The experience of internationally qualified nurses working in operating theatres in New Zealand: A qualitative pilot study

Authors

  • Danying Wang The University of Auckland
  • Marea Topp The University of Auckland
  • Miriam James-Scotter The University of Auckland

DOI:

https://doi.org/10.26550/2209-1092.1402

Abstract

Background: The global nursing shortage has led many developed countries, including New Zealand, to recruit internationally qualified nurses (IQNs) to meet workforce demands. Despite their critical role, many face challenges in adapting to new professional and social environments. Supporting their integration is vital for retention and optimal workforce utilisation.

Aim: To explore the work experiences of IQNs in New Zealand operating theatres (OTs) and identify how healthcare leaders can support their integration and retention.

Methods: A descriptive qualitative design was employed. Individual interviews were conducted with six IQNs working in OTs across New Zealand using face-to-face and video conferencing methods. The data were analysed thematically.

Results: Four key themes emerged: adjustment and adaptation, working conditions, interpersonal relations, and leadership. Key findings included challenges for IQNs in cultural adaptation, orientation, communication, and team dynamics. Conversely, participants also reported benefits such as improved work‒life balance and greater professional autonomy.

Conclusion: The findings of this study point to the urgent need for structured, culturally responsive orientation and support initiatives to improve the experiences of IQNs in the perioperative setting.

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23-10-2026

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Wang, D., Topp, M., & James-Scotter , M. (2026). The experience of internationally qualified nurses working in operating theatres in New Zealand: A qualitative pilot study. Journal of Perioperative Nursing, 39(2), e1–14. https://doi.org/10.26550/2209-1092.1402

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