IENs possess diverse training, educational, and cultural orientation (Blythe & Baumann, 2009). They bring with them an array of clinical experience and some can be considered as clinical experts in their country of origin. However, Tregunno et al. (2009) explained that their skills and qualifications in delivering health care services do not usually correspond with the Canadian context. This issue relates to the concept of cultural competence, “the ability to demonstrate a set of skills and behaviors that enables nurses to work effectively within the cultural context of the clients, i.e. individual, family, or community” (Lampley, Little, Beck-Little, & Xu, 2008, p. 445). Betancourt (2007) and CNO (2009) further described this concept as the knowledg...
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...ue to constant need to repeat of what they just said and what was being said to them. One of their informants noted: “Most people … when I talk … they are like … they don’t understand me … so I have to talks three times … they don’t understand me … I don’t understand them … I have to talk slowly for them to understand” (Tregunno et al. 2009, p. 187). Kawi and Xu (2009) mentioned that language acculturation means embracing the way how English language is used in the Canadian context especially at workplace to facilitate a mutual understanding and adequate professional communication. IENs might more or less acquainted with the correct grammar and structure of the language provided that some of them consider English as a second language in their country of origin however, they also need to learn the skill to use it to attain a specific purpose (Ho & Chiang, 2015).
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