TY - JOUR
T1 - Integration strategies and models to support transition and adaptation of culturally and linguistically diverse nursing staff into healthcare environments- an umbrella review
AU - Kamau, Suleiman
AU - Koskenranta, Miro
AU - Kuivila, Heli
AU - Oikarainen, Ashlee
AU - Tomietto, Marco
AU - Juntunen, Jonna
AU - Tuomikoski, Anna‐Maria
AU - Mikkonen, Kristina
PY - 2022/12/1
Y1 - 2022/12/1
N2 - The aim of this umbrella review was to establish recent evidence on integration strategies and models to support transition and adaptation of culturally and linguistically diverse nursing staff into healthcare environments. Umbrella review conducted according to Joanna Briggs institute guidelines. Data were collected from CINAHL, PubMed, Medic, ProQuest and Scopus electronic databases in 2021. Two researchers simultaneously screened studies' eligibility by title, abstract and full text. Quality appraisal for the selected studies was assessed according to Joanna Briggs institute critical appraisal. Data were synthesized by conducting content analysis. Twenty-seven reviews were included in the final synthesis. Strategies and models for supporting the transition and adaptation of culturally and linguistically diverse nursing staff into healthcare environments were structured as intra-organizational, sociocultural, and professional development. Intra-organizational strategies and models were unique to a particular organization and included policies and support, diversity, collegial and peer support, employee treatment and workplace environment. Sociocultural strategies and models addressed social, cultural and group dynamics using cultural training, learning and support, social support and friendships, language and communication, and personal skills development. Professional development enhanced nursing competence, ability to practice and workplace professional development. This was supported through licensure and orientation to work, career and competence development, and workplace mentorship and preceptorship. There is a need to understand culturally and linguistically diverse nurses' needs and motivation to integrate, which is essential toward developing efficient integrational strategies and models. Strategies and models also need to support cultural and personal competence development of native nurses to aid efficient integration of culturally and linguistically diverse colleagues. Future studies can evaluate nursing workforce shortages and their implications on integration process. [Abstract copyright: Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.]
AB - The aim of this umbrella review was to establish recent evidence on integration strategies and models to support transition and adaptation of culturally and linguistically diverse nursing staff into healthcare environments. Umbrella review conducted according to Joanna Briggs institute guidelines. Data were collected from CINAHL, PubMed, Medic, ProQuest and Scopus electronic databases in 2021. Two researchers simultaneously screened studies' eligibility by title, abstract and full text. Quality appraisal for the selected studies was assessed according to Joanna Briggs institute critical appraisal. Data were synthesized by conducting content analysis. Twenty-seven reviews were included in the final synthesis. Strategies and models for supporting the transition and adaptation of culturally and linguistically diverse nursing staff into healthcare environments were structured as intra-organizational, sociocultural, and professional development. Intra-organizational strategies and models were unique to a particular organization and included policies and support, diversity, collegial and peer support, employee treatment and workplace environment. Sociocultural strategies and models addressed social, cultural and group dynamics using cultural training, learning and support, social support and friendships, language and communication, and personal skills development. Professional development enhanced nursing competence, ability to practice and workplace professional development. This was supported through licensure and orientation to work, career and competence development, and workplace mentorship and preceptorship. There is a need to understand culturally and linguistically diverse nurses' needs and motivation to integrate, which is essential toward developing efficient integrational strategies and models. Strategies and models also need to support cultural and personal competence development of native nurses to aid efficient integration of culturally and linguistically diverse colleagues. Future studies can evaluate nursing workforce shortages and their implications on integration process. [Abstract copyright: Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.]
KW - Adaptation
KW - Content analysis
KW - Culturally and linguistically diverse
KW - Integration
KW - Model
KW - Nurse
KW - Nursing workforce
KW - Strategy
KW - Transition
KW - Umbrella review
UR - http://www.scopus.com/inward/record.url?scp=85140899556&partnerID=8YFLogxK
U2 - 10.1016/j.ijnurstu.2022.104377
DO - 10.1016/j.ijnurstu.2022.104377
M3 - Review article
SN - 0020-7489
VL - 136
JO - International Journal of Nursing Studies
JF - International Journal of Nursing Studies
M1 - 104377
ER -