Maw, Gary Edward2024-08-142024-08-1419911991https://hdl.handle.net/1828/18884The factors associated with the choices to self- refer or to refer colleagues to assistance programs for chemically dependent nurses are examined. A random sample of 300 Registered Nurses working in British Columbia was mailed a questionnaire along with a cover letter explaining the study. A total of 159 nurses responded (54%). The questionnaire requested information on demographic variables, program awareness, perceived incidence of impaired practice, resources for help-seeking, attributes of initial contact persons, and program elements that might enhance the referral environment. The majority of the nurses indicated that they were unaware of programs in their areas to assist impaired nurses; the majority of nurses would either approach an impaired colleague directly, or speak to someone about their concerns; family and friends would be the first choices when seeking help for personal problems resulting from chemical dependency; persons who maintained confidentiality, and were non-judgmental and supportive were more likely to be sought out for help; the referral environment should be one in which reprisal is guarded against, treated nurses are followed up, health insurance coverage is applied to treatment periods, educational efforts are expanded, peer networks are used to identify and assist impaired nurses, accessibility is 24-hours a day, and availability is province-wide. Recommendations for future study include improved methodology, study of successful referral strategies, and longitudinal follow-up of recovering chemically dependent nurses.82 pagesAvailable to the World Wide WebNurses' perceptions on factors that relate to their choices to refer for assistanceThesis