The business of managing nurses’ substance‐use problems

摘要: Nurses' experiences in, and the overall effectiveness of, widely used alternative-to-discipline programs to manage nurses' substance-use problems have not been adequately scrutinized. We uncovered conflicted official experiential ways of knowing one such program in a Canadian province. explicated this conflict through an institutional ethnography analysis. Ethnographic data from interviews with 12 nurses who were enrolled treatment three administrators, as well texts, analyzed explore how practices power relations co-ordinated managed experiences. Analysis revealed acritical acceptance standardized based on current norms practice. Potential actual conflicts interest, imbalances, prevailing corporate interests rife. Nurses afforded same rights quality ethical health care other citizens. 'Expert' physicians' knowledge was privileged while subordinated. Conclusions that regulatory bodies cannot rely taken-for-granted model widespread use. Individualized alternatives reflecting current, scientific evidence must be offered nurses, knowledge, expertise, need included decision-making processes these programs.