Barriers and enabling factors for workplace integration of internationally qualified nurses: A qualitative study of perceptions of German nurses

AIM: Examine perceptions of nurses who obtained a recognised nursing qualification in Germany about the integration of internationally qualified nurses (IQN) in the German nursing workforce. DESIGN: Qualitative interview study. METHODS: Semi‐structured interviews with 21 state‐qualified nurses who had graduated from a German nursing program were conducted either face‐to‐face or by telephone. Nurses were selected using the purposive sampling method. Additionally, to reach a sufficient sample size, snowball sampling was applied. Each interview was pseudonymized and transcribed. Transcripts were coded according to Qualitative Content Analysis with data structured into themes and sub‐themes. The study was reported according to the Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist for qualitative research. RESULTS: Two main themes including sub‐themes were identified: (a) Enabling Factors to Workplace Integration: motivated nursing team, structured orientation program, support by a preceptor, additional practical skills and specific language training and (b) Barriers to Workplace Integration: lack of language proficiency, cultural differences, othering and racism/discrimination. The findings of the study suggest that working in a diverse workplace can be challenging, it is therefore important for successful integration to recognise not only the experiences of IQN but also the perceptions of nurses who work with internationally qualified peers. No patient or public contribution. REGISTRATION NUMBER: The study has been prospectively registered (27 June 2019) at the German Clinical Trial Register (REDACTED).