Using Action Research As The Basis For Transforming A Workplace Culture So That Integration Of Overseas Registered Nurses To The Nursing Home Clinical Setting Be More Adaptive, Inclusive And Mutually Supportive: How To Integrate Overseas Registered Nurses Into The Clinical Setting Of A Nursing Home In Norway?

DOI: 10.5176/2315-4330_WNC18.25

Authors: Assistant Professor Cynthia M.A.Baluyot

Abstract:

Research question: How to integrate overseas registered nurses into the clinical setting of a nursing home in Norway? Research problem: Newly arrived overseas registered nurses experience difficulties adjusting to the clinical setting in one of the institutions for old people in Norway.

P111pose: The purpose of the study shall be to develop a basic knowledge that will stimulate and· improve competence in multicultural nursing in the clinical area. It will help develop research studies in nursing education and practice in relation to working conditions in a cross-cultural teamwork.

Method: Qualitative research with a hermeneutical perspective is used. Action research is the chosen method for this research due to its collaborative, reflective and evolutionary process of bringing about change. To ensure the effectiveness and trustw01ihiness of the study, focus group discussions and critical reflections are used. The data analysis is done through the hermeneutical approach according to Kv ale's (2001) level of interpretation. Ethical co11sidel'{ltio11s:

Respondents received adequate information about the research and other related matters in which the respondents are to pa1iicipate. Ethical principles about confidentiality, anonymity and voluntary consent strictly observed. Permission granted f^rom the head of the county where the nursing home 1s located.

Results: Results reveal that diversity i?sues such as in communication, different educational background, attitudes, values and cultural expectations, power dynamics and social avoidance and rejection are the underlying challenges of

overseas registered nurses in adjusting to the Norwegian clinical setting.

I111plicatio11s: Findings imply that the institution needs to provide a working climate that will promote professional and social integration to both the Norwegian registered nurses and overseas registered nurses.

Keywords: integration, overseas registered nurses, nursing home, clinical setting and culture, action research