The purpose of this qualitative, grounded theory study was to explore and describe the perceptions and experiences of African-born and educated nurses (ABEN) in order to understand how the nurses influenced systems of professional practice in healthcare systems of Maricopa County of Arizona. The overarching research question for the study directly reflected the purpose statement. Four sub-questions were also used in the study. These centered on was how care experiences shaped ABEN perceptions of the healthcare delivery system, how ABEN informed and shaped their social interactions when caring for patients and residents, the barriers to providing care and to fulfilling work practices and processes that ABEN described and the components of a model to adjust or remove experienced barriers. The sample consisted of 17 registered nurses, 16 females and one male, from five African countries, who participated in individual interviews. Lee's push-pull theory formed the theoretical framework of the study. Responses from interviews and researcher field notes were coded and thematically analyzed to determine answers to research questions. Six categories emerged from conceptual data analysis: optimism, self-development, confronting barriers, discovering, assimilation drive, and adaptability. A four-stage model of acclimation was developed from these six components. Results have implications for healthcare policy changes such that ABEN become fully assimilated and accepted as contributors to healthcare delivery in Maricopa County.
|Commitee:||Mallin, Barri, Polk, Roselyn|
|School:||Grand Canyon University|
|School Location:||United States -- Arizona|
|Source:||DAI-B 76/06(E), Dissertation Abstracts International|
|Subjects:||African Studies, Sub Saharan Africa Studies, Health care management|
|Keywords:||African-born and/or educated nurse, Assimilation, Healthcare delivery system, Labor migrants, Native-born nurse, Nurse shortage|
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