Experiences of international nursing students in a regional university: A clear direction for nursing education

Article

Graham, Coralie, Ng, Linda, Best, Odette and Patrick, Jennifer. 2024. "Experiences of international nursing students in a regional university: A clear direction for nursing education." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 31 (4), pp. 211-217. https://doi.org/10.1016/j.colegn.2024.04.005
Article Title

Experiences of international nursing students in a regional university: A clear direction for nursing education

ERA Journal ID14073
Article CategoryArticle
AuthorsGraham, Coralie, Ng, Linda, Best, Odette and Patrick, Jennifer
Journal TitleCollegian: The Australian Journal of Nursing Practice, Scholarship and Research
Journal Citation31 (4), pp. 211-217
Number of Pages7
Year2024
PublisherElsevier
ISSN1322-7696
1876-7575
Digital Object Identifier (DOI)https://doi.org/10.1016/j.colegn.2024.04.005
Web Address (URL)https://www.sciencedirect.com/science/article/pii/S1322769624000192
Abstract

Background
Australia sells education to international students, with education currently Australia’s third-largest export. Asia is Australia’s main source of international students, and Australian immigration policy supports international students to stay in the country after graduation. For international students, moving to Australia can involve a stressful adjustment, with major cultural and social differences.
Objectives
This study explores the cultural, societal, and learning experiences of international nursing students at a regional university in Australia.
Design
This study uses a qualitative research design.
Setting
Regional university in Queensland, Australia.
Participants
All international students enrolled in the Bachelor of Nursing program were invited to participate via advertising on the course website, flyers, and mail-outs.
Methods
We conducted six small focus groups, clustered by nationality: South Asian, Nepalese (three groups), Indian, and a multi-ethnicity group to explore student experiences in clinical placement settings. We conducted a seventh group, with First Nations Australian students, which will be discussed in a separate publication.
Results
Student responses were clustered into eight thematic groups: preparedness to study; communication challenges; barriers or challenges to learning; face-to-face learning environments; bias, racism, or discrimination; preferences for support from the university; community support; and their personal strategies for supporting learning.
Conclusions
The findings of this research build on previous research which shows that international students experience linguistic barriers, insufficient social support, and cultural diversities that compound their social isolation and negatively impact their well-being. Our participants reported experiences of racism and communication difficulties in clinical placement settings. International nursing students need support to manage cultural differences and Australian teaching styles. Nursing academics and clinical placement supervisors need professional development in cultural safety to improve the learning opportunities they provide for international students.

KeywordsInternational nursing students ; Education; Discrimination; Cultural safety
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020420599. Nursing not elsewhere classified
Byline AffiliationsSchool of Nursing and Midwifery
University of Southern Queensland
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Usher, Kim and Best, Odette. 2011. "Closing the gap: nurses and midwives making a difference." Contemporary Nurse. 37 (1), pp. 3-4. https://doi.org/10.1080/10376178.2011.11002482
Commentary: 'Our reflections on identity, gender and transforming action': a lesson from place
Fredericks, Bronwyn, Walker, Melissa, Peacock, Christine, Duthie, Debbie and Best, Odette. 2012. "Commentary: 'Our reflections on identity, gender and transforming action': a lesson from place." MAI Journal. 1 (1), pp. 76-85.
Saving Indigenous nurses and midwives from historical oblivion
Best, Odette. 2014. "Saving Indigenous nurses and midwives from historical oblivion." The Hive. 7, pp. 24-25.
Building transcultural skills for professional contexts
Graham, Coralie J. and Lawrence, Jill. 2015. "Building transcultural skills for professional contexts." Lawrence, Jill, Perrin, Cheryl and Kiernan, Eleanor (ed.) Building professional nursing communication. Port Melbourne, Australia. Cambridge University Press. pp. 103-129
The experiences of students with mental health difficulties at an Australian regional university: overcoming barriers to successful educational and employment outcomes
Brownlow, Charlotte, du Preez, Jan, Ganguly, Rahul and Graham, Coralie. 2015. "The experiences of students with mental health difficulties at an Australian regional university: overcoming barriers to successful educational and employment outcomes." 7th Australian Rural and Remote Mental Health Symposium. Creswick, Australia 26 - 28 Oct 2015
Resilience/thriving in post-secondary students with disabilities: an exploratory study
Ganguly, Rahul, Brownlow, Charlotte, Du Preez, Jan and Graham, Coralie. 2015. Resilience/thriving in post-secondary students with disabilities: an exploratory study. Perth, Australia. Curtin University.
Resilience/thriving in post-secondary students with disabilities: an exploratory study
Ganguly, Rahul, Brownlow, Charlotte, Du Preez, Jan and Graham, Coralie. 2015. Resilience/thriving in post-secondary students with disabilities: an exploratory study. Perth, Australia. Curtin University.
An Aboriginal nurse-led working model for success in graduating indigenous Australian nurses
Best, Odette and Stuart, Lynne. 2014. "An Aboriginal nurse-led working model for success in graduating indigenous Australian nurses." Contemporary Nurse. 48 (1), pp. 59-66. https://doi.org/10.1080/10376178.2014.11081927
Exploring registered nurses’ attitudes towards postgraduate education in Australia: an overview of the literature
Ng, Linda, Tuckett, Anthony, Fox-Young, Stephanie and Kain, Victoria. 2014. "Exploring registered nurses’ attitudes towards postgraduate education in Australia: an overview of the literature." Journal of Nursing Education and Practice. 4 (2), pp. 162-170. https://doi.org/10.5430/jnep.v4n3p20
Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia
Shi, Zongdao, Xie, Huixu, Wang, Ping, Zhang, Qi, Wu, Yan, Chen, E., Ng, Linda, Worthington, Helen V., Needleman, Ian and Furness, Susan. 2013. "Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia." Cochrane Database of Systematic Reviews. 2013 (8). https://doi.org/10.1002/14651858.CD008367.pub2
Yatdjuligin: the stories of Queensland Aboriginal registered nurses 1950–2005
Best, Odette. 2011. Yatdjuligin: the stories of Queensland Aboriginal registered nurses 1950–2005. PhD Thesis Doctor of Philosophy. University of Southern Queensland.
The psychological strengths used by older Australians in maintaining their health and quality of life
Graham, Coralie. 2011. The psychological strengths used by older Australians in maintaining their health and quality of life. PhD Thesis Doctor of Philosophy. University of Southern Queensland.
Research into traditional healing practices and health of Indigenous Australians
Gorman, Don and Best, Odette. 2005. "Research into traditional healing practices and health of Indigenous Australians." ACCNS Journal for Community Nurses. 10 (2), pp. 7-7.
Multicultural issues in health
Gorman, Don and Best, Odette. 2005. "Multicultural issues in health." Rogers-Clark, Cath, McCarthy, Alexandra and Martin-McDonald, Kristine (ed.) Living with illness: psychosocial challenges for nursing. Sydney, Australia. Elsevier. pp. 70-82
The relationship between psychological strengths and health of people over 65 years living in the community with minimal community support services
Graham, Coralie. 2009. "The relationship between psychological strengths and health of people over 65 years living in the community with minimal community support services." USQ Community - Engaged Research Evening (2009). Toowoomba, Australia 06 Nov 2009
Bachelor of Nursing program enrolment sessions for newly arrived international students
Graham, Coralie, Perrin, Cheryl and Roberts, Glenn. 2009. "Bachelor of Nursing program enrolment sessions for newly arrived international students." 3rd National Conference for Enabling Education: Enabling Pathways. Toowoomba, Australia 25 - 27 Nov 2009 Toowoomba, Australia.
The relationship between psychological strengths and health of people over 65 years living in the community with minimal community support services
Graham, Coralie. 2009. "The relationship between psychological strengths and health of people over 65 years living in the community with minimal community support services." 8th National Conference of Emerging Researchers in Ageing. Melbourne, Australia 23 Oct 2009 Melbourne, Australia.
Are nurses using best practice in tracheal suctioning of artificial airways?
Ng, Linda C. H. and Chang, Anne M.. 2009. "Are nurses using best practice in tracheal suctioning of artificial airways?" Asia Pacific Critical Care 2008 Congress. Sydney, Australia 30 Oct - 02 Nov 2008 United States. https://doi.org/10.1016/j.aucc.2008.12.028
Western medicine and Australian Indigenous healing practices
Gorman, Don, Nielsen, Anne-Maree and Best, Odette. 2006. "Western medicine and Australian Indigenous healing practices." Aboriginal and Islander Health Worker Journal. 30 (1), pp. 28-29.