Exploring the process of turning back to professional nursing practice in Iran: A grounded theory

نویسندگان

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,

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چکیده

BACKGROUND: The current nursing shortage is complicated because of turnover intentionamong nurses. Most of the inactive nurses returned to professional nursing practice. Returned toprofessional nursing practice program was low attrition rates and a more cost‑effective strategy thatprepared inactive nurses returning to practice. This study aimed to explain the process of returnedto professional nursing practice.MATERIALS AND METHODS: This study was a grounded theory study, which lasted from about2018 to 2020. Data were collected through semi‑structured interviews and observations withparticipants after signing an informed consent form. The average interview duration was 45 min. Thestudy participants were selected through purposeful sampling from both public and private hospitalsaffiliated to Iran University of Medical Sciences. Interviews were verbatim transcribed and analyzedusing a constant comparative analysis method.RESULTS: In this study, 16 participants were selected, including ten nurses, two educationalsupervisors, two head nurses, and two matrons. The “transformed competence” as the core conceptand the four main concepts of “feeling alienated with the new environment,” “getting prepared forrestart,” “gradual maturity in clinical practice,” and “components of organizational culture” wereextracted from the data analysis process.CONCLUSION: The process of returned to professional nursing practice in the context of theorganizational culture of incentive learning leading to a high level of competence, and in the contextof the organizational culture of inhibiting learning, is leading to deficiency incompetence.