A large number of internationally educated nurses are recruited each year from developing low-income countries to alleviate the nursing shortage experienced by US healthcare organizations (Kingma, 2007; Li, Nie, & Li, 2014). Many of these nurses speak with a non-native accent. As students, they may be considered English as a second language students or English language learners. According to the Pew Research Center, there were 4.2 million Black immigrants living in the United States in 2016, making up 10% of all Black people in the United States (Anderson & Lopez, 2018). Growth in the foreign-born Black population is fueled by African migration, with Africans comprising 39% of the overall foreign-born Black population (Anderson & Lopez, 2018). According to the Migration Policy Institute report, sub-Saharan African immigrants have higher levels of educational attainment compared to other immigrants and the native U.S. population (Echeverria-Estrada & Batalova, 2019), and a large share of them work in the healthcare sector (Anderson & Connor, 2018; New American Economy, 2018). The exact number of Black African-born nurses (BABNs) in the United States is not known. However, it can be reasonably assumed that they contribute to the 19.5% of nurses, who identify as ethnic minorities, and the 243,032 Black nurses, who comprise 6.2% of registered nurses in the United States (Smiley et al., 2018). The racial and ethnic identities of nurses who hold managerial and executive positions are not recorded in official nursing workforce data. Nurse migration is motivated by the search for professional development, better quality of life, personal safety (Tregunno, Peters, Campbell, & Gordon, 2009), and even the desire to experience new cultures. However, increased earning potential, career, and learning opportunities continue to be the most frequently reported incentives for nurse migration, especially by nurses from less-developed countries (Kingma, 2007). 1.2 | Discrimination Studies show that African-born students and nurses face numerous challenges during their transition to the United States