The experiences of culturally and linguistically diverse health practitioners in dominant culture practice : A scoping review

Journal article


Harris, Mikaela, Lau-Bogaardt, Timothea, Shifaza, Fathimath and Attrill, Stacie. (2025). The experiences of culturally and linguistically diverse health practitioners in dominant culture practice : A scoping review. Advances in Health Sciences Education. 30, pp. 613-643. https://doi.org/10.1007/s10459-024-10359-7
AuthorsHarris, Mikaela, Lau-Bogaardt, Timothea, Shifaza, Fathimath and Attrill, Stacie
Abstract

Increasing the proportion of culturally and linguistically diverse (CALD) health practitioners is identified as one strategy to address healthcare disparities that individuals from minority or under-represented backgrounds experience. However, professional and institutional cultures and structures are known to contribute to the challenges for CALD practitioners who work in dominant culture practice contexts. This scoping review used the theory of Legitimate Peripheral Participation to describe and interpret literature about the experiences of CALD health practitioners in view of informing strategies to increase their representation. A systematised search was conducted across four allied health, medicine and nursing databases. Following abstract and full text screening, articles which fit the inclusion criteria (n = 124) proceeded to data extraction. Categories relating to the experiences of practitioners were extracted, and three themes were identified that were subsequently theoretically interpreted: Discrimination, Consequences and Hierarchy. Discrimination functioned as a barrier to CALD practitioners being legitimised and able to participate equally in healthcare practice, retaining their position at the periphery of the practice community; Consequences reinforced this peripheral position and further impeded legitimation and participation; and Hierarchy was maintained through structures that reinforced and reproduced these barriers. The findings summarise how these barriers are reinforced through the intersections of professional and racial hierarchies, and highlight a need for strategies to address discrimination and structures that marginalise CALD practitioners’ identity, practices and participation in their health professional communities.

Keywordsdiscrimination; health professions; practice community; legitimate; peripheral participation; Community of practice
Year2025
JournalAdvances in Health Sciences Education
Journal citation30, pp. 613-643
PublisherSpringer
ISSN1382-4996
Digital Object Identifier (DOI)https://doi.org/10.1007/s10459-024-10359-7
PubMed ID39037662
Scopus EID2-s2.0-85199271307
Open accessPublished as ‘gold’ (paid) open access
Page range613-643
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online22 Jul 2024
Publication process dates
Accepted07 Jul 2024
Deposited02 Apr 2025
Additional information

© The Author(s) 2024.

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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