Organisational integration of Culturally and Linguistically Diverse nurses. A hypothetical model

Thesis event information

Date and time of the thesis defence

Place of the thesis defence

Leena Palotie Sali 101A, Aapistie 5A

Topic of the dissertation

Organisational integration of Culturally and Linguistically Diverse nurses. A hypothetical model

Doctoral candidate

Mater of Education Suleiman Kamau

Faculty and unit

University of Oulu Graduate School, Faculty of Medicine, Research Unit of Health Sciences and Technology

Subject of study

Nursing science


Professor Mari Kangasniemi, University of Turku


Professor Kristina Mikkonen, University of Oulu

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Supporting culturally and linguistically diverse nurses’ successful integration into healthcare organisations, employing a multi-concept perspective.

Nurses are integral healthcare professionals whose role is significant in the care of patients and their families. Globally, many countries are experiencing a nursing workforce shortage. The nursing shortage is exacerbated by a rapidly ageing population within the society and nursing workforce. To meet nursing workforce demands many countries rely on culturally and linguistically diverse nurses (CALD) who are either educated in their country of origin or are locally educated.
The aim of Suleiman Kamaus (Master of education) doctoral thesis was to develop a hypothetical model composed of concepts that show how CALD nurse organizational integration could be effectively supported. The dissertation combines four original publications.
Hypothetical model development was systematic. The starting point was through conducting an umbrella review from a wide range of existing systematic reviews related to integration strategies and models that support transition and adaptation of CALD nurses into healthcare organisations. A total of 27 scientific articles were selected. Additionally, three qualitative descriptive studies were conducted. 1) A study to describe CALD nurses (n=24) experiences of organizational integration. 2) A study to describe nurse educators (n=20) views of integrating future CALD nurses into healthcare. 3) A study to describe nurse leaders (n=13) experiences of how CALD nurses integrated into healthcare organisations. The results have been used to develop a hypothetical model of CALD nurse organizational integration.
The hypothetical model proposes that CALD nurse organisational integration is supported by eleven concepts which have been described as: Effective transition to nursing practice, Institutional support, leadership involvement, competence recognition and support, understanding of nurses’ roles through integration practices, safe working environment, growth within the organisation, relationships, collegiality, cultural diversity in healthcare and linguistic diversity.
The hypothetical model can be utilised when supporting the organisational integration process of culturally and linguistically diverse nurses. The findings of this dissertation impact on, nursingl ,education and management. This model presents future research insights on culturally and linguistically diverse nurse organisational integration and emphasises on improving institutional support, nurse leadership, co-worker support and the structuring of integrational practices within the formal structure of healthcare organisations.

Last updated: 26.4.2024