Diversity Adaptation Inclusion Nursing Education

Diversity, Adaptation, and Inclusion in Nursing Education

This annotated bibliography will present analysis and review of some sources relating to adaptation, diversity, and inclusion in nursing education. Globalization has resulted in nursing schools experiencing diverse students’ population with learners who are culturally and linguistically diverse. The annotated bibliography will present measures that would enhance the adaptation of learners from culturally and linguistically diverse setting, challenges faced by these students and measures to improve the learning experience and performance. Also, the annotation will address diversity issues, policy implications and intervention measures for promoting workforce diversity through a diverse learning environment for nursing learners.

Gerrish, K. (2004). Integration of overseas Registered Nurses: Evaluation of an Adaptation Programme. Journal of Advanced Nursing, 45(6), 579–587.

Gerrish (2004) conducted a study to investigate adaptation program for nurses working oversea. These nurses normally experience challenges before adapting to new environment featured by different cultural setting and operational standards for nurses. With the current globalization trends, there has been increasing oversee nurse recruitment to address the significant staff shortage in United Kingdom healthcare sector that has resulted in theemergence of adaptation programs for nurses from other countries seeking experience and allow them to be acknowledged by the Nursing and Midwifery Council. Gerrish (2004) article collects data from different previous studies on independent evaluation of the adaptation programs for the overseas Registered Nurses who are offered by large acute healthcare facilities. Basing on the review, the study reported evaluation programs by focusing on objectives, overall success rate and outcomes from the stakeholders’ perspective.

Gerrish (2004) integrated a pluralist evaluation research model developed to facilitate the identification of the criteria that interested parties used in the judgment of success rate of adaptation programs. After identification of the success of the program, it is used in judging the program in question. Due to the nature of the study, a qualitative research method is applied to address the challenges faced in implementation of the program and measures to address the success of the program. A focus group approach is preferred in data collection where in-depth interviews were set to collect the data for analysis. Gerrish (2004) targeted oversea nurses, senior nurse managers, educators and ward managers. The study took a period of 12 months to complete data collection where the analysis was done through the development of principles for dimensional analysis. Criteria of success approach were crucial in identifying the views from the stakeholders that guided in the development of overall success of the adaptation program. After the analysis of data, results of the study were developed which helped in creating a holistic view of the adaptation programs in the United Kingdom.

The results indicated that five success meanings were developed comprising of gaining professional registration, reducing the nurse vacancy factor, fitness for practice, promoting the organizational culture that is based on diversity value and equality of opportunity. Gerrish (2004) also found that organizational context, features of their work environment and level of support influences the ease of gaining United Kingdom registration and their integration into the nursing workforce. From the article, Gerrish concluded that developed countries should take into account support for nurses sourced from the global market to facilitate their adaptation to environment featured by different social and cultural settings. This article is crucial in research involving nurses’ sourced from oversea by presenting challenges, opportunities and threats faced by the oversea nurses. The study provides crucial information relating to factors that are essential in enhancing the adaptation of these nurses through the provision of the necessary support. The article is also relevant in presenting different considerations that should be taken into accounting supporting adaptability of these nurses to the new environment.

Jeong, S. Y.-S., Hickey, N., Levett-Jones, T., Pitt, V., Hoffman, K., Norton, C. A., & Ohr, S. O. (2011). Understanding and enhancing the learning experiences of culturally and linguistically diverse nursing students in an Australian bachelor of nursing program. Nurse Education Today, 31, 238–244.

Jeong et al. (2011) conducted a study investigating measures of enhancing learning and performance of nursing students in a culturally and linguistically diverse environment.Nurses and nursing students are faced with the different cultural setting, which influences their adaptation and performance. The article review experience of nursing students in Australia who are from different cultural backgrounds. The challenges do affect not only the nursing learners but also the academic and clinical staff. A pilot study is conducted to review the perceptions from learners’ approach and another school academic and clinical staff perspective. This is crucial in identifying the challenges faced by clinical staff, academic staffs, and learners.

To attain the study objectives, Jeong et al. (2011) applied qualitative research methodology in collection and analysis of data. The article had its target as learners from culturally and linguistically diverse (CALD) backgrounds. The participants in the study comprised of learners classified as CALD who were attending their education in Australian universities. Academic staff who taught CALD learners were also integrated into the research. The study had a total of 18 participants comprising of 11 CALD students, four academic staff members, and three clinical facilitators. Qualitative research is appropriate when investigating aspects that require understanding the feelings and perception of the participants through a face to face interview where in-depth data is collected.

Jeong et al. (2011) developed interesting findings relating to measures that can address challenges faced by nursing students, clinical staff and educators with experience in learning or teaching in culturally and linguistically diverse environment. Focus groups were integrated into data collection process to enhance the quality of data collected. After the research Jeong et al. (2011) found that there were four themes crucial in addressing challenges under investigation. These themes comprise of English language competence level, isolation feelings and perception, limited opportunities in the learning process and inadequate of the university support. The effects of these challenges comprised of financial, social and intercultural contexts and political setting that learners experience. The article is significant when addressing the challenges faced by students from culturally and linguistically diverse backgrounds.

Additionally, the article utilizes an adequate number of participants which helps in identification of appropriate research data for analysis. The research is crucial to educators, clinical staff and policy makers relating to insights that facilitate the development of effective learners’ adaptation initiatives to promote an efficient environment for all culturally and linguistically diverse learners. The sample size for this article was efficient considering that qualitative studies require in-depth analysis, which is possible with a small sample of participants. The choice of research method in the article presents an opportunity for addressing challenges that students may suffer in silence, which would lower the productivity and performance of nursing students during practice. The article forms a foundation for further studies on the perspective of adaptation initiatives for learners in a cultural and linguistically diverse environment to aid both learners and academic staff.

Boughton, M. A., Halliday, L. E., & Brown, L. (2010). A tailored program of support for culturally and linguistically diverse (CALD) nursing students in a graduate entry Masters of Nursing course: A qualitative evaluation of outcomes. Nurse Education in Practice, 10, 355-360.

Boughton, Halliday, and Brown (2010)conducted a study investigating the significance of support programs for learners from culturally and linguistically diverse setting. The article defines the common support programs initiated to address the challenges faced by learners and teaching staff. Nursing learners enrolled for a program in culturally and linguistically different environment experience challenges that affect their learning outcomes and performance. The target population in the article were nursing students who were enrolled in 2-years accelerated Master of Nursing program from the faculty of nursing, University of Sydney. Also, the article aimed at examining the pedagogical aspects that affect the delivery of educators and nursing clinicians. The research identified gaps in the literature relating to the integration of CALD training in the learning process to improve the learning outcomes of learners from culturally and linguistically diverse environment.

Boughton, Halliday and Brown (2010) identified that learners from culturally and linguistically diverse settings are sometimes entitled to a program to facilitate their adaptation to the new environment. For the purpose of the article, the authors integrated their research into a program involving CALD interventions that took place during semester 1 in 2008 run by three academic staff members from series of workshops aimed at addressing challenges faced by learners from CALD setting. The article drew findings from both primary and secondary sources taking account evidence in existing literature. Selection of the research participants was on a voluntary basis where a total of 34 participants from different countries who were willing to join the program. A qualitative research method in collection and analysis of data allow the researcher to collect non-verbal feelings of the participants that help in the acquisition of crucial data regarding the participants. The qualitative method requires in-depth analysis that helps in establishing reality concerning the research aim and objectives. Positive results were collected relating to the impact that CALD program had on students’ adaptation to the Australian culture and language. To evaluate the impact, the researchers grouped the participants depending on the benefits that they got from the CALD program regarding enhancing their academic potential, students learning experience and clinical placement initial experience.

Diversity in Nursing Education
Diversity in Nursing Education

In the discussion, Boughton, Halliday and Brown (2010) integrated results from the primary data and critical analysis of existing studies. The in-depth literature review from the article helps in the acquisition of data that from secondary sources, which is crucial in the analysis. Integrating literature review to empirical evidence facilitates in identifying deviation of the primary results by using the previous studies as a datum. Additionally, qualitative studies involve in-depth analysis of data. This method was appropriate for this study to determine the significant impact that perception and feelings have on the research. Furthermore, the choice of the interview as data collection tool facilitates in seeking clarifications from the participants in case of an ambiguous answer and questions during the research process.

Bleich, M. R., Macwilliams, B. R., & Schmidt, B. J. (2015). Advancing Diversity Through Inclusive Excellence In Nursing Education.Journal of Professional Nursing, 31(2), 89–94.

Bleich, Macwilliams and Schmidt (2015)conducted a study investigating the measures of promoting diversity through enhancement of nursing education. With increased global movement of professionals in search of employment and nursing education, there is need to develop a diverse workforce that can serve employees from different cultural settings. However, only a few studies integrate the inclusion during recruitment and retention strategies for the improvement of academic learning outcome. The article addressed the organizational initiatives that promote diversity and inclusion in nursing education as supported by Association of American Colleges and Universities. The article addresses the inclusive excellence that builds an effective learning environment for diverse learners’ needs. There are six strategies for diversity and inclusion that are investigated basing on the authors’experiences, behavioral and structural concerns such as admission processes, community absence, invisibility, tokenism, promotion and tenure, and exclusion. The article was aiming at identifying behavioral and structural adaptations that are within the nursing education setting for the advancement of inclusion and diversity. Identifying different factors that inhibit or enhance an organization with diverse learners is significant in the current study.

The study integrates secondary data retrieved from previous studies in drawing the discussion and conclusions. In-depth analysis of the factors that influence diversity in the nursing education are analyzed. The study integrates step by step procedure of development an inclusive setting for nursing education. The study is crucial in presenting the step-to-step procedure of development of the effective framework for implementation of diversity in nursing education. Bleich, Macwilliams and Schmidt (2015) presented strategies for promoting diversity and inclusivity comprising of improving the admission process, reduction of the inevitability of the underrepresented cohorts, the establishment of support community, enhancing equity in the promotion and the tenure structures, and discouraging tokenism. These initiatives are drawn from different past studies that took into account the crucial elements of diversity.

Even though recent studies play a critical role in the research process, it should be accompanied by empirical results that improve the quality of data presented. Reliance on previous studies maybe misleading since the earlier studies could measure different elements that are not significant in the current study. Despite these challenges in the article, it present information that is crucial in the development of a foundation for more in-depth studies that incorporate primary sources of data. In studies relating to measures of enhancing diversity and principles in nursing education, the article by Bleich, Macwilliams and Schmidt (2015) is crucial in determining gaps in the previous studies that future research should address. In addition, the article could be effective in the presentation of effects of failing to integrate diversity principles in nursing education where diverse cultures are present. Strong self-awareness and self-esteem are crucial for learners within a diverse society to be incorporated into an efficient learning environment and demonstrate effective learning and productive environment.

American Association of Colleges of Nursing. (2015). The Changing Landscape: Nursing Student Diversity on the Rise. Washington, DC: American Association of Colleges of Nursing.

American Association of Colleges of Nursing(AACN) (2015) present review of policy on diversity in American nursing colleges. The report compiles evidence based on recent studies and available policies on the significance of cultural diversity understanding in the nursing workforce in the development of culturally sensitive patient care observing crucial patients’ safety and service quality. The data and analysis are dependent on the U.S. Census Bureau that classified differential cultural settings in the United States where groups that are racially underrepresented forms more than a third of the entire population. The report expresses the commitment of American Association of Colleges of Nursing in promoting diversity and inclusion in all nursing colleges.

The report presents a valuable source of data from primary sources like government websites relating to diversity in nursing education. To ensure the validity of data submitted, the AACN present results of previous reports from reliable sources that cite issues relating to diversity in American nursing colleges.

To address the initiatives by the government, AACN present two reports compiled by NAS in 2004 addressing measures to improve the diversity in the healthcare sector. Also, AACN also reviewed a report by NAS in 2010 on advancing nursing through enhancement of its leadership role through the development of the competent and diverse workforce. The research also presents the trends in changes in the level of diversity across learners undertaking Baccalaureate, Masters,Ph.D. and DNP programs in nursing for the period between 2011 and 2015. Also, the report presents diversity trends across all the states in the US. This helps the future studies in identifying the diversity trends across the American States diversity commitment in promoting the needs of all learners.

Apart from variations in diversity from 2011-2015 and regional diversity levels, ACCN report took into account variations in diversity across programs, which is crucial in informing researchers and policy makers on the degree of diversity in nursing education in the United States depending on the extent of learning. Furthermore, the report presents the diversity on gender-based variations. The report also illustrates the measures that the Federal and local governments would integrate into nursing schools to promote diversity in learning institutions for nurses. From 2006 to 2015, the research cites that there has been a drop in grant funding programs.  Understanding these challenges and opportunities relating to diversity in nursing education will enhance in effective decision-making regarding policy interventions appropriate to address the diversity issues in nursing education. This report is essential in developing valid arguments relating to interventions for diversity in American nursing education. The report presents a valuable source of information on trends based on annual grants allocation, gender, and level of study, which will guide the development of policy measures to encourage diversity in nursing education.

In conclusion, the five studies identify the nursing discipline as a complex profession that entails the harmonization of work culture, private life, societal obligations, and work schedule. Collectively, the authors concur that professional nurses and nursing students specialize in a demanding profession. The health care industry demands that the practitioners commit themselves to the responsibilities by preparing to work for extended hours under congested schedules. Therefore, the work environment prompts the governing institutions to consider improving expertise and the support infrastructure in order to enhance the efficacy of the healthcare service providers. In spite of the incongruousness in specific and general objectives, the studies converge into a common point of focus involving manipulating the parameters of interest to improve the performance of nurses. Jointly, the authors view the quality of nursing as a function of dedicated endeavors to establish support institutions, education programs, and cultural learning.

Nurses are mobile in nature as the occupation dictates. The interventions would enable the medical professionals to adapt new environments and avoid culture shock. New work environments expose the nurses to challenges in learning the ways of life of the inhabitants. The situation grows severe in workstations where the health care seekers subscribe to a foreign language. At this point, intervention programs and special education programs tailored to specific settings are vital to improving the performance of the personnel within the restrictive workplace. Additionally, the studies venture into using qualitative approaches to explore the parameters of interest. The commonality portrays a similarity in the five research works highlighting that most elements in nursing are non-quantitative.

As long as the authors agree on the complexity of the discipline, discrepancies emerge pertaining to the most suitable intervention strategies. The influence of the studies on the nursing practice significantly relies on an integrated method of implementing the findings. In other words, the observations made from each of the studies are solely dependent on the contributions of the rest. Furthermore, the authors base the studies on different scopes and parameters. Focusing on culture, education, and support programs exposes the incongruousness underlying the pursuit of knowledge. Through the principal areas of focus, the general objectives of the research works differ considerably from one study to another. The specialization undermines the view of mutual relationships in the rudiments of nursing.

The five articles are exclusively vital in enabling efficient nursing services. The diverse objectives pursued by the researchers present nursing practice as a multi-disciplinary subject comprising of equally important parameters. In a real sense, nursing profession describes a collection of medical subjects that equip the facilitators with immense knowledge essential for dealing with a myriad of scenarios in the healthcare industry. More important are the elements that the articles discuss as significant in enhancing nursing. Education denotes one of the traditional methods of knowledge acquisition. Training remains a viable approach to improve professionalism. Nursing professionals require excellent training to improve the quality of the service.

The education programs enhance the adaptation mechanisms of the medical personnel to various environments. As nurses move from one workstation to another, the environmental setting changes drastically prompting swift adjustment. Cultural learning denotes one of the most vital considerations since nurses interact with culturally diverse populations. The support institutions formulate and implement policies and programs aimed at enhancing the workplace for nursing professionals. Therefore, the articles discuss valuable factors essential for facilitating exemplary therapeutic services.

References

American Association of Colleges of Nursing. (2015). The Changing Landscape: Nursing Student Diversity on the Rise. Washington, DC: American Association of Colleges of Nursing.

Bleich, M. R., Macwilliams, B. R., & Schmidt, B. J. (2015). Advancing Diversity Through Inclusive Excellence In Nursing Education. Journal of Professional Nursing, 31(2), 89–94.

Boughton, M. A., Halliday, L. E., & Brown, L. (2010). A tailored program of support for culturally and li nguistically diverse (CALD) nursing students in a graduate entry Masters of Nursing course: A qualitative evaluation of outcomes. Nurse Education in Practice, 10, 355-360.

Gerrish, K. (2004). Integration of overseas Registered Nurses: evaluation of an adaptation programme. Journal of Advanced Nursing, 45(6), 579–587.

Jeong, S. Y.-S., Hickey, N., Levett-Jones, T., Pitt, V., Hoffman, K., Norton, C. A., & Ohr, S. O. (2011). Understanding and enhancing the learning experiences of culturally and linguistically diverse nursing students in an Australian bachelor of nursing program. Nurse Education Today, 31, 238–244.

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