The Acculturation Experiences of Newcomer Healthcare Workers in Rural Canada: A Case Study

Abstract

The acculturation experiences of newcomer healthcare workers in rural Canada are complex and influenced by individual, community, and systemic factors. My study explored how these workers navigated acculturation within rural Canadian communities and workplaces, using Berry's model of acculturation as a framework. I examined the strategies of integration, assimilation, separation, and marginalization, shaped by the rural context. I employed a qualitative case study methodology, focusing on a specific rural municipality in Canada. Data were collected through semi-structured interviews with newcomer healthcare workers, community members, and coworkers from a healthcare facility. Reflexive thematic analysis facilitated an in-depth exploration of participants' lived experiences, and the identification of key themes related to their acculturation process. My findings revealed that the rural context presented unique challenges and opportunities. Challenges included navigating infrastructural barriers like inadequate transportation and housing, coping with work-related stress, and managing cultural differences in the workplace. Conversely, strong community support systems and inclusive workplace policies positively impacted adaptation. I highlighted the importance of community engagement, social interaction, and the visible contributions of newcomers in fostering a sense of belonging. Moreover, my research emphasized the dual nature of acculturation, where both newcomers and host communities engaged in mutual adaptation. Community-driven initiatives, informal social networks, and supportive relationships with colleagues were crucial in helping newcomers feel welcomed and valued. However, areas for improvement were identified, such as enhancing rural infrastructure and providing targeted support to address acculturative stress. My study contributes to the academic discourse on acculturation by providing evidence on the experiences of newcomer healthcare workers in rural settings. It highlights the need for policies fostering inclusive environments to enhance their well-being. The insights gained can inform the development of responsive support systems, programs, and policies aimed at improving the retention and integration of newcomer healthcare workers in rural Canadian communities. By addressing specific challenges and leveraging identified strengths, rural communities can better support the acculturation process and benefit from the valuable contributions of newcomer healthcare workers.