<scp>N</scp>ew <scp>Z</scp>ealand nurses’ views on preceptoring international nurses

Riden, Helen; Jacobs, Stanley G.; Marshall, Robert N.

doi:10.1111/inr.12087

Cited by 12 publications

(17 citation statements)

References 11 publications

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“…Friendliness shown by preceptors made it possible for IQNs to expose vulnerability. Riden et al’s () survey of 151 preceptors of IQNs in New Zealand drew attention to preceptors’ frustrations at their limited preparedness for this role, and the lack of recognition and workload adjustment. They considered that generic preceptorship courses were inadequate for successfully preceptoring IQNs.…”

Section: Power Distance and Acculturationmentioning

confidence: 99%

“…With internationally qualified nurses (IQNs) constituting an ever‐increasing proportion of the nursing workforce in developed countries, bridging programmes endeavour to enhance ‘cultural fit’ and readiness to practice in the new country (Khalili, Ramji, Mitchell, & Raymond, ; Riden, Jacobs, & Marshall, ; Sherwood & Shaffer, ; Tie, Birks, & Mills, ; Xu, ). However, research indicates that the transition process may extend well beyond an initial few weeks.…”

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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Section: Power Distance and Acculturationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Power distance and migrant nurses: The liminality of acculturation

2019

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“…Lack of an appropriate learning environment makes that new nurses are not interested to learn appropriate caring behaviours (Devi, Khandelwal, & Das, 2017). Other studies similarly reported that preceptors faced many limitations such as heavy workloads, taking various caring roles, lack of time for patient education, insufficient knowledge regarding educational methods and no support from nurse managers during the preceptorship programme (Liu, Lei, Mingxia, & Haobin, 2010;Riden, Jacobs, & Marshall, 2014). Chen et al (2011) in Taiwan confirmed the impact of time pressure on the preceptorship process.…”

Section: Discussionmentioning

confidence: 83%

Living With Moral Distress: The Perspectives and Experiences of Iranian Nurse Preceptors

Shahbazi

Valizadeh

Borimnejad

et al. 2018

Res Theory Nurs Pract

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Background and Purpose: Preceptors play a key role in the transition experience of new nurses. Preceptorship is a stressful role and is influenced by contextual factors. There is a lack of sufficient understandings of the perspectives and lived experiences of Iranian nurse preceptors of preceptorship. The aim of this study was to explore the perspective and lived experiences of Iranian nurse preceptors of preceptorship. Methods: A qualitative design using a hermeneutic phenomenological approach was used. Six Iranian nurse preceptors were chosen using a purposeful sampling method from a large paediatric teaching hospital in an urban area of Iran. Data was collected using in-depth semi-structured interviews and was analysed using the Diekelmann et al.’s method of hermeneutic phenomenological analysis. Results: The data analysis resulted in the development of a constitutive pattern of ‘living with moral distress’, which was constituted of two major themes: ‘asking for and being unable’ and ‘the experience of conflict’. Implications for Practice: The findings of this study can improve nurses’ understandings of the preceptor’s role and associated factors influencing the implementation of the preceptorship programme. ‘Moral distress’ caused by the preceptor role can influence nurse preceptors’ mental health and also the patient care outcomes. More studies are required to explore this phenomenon in different contexts and cultures and design strategies for reducing the burden of taking this role on nurse preceptors. Also, policies are needed for developing a formal preceptor support system to help preceptors take this stressful and demanding role in healthcare settings.

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“…Recommendations from this study were for specific training for IQN preceptoring within the national framework and better organisational support and recognition. An organisational and national preceptor register that would encourage quality assurance was also recommended (Riden et al, 2014).…”

Section: Iqns' Preparedness For Practicementioning

confidence: 99%

“…As IQNs make up 25% of the nursing workforce in NZ, then specific training appears warranted. NZ literature on IQN transition suggests that organisational and national registers for preceptors would encourage organisational accountability (Riden et al, 2014).…”

Section: Healthcare Agency Supportmentioning

confidence: 99%

Internationally Qualified Nurses’ Perceptions of Patient Safety: New Zealand Case Studies

Kane¹

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<p>Twenty five percent of the current New Zealand nursing workforce comprises internationally qualified nurses (IQNs). For a significant proportion of IQNs, English is an additional language and the social, cultural and historical context of the health systems from their country of origin differs significantly to that of New Zealand. International studies have found that despite many of these IQNs having extensive nursing experience prior to entering a new country, the challenges involved with transition can have implications for patient safety. This study aimed to investigate IQNs’ perceptions of the competencies that pertain to patient safety. The study was informed by an interpretive-constructivist approach that acknowledges these perceptions are constructed within a social, cultural, and historical context. A qualitative multiple case study design was used with the Communities of Practice (CoP) theory as the conceptual framework. The primary data source was semi-structured interviews with four IQNs while they attended a Competency Assessment Programme (CAP) to obtain New Zealand nursing registration. The IQNs’ email reflections and programme documents were used as additional data. Thematic analysis of the individual cases followed by cross-case analysis revealed similar perceptions concerning patient safety across the four cases. Exposure to Nursing Council of New Zealand’s (NCNZ) competencies for safe nursing practice during the CAP course did not notably change the participants’ initial perceptions. The most significant finding of this study was that the social, cultural, and historical context of the health system and nursing role mediates how maintaining patient safety will be perceived and enacted in practice. The findings also highlighted the importance of engaging with participant perspectives in order to identify specific areas required for learning and transfer of information. These findings had important implications for further development of educational and healthcare agency support for IQN transition.</p>

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New Zealand nurses’ views on preceptoring international nurses

Abstract: Effective preceptorship requires training, recognition and support. Successful integration of international nurses depends on organizational recognition and implementation of these factors.

Cited by 12 publications

References 11 publications

Power distance and migrant nurses: The liminality of acculturation

Power distance and migrant nurses: The liminality of acculturation

Living With Moral Distress: The Perspectives and Experiences of Iranian Nurse Preceptors

Internationally Qualified Nurses’ Perceptions of Patient Safety: New Zealand Case Studies

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