Transitioning: overseas trained nurses (OSTNs) in an acute regional hospital

This qualitative research study explores the experiences of nursing managers who have employed overseas trained nurses (OSTNs) in an acute clinical setting of an Australian regional hospital. Eleven nursing managers participated in the research. Data was collected from semi-structured individual interviews. Thematic analysis methods were used to investigate the workplace transition of the OSTNs from the view points of the nursing managers. The research identifies and explores the nursing managers' perceptions of current OSTN transition to the hospital, the needs of OSTNs during transition and potential enablers and challenges to OSTN transition. Major findings from the study highlight the importance of contextualisation and consolidation of clinical skills and communication, caste discrimination and racism and community. Transition supports and enablers included transition and orientation, workplace based education, personal encouragement and support. Challenges and barriers to OSTN transition were workforce planning and workplace expectations, OSTN selection process, cultural expectations and clinical practice. Findings from this study highlight the need for OSTNs to be supported during their transition to enable their adjustment to practice in a new nursing context and clinical environment. A three tier education plan for OSTN transition is recommended. The target participant groups are OSTNs, nursing managers and current clinical nursing staff. This customised educational framework is designed to meet the specific needs of the participating organisation.