Sacrifices, benefits and surprises of internationally qualified nurses migrating to New Zealand from India and the Philippines

Internationally qualified nurses constitute 25% of New Zealand's registered nurse workforce, and these numbers are expected to grow as the New Zealand ageing population expands. The Nursing Council of New Zealand registrations for 2016 showed that 55% of internationally qualified nurses were from the Philippines and 20% were from India. However, little thought is given to how these nurses integrate into New Zealand culture. The aim of this study was to examine the sacrifices, perceived benefits and surprises of internationally qualified nurses from the Philippines and India on their migration to New Zealand. This was an explanatory sequential mixed methods study. Internationally qualified nurses from the Philippines and India (n=61) were recruited to participate in a survey, the results were analysed using descriptive statistics. Many of the significant themes were then explored through a focus group (n=4) and this information was analysed using a qualitative descriptive design. The results of this study aligned with previous research with the most significant sacrifices being borrowing money, careers on hold and separation from family. The most significant benefits were better wages, increased status and opportunities However, some surprises were evident, such as adjusting to variable weather, the friendly nature of the people and Māori culture. The long process to gain nursing registration in New Zealand was both surprising and a sacrifice. These insights may help policy and training around dissipating culture shock on arrival to New Zealand, and gives those working with internationally qualified nurses an insight into their experiences and motivation for migrating. # *Te reo Māori translation* # Ko ngā utu hōhonu, ngā painga, me ngā ohoreretanga o ngā tapuhi whai tiwhikete e haere mai ana ki Aotearoa i Inia me ngā Piripini **Ngā ariā matua** Ka eke te tokomaha o ngā tapuhi whai tiwhikete ā-ao ki te 25% o te tira kaimahi tapuhi rēhita o Aotearoa, ā, e ai ki te whakaaro ka tupu haere tēnei tokomaha ina whānui haere te taupori kaumātua o Aotearoa. E ai ki ngā rēhitatanga o te Kaunihera Tapuhi o Aotearoa mō 2016, e 55% o ngā tapuhi whai tiwhikete ā-ao o Aotearoa i takea mai i ngā Piripini, ā, 20% mai Inia. Ahakoa rā, he iti noa ngā whakaaro mō te whakaurunga mai o ēnei tapuhi ki te ahurea o Aotearoa. Ko te whāinga ia o tēnei tirohanga kia arotakea ngā utu hōhonu, ngā pāinga, e ai ki a rātou, me ngā ohoreretanga i pā ki ngā tapuhi whai tiwhikete ā-ao mai i ngā Piripini, me Inia, i tā rātou haerenga mai ki Aotearoa. He rangahau tikanga maha whakamārama tēnei. I whakapāngia atu he nēhi whai tiwhikete mai i ngā Piripini me Inia (n=61) kia whai wāhi mai ki te rangahau; i tātaritia ngā hua nā te whakamahi i ngā tatauranga whakamārama. He maha ngā ariā matua i tūhuratia mā roto i tētahi rōpū arotahi (n=4), ā, i tātaritia aua mōhiotanga mā te whakamahi i tētahi hoahoa whakaahua kounga. I hāngai tonu ngā hua o tēnei rangahau ki ngā rangahau o mua, ā, ko ngā mea tino whai take i tukua mai he moni, ko ngā huarahi mahi i whakatārewatia, me te wehenga i te whānau. Ko ngā hua matua ko ngā utunga pai ake, he tūnga pai ake, me ngā whāinga wāhi anō hoki. Ahakoa rā, i puta ētahi āhuatanga ohorere, pēnei i te whakaurutau ki te huarere rerekē, te ngākau haumārire hoki o te tangata i Aotearoa me te ao Māori. Ko ngā huarahi roroa kia whai rēhitatanga tapuhi i Aotearoa he mea whakamīharo, he utu hōhonu. Mā ēnei hua hei āwhina te kaupapa here me te whakangungu i te whakamemeha i te ohorere ahurea i te taenga ai ki Aotearoa, e hua ake ai he hua ki ō rātou wheako, hihiri hoki ki te nuku mai ki te whenua kē.