From Vulnerability to Stability: Migrant Nurses’ Experiences of Autonomy, Competence and Relatedness—A Qualitative Descriptive Study

Abstract

Aim: To understand how migrant nurses perceive their needs for autonomy, competence and relatedness are satisfied and relate how these contribute to regional workplace retention.

Design: A qualitative descriptive study.

Methods: Data were collected through semistructured interviews among 17 migrant nurses employed at a hospital in regional Australia. Interviews were transcribed verbatim and analysed using reflexive thematic analysis. The self-determination theory provided a framework for the study.

Results: One overarching theme, facing challenges with determination to make oneself at home, was identified, with themes: migration and relocation to a regional area, commencing and adjusting to the workplace and integrating with the community. These are further explained with subthemes: experiencing personal vulnerabilities, experiencing familial challenges and adjustment, building connections, finding one’s feet, finding meaningful work through nurse empowerment, valuing relationships at work, and embracing the regional lifestyle.

Conclusion: An unfamiliar work environment and culture may challenge migrant nurses’ needs for autonomy, competence and relatedness, potentially impacting their integration. Supportive work environments, valued workplace relationships, community support and networking with peers from similar backgrounds can assist migrant nurses successfully transition, which may impact long-term retention.