Heroes in Mind, Advocacy and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada.
Alberta Health Services, Edmonton, AB T5J 3E4, Canada.
Int J Environ Res Public Health. 2023 Aug 28;20(17):6664. doi: 10.3390/ijerph20176664.
Nurses are engaged in an unpredictable and dynamic work environment where they are exposed to events that may cause or contribute to physical and/or psychological injuries. Operational stress injury (OSI) may lead to an extended time away from work or nurses leaving the profession altogether. A deliberate focus on the workplace reintegration phase of the mental health recovery process may lead to the increased retention of nurses in their profession. Prior to the creation and implementation of potential solutions to address workplace reintegration, it is imperative to explore the experiences and perceptions of nurses affected by OSI. This qualitative study aims to investigate the experiences and perceptions of nurses ( = 7) employed within a Canadian provincial healthcare system who have attempted workplace reintegration after being off of work with an OSI.
Nurses were recruited via social media, unit emails, and word of mouth. Data were collected through recorded semi-structured interviews conducted over videoconferencing. Once transcribed, the data were thematically analyzed using an inductive approach.
The resulting themes included (1) heroes to zeros, (2) changing the status quo, (3) connection is key, and (4) post-traumatic growth: advocacy and altruism. Study participants indicated both that nursing culture and a cumulation of events contributed to a need for a leave of absence from work and that a formalized process was desired by nurses to assist in returning to work.
The development, implementation, and exploration of innovative policies, procedures, and initiatives to bridge the gap from clinical interventions to workplace reintegration are needed for nurses experiencing OSI. Further research is also needed regarding mental health impacts and appropriate resources to support nurses in their workplace reintegration process after experiencing psychological and/or physical injury.
护士在不可预测且动态的工作环境中工作，他们会接触到可能导致或促成身体和/或心理伤害的事件。职业性应激损伤（OSI）可能导致护士长时间无法工作或离开护理行业。有意识地关注心理健康康复过程中的工作场所再融入阶段，可能会增加护士在其职业中的留用率。在制定和实施解决工作场所再融入问题的潜在解决方案之前，必须探索受 OSI 影响的护士的经历和看法。本定性研究旨在调查在加拿大省级医疗保健系统中工作的、曾因 OSI 而离职后试图重返工作岗位的护士（n = 7）的经历和看法。
通过社交媒体、单位电子邮件和口碑宣传招募护士。通过视频会议进行的录音半结构化访谈收集数据。转录后，采用归纳法对数据进行主题分析。
产生的主题包括（1）从英雄到零，（2）改变现状，（3）联系是关键，以及（4）创伤后成长：倡导和利他主义。研究参与者表示，护理文化和一系列事件导致他们需要离开工作岗位，并且护士希望有一个正式的流程来帮助他们重返工作岗位。
需要为经历 OSI 的护士制定、实施和探索创新性政策、程序和举措，以弥合从临床干预到工作场所再融入的差距。还需要进一步研究心理健康的影响以及支持护士在经历心理和/或身体伤害后重返工作场所的适当资源。
