Overseas Qualified Nurses’ (OQNs) perspectives and experiences of intraprofessional and nurse-patient communication through a Community of Practice lens

Philip, Susan; Woodward‐Kron, Robyn; Manias, Elizabeth; Noronha, Michele

doi:10.1016/j.colegn.2018.04.002

Cited by 27 publications

(67 citation statements)

References 27 publications

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“…Interpersonal discourse patterns between OQNs and their colleagues showed various degrees of engagement with colleagues and differing degrees of reciprocity of more informal communication. (Philip et al, 2018). The findings from this study, however, have shown that the majority of the OQN intra-and interprofessional interactions were short and purposive, with very minimal social talk with their English-speaking colleagues.…”

Section: Discussioncontrasting

confidence: 60%

“…As Kingma () highlights, noninclusive behaviours towards OQN team members from NESB countries can have a negative psychological impact that threatens patient safety, as well as disrupting cohesion within healthcare teams. OQNs, as newcomers into the Australian culture and workforce, need opportunities to engage in meaningful interactions with more established members of the community of practice in order to transform into active, contributing members of the professional community (Philip et al, ). The findings from this study, however, have shown that the majority of the OQN intra‐ and interprofessional interactions were short and purposive, with very minimal social talk with their English‐speaking colleagues.…”

Section: Discussionmentioning

confidence: 99%

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Overseas qualified nurses’ communication with other nurses and health professionals: An observational study

Philip

Woodward‐Kron

Manias

2019

Journal of Clinical Nursing

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Aims and objectives To understand the interprofessional and intraprofessional communication patterns of overseas qualified nurses as they coordinate care for patients in Australian hospitals. Background Numerous studies have informed the transitioning experiences of overseas qualified nurses with non‐English‐speaking backgrounds working in English‐speaking workplaces. Only a few observational studies have involved examining the intercultural communication experiences of overseas qualified nurses, and none have considered their intra‐ and interprofessional communication patterns. Design A qualitative design was adopted, using participant observation and discourse analysis. Methods This study was from January 2017 to March 2017. Thirteen overseas qualified nurses working in acute, subacute and interventional cardiology settings in a Melbourne metropolitan hospital were shadowed over a period of 12 weeks to collect data that inform their communication patterns. The COREQ checklist was used. Results This observational study informed by genre analysis revealed that intra‐ and interprofessional communication occurred more commonly under the clinical communication goals of coordinating care and less commonly under facilitating intervention. Communication strategies ranged from structured interactions with use of communication tools to unstructured ad hoc interactions. Analysis of the discourse patterns demonstrated that effectiveness of interactions was affected by hesitancy, lack of assertion and few strategies to manage inadequate or aggressive communication by other team members. Poor clinical communication with peers was not always caused by the nurses from non‐English‐speaking backgrounds. Positive interpersonal interactions with laughter, language‐switching and small talk were evident in interactions with nurses from similar cultural backgrounds but were rare with local colleagues. Conclusion The linguistic evidence from this study shows variations in communication competency between participants, which emphasises the importance of not viewing overseas qualified nurses’ communication training needs as homogenous. With the growing multicultural nature of healthcare teams, this study underscores the need for intercultural communication training for team integration and patient safety. Relevance to clinical practice Continuous professional development should incorporate intercultural communication training to ensure team effectiveness within nursing teams as well as interprofessional teams.

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Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Overseas qualified nurses’ communication with other nurses and health professionals: An observational study

Philip

Woodward‐Kron

Manias

2019

Journal of Clinical Nursing

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“…Hofstede's work continues to have contemporary empirical utility in research pertaining to cultural diversity in healthcare. For example, in a small qualitative Australian study by Philip et al () their analysis identified that even though IQNs enjoyed the advantages of the very low power distance between nurses and doctors, it was a significant adjustment to speak collegially with medical staff. In a comparative study investigating clinical reasoning skills in an Australian and an Indonesian medical school, the findings illustrated that power distance differences were evident between participants at the two sites, thus playing a significant part in the students’ different attitudes to authority, which impacted on uncertainty avoidance (Findyartini, Hawthorne, McColl, & Chiavaroli, ).…”

Section: Power Distancementioning

confidence: 99%

“…It behoves managers, nurse leaders, educators, preceptors and mentors to be aware of the often lengthier process of accommodating differences that disrupt strongly held beliefs and values. Successful transition involves reciprocity, rather than being the unilateral responsibility of IQNs (Brunton & Cook, ; Philip, Woodward‐Kron, Manias, & Noronha, ). Studies demonstrate that supportive leadership is a significant factor in transition and that leaders benefit from professional development to facilitate this process (Brunton & Cook, ; Khalili et al, ; Ramji & Etowa, ; Timilsina Bhandari, Xiao, & Belan, ; Viken, Solum, & Lyberg, ).…”

Section: Introductionmentioning

confidence: 99%

“…Adjustment to different dynamics in power relations and power distance is also reported across numerous studies. However, these accounts are explored with brevity (see, e.g., Philip et al, ; Xu, ; Viken et al, ) and there is a dearth of literature that focuses in depth on culturally and linguistically diverse (CALD) nurses’ acculturation process in these areas. The rich data in the current study highlight familiar themes evident in the extant literature.…”

Section: Introductionmentioning

confidence: 99%

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Power distance and migrant nurses: The liminality of acculturation

2019

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A dearth of literature focuses on the relationship between acculturation, power distance and liminality for migrant nurses entering foreign workplaces. Expectations are for migrant nurses to be practice‐ready swiftly. However, this aspiration is naïve given the complex shifts that occur in deeply held cultural beliefs and practices and is dependent on an organisational climate of reciprocal willingness to adapt and learn. This exploratory study identified that although a plethora of literature addresses challenges migrant nurses face, there are limited data that link these transitional processes to concepts that might usefully guide transitions. This study draws from the overarching concept of acculturation, together with Hofstede's (2011) notion of power distance and the theory of liminality to explore the experiences of eight migrant nurses. Data highlighted that adjusting to altered hierarchical relationships took many months because negotiating power distance challenged deeply held beliefs and assumptions about professional and organisational hierarchies. Migrant nurses’ accounts indicated a paucity of organisational processes to address these difficulties; therefore, they navigated this liminal space of adjustment to power distance differences in an ad hoc manner. Their acculturation experiences, arguably unnecessarily prolonged, indicate the value in workplace commitment to exploring a collaborative, critically reflective approach to optimise transitions.

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Experiences of internationally qualified registered nurses enrolled in a bridging program in Australia: A pilot study

Aggar

Shinners²,

Thomas³

et al. 2020

Collegian

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Overseas Qualified Nurses’ (OQNs) perspectives and experiences of intraprofessional and nurse-patient communication through a Community of Practice lens

Cited by 27 publications

References 27 publications

Overseas qualified nurses’ communication with other nurses and health professionals: An observational study

Overseas qualified nurses’ communication with other nurses and health professionals: An observational study

Power distance and migrant nurses: The liminality of acculturation

Experiences of internationally qualified registered nurses enrolled in a bridging program in Australia: A pilot study

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