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A mixed methods study to explore factors influencing the learning environment, patient safety and care quality in non-UK and UK trained registered nurses
The UK’s National Health Service (NHS) relies heavily on international staff recruitment to provide patient facing care. 19% (65,000) of nurses from over 163 non-British nationalities make up the workforce.
The focus on international nurse recruitment has intensified, due to challenges in training, recruiting and retaining domestic nurses. Internationally recruited nurses face challenges due to cultural differences between nursing training programmes in the UK and abroad, including different approaches to carrying out personal care and care planning processes.
There is an unmet need to effectively support non-UK trained nurses to successfully integrate into work and wider society, with resulting impacts on patient care quality and safety and the supervision/assessment of nursing students. Providing supportive resources and guidance to international nurses can help reduce cultural dissonance in providing safe and appropriate student learning environments.
The mixed methods study design will develop a rich understanding of the behaviours of non-UK registered nurses.
Phase 1: A systematic literature review exploring to what extent the backgrounds of internationally recruited nurses’ impact on the quality and safety of patient care, and the learning environment as experienced by students and newly qualified nurses.
Phase 2: Vignettes, relating to common situations registered nurses encounter in clinical practice, will be developed. These will relate to topics around care delivery and supporting student nurses in clinical practice through supervisory and assessor roles. Non-UK trained and UK trained nurse participants will be asked how they would respond.
Phase 3: Interviews carried out with non-UK trained and UK trained registered nurses, nurse managers, multidisciplinary team members, NHS recruiting managers and Chief Nurses - exploring phase 1 and 2 findings.
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