Manifestation of Chronic and Non-Communicable Diseases Among Filipino Internationally Educated Nurses in Finland: A Qualitative Study.

Limited research has explored the impact of migration on the manifestation of noncommunicable diseases (NCDs) among internationally educated nurses (IENs) in Finland. This study aimed to describe Filipino IENs' experiences with the manifestation of NCDs among them. Secondary data from 10 IENs working in two hospitals were analyzed using Braun and Clarke's thematic analysis. The study adhered to the consolidated criteria for reporting qualitative research (COREQ) checklist. Three key themes emerged: insufficient knowledge and lack of interest in health promotion, migration as a factor, and occupational health challenges. Migration was found to impact NCD occurrence. Inadequate knowledge and underutilization of occupational health services were identified as a barrier to prevent the risk of getting NCDs. Long waiting periods for appointments and language barriers exacerbated these risks. Limited awareness of available occupational health services and disinterest in health promotion contributed to NCD manifestation among IENs. Lengthy waiting times highlighted the need for educational campaigns on health-promoting activities. Cultural competence training for local healthcare providers can improve culturally sensitive occupational healthcare for IENs. Health promotion education should be provided to IENs before their migration. Upon arrival, nurse managers should inform the nurses about the availability of occupational healthcare services provided by the employer, ensuring easy access. Additionally, efforts should be made to ensure that nurses integrate well into society, including facilitating access to recreational activities.