The Experiences of Internationally Qualified Registered Nurses Working in the Australian Healthcare System: An Integrative Literature Review

Ylona Chun Tie, Melanie Birks, Jane Mills

Research output: Contribution to journalReview ArticleResearchpeer-review

24 Citations (Scopus)


Introduction: International nurses account for 20% of the Australian nurse workforce. This review aims to identify and appraise research findings on the experiences of internationally qualified registered nurses working in the Australian healthcare system. Methodology: The review was structured using Whittemore and Knafl modified framework for integrated reviews. A systematic database search was undertaken. Articles (n = 48) were identified for appraisal based on set inclusion and exclusion criteria. Evaluation using the Critical Appraisal Skills Program tool resulted in (n = 16) articles in the final data set. Results: Three broad themes were identified: (a) Transitioning—Need for appropriate, timely, and adequate supports to assist transition to practice; (b) Practicing within local contexts—How expectations were different to the reality of clinical practice; and (c) Experiencing prejudice—when racial prejudice occurred. Discussion: Appropriate programs including cultural-safety education can mitigate adverse workforce dynamics within culturally diverse health care teams to enable provision of culturally congruent health care.

Original languageEnglish
Pages (from-to)274-284
Number of pages11
JournalJournal of Transcultural Nursing
Issue number3
Publication statusPublished - 1 May 2018
Externally publishedYes


  • Australia
  • health care system
  • internationally qualified
  • registered nurse

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