护士在哪里工作？加拿大安大略省按子行业划分的就业模式。

Where are nurses working? Employment patterns by sub-sector in Ontario, Canada.

作者信息

Alameddine Mohamad, Laporte Audrey, Baumann Andrea, O'Brien-Pallas Linda, Croxford Ruth, Mildon Barbara, Wang Sping, Milburn Brad, Deber Raisa

机构信息

Department of Health Policy, Management and Evaluation (HPME), University of Toronto, Toronto, ON.

出版信息

Healthc Policy. 2006 Mar;1(3):65-86.

PMID:19305672

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2585337/

Abstract

OBJECTIVE

As care shifts to home and community, have nursing jobs followed? We examined changes in the absolute and relative size of the nursing workforce by sector/sub-sectors in Ontario, Canada.

METHODS

All nurses registered with the Ontario College of Nurses over the 11 years from 1993 to 2003 were categorized as Active, Eligible or Not Eligible. Active nurses were then categorized by sector (Hospital, Community, Other) and sub-sector. The analysis was repeated by age group and for registered nurses and registered practical nurses.

RESULTS

The decline in Active and Eligible nurses was particularly pronounced for younger workers. Both the absolute number and proportion of nurses working in the hospital sub-sector has dropped. In the community sector, growth was evident in the use of nurses as case managers (in the CCAC sub-sector), community agencies and community mental health (representing a shift from hospital-based workers). However, the steady growth in the number and proportion of nurses working in home care agencies was reversed in 1999, with this sub-sector shedding 19% of its nurses by 2003.

CONCLUSION

Despite considerable rhetoric to the contrary, nurses still tend to work within institutions (hospitals and long-term-care facilities). However, compared to their numbers in 1993, there were fewer nurses providing direct patient care in Ontario in both the hospital and community sectors, and a higher proportion of older nurses.

摘要

目的

随着医疗护理工作转向家庭和社区，护理工作岗位是否也随之转变？我们研究了加拿大安大略省按部门/子部门划分的护理劳动力的绝对规模和相对规模的变化。

方法

将1993年至2003年这11年间在安大略省护士学院注册的所有护士分为在职、符合条件或不符合条件三类。在职护士再按部门（医院、社区、其他）和子部门进行分类。按年龄组以及注册护士和注册实用护士重复进行分析。

结果

在职和符合条件的护士数量下降在年轻工作者中尤为明显。医院子部门工作的护士的绝对数量和比例均有所下降。在社区部门，作为病例管理人员（在社区护理准入中心子部门）、社区机构和社区心理健康领域工作的护士（代表从医院工作人员的转变）有所增加。然而，家庭护理机构工作的护士数量和比例的稳定增长在1999年出现逆转，到2003年该子部门的护士减少了%。