Immigrant nurses’ perceptions on cultural differences‐based job concerns: A phenomenological study in Shanghai China

Yu, Haiping; Peng, Youqing; Hung, Yunying; Zhou, Lin

doi:10.1111/jocn.14217

Cited by 7 publications

(7 citation statements)

References 27 publications

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“…Quantitative findings indicated that the perception of the healthcare encounter began with acculturation; and both quantitative and qualitative findings indicated that MNs struggled with acculturation, consistent with other studies (Brunton et al, 2019;Goh & Lopez, 2016;Pung & Goh, 2017;Yu et al, 2018). Our qualitative findings further elucidated acculturation difficulties that extended to both the social and work environments.…”

Section: Acculturationsupporting

confidence: 87%

“…Many MNs lack an understanding of several aspects of their host country's culture. They report issues with communication, both verbal and nonverbal, problems adapting to the host country's work procedures and routines, and other difficulties adjusting to the new culture and society (Brunton et al, 2019; Yu et al, 2018). MNs who are culturally and linguistically diverse from the native population are at particular risk for these stresses and difficulties (Schilgen et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Globalization: Migrant nurses' acculturation and their healthcare encounters as consumers of healthcare

Zlotnick,

Patel,

Ali

et al. 2023

Nursing Inquiry

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Globally, one of every eight nurses is a migrant, but few studies have focused on the healthcare experiences of migrant nurses (MNs) as consumers or recipients of healthcare. We address this gap by examining MNs and their acculturation, barriers to healthcare access, and perceptions of healthcare encounters as consumers. For this mixed‐methods study, a convenience sample of MNs working in Europe and Israel was recruited. The quantitative component's methods included testing the reliability of scales contained within the questionnaire and using Hayes Process Model #4 to test for mediation. The qualitative component's methods included analyzing interviews with iterative inductive thematic analysis. Quantitative findings on MNs (n = 73) indicated that the association between acculturation and perception of the healthcare encounter, which MNs experienced as healthcare consumers, was mediated by barriers to healthcare access, even after adjusting for age and gender (p = 0.03). Qualitative interviews with MNs (n = 13) provided possible explanations for the quantitative findings. Even after working in the host country's healthcare system for several years, MNs reported difficulties with their healthcare encounters as healthcare consumers, not only due to their limited knowledge about the culture and healthcare resources but also due to the biased responses they received.

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Section: Acculturationsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Globalization: Migrant nurses' acculturation and their healthcare encounters as consumers of healthcare

Zlotnick,

Patel,

Ali

et al. 2023

Nursing Inquiry

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“…Research shows that immigrant doctors and nurses have difficulty integrating into local teams because of different cultural values (Yu, Peng, Hung, & Zhou, 2018). They become frustrated and sad when they feel they have performed poorly as a team player (Hohmann, Glaesmer, & Nesterko, 2018).…”

Section: Liter Ature Re Vie Wmentioning

confidence: 99%

Emergency medical staff’s perceptions on cultural value difference‐based teamwork issues: A phenomenological study in China

Zhang

Peng

et al. 2020

J Nurs Manag

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Aim:To explore how different cultural values are connected to teamwork between doctors and nurses in emergency departments (EDs) in China.Background: China is a multicultural society, which leads to different cultural values being represented within its population. Doctors and nurses from different cultural backgrounds bring their own cultural values to their workplaces that influence teamwork. EDs are medical treatment facilities designed to provide episodic care to patients suffering from acute injuries and illnesses. Doctors and nurses in EDs should not only be highly skilled but also be able to work as a team. Studies have shown that different cultural values are often the cause of poor teamwork. However, there has been little focus on this phenomenon in the literature on ED. Therefore, this study aimed to identify how cultural values are connected to teamwork in EDs.Design: Phenomenological study. Methods:In-depth interviews were conducted with 10 doctors and 10 nurses in EDs from September to December 2018 in three large general hospitals in Shanghai. Results: Four major themes emerged from the data: leadership, communication, mutual support and staffing. Twelve sub-themes were identified (a) hierarchy between superiors and subordinates; (b) doctors as superiors; (c) Northerners are more powerful; (d) emphasizing etiquette; (e) traditionally feminine traits; (f) face-to-face communication; (g) collectivism; (h) being open-minded; (i) tense doctor-patient relationships; (j) clique culture; (k) high pressure; and (l) home culture. Conclusions: Teamwork between doctors and nurses inEDs is influenced by different cultural values. Future research should be carried out to identify which factors are essential to improving teamwork among doctors and nurses in hospital EDs. Implications for Nursing Management: It is important to develop strategies to foster teamwork between doctors and nurses with different cultural values. K E Y W O R D S different cultural values, emergency department, teamwork | 25 HAI-PING et Al.

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“…A cross‐sectional study of 603 emergency department nurses in Canada showed that nurses were more likely to leave because of perceived differences than other factors and that intrinsic cognitive difference due to background was detrimental to teamwork (Wolff, 2009). A phenomenological study indicated that language barrier and inability to integrate oneself with the local culture were the reasons why nurses work less efficiently and cohesively (Yu et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…Along with this, the ratio of immigrant nurses in big cities has been rising to 50% (Li, 2014). For these immigrant nurses, the local dialect and eating habits are what they need to re‐learn and adapt (Yu et al, 2018). According to information and decision model theory, team members who have the same attributes have the same knowledge, skills, and abilities (Clark et al, 2000), compared with homogeneous teams, which means the nurses with same demographic features such as age, gender, education, background, and personality (King et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

The moderating effect of cultural intelligence between nurses' relationship conflict and teamwork

Wang

et al. 2022

J Nursing Management

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Aims: To determine if there is a moderating effect of cultural intelligence between the conflict of nursing relationships and teamwork.Background: Relationship conflicts that exist in the nursing teamwork cannot be ignored. It would lead to poor teamwork and impact on patients' poor outcomes. In the meantime, cultural intelligence has been proven that people who have a higher cultural intelligence can do better at the work. Methods:The sample included 550 clinic nurses from five different hospitals in Shanghai. The Cultural Intelligence Scale, the Relationship Conflict Scale, and the Nursing Teamwork Survey Scale were used to investigate. Through the Johnson-Neyman method and SPSS Process Macro, the moderating effect of cultural intelligence was analysed. Results:The findings showed that cultural intelligence was founded to be significant (b = 2.03, p < 0.01). When the cultural intelligence score is greater than or equal to 90.8, the relationship conflict between nurses will not affect teamwork. Conclusions:The findings of this study may provide data to improve nurses' performance in team cooperation.

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Immigrant nurses’ perceptions on cultural differences‐based job concerns: A phenomenological study in Shanghai China

Abstract: Administrators in hospitals should pay attention to immigrant nurses' job concerns that are caused by cultural differences and provide timely and effective assistance.

Cited by 7 publications

References 27 publications

Globalization: Migrant nurses' acculturation and their healthcare encounters as consumers of healthcare

Globalization: Migrant nurses' acculturation and their healthcare encounters as consumers of healthcare

Emergency medical staff’s perceptions on cultural value difference‐based teamwork issues: A phenomenological study in China

The moderating effect of cultural intelligence between nurses' relationship conflict and teamwork

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