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Overseas nurses feel their skills are underused and they aren't valued or respected
Date:10/14/2010

joined the register between 1997 and 2006 did not renew their registration.

The research review carried out by Nichols and Campbell provides a number of clues about why retention is an ongoing issue, including:

  • Highly skilled and proficient nurses being used in junior positions where their expertise and experience went unrecognised. Some nurses even felt the need to hide their skills to avoid alienating the less experienced staff they reported to.

  • Racism and discrimination. One study even went as far as to suggest that the NHS was institutionally racist, with overseas nurses being socially excluded and having their career progression blocked.

  • Particular problems working in elderly care homes, where nurses felt their nursing skills were replaced by unfamiliar and basic personal care, such as feeding, washing and toileting. They also reported poor working relationships, a lack of respect and feeling humiliating and degraded by the attitudes of some colleagues.

  • Disappointment when they discovered that their expectation of working in advanced first-world health care with high-tech equipment, clean hospitals, high standards of care, good staff-patient ratios and positive working conditions were not realised. And frustration that following policies and protocols made nurses risk adverse.

The review has prompted the authors to make a number of suggestions as to how retention could be improved. These include:

  • Managing nurses' expectations more effectively by not over-selling UK nursing in a way that can only lead to disappointment.
  • Not recruiting the most senior staff for junior positions, as this will lead to professional frustration.
  • Valuing the skills and expertise that overseas nurses bring to the UK through appropriate and timely professional development.
  • Learning from other healthcare systems, and being open to new ideas, rather than trying to impose the 'our way
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Contact: Annette Whibley
wizard.media@virgin.net
Wiley-Blackwell
Source:Eurekalert

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