Table 3

Main findings of qualitative results regarding professional reintegration

SimilaritiesDifferences
MILNGO
Influence of the deploymentImpact of communication on morale, motivation, well-being and reintegration
Nature of the deployment: level of cultural adjustment, intensity, duration and re-deployment
Familiarity and shorter missions help reintegration
Communication: confidentiality of mission towards family
Nature: Lower level of cultural adjustment Intensity: Unlearn security protocols
Communication: More freedom to openly discuss Nature: Higher level of cultural adjustment thus presumed higher reverse culture shock
Organizational justiceAdjust to post-deployment routine (boredom, …) Low level of all forms of organizational justice Distributive: Uneven support, Contributions are undervalued, No meaningful recognition Procedural: inconsistent policies, bureaucracy, stigma, outdated information
Informational: Poor unclear communication Interpersonal: Lack of active interest
Distributive: impersonal recognition but career advantage for future promotions
Informational: unexpected reassignments, unclear guidance, personal shortages
Distributive: question of transferability and acknowledgment of new skills. Problems with Western medical approach, Contract-based uncertainty, unclear future roles, inconsistent follow-up for subsequent missions
ColleaguesSignificant source of support during reintegration Shared background fosters trust and support Anticipate return and allocate time
Interest and willingness to listen
Personal shortages: secondary responsibilities and altered professional circumstances
Competitive atmosphere with home unit
Miss connection with colleagues in regular medical setting, experiences were overlooked
Colleagues need to provide time to reacquaint with Western medical procedures
SupervisorsMutual trust is the base Role 1: Guardian of well-being
Role 2: Express interest in the experiences and acquired skills
 Overlook the skills acquired during deployment and fail to incorporate them into the home country’s medical setting
Deployment unitSignificant source of social support during deployment and reintegration
Composition of unit affects available support
Challenge of a familiar deployment unit: improved or deteriorated relationships + Conflicts can carry over to day-to-day lifeChallenge of unfamiliar deployment unit: establishing trust, concerns about leaving international colleagues behind, staying connected with international colleagues
Organizational HR practicesCurrently: Reliance on individual initiative, No consideration of unique identities, Inconsistencies in support services, Perceived stigma, Immediate support is offered but no continuation
Need for proactive engagement and for the change of crisis service culture
Larger deployed units tend to receive more proactive supportMandatory psychological counselling after first mission but not after subsequent missions
When you leave the organization, the support offer stops

Source(s): Authors’ own work

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