The Australian health care system exists within a particular sociopolitical environment which characterises its modus operandi and thus, the patient's and health professional's experiences of the system. Consumers' experiences are affected by their race, age, gender, ethnicity and class, and their relationships with health care staff. Health staff's experiences are largely affected by the interplay of the various health professions, manifested as power relations. This is particularly notable in the case of overseas qualified nurses (OQNs). With the growing reliance on, and acceptance of OQNs in Australia, the issue of their access to positions of power within the health system is worthy of analysis. This paper aims to provide a critical examination of the issues and challenges relating to the employment of OQNs within Australia and international contexts, strategies developed to enhance their employment experiences within the Australian health care system and their opportunities to contribute to the development of contemporary Australian nursing practice.