Mohammadi Nooredin, Seyedfatemi Naiemeh, Nasrabadi Alireza Nikbakht, Mahmoudi Mokhtar
Department of Medical Surgical Nursing, Nursing Care Research Center, Iran University of Medical Science, Tehran, Iran.
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran.
J Educ Health Promot. 2020 Sep 28;9:246. doi: 10.4103/jehp.jehp_379_20. eCollection 2020.
The current nursing shortage is complicated because of turnover intention among nurses. Most of the inactive nurses returned to professional nursing practice. Returned to professional nursing practice program was low attrition rates and a more cost-effective strategy that prepared inactive nurses returning to practice. This study aimed to explain the process of returned to professional nursing practice.
This study was a grounded theory study, which lasted from about 2018 to 2020. Data were collected through semi-structured interviews and observations with participants after signing an informed consent form. The average interview duration was 45 min. The study participants were selected through purposeful sampling from both public and private hospitals affiliated to Iran University of Medical Sciences. Interviews were verbatim transcribed and analyzed using a constant comparative analysis method.
In this study, 16 participants were selected, including ten nurses, two educational supervisors, two head nurses, and two matrons. The "transformed competence" as the core concept and the four main concepts of "feeling alienated with the new environment," "getting prepared for restart," "gradual maturity in clinical practice," and "components of organizational culture" were extracted from the data analysis process.
The process of returned to professional nursing practice in the context of the organizational culture of incentive learning leading to a high level of competence, and in the context of the organizational culture of inhibiting learning, is leading to deficiency incompetence.
由于护士的离职意愿，当前护理人员短缺问题变得复杂。大多数非在职护士回归到专业护理实践中。回归专业护理实践项目流失率低，是一种让非在职护士回归实践的更具成本效益的策略。本研究旨在解释回归专业护理实践的过程。
本研究是一项扎根理论研究，从2018年左右持续到2020年。在参与者签署知情同意书后，通过半结构化访谈和观察收集数据。平均访谈时长为45分钟。研究参与者通过目的抽样从伊朗医科大学附属的公立医院和私立医院中选取。访谈内容逐字转录，并采用持续比较分析法进行分析。
本研究选取了16名参与者，包括10名护士、2名教育督导、2名护士长和2名护士长助理。从数据分析过程中提炼出“转变后的能力”这一核心概念以及“对新环境感到疏离”“为重新开始做准备”“临床实践中的逐渐成熟”和“组织文化要素”这四个主要概念。
在激励学习的组织文化背景下，回归专业护理实践的过程会带来高水平的能力；而在抑制学习的组织文化背景下，则会导致能力不足。
