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This study investigated the challenges of cross-cultural communication among internationally qualified nurses, and the impact on nurse-to-nurse and nurse-to-patient relationships. Open and authentic communication between nurses and patients is required as a foundation of patient-centred practice; however, this may be a challenge in cross-cultural settings. An exploratory qualitative study with an inductive approach. Semi-structured, face-to-face interviews explored the influences on communication and practice of 21 internationally qualified nurses p