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Cultural experiences of immigrant nurses at two hospitals in Chile
Authors:Gabriel Rodríguez  Luz Angélica-Mu?oz  Luiza Akiko Komura Hoga
Institution:1. PhD, Professor, Facultad de Enfermería, Universidad Andrés Bello, Santiago, Chile.;2. PhD, Full Professor, Facultad de Enfermería, Universidad Andrés Bello, Santiago, Chile.;3. PhD, Associate Professor, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Abstract:

Objective

to explore the cultural experiences of nurses who immigrated to Chile. The study''s theoretical framework was the Purnell Model for Cultural Competence.

Method

Leininger''s Observation-Participation-Reflection method was developed at two hospitals in the city of Santiago, and ethnographic interviews were held with 15 immigrant nurses.

Results

among Purnell''s 12 domains, the following were identified: Overview/heritage, Communication, Workforce issues, Family roles and organization, Biocultural ecology and Health-care practices. The difficulties were related to the language and its semantic meaning, the new responsibilities and the difficult relationship with colleagues. "In search of better horizons - the decision to immigrate", "Gaining confidence and establishing a support network - employability and professional performance" and "Seeking for people''s acceptance - professional adaptation in a new cultural scenario" are cultural themes that represent their experiences.

Conclusions

the competence to offer cultural care demands the development of public policies and continuing education programs at health institutions, specifically focused on immigrant nurses.
Keywords:Nurses  Emigration and Immigration  Qualitative Research  Anthropology  Cultural  Nursing Staff  Hospital
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