I tried posting a reply directly to your post, but when I typed in my ID, etc., it just flipped me back to your topic, and didn't let me post, so I started a new topic, but on the SAME topic. I can't help you as far as journal articles, but I am very interested in the topic. It seems like when we have these incidents of substance impaired nurses in our facility, they always try to keep it quiet, so we're never sure what happens to these people. Some get fired, some go to treatment and get rehired on certain conditions, some resign and show up at other facilities eventually, and some ya just don't know what happens. I personally have no tolerance for these folks. When they start talking that jive about their "recovery" and their "disease" I tune out. I feel it's a betrayal of their co-workers, their facility reputation, their family, friends, and esp themselves. I have seen so many go through treatmant after treatment, nurses included, and they just aren't motivated. I have a "loaded weapon theory" that I bet would motivate them quick! But since our society takes such a liberal approach to addicts/alcoholics, plus there's MONEY TO BE MADE since it's a DISEASE, why would they be motivated? After all, they're DISABLED, right??? OK, I've told you what I think, so go ahead everyone and lay it on me! This is just my opinion, but I would give anyone one chance to clean up their act, then it's out the door Lulu! It costs all of us, and I for one am tired of paying!