Cultural health capital and professional experiences of overseas doctors and nurses in the UK

Hatzidimitriadou, Eleni; Psoinos, Maria

doi:10.21767/2049-5471.100002

Cited by 11 publications

(15 citation statements)

References 36 publications

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“…IMGs must feel able to recognise and admit mistakes and share challenges without fear, reducing anxiety both during the intervention and in practice (m) . In sharing experiences and reflecting on their own practice (c), IMGs’ engagement and levels of cultural health capital (wellbeing, resources, resilience, optimism) are likely to increase (m), and they will acquire resources to use in practice (o). Self‐efficacy is also likely to increase (m), so that IMGs will not blame themselves and be able to acknowledge that others are facing similar difficulties.…”

Section: Resultsmentioning

confidence: 99%

Supporting international medical graduates’ transition to their host-country: realist synthesis

et al. 2016

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ContextMany health services and systems rely on the contribution of international medical graduates (IMGs) to the workforce. However, concern has grown around their regulation and professional practice. There is a need, in the absence of strong evidence and a robust theoretical base, for a deeper understanding of the efficacy of interventions used to support IMGs’ transition to their host countries. This study seeks to explore and synthesise evidence relating to interventions developed for IMGs. It aims to provide educators and policy makers with an understanding of how interventions should be developed to support IMGs in their transition to the workplace, particularly looking to identify how and why they are effective.MethodsThe realist synthesis involved an initial systematic search of the literature for the period January 1990 to April 2015. Secondary searches were conducted throughout the review in order to inform and test the developing programme theory. The context, mechanism and outcome data were extracted from all sources meeting the inclusion criteria. Fourteen case studies were included to further aid theory refinement.ResultsSixty‐two articles were identified, describing diverse interventions of varying intensity. A further 26 articles were identified through a secondary search. The findings illustrate that, alongside a developed programme, ongoing support and cultural awareness at organisational and training levels are crucial. Individual differences must also be taken into consideration. This will ensure that IMGs engage in transformative learning, increase their levels of self‐efficacy and cultural health capital, and reduce feelings of stress and anxiety. These factors will have an impact on work, interactions and cultural adjustment.ConclusionsOrganisational, training and individual contexts all play a role in IMGs’ adjustment during the transition process. Establishing ongoing support is critical. A list of recommendations for implementation is given.

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Section: Resultsmentioning

confidence: 99%

Supporting international medical graduates’ transition to their host-country: realist synthesis

et al. 2016

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“…It is important that organisations involved in the registration and employment of international HRH, have fair systems in place to recognise HRH international education and training to improve their integration [ 33 , 55 ]. Retention can be improved through enhancing integration by providing training in equality and diversity [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Migration motives and integration of international human resources of health in the United Kingdom: systematic review and meta-synthesis of qualitative studies using framework analysis

2018

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ObjectiveThe aim of this review was to examine the migration motives, the barriers to and facilitators of integration of international dental graduates, compared with nurses and doctors in the United Kingdom.MethodsElectronic databases Ovid MEDLINE, EMBASE, PubMed, Web of Knowledge and OECD publications were systematically searched for English language publications from January 2000 to January 2017. A total of 31 qualitative studies were selected and quality appraised and meta-synthesis of the qualitative data was carried out using framework synthesis. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were applied to present the findings.ResultsThere were no studies on migration motives and one study on integration experiences of international dentists in the UK. The nursing literature had the highest volume and quality of evidence on nursing workforce, whilst there was limited literature on international doctors in the UK.Migration of health professionals to the UK is determined by personal and professional factors, together with source country-specific and UK drivers. Active recruitment, post graduate training and financial gain act as strong common macro, meso and micro drivers that perpetuate migration into the UK, but the extent to which each of these drivers influence nurses’ and doctors’ migration is different.Integration experiences for international nurses and doctors differed based on their source country experiences and the work environment they entered. Nurses reported a wider knowledge and skills gap, more multi-level discrimination and less career progression compared to the doctors. The migrants’ integration experiences depend on their cultural awareness, discrimination exposure, English language and communication skills, social and professional support networks, social integration and personal attributes.ConclusionMigration of international health professionals is motivated by macro, meso and micro drivers at the international, national, professional and personal levels. The UK has strong common macro pull factors which attract nurses, doctors and dentists and may impact on the effectiveness of policies to restrict their migration. The integration experiences of nurses and doctors differ and further research is required to understand the integration experiences of dentists, in order to retain these professionals by tailoring policies to each of these professions.Electronic supplementary materialThe online version of this article (10.1186/s12960-018-0293-9) contains supplementary material, which is available to authorized users.

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“…CHC informs how culturally and socially formed lifestyles and contextual conditions shape, facilitate and transmit disparities in healthcare access and medical interactions, and thus poor health status in cultural minorities (Shim, ). Though having different theoretical roots, CHC and health capital can be complementary as CHC effectively shows a status quo of inequality and structural barriers faced by immigrants and refugees (Hatzidimitriadou & Psoinos, ), while health capital reveals health assets for positive health outcomes outside healthcare settings. Further application of such concepts that highlight cross‐cultural interactions and dynamics in health resources will be instrumental in better understanding and addressing challenges around health disparities and inaccessibility in refugees in acculturative transition.…”

Section: Discussionmentioning

confidence: 99%

Constructing health capital in ecological systems: A qualitative evaluation of community-based health workshops in the refugee community

2018

Health Soc Care Community

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Refugee communities face numerous health and mental health concerns both during and after resettlement. Health issues, already deteriorated by chronic poverty, malnutrition and poor living conditions, are exacerbated by acculturative challenges, such as cultural and language barriers, stigma, and lack of resources and information. Since such needs in refugee communities affect both individual and collective capacity, it is important to consider policy environment and socioecological contexts for cultural adjustment and community resources for navigating systems, rather than individual health behaviours and communication skills only. To expand our understanding of health promotion capacity and resources, a broad and context-dependent concept will be necessary. Adopting a concept of health capital, this study aims to explore the impact of community-based health workshops, while expanding and redefining the framework in the context of health promotion efforts for the refugee community in resettlement. As part of community-based participatory research, this qualitative study conducted seven focus group discussions (FGDs) with 22 Bhutanese refugees in 2014. Using a hybrid thematic analysis, themes emerged from the FGD data were organised and categorised into health capitals in ecological systems. The participants reported enhanced confidence and capacity for health promotion at individual, family and community levels. Given the interdependent coping and lifestyles of refugee communities, impacts on the participants' interactions and relations with family and community were significant, which emphasises the importance of assessment of interventions beyond an individualistic approach. The findings of this study underscore the vital role of varied forms of health capital in promoting health in the refugee community and connecting members to needed health resources and information. Health capital is an old and yet still new concept with a great potential to broaden our understanding of health resources by elaborating the impacts and interactions in individuals, family and community for health promotion.

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Cultural health capital and professional experiences of overseas doctors and nurses in the UK

Cited by 11 publications

References 36 publications

Supporting international medical graduates’ transition to their host-country: realist synthesis

Supporting international medical graduates’ transition to their host-country: realist synthesis

Migration motives and integration of international human resources of health in the United Kingdom: systematic review and meta-synthesis of qualitative studies using framework analysis

Constructing health capital in ecological systems: A qualitative evaluation of community-based health workshops in the refugee community

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