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Challenges of a non-resident nurses in US
US non residential construction, non resident state tax, federal tax
non resident
A result of a survey indicates that 12% of the nurses and 20% of the physicians
in US are foreigners. The number shortage after 15 years, which is in 2020,
is going to be almost one million nurses. So the demand for nurse from overseas
is sure to increase. At present, among the 12%, most of them have the origin
of Philippines, India, Canada, China and Africa. The role of a foreign nurse
is very much challenging due to the change in the geographical area.
The initial problem in a foreign country is the communication. Communication
is not alone the native language proficiency. Lack of knowledge in the foreign
culture and their practices would lead to much of the misunderstanding,
inappropriate usage of words, unfamiliarity in the native slang and idiomatic
expressions would surely lead to frustrations at the place of work. And
all the more in hurt feelings and wrong perceptions.
Though English is spoken world wide and the nurse from other countries speak
good English, the interpersonal relationship with the residents is always
challenging.
Vast experience and good clinical skills among the nurse is not the only
thing expected from the nurses, they have to be assertive enough to handle
the patients with a bit of leadership potential. Since assertiveness is
much valued in US, it is expected even from them.
The role and practices assigned to them in US is a lot different from the
one that they practice in their native country. Here they need to have equal
footing or at least a hand in hand work relationship with the physicians.
While in other countries, they are just the ones who have to obey the rules
of the physicians. When they are without speaking up any of their ideas
would make them less competitive with the native nurses.
The foreign nurses are not the majority population in US, hence subjected
to alienation and prejudice among the co-worker, uninformed patients and
even with the administration. Patients deny the service from a foreign nurse
due to much prejudice.
There are times the patients are very much aggressive to the nurse rejecting
the service due to racial and color preferences, even if the nurse is an
experienced one.
As they are new to the US, the adaptation to the culture here in US has
become very stressful. Apart from coping up the alienation and isolation
from the family and the country, the period of acculturation becomes intense
learning and also with intense stress. It is not only in the work place
and the patients; the spending of leisure time is also very difficult for
them, as they are not accustomed to the US cultural practices.
Though intense challenges are posed on them, they posses stunning resilience
and dedication to their work
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