“Collapsing into Darkness”: An Exploratory Qualitative Thematic Analysis of the Experience of Workplace Reintegration among Nurses with Operational Stress Injuries

Author:

Jones Chelsea12ORCID,Juby Brenda1ORCID,Spencer Shaylee1,Smith-MacDonald Lorraine13ORCID,O’Greysik Elly124ORCID,Vincent Michelle1,Mooney Colleen5,Bright Katherine S.1267,Sevigny Phillip R.18,Burback Lisa129ORCID,Greenshaw Andrew19,Carleton R. Nicholas1011ORCID,Savage Raymond12,Hayward Jake13ORCID,Zhang Yanbo129,Cao Bo9,Brémault-Phillips Suzette114

Affiliation:

1. Heroes in Mind, Advocacy and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada

2. Alberta Health Services, Edmonton, AB T5J 3E4, Canada

3. St. Stephen’s College, University of Alberta, Edmonton, AB T6G 2R3, Canada

4. Faculty of Nursing, MacEwan University, Edmonton, AB T5J 2P2, Canada

5. Edmonton Police Service, Edmonton, AB T5H 0H7, Canada

6. Faculty of Nursing, University of Calgary, Calgary, AB T2N 4V8, Canada

7. School of Nursing and Midwifery, Faculty of Health, Community and Education, Mount Royal University, Calgary, AB T3E 6K6, Canada

8. Faculty of Education, University of Alberta, Edmonton, AB T6G 2R3, Canada

9. Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada

10. Department of Psychology, University of Regina, Regina, SK S4S 0A2, Canada

11. Canadian Institute for Public Safety Research and Treatment, Regina, SK S4S 0A2, Canada

12. Royal Canadian Mounted Police, Edmonton, AB T5G 2T4, Canada

13. Department of Emergency Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada

14. Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB T6G 2R3, Canada

Abstract

Background: 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 (N = 7) employed within a Canadian provincial healthcare system who have attempted workplace reintegration after being off of work with an OSI. Methods: 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. Results: 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. Conclusions: 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.

Funder

Ministry of Labour and Immigration, Government of Alberta, Canada

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

Reference30 articles.

1. Canadian Patient Safety Institute (CPSI) (2023, May 01). Creating a Safe Space: Strategies to Address the Psychological Safety of Healthcare Workers. Available online: www.patientsafetyinstitute.ca.

2. Public Health Agency of Canada (PHAC) (2023, April 15). Federal Framework on Posttraumatic Stress Disorder, Available online: https://canadacommons.ca/artifacts/1421529/federal-framework-on-posttraumatic-stress-disorder/2035578/.

3. Mental Disorder Symptoms Among Nurses in Canada;Stelnicki;Can. J. Nurs. Res.,2021

4. The impact of COVID-19 on healthcare worker wellness: A scoping review;Shreffler;West J. Emerg. Med.,2020

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