Abstract:
AIM:To document experiences of nurses educated abroad and in the USA in 2 urban hospitals in the southeastern USA. BACKGROUND:Nurses are responsible for providing quality patient care. Discrimination against nurses in the workplace may create hostile environments, potentially affecting patient care and leading to higher nurse attrition rates. Structuration theory posits that agents' interactions create structures. Agents' use of resources and rules shapes interactions, potentially changing the structures. In this study, nurses described interactions with patients and their families and other healthcare personnel, their strategies for managing interactions and rationales behind their selected strategy. DESIGN:This study employed a qualitative, explorative approach using structuration theory. METHODS:In 2011, 42 internationally educated and 40 USA-educated nurses practising in two urban hospitals in the southeastern USA were interviewed about their experiences in the workplace. Forty-one nurses were re-interviewed to explore the issues raised in the preliminary round: 21 internationally educated and 20 USA. Transcripts were analysed using the constant comparative method. FINDINGS:Although internationally educated nurses experienced more explicit discrimination, all nurses experienced discrimination from their patients, their nurse colleagues and/or other hospital personnel. Internationally educated nurses and USA nurses shared similar coping strategies. CONCLUSION:The prevalence of nurses' experiences of discrimination suggests that healthcare institutions need to strengthen policies to effectively address this harmful practice. More research is needed about discrimination against nurses in the workplace because discrimination may have serious psychological effects that impact nurse retention and the quality of patient care.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Wheeler RM,Foster JW,Hepburn KWdoi
10.1111/jan.12197subject
Has Abstractpub_date
2014-02-01 00:00:00pages
350-9issue
2eissn
0309-2402issn
1365-2648journal_volume
70pub_type
杂志文章abstract::Because of trends in the health care environment, hospitals are restructuring to innovative patient care delivery systems. The Case Management Model, with its emphasis on quality patient care and cost containment, is gaining widespread recognition throughout Canada and the United States. In this paper, the Case Manage...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1992.tb01834.x
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:1998-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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更新日期:2010-05-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2010.05301.x
更新日期:2010-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1046/j.1365-2648.2003.02649.x
更新日期:2003-06-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04596.x
更新日期:2008-04-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:2001-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01253.x
更新日期:2000-01-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.10911.x
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1991.tb01587.x
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更新日期:2017-10-01 00:00:00
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更新日期:2020-04-17 00:00:00
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journal_title:Journal of advanced nursing
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更新日期:2010-01-01 00:00:00
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更新日期:2017-02-01 00:00:00
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journal_title:Journal of advanced nursing
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更新日期:2017-12-01 00:00:00