Main findings of qualitative results regarding professional reintegration
| Similarities | Differences | ||
|---|---|---|---|
| MIL | NGO | ||
| Influence of the deployment | Impact 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 justice | Adjust 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Contributions are undervalued, No meaningful recognition Procedural: inconsistent policies, bureaucracy, stigma, outdated information Informational: Poor unclear communication Interpersonal: Lack of active interest | Distributive: impersonal recognition but career advantage for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 |
| Colleagues | Significant 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 |
| Supervisors | Mutual 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 unit | Significant 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 life | Challenge of unfamiliar deployment unit: establishing trust, concerns about leaving international colleagues behind, staying connected with international colleagues |
| Organizational HR practices | Currently: 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 support | Mandatory psychological counselling after first mission but not after subsequent missions When you leave the organization, the support offer stops |
| Similarities | Differences | ||
|---|---|---|---|
| MIL | NGO | ||
| Influence of the deployment | Impact of communication on morale, motivation, well-being and reintegration | Communication: confidentiality of mission towards family | Communication: More freedom to openly discuss Nature: Higher level of cultural adjustment thus presumed higher reverse culture shock |
| Organizational justice | Adjust to post-deployment routine (boredom, …) Low level of all forms of organizational justice | ||
| Colleagues | Significant source of support during reintegration Shared background fosters trust and support Anticipate return and allocate time | Personal shortages: secondary responsibilities and altered professional circumstances | Miss connection with colleagues in regular medical setting, experiences were overlooked |
| Supervisors | Mutual trust is the base Role 1: Guardian of well-being | Overlook the skills acquired during deployment and fail to incorporate them into the home country’s medical setting | |
| Deployment unit | Significant source of social support during deployment and reintegration | Challenge of a familiar deployment unit: improved or deteriorated relationships + Conflicts can carry over to day-to-day life | Challenge of unfamiliar deployment unit: establishing trust, concerns about leaving international colleagues behind, staying connected with international colleagues |
| Organizational HR practices | Larger deployed units tend to receive more proactive support | Mandatory psychological counselling after first mission but not after subsequent missions | |
Source(s): Authors’ own work
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