality, reciprocity and equity as partners. By strengthening systems and resources, the partnership reinforces the abilities of nurses who engage in this important work, to optimize health and wellbeing of people with refugee status.
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