Volume 28, Issue 6 pp. 1155-1165
REVIEW ARTICLE

Challenges and opportunities for the multicultural aged care workforce: A systematic review and meta-synthesis

Li Chen RN, BN (Honours)

Li Chen RN, BN (Honours)

College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia

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Lily D. Xiao RN PhD

Corresponding Author

Lily D. Xiao RN PhD

Professor

College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia

Correspondence

Lily D. Xiao, RN PhD, Professor, College of Nursing and Health Sciences, Flinders University, GPO Box 2100, Adelaide, SA 5001, Australia.

Email: [email protected]

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Weifeng Han PhD

Weifeng Han PhD

Lecturer

College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia

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Claudia Meyer PhD, MPH BAppSci (Physio)

Claudia Meyer PhD, MPH BAppSci (Physio)

Research Fellow, Adjunct Research Fellow

Bolton Clarke Research Institute, Kelvin Grove, Vic., Australia

Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, Monash University, Clayton, Vic., Australia

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Amanda Müller PhD AE Grad Cert TESOL Grad Cert Higher Ed

Amanda Müller PhD AE Grad Cert TESOL Grad Cert Higher Ed

Senior Lecturer

College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia

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First published: 11 June 2020
Citations: 16

Abstract

Aims

To identify (a) the challenges for multicultural aged care teams; (b) the opportunities to facilitate teamwork; and (c) the strategies to assist team members in a multicultural work environment.

Background

High-income countries have an increasingly culturally diverse aged care workforce. Fostering teamwork in such an environment is challenging.

Methods

This systematic review of qualitative studies followed the Joanna Briggs Institute (JBI) meta-aggregation approach. Six databases were searched. Retrieved articles were screened by two reviewers. This review identified 111 findings that were aggregated into 15 categories and five themes.

Findings

Aged care workers' awareness of cultural diversity varies, and their knowledge of each other's cultural background is limited. However, cultural skills are demonstrated, contributing to teamwork. Their experience in cross-cultural encounters is broad, and enhanced team cohesion is desired.

Conclusions

The cultural competence of the aged care workforce shapes team building, peer support opportunities and positive cross-cultural experiences.

Implications for Nursing Management

Recommendations are provided for the adaptation of aged care workers to culturally diverse teams, fostering teamwork to enhance care outcomes for clients. Interventions for improvements in cross-cultural leadership and management, and staff experience of cross-cultural encounters are much needed.

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