Conscientious and proud but challenged as a stranger: Immigrant nurses' perceptions and descriptions of the Norwegian Healthcare system

Abstract
The number of nurses in Norway educated outside of the European Union is increasing. The purpose of this study is to explore
how immigrant nurses, all educated as nurses in their home countries, experience working as a nurse in Norway. The study has
a qualitative design with a social constructivist perspective and is based on written narratives from open-ended questions representing 144 nurses from 18 different counties. Two main themes based on patterns from the participants’ text were constructed: ‘conscientious and proud as nurses’ and ‘impressed but challenged as strangers’. The findings are discussed in relation to research in cultural understanding. Immigrant nurses contribute with important knowledge and cultural competence to nursing and the Norwegian healthcare system, but there are also challenges. More knowledge is needed in education,
research and in individual institutions about the contributions and challenges immigrant nurses bring with them.