Table 1
Inclusion and exclusion criteria
| a) Inclusion criteria | b) Exclusion criteria |
|---|---|
| Articles published in English | Articles in another language |
| Articles published within the past 15 years. | Articles on overseas nurses who work in countries other than the UK |
| Peer-reviewed journals | Articles focused on home nurses and overseas student nurses working in the UK |
| Articles focused on all overseas nurses in the UK (including minority ethnic nurses, black nurses, Asian nurses, registered overseas nurses, and refresher overseas nurses) | Unpublished articles Articles published prior to 2002 Overseas nurses’ former experiences before arriving in the UK |

Figure 1
Foreign nurses working in the UK. Source: Nursing and Midwifery Council – Title: Recruiting foreign nurses is “frustrating and expensive”

Figure 2
Proportion of foreign nurses in the UK. Source: Nursing and Midwifery Council – Title: Migrant salary rules may cost the NHS nurse jobs, the union warns

Figure 3
A detailed flow chart of the search process
Table 2
Data extracted from the 8 selected articles
| Author | Research focus | Location | Numbers of Samples | Quantitative | Qualitative | Study design |
|---|---|---|---|---|---|---|
| Alexis & Vydelingum, 200422 | Experiences of black and minority ethnic overseas nurses | NHS | 12 | √ | Interviews | |
| Alexis, 201323 | Experiences of internationally educated nurses | England | 35 | √ | Interviews, focus group | |
| Henry, 200724 | Overseas-trained nurses’ experiences of career progression | NHS | 20 | √ | Interviews, field work | |
| Matiti and Taylor, 200515 | Cultural backgrounds of internationally recruited nurses affect their adjustment process; identifying support mechanisms | UK | 12 | √ | Interviews | |
| Taylor, 200525 | Experiences of nurses who have trained overseas | UK | 11 | √ | Focus group | |
| Alexis and Shillingford, 201126 | The perceptions and work experiences of internationally recruited neonatal nurses | NHS | 13 | √ | Interviews | |
| Alexis, 201527 | Internationally recruited nurses perceive discrimination and support in the workplace | NHS | 188 | √ | Questionnaire | |
| Winkelmann-Gleed & of Seeley, 200528 | Experiences of recently internationally qualified migrant nurses to Britain | London | 22 | √ | √ | Survey interviews |
Table 3
Summarized findings of the 8 selected articles
| Challenges | Support | ||||||
|---|---|---|---|---|---|---|---|
| Authors | Cultural differences | Communication issues | Gender | Unequal treatment | De-skilling | Formal | Informal |
| Alexis & Vydelingum, 200522 | √ | √ | |||||
| Alexis, 201323 | √ | √ | √ | √ | |||
| Henry, 200724 | √ | √ | √ | √ | √ | ||
| Matiti and Taylor, 200515 | √ | √ | √ | √ | √ | ||
| Taylor, 200525 | √ | √ | √ | √ | √ | √ | |
| Alexis and Shillingford, 201126 | √ | √ | √ | √ | √ | ||
| Alexis, 201527 | √ | √ | |||||
| Winkelmann-Gleed & Seeley, 200528 | √ | √ | √ | √ | √ | ||