I'm glad that this topic was introduced. There are certainly strong opinions on this. Uses of labelling and stigmatizing language, quoting "facts" without sources, feeling victimized. My personal experience is that there is no one way that fits everyone. Trying to make a process uniform when so many different people with different psychosocial stressors are going through this seems unhelpful. So many nurses are suffering, particularly after Covid. How does being harsh and judgmental help anything? How many nurses spend the bulk of their time on their phones? Shouldn't process addictions also cause safety concerns? What about caffeine and sugar? Of course we need to keep patients safe, but does pushing nurses to the brink of mental breakdown and PTSD keep anyone safe? Does calling a prescribed medication a "fix" persuade someone of anything else you have to say? Prescribers, pharmaceutical corporations, hospital administrators all influence our society and our practice. Nurses need the same compassion we are expected to give our patients. I'm sure there are wonderful people in PNAP and PHMP, and I'm sure there are people who have no business working in that area. There should be an expectation of treating each individual with dignity and respect. This does not mean there shouldn't be a process for helping, but punishing yields very little and breeds resentment. I will continue to watch the comments on this because it's important and I appreciate ALL of you who took the time to respond, whether I agree with you or not.