Document Type : Original Article
Authors
1 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
2 department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences,
Abstract
BACKGROUND: 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.
MATERIALS AND METHODS: 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.
RESULTS: 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.
CONCLUSION: 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.
Keywords
- WHO [Internet]. World Health Statistics 2018. Available from:
https://www.who.int/gho/publications/world_health_
statistics/2018/en. [Last updated on 2018 May 20; Last cited on
2018 Aug 10]. - 2. Sermeus W, Bruyneel L[internet]. Investing in Europe’s
health workforce of tomorrow: Scope for innovation and
collaboration. Summary Report of the Three Policy Dialogues.
c2010. Available from: https://pdfs.semanticscholar.org. [Last
cited on 2010 Apr 30].
3. Flinkman M, Helena LK, Sanna S. Nurses’ intention to leave the
profession: Integrative review. J Adv Nurs 2010;19:1422‑5.
4. Hesam M, Asayesh H, Roohi G, Shariati A, Nasiry H. Assessing
the relationship between nurses’ quality of work life and their
intention to leave the nursing profession. Q J Nurs Manage
2012;1:28‑36. Available from: http://ijnv.ir/browse.php?a_
code=A-10-182-1&slc_lang=en&sid=1&sw=nursing.
5. Liang YW, Chen WY, Lee JL, Huang LC. Nurse staffing, direct
nursing care hours and patient mortality in Taiwan: The
longitudinal analysis of hospital nurse staffing and patient
outcome study. BMC Health Serv Res 2012;12:44.
6. Francis R[internet]. Report of the Mid Staffordshire NHS
Foundation Trust Public Inquiry: Executive Summary.c2013.
Available from: http://wwwmidstaffspublicinquirycom/report.
[Last cited on 2013 Mar 10].
7. Yu HY, Tang FI, Chen IJ, Yin TJ, Chen CC, Yu S. Nurse
administrators’ intentions and considerations in recruiting
inactive nurses. J Nurs Manage 2016;24:589‑97.
8. Mokoka E, Oosthuizen MJ, Ehlers VJ. Professional nurses in South
Africa: Nurse managers’ perspectives: Original research. Health
SA Gesondheid 2010;15:1‑9.
9. Yu HY, Tang FI, Chen IJ, Yin TJ, Chen CC, Yu S. Inactive nurses
in Taiwan: Human capital, intention to return to hospital nursing,
and incentives for returning. J Nurs Manag 2016;24:347‑56.
10. Krippendorff K[internet]. Content Analysis: An Introduction to
its Methodology. FOURTH EDITION: Sage Publications.c 2018.
Available from: https://us.sagepub.com/en‑us/nam/contentanalysis/book258450#contents. [Last cited on 2018 May 10].
11. Kent LN. For love or money: Registered nurses who return to
hospital practice. J Nurs Manag 2015;23:599‑603.
12. Jamieson I, Taua C. Leaving from and returning to nursing
practice: Contributing factors. Nurs Prax N Z 2009;25:15‑27.
13. Davidhizar RE, Bartlett D. Re‑entry into the registered nursing
work force: We did it! J Continuing Educ Nurs 2006;37:185‑90.
14. Nooney JG, Unruh L, Yore MM. Should I stay or should I go?
Career change and labor force separation among registered nurses
in the U.S. Soc Sci Med 2010;70:1874‑81.
15. Kirpal S. Work identities of nurses: Between caring and efficiency
demands. Career Dev Int 2004;9:274‑304.
16. Hariri G, Yaghmaei F, Zagheri Tafreshi M, Shakeri N. Assessment
of some factors related to leave in nurses and their demographic
characters in educational hospitals of Shahid Beheshti University
of Medical Sciences. Health Promote 2012;1:19‑28. Available from:
http://jhpm.ir/files/site1/user_files_5cd8d5/najafif-A-10-25-216c6bf9a.PDF.
17. Zadeh FS, Zadeh VG, Mahmooi AM. The impact of work‑family
conflict on job burnout and abandonment: A comparative
comparison of hospitals in the public and private sector. Hum
Res Manage Res 2015;3:21‑42.
18. Salsali M, Cheraghi MA, Ahmadi F. Organizational factors
influencing knowledge transfer into practice in Iranian nursing
context: Agrounded theory approach. Int J Nurs Pract 2009;15:426‑36.
19. Anney VN. Ensuring the quality of the findings of qualitative
research: Looking at trustworthiness criteria. Journal of
Emerging Trends in Educational Research and Policy Studies.
2014;5(2):272‑81. Available from: http://196.44.162.10:8080/
xmlui/bitstream/handle/123456789/256/Ensuring%20the%20
Quality%20of%20the%20Findings%20of%20Qualitative%20
Research%20NEW.pdf?sequence=1&isAllowed=y.
20. Credentialing, Center, for, Nursing, Education. Refresher Course
Guidelines. Washington, DC: American Association of Colleges
of Nursing;2005.
21. Burns HK, Sakraida TJ, Englert NC, Hoffmann RL, Tuite P,
Foley SM. Returning nurses to the workforce: Developing a fast
track back program. Nurs Forum 2006;41:125‑32.
22. Barriball KL, Coopamah V, Roberts J, Watts S. Evaluation of return
to practice: The views of nurse returnees from three NHS hospital
trusts. J Nurs Manag 2007;15:433‑41.
23. Health Education England. Nursing return to practice: Review of
the current landscape. Text book of nursing study, 1st edn.england;
2014.p. 23‑5 Available from: https://www.healthcareers.nhs.uk/
nursing-registration.
24. Lansiquot BA, Tullai‑McGuinness S, Madigan E. Turnover
intention among hospital‑based registered nurses in the Eastern
Caribbean. J Nurs Scholarship 2012;44:187‑93.
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