University of Oulu

Kamau, S., Oikarainen, A., Juntunen, M.-M., Koskenranta, M., Kuivila, H., Tomietto, M., & Mikkonen, K. (2023). Nurse educators' views of integrating culturally and linguistically diverse future registered nurses into healthcare settings: A qualitative descriptive study. Journal of Advanced Nursing, 79, 3412–3425.

Nurse educators’ views of integrating culturally and linguistically diverse future registered nurses into healthcare settings : a qualitative descriptive study

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Author: Kamau, Suleiman1,2; Oikarainen, Ashlee1; Juntunen, Milka-Maaria1;
Organizations: 1Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland
2Department of Healthcare and Social Services, JAMK-University of Applied Sciences, Jyvaskyla, Finland
3Department of Nursing, Midwifery and Healthcare, Faculty of Health and Life Sciences, Northumbria University, Newcastle Upon Tyne, UK
4Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.6 MB)
Persistent link:
Language: English
Published: John Wiley & Sons, 2023
Publish Date: 2023-11-01


Aim: To describe nurse educators’ views of how culturally and linguistically diverse future registered nurses are integrated into healthcare settings.

Design: A qualitative descriptive design was adopted.

Participants: A total of 20 nurse educators were recruited from three higher education institutions in Finland.

Methods: Participants were recruited in the spring of 2021 through snowball sampling. Individual semi-structured interviews were held and recorded. The collected data were analysed using inductive content analysis.

Results: The performed content analysis identified a total of 534 meaning units from the data, which were categorized into 343 open codes and 29 sub-categories. Furthermore, nine categories were identified and categorized into three main categories. The first main category was pre-graduation and represented a time point during which educators experienced early integration, nurse educator support and cooperation with stakeholders. The second main category was integration strategies into healthcare settings, which included workplace strategies, language competence and individual competencies and attributes. The third main category was the post-graduation experience, during which educators reported organizational readiness, migration and efficacy of the integrational model.

Conclusions: The results revealed a need for increased resources linked to how nurse educators support the integration of culturally and linguistically diverse future registered nurses. Moreover, a nurse educator’s presence during the last clinical placement, early transition and integration was found to exert a significant effect on the smooth integration of culturally and linguistically diverse future nurses.

Impact: This study establishes the need to enhance stakeholder cooperation between universities and other organizations towards supporting the integration process. Maximizing nurse educators’ support during the final clinical practice, early transition and post-graduation allows for successful integration and intention to stay.

Reporting Method: This study was reported according to the Standards for Reporting Qualitative Research (SRQR).

Patient or Public Participation: Participating educators shared their experiences of culturally and linguistically diverse future nurses’ integration.

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Series: Journal of advanced nursing
ISSN: 0309-2402
ISSN-E: 1365-2648
ISSN-L: 0309-2402
Volume: 79
Issue: 9
Pages: 3412 - 3425
DOI: 10.1111/jan.15683
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Copyright information: © 2023 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.