Edwards, P J; (1977) The problems of communication Facing overseas nurses in training in England and Wales. Doctoral thesis , Institute of Education, University of London.

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Abstract

This investigation studied the problems of communication, as affected by social, educational, linguistic, psychological, political and economic factors, facing overseas nurses in training in England and Wales, taking into account the natur. of their training and their work in hospital wards. Three field studies were conducted: a) interviews with 30 Principal Nursing Officers for Education; b) a survey by questionnaire of 219 overseas nurse learners from East/West Africa, South East Asia and Mauritius, with 59 indigens learners as control; c) eight weeks participant observation in classrooms and wards of 8 Nurse Training Schools. The field of study covered General, Psychiatric and Mental Subnormality Training at both student and pupil level. A survey of the literature showed that very little research specific to overseas learners has been conducted but there was evidence to suggest that serious problems of communication exist for all nurse learners, particularly with regard to patients and senior staff. The findings of the field studies indicate that overseas learners have many additional problems, both linguistic and cultural, which severely hinder their ability to communicate effectively either in the classroom or the clinical situation. Some problems are directly related to and accentuated by background factors; some originate in unsatisfactory recruitment and selection methods and others are engendered by tutorial and clinical staff. Evidence in both the literature and the field studies suggests that little or no opportunity for orientation is provided before training begins and that the situation is further complicated by the pres.nce of severe culture shock. There is, therefore, an urgent need - and suggestions are made - for an orientation programme, including a language component, before training begins, to provide the cultural information and the language skills which most overseas learners lack and a Central Clearing House for overseas applications to eliminate problems arising from unsatisfactory selection.

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