Research Associate, Canadian Health Workforce Network, Part-Time Professor, Faculty of Social Sciences, University of Ottawa, Ottawa, ON.
Professor, School of Sociological and Anthropological Studies Research Chair in Gender, Diversity and the Professions University of Ottawa Lead, Canadian Health Workforce Network Ottawa, ON.
Nurs Leadersh (Tor Ont). 2023 Jan;35(4):14-29. doi: 10.12927/cjnl.2023.27076.
Inadequate staffing, excessive workloads, endemic violence and unhealthy workplaces are some of the challenges facing Canadian nurses. Leaving these issues unaddressed has had pernicious impacts on the nursing workforce: thousands of nurses across Canada have been suffering from extreme stress, anxiety and burnout, leading many of them to leave their current jobs and, for some, the profession of nursing altogether. We conducted a comprehensive yet rapid review of evidence-based solutions from the peer-reviewed and policy literature, stakeholder dialogues and member surveys commissioned by the Canadian Federation of Nurses Unions that could be implemented and scaled across Canada. Our findings support coordinated series of collectively planned, carefully sequenced and evidence-based interventions to retain, return, integrate and recruit nurses targeted to support the nursing workforce from training to early-, mid- and late-career stages. The implementation of these reactive solution bundles will also enhance the quality of healthcare services and, more broadly, the healthcare system.
人手不足、工作量过大、普遍存在的暴力行为以及不健康的工作场所，是加拿大护士面临的一些挑战。这些问题若得不到解决，将会对护理人员队伍产生严重影响：加拿大各地数以千计的护士正遭受极度的压力、焦虑和倦怠，导致许多人离开当前工作岗位，对一些人来说，甚至离开护理行业。我们对加拿大工会联合会委托开展的同行评议和政策文献、利益攸关方对话和成员调查中的循证解决方案进行了全面而快速的审查，这些解决方案可以在加拿大各地实施和推广。我们的研究结果支持采取一系列协调一致的、有计划的、精心安排的、基于证据的干预措施，以留住、召回、整合和招聘护士，目标是从培训到职业生涯早期、中期和后期各个阶段为支持护理人员队伍提供支持。这些应对方案的实施还将提高医疗保健服务的质量，更广泛地说，还将提高整个医疗保健系统的质量。
