Department of Nursing, Southern Connecticut State University, New Haven, USA.
Acad Med. 2012 Feb;87(2):172-8. doi: 10.1097/ACM.0b013e31823e1e1c.
The authors sought to generate insights and hypotheses about the professional experiences of registered nurses and physicians with self-identified disabilities to inform local and national policy conversations on supporting a diverse health care workforce.
In 2009-2010, the authors conducted in-depth interviews in person and over the telephone with a sample of licensed registered nurses and physicians across the country who self-identified as having a permanent disability. They coded the interview transcripts to identify key themes across the participants' responses.
The authors interviewed 10 registered nurses and 10 physicians. Five novel and consistent themes emerged from the data analysis: (1) Living and working with a physical/sensory disability narrows the career choices and trajectories of nurses and physicians, (2) nurses and physicians struggle with decisions regarding whether to disclose and discuss their disabilities at work, (3) nurses and physicians rarely seek legally guaranteed workplace accommodations, instead viewing patient safety as a personal responsibility, (4) interpersonal interactions often reflect the institutional climate and set the tone for how welcome nurses and physicians feel at work, and (5) reactions to workplace disability-related challenges run an emotional spectrum from anger and grief to resilience and optimism.
The responses revealed several missed opportunities for supporting health care professionals with disabilities in the workplace. These findings should inform the continuing debate regarding what defines "reasonable accommodation" and how to create a workplace that is welcoming for nurses and physicians with disabilities.
作者试图深入了解和分析有自我认同残疾的注册护士和医生的专业经验，为当地和国家支持多元化医疗保健队伍的政策对话提供信息。
2009-2010 年，作者对全国范围内有执照的注册护士和医生进行了深入的个人和电话访谈，这些人自我认同有永久性残疾。他们对访谈记录进行了编码，以确定参与者回答中的关键主题。
作者采访了 10 名注册护士和 10 名医生。从数据分析中得出了五个新颖且一致的主题：（1）身体/感官残疾的生活和工作缩小了护士和医生的职业选择和轨迹；（2）护士和医生在是否披露和讨论工作中的残疾问题上感到挣扎；（3）护士和医生很少寻求法律保障的工作场所适应性调整，而是将患者安全视为个人责任；（4）人际互动往往反映了机构氛围，并为护士和医生在工作中的感受设定了基调；（5）对工作场所残疾相关挑战的反应从愤怒和悲伤到韧性和乐观情绪不等。
这些回应揭示了在工作场所支持残疾医疗保健专业人员方面的几个错失的机会。这些发现应该为关于什么是“合理调整”以及如何创造一个对残疾护士和医生友好的工作环境的持续辩论提供信息。
