Study invitation: Examining the Experiences of Black African Nurses in the UK Healthcare System

PARTICIPANT INFORMATION SHEET

Examining the Experiences of Black African Nurses in the UK Healthcare System

You are being invited to take part in a research project exploring the experiences of Black African nurses working in the UK healthcare system.

For the purpose of this study, Black African nurses refers to male and female nurses aged 18 years and above who migrated from an African country to the UK and have worked within the UK healthcare sector for at least one year. This includes nurses who arrived in the UK on a work visa and are currently working in the NHS, care homes, or private healthcare organisations. It does not include individuals who later changed their education or career pathway after settling in the UK. Please read the following information carefully to help you decide if you want to take part. 

What is the purpose of Study?

The purpose of this study is to better understand the experiences of Black African nurses who have migrated from African countries and are working within the UK healthcare system. Research and workforce reports suggest that internationally recruited and racially minoritised nurses may face unique professional and personal challenges, yet their lived experiences are often under-represented in research and policy discussions. This study aims to bring greater awareness to how race, culture, identity, and migration background may interact with workplace environments and organisational systems to shape nurses’ professional experiences and wellbeing. By giving participants the opportunity to share their perspectives in their own words, the research seeks to highlight areas where support, inclusion, and fair practice can be strengthened.

It is hoped that the findings will contribute to improved understanding, inform future policy and workplace practices, and support ongoing efforts toward equity, inclusion, and culturally appropriate support within the UK healthcare workforce.

What will happen if I decide to take part?

If you agree to take part in this study, you will be invited to an online interview using Microsoft Teams at a time that is convenient for you. Before the interview begins, you will have the opportunity to ask any questions about the study before confirming your consent to participate.

During the interview, you will be asked some brief background questions, such as your professional background and migration route. The interview will focus on your experiences of working as a Black African nurse in the UK healthcare system, including workplace experiences, identity, support, challenges, and sources of strength or resilience.

With your permission, the interview will be audio-recorded to ensure your views are captured accurately.

... ... ...

WHO CAN I CONTACT? [... and for the FULL DETAILS ]

This study has been reviewed and approved by the University of Edinburgh Research Ethics Board. 

If you have any questions or concerns about the study, you can contact the researcher:

Oluchi Mellor – O.D.Mellor@sms.ed.ac.uk

My source: Oluchi via RCN NWMG 

https://www.rcn.org.uk/northwest/Get-Involved/NW-Multicultural-Group

Project 2000: The Judge Report 1985

Somehow, or perhaps that is being kind, I have a feeling that sources on the history of 'recent' nurse education may come to the fore. It is interesting that the guest editorial below reflects itself on the preceding 25 years. Not just several cohorts of students, careers, but a whole life-time. 

We must hope today, that British nurse educators can find more security, if not the contentedness described by Rye in 1985 ...

'The main principles for policy change contained in the commission's report are as follows.

1 The uncoupling of education from service. Students should no longer be employees of the National Health Service. Nursing education should now be part of the main-stream of higher education, students being financed through a suggested bursary system.

2 A single level of basic nurse qualification leading to registration.

3 Curriculum development (as discussed in chapter 4 of the report) must take into account the need to retain certain speciality options, and prepare students for practice both in hospital and community settings. It creates the possibility of direct entry into district nursing, health visiting and midwifery. 

This 3-year course would have educational credibility as it will be at diploma level, the first year being a foundation programme, furnishing a basis for informed choice later. The second year would contain practical placements (in the community, adult nursing and mental health). It would consist of three modules, the first to be based in a community setting, the second (focused upon the nursing of adults) in a hospital setting, and the third in a variety of environments related to mental health. Roughly 30% of the time will be dedicated to carefully supervised practice in clinical settings. The final year will be characterized by increased specialization. The opportunity to make a selection from a number of available modules will equip each successful student to become registered and to take up work either in an institutional or non-institutional setting. The academic award will be that of Diploma in Nursing Studies. 
...
This new approach to nursing education will not create a 'generic' nurse, but will prepare students to work in their chosen speciality in hospital or in the community. If nurses are to respond to the changing patterns of health care, it is critical for future development that preparation for working in the community takes place in the basic diploma programmes. This may be seen as one of the more controversial implications of the report, but the profession must address itself now to these matters, as nursing education must become more flexible and capable of change to meet the needs of clients.'

See also: #RCN26 RCN Congress - Nurse Education 

Rye, D.H. (1985), THE EDUCATION OF NURSES: A NEW DISPENSATION. THE REPORT OF THE RCN COMMISSION ON NURSING EDUCATION. Journal of Advanced Nursing, 10: 505-506. 
https://doi.org/10.1111/j.1365-2648.1985.tb00540.x

Royal College of Nursing (Great Britain)., & Judge, H. G. (1985). The education of nurses : a new dispensation. Royal College of Nursing. (Classed as a Book.)

See also: https://wellcomecollection.org/works/p889dx97

https://eprints.hud.ac.uk/id/eprint/10084/1/ouseycontent_9838.pdf

‘Prevention Demonstrator’ - GM Live Well

England’s First Prevention Demonstrator: Opportunities for Greater Manchester and its VCFSE sector

Greater Manchester has been chosen as England’s first Prevention Demonstrator, an initiative announced in the Government’s 10-Year Health Plan earlier this year. It marks a step toward transforming public services with a more ‘preventative’ approach.

The Greater Manchester Combined Authority (GMCA) was named as the first prevention demonstrator in the UK Government’s 10 Year Plan for Health in July. It will take a community-led preventative approach to the provision of public services which means fixing the foundations of a person’s life – such as housing, and access to education and employment opportunities – as a means of preventing ill health from social and economic detriment and improving lives, as well as reducing pressure on acute and crisis services.

The Prevention Demonstrator will be building on the Live Well Model of service delivery, which brings together services such as health, employment support and debt advice at a neighbourhood level working with the voluntary, community, faith and social enterprise (VCFSE) sector, providing a blueprint for the rest of the country.

Warren Heppolette has been appointed to lead this work, seconded from NHS Greater Manchester where he was Chief Officer for Strategy, Innovation and Population Health. Warren has been closely involved in the GMVCFSE Leadership Group’s Commissioning and Investment sub-group which aims to improving standards and practices for the benefit of the VCFSE sector.

Continued ...

Lucy North, Communications and Policy Officer. Published: December 5, 2025

⍚

'Sustainability' and 'sufficiency' (as per the previous post) are words of the moment. Policymakers want change to have a permanent quality, which ironically means individuals within a population benefitting from initiatives like this have a mindset that makes them flexible to future changes and challenges.

As Camilla Cavendish notes in 'Andy Burnham will need to play a new card now', Manchester's prevention demonstrator has echoes of David Cameron's Big Society and the Troubled Families project. There are two other words that can work for individuals and populations: impetus and momentum. Within this through Hodges' model we can equip people and communities for lifelong learning. We can also highlight, as Prof. Kevin Fong did at RCN Congress 2026 in his marvellous keynote - that resilience is found between people, not within individuals.
 

See also: Presentation - Prevention, Health and Good Growth: Realising Our Prevention Ambitions

Philip Britteon, Alfariany Fatimah, Stephanie Gillibrand, Yiu-Shing Lau, Laura Anselmi, Paul Wilson, Matt Sutton, Alex J. Turner, (2024) The impact of devolution on local health systems: Evidence from Greater Manchester, England, Social Science & Medicine, Volume 348, 116801,
ISSN 0277-9536, https://doi.org/10.1016/j.socscimed.2024.116801.

My source: Camilla Cavendish, Opinion: Andy Burnham will need to play a new card now, FTWeekend, 20-21 June, 2024. p.12.

Previously: 'prevention' : 'big society' : 'troubled families' : 'social prescribing'

'Moved to Care' amid the Boxes - RCN

A Balikbayan Box for Nursing: artists and writers in residence

'Our new Arts Council National Lottery funded project takes the Filipino custom of the Balikbayan Box as its central theme, inspired by Romalyn Ante's poem Notes Inside a Balikbayan Box. The Balikbayan Box is a long-standing Filipino cultural practice through which we are exploring the spirit of nursing across borders and boundaries. 

Visit our exhibition to explore the installation ‘Inside Home’ by Haleema Aziz and meet our writers in residence – Romalyn Ante, Jennifer Wong and Christie Watson – to explore the art of nursing with a difference.

Our writers will each be running a writing workshop for a different audience to help them engage with the exhibition themes, and develop their own writing skills: refugees, schoolchildren and young adults.

Writing residencies run in the RCN Library and Museum (20 Cavendish Square) from April – June 2026. Find our what our writers have been working on at this public celebration of art and migration panel event in July.

Our writers will be based in the Moved to Care exhibition space in the England Library from 11am-4pm during their residency week. Anybody can drop in and chat to them between 3-4pm, or if you're a member you can book a free half-hour 121 slot. Discuss your own writing, ask questions about publication or the role of art and creativity in nursing with our writers in residence.'

Previously: 'box' : 'creativity' 

My source RCN Congress 2026

RCN Congress: The Systems Table and the Missing Cog

Across two maillists: SDOH Social Determinants of Health and POHG Politics of Health Group a discussion and debate regards public health, longevity and policy, was provoked by a study:

'At least 80% responsibility for ill health in old age down to individual'

https://www.theguardian.com/society/2026/may/20/responsibility-ill-health-old-age-oxford-longevity-project-study

'... Individuals bear at least 80% of the responsibility for their ill health in old age, according to a report aimed at challenging the belief that physical decline is either inevitable or primarily the responsibility of the state.

The report, launched at the Smart Ageing Summit in Oxford last week, argues that individuals have far greater control over their longevity than is commonly understood. The authors call on the government to take legislative action on alcohol comparable to restrictions on smoking.

Living Longer, Better – the Oxford Longevity Project’s first Age-less report – was co-authored by an interdisciplinary panel of UK-based experts in medicine, physiology, ageing and education policy. It was sponsored by Oxford Healthspan.

The report’s authors, Sir Christopher Ball, Sir Muir Gray, Dr Paul Ch’en, Leslie Kenny and Prof Denis Noble, present the figure of 80% as a conservative estimate.

Ball, a 91-year-old former Parachute regiment officer who intends to reach 100, said: “Some have gone higher and said it’s approaching 90%. But I think 80% seems about fair.”The claim, however, has been described as simplistic and said to neglect wider arguments about whether people are genuinely in control of individual choices when it comes to issues including poverty, pollution and healthcare access.

Nancy Krieger, professor of social epidemiology at Harvard TH Chan school of public health, said: “The report is to be commended for rejecting genetic determinism but it problematically avoids engaging with the societal determination of health and health inequities; the role of work, economic deprivation and government policies that give corporations free rein to sell unhealthy products.”

Steven Woolf, professor of family medicine and population health and director of the Virginia Commonwealth University Center on Society and Health, agreed, saying the paper “ignores and oversimplifies the actual, multilayered root causes of the conditions that foster poor health in a population”.

Woolf added: “There are factors affecting health that are beyond personal choice. So while it’s good to give people clear guidance on how their choices affect their health, it’s taking policymakers and others off the hook.” ...'

This provides me with evidence (well it would - wouldn't it^) on the need for, the purposes, and applications of Hodges' model.

More philosophically (perhaps), I'm reminded of the work of several academics - thinkers, Michel Serres stands out for me. Serres felt that positional adverbs were important, e.g. between, above, and under.

He also wrote of life (as per many philosophers), and the universe e.g. his writings on Physics and Lucretius - as flow - a river.

For new life, the options are seemingly infinite, far, far upstream: at source - not recognisable even as a trickle... but soon a rivulet, a stream, a river of so many tributaries.

As we grow older we get closer to the sea (of the 'eternal'), the options open to us shrink gradually, but ultimately radically - inevitably.

But looking back the turbulence, uncertainty, unpredictability (trauma and joy), all contribute, not just to where we end (up) but how this came about.

Life's signature at death.

In "Hodges' Health Career Model" 'health career' refers specifically to the idea of life chances (of course) and how other careers, education, work, retirement, caring (self - others - planet) .. are impacted through life and death's course.

This morning at RCN Congress, Liverpool (the home of District Nursing) there was discussion re. nurses being engaged in preparation for the next pandemic.

So often 'Nursing' is absent from the POLITICAL / POLICY table:

• Workforce planning
• Safety
• Higher Education?
• Research funding?
• Information / Health infomatics policy?

Speaking for myself, nursing is not interested in the four-course meal, but being involved and engaged in the after dinner discourse can be critical.

Politicians, policy makers, business, management consultants and lobbyists are so quick to point to and extol the 'SYSTEMS' perspective, and the need for 'systems thinking'.

Guilty of systemic neglect, they clearly have no idea of what a system is, an inability to appreciate and apprehend scope, scale and the 'whole'.

In mitigation (or not), for all groups: voice matters. Especially the voices of foresight, balance, advocacy, Their ability to ascend always proves an issue. 

Related papers listed in the sidebar:

Jones, P. (2008) Exploring Serres’ Atlas, Hodges’ Knowledge Domains and the Fusion of Informatics and Cultural Horizons, IN Kidd, T., Chen, I. (Eds.) Social Information Technology Connecting Society and Cultural Issues, Idea Group Publishing, Inc. Chap. 7, pp. 96-109.

Jones, P. (2009) Socio-Technical Structures, the Scope of Informatics and Hodges’ model, IN, Staudinger, R., Ostermann, H., Bettina Staudinger, B. (Eds.), Handbook of Research in Nursing Informatics and Socio-Technical Structures, Idea Group Publishing, Inc. Chap. 11, pp. 160-174.

Jones, P. (2012). Exploring several dimensions of local, global and glocal using the generic conceptual framework Hodges's model. The Journal Of Community Informatics. 8(3). Retrieved from https://www.academia.edu/3794699/Reflecting_on_the_glocal_through_the_conceptual_framework_of_Hodges_s_model

^Because these days you need to make every kernel - found or created on the continuum of evidence - count.

Previously: 'life chances' : 'health career' : 'Serres' : 'APPGs'

Liverpool, UK. RCN Congress 2026 - 
n.b. See you in Liverpool 2027?

June 4-5 'Ecologies of Care' - London, UK

With more to follow from RCN Congress, this morning I received the agenda for next month's conference 'Ecologies of Care'. I am speaking, first session on the Thursday, which is a good to know and see the broad range of presentations. 

The focus on attention, is helpful for a possible further event in October. In the meantime, the Call for Papers began:

Chancellor’s Hall, Senate House London

June 4 & 5, 2026

Keynote lecture by Professor Yves Citton

How do increasing demands on our attention influence what we know, and how we act, in response to climate change? Despite a strong scientific consensus that climate change is ongoing and anthropogenic, political and legal action remains fragmented. Ecologies of Care asks to what extent the environmental crisis is a crisis of attention. Speaking to the dynamics of the attention economy, Yves Citton notes that “the new scarcity is no longer to be situated on the side of material goods to be produced, but on the attention necessary to consume them.” The word ‘attention’ is etymologically linked to the notion of care, or that which one attends to. This relationship (of subject and object) is fundamentally collective, insofar as collective attentional regimes influence what each one of us pays attention to on a daily basis, and how we navigate the barrage of informational flows from popular media.

Terms such as "the Anthropocene" and "planetary boundaries" function both as scientific descriptors and attempts to provoke action commensurate to the urgency that scientists believe their research demonstrates. The recent decision not to formalize the Anthropocene as an official geological unit, for example, highlights growing unease concerning intensifying media attention directed at scientific expertise. Under conditions of increasing disparity between what we know, and how we act, in response to climate change, the role of scientific expertise plays an increasingly normative, and not only informative, function. Scientific expertise attempts to direct what we attend to, and consequently, how (or if) we care. This is a collective practice of narrating and internalizing mythologies, whereby informational flows draw attention to some thing that needs to be cared for: Earth, the planetary, capital, or each other.

Continued ...

 c/o Law and the Environmental Humanities Network

n.b. With little time, I'm not going to transfer the pdf text, but may add here.

#RCN26 RCN Congress - Nurse Education

If you think hard-enough all the debates at RCN Congress connect to 'education', but two are laser-focussed:

Protecting nurse education

Resolution submitted by the Education Forum
That this meeting of RCN Congress asks RCN Council to lobby UK governments to protect nurse education from university sector economic pressures.

Quality of clinical placements

Matter for discussion submitted by the Students Committee
That this meeting of RCN Congress discusses ways in which the quality of clinical placements can be ensured and consistent across all 4 countries.

For more senior colleagues, you may momentarily think back - all rose-tinted - to the pre-undergraduate Schools of Nursing, but you also realise change was needed and inevitable. A new millennium was fast approaching.

Now, however it seems within the university ecosystem, nursing is a threatened subject and discipline. Nurse education is exposed and itself vulnerable. In the 21st century fitness-stakes - finance wins:

individual

|

INTERPERSONAL : SCIENCES

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

mental fitness	physical fitness
SOCIAL VALUE  & VALUES	FINANCIAL FITNESS

 

At RCN Congress, the status of nursing as a profession in the USA, was raised. Looking online, I found the following at the U.S. Department of Education: Myth vs. Fact: The Definition of Professional Degrees.

In January 2025 I posted about the situation at Cardiff University. At Congress the matter of the quality of clinical placements, became a resolution. The protection of nurse education provoked an impassioned and emotional debate. Student nurses seeing what is happening to nurse faculty. Nurse faculty seeing the years of experience 'walk' be-pushed out through the door. It seems there is no collective noun for a group, or collection of redundancies. Mass comes to mind, especially in this instance. A 'rash' seems appropriate. But, the condition is more serious and bears further investigation:

As a Google search demonstrates - https://share.google/SViFPWuJovKWhErEE

IT doesn't stop there ...

How many of us (nurses, and other 'professionals') are seeing job offers(?) such as:

Remote
Contract

$35/hr - $80/hr (this is lower than others ...)

About the job

Nursing Informatics Specialist (AI Training)

About The Role

Your clinical knowledge is more valuable than you think — beyond the bedside. We're looking for experienced nursing professionals to help train and evaluate AI systems built for healthcare. As a Nursing Informatics Specialist at Alignerr, you'll apply your frontline expertise to ensure AI understands real-world clinical workflows, EHR systems, and nursing documentation the way actual nurses do.

This is a unique opportunity to work at the intersection of nursing practice and cutting-edge AI — on your own schedule, from anywhere.

• Organization: ---------
• Type: Hourly Contract
• Location: Remote
• Commitment: 10–40 hours/week
  
  

What You'll Do

• Evaluate AI-generated clinical content for accuracy, safety, and alignment with real nursing workflows
• Review and annotate EHR documentation scenarios, flagging errors or gaps in clinical reasoning
• Translate nursing practice knowledge into structured feedback that improves AI model outputs
• Assess how well AI systems reflect clinical informatics best practices across areas like documentation, data integrity, and care coordination
• Provide expert insight on health IT tools, including EHR platforms such as Epic or Cerner
• Work independently and asynchronously on task-based assignments
  
  

Who You Are

• Registered Nurse (RN) or equivalent clinical background with hands-on experience in a healthcare setting
• Familiar with EHR systems and clinical documentation workflows
• Able to analyze clinical scenarios and communicate clear, structured feedback
• Detail-oriented with strong written communication skills
• Self-motivated and comfortable working independently in a remote environment
• No prior AI experience required — your clinical expertise is what matters
  
  

Nice to Have

• Experience in clinical informatics, health IT, or nursing informatics roles
• Familiarity with data annotation, quality review, or evaluation processes
• Background in quality improvement, patient safety, or clinical education
• Exposure to health data standards (e.g., HL7, FHIR, SNOMED)
  
  

Why Join Us

• Work on cutting-edge AI projects with leading research labs and AI teams
• Fully remote and flexible — set your own hours and work at your own pace
• Freelance perks: autonomy, variety, and global collaboration
• Apply your nursing expertise in a completely new and impactful way
• Contribute to AI that could meaningfully improve how healthcare technology serves patients and clinicians
• Potential for ongoing work and contract extension

You might think (no pun intended!): 

'Well this all about informatics. Don't worry - it will all work out fine!'

But, please notice, the clinical and nursing requirement:

"Registered Nurse (RN) or equivalent clinical background with hands-on experience in a healthcare setting."

Not exactly, Hodges' model is it? Even if specific to this role, what does it say:

• about :: the title of 'Registered Nurse'
• about :: Nurses and Nursing as a Profession
• and :: to search engines and agentic AI?

So be aware, and concerned (worried even!) for nursing and nurse education ... 
for the humanity of healthcare:

individual

|

INTERPERSONAL : SCIENCES

humanistic ------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

de-humanisation	BIG TECH
"Where has everyone gone?" Social values Social justice What about research, debate, evidence..?	Nursing Faculty Universities as Institutions that reflect Society Why is there an echo in here? It's been hollowed out.

P.S. I am not a technophobe. Previously: 'AI' : 'SOCIO-technical'