Diverse nursing workforce especially foreign educated nurses can pose health risk unless sufficient training and coaching is provided. According to Neff and Harman (2013), these nurses have struggle in their clinical practice since they are used to using different terms for patient conditions that do not translate directly, uses metric system, and the names of the medications are different, which can lead to potential harm to the patients. They have trouble expressing disagreement with authority figures such as physicians and managers, which can interfere with their capability to communicate effectively and can create a barrier in the delivery of a safe, effective quality care (Lum, Dowedoff, Bradley, Kerekes, & Valeo, 2015).
