Investing in Canada’s nursing workforce post-pandemic: A call to action

Murphy, Gail Tomblin; Sampalli, Tara; Bearskin, Lisa Bourque; Cashen, Nancy; Cummings, Greta G.; Rose, Annette Elliott; Etowa, Josephine; Grinspun, Doris; Jones, Esyllt; Lavoie‐Tremblay, Mélanie; MacMillan, Kathleen; MacQuarrie, Cindy; Martin‐Misener, Ruth; Oulton, Judith A.; Ricciardelli, Rosemary; Silas, Linda; Thorne, Sally; Villeneuve, Michael

doi:10.1139/facets-2022-0002

Cited by 24 publications

(38 citation statements)

References 74 publications

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“…37 As such, mitigating burnout symptoms must focus on improving nurses' work environment. 11,39,[43][44][45] Ultimately, high levels of burnout in the nursing workforce have an enormous impact not only on nurses' well-being, but on patients and the entire health care system. Finally, we found that emotional exhaustion completely mediated the relationship between COVID-19 impact and intent to leave, adding to the empirical evidence of the pandemic's influence on turnover intentions.…”

Section: Discussionmentioning

confidence: 99%

Impact of the Work Environment on Nurse Outcomes: A Mediation Analysis

Boudreau,

Rhéaume

2024

West J Nurs Res

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Background: The nursing workforce remains in a vulnerable state post pandemic as working conditions are difficult and exacerbated by a global nursing shortage. Identifying factors leading to turnover intentions are thus critical for health care system recovery. Purpose: The purpose of this study was to examine the impact of nurses’ work environment and the pandemic on missed nursing care, scope of practice, emotional exhaustion, and intent to leave. Methods: This study was a cross-sectional, self-reporting online survey, sent to hospital-based nurses in a Canadian province (n = 419). Mediation analysis was used to examine both direct and indirect effects of work environment and COVID-19 impact on nurse outcomes (emotional exhaustion and intent to leave) through missed care and scope of practice. Results: The results showed that 73% of nurses were considering leaving the profession. Several direct and indirect pathways predicted emotional exhaustion and intent to leave. A better work environment was related to both decreased emotional exhaustion and intent to leave. Nurses’ scope of practice partially mediated the relationship between work environment and intent to leave. On the other hand, missed care did not mediate emotional exhaustion or intent to leave. Conclusions: While considering the global nursing shortage, it is imperative to implement strategies to promote nurses’ well-being and their retention within the health care system.

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Section: Discussionmentioning

confidence: 99%

Impact of the Work Environment on Nurse Outcomes: A Mediation Analysis

Boudreau,

Rhéaume

2024

West J Nurs Res

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“…The COVID-19 pandemic continues to have a psychological and physical impact on health care workers, especially the ICU staff dealing with the sickest patients. There is an epic level of burnout in healthcare workers resulting in significant staff shortages (Grant 2021;Tomblin-Murphy et al 2022;Hollingsworth and Schulte 2021).…”

Section: Discussionmentioning

confidence: 99%

COVID-19 pandemic: the impact on Canada’s intensive care units

Gibney

Blackman

Gauthier

et al. 2022

FACETS

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The COVID-19 pandemic has exposed the precarious demand-capacity balance in Canadian hospitals, including critical care where there is an urgent need for trained health care professionals to dramatically increase ICU capacity. The impact of the pandemic on ICUs varied significantly across the country with provinces that implemented public health measures later and relaxed them sooner being impacted more severely. Pediatric ICUs routinely admitted adult patients. Non-ICU areas were converted to ICUs and staff were redeployed from other essential service areas. Faced with a lack of critical care capacity, triage plans for ICU admission were developed and nearly implemented in some provinces. Twenty eight percent of patients in Canadian ICUs who required mechanical ventilation died. Surviving patients have required prolonged ICU admission, hospitalization and extensive ongoing rehabilitation. Family members of patients were not permitted to visit, resulting in additional psychological stresses to patients, families, and healthcare teams. ICU professionals also experienced extreme psychological stresses from caring for such large numbers of critically ill patients, often in sub-standard conditions. This resulted in large numbers of health workers leaving their professions. This pandemic is not yet over, and it is likely that new pandemics will follow. A review and recommendations for the future are provided.

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“…Positive role modelling and supportive leader behavior are necessary to build nurses’ trust. In a call to action by the Royal Society of Canada (2022) [ 9 ], rebuilding trust and valuing nurses are indispensable to safe quality patient care. Trust between leaders and nurses is necessary for meaningful innovations and can be facilitated through self-development techniques.…”

Section: Possible Approachesmentioning

confidence: 99%

Investing in Canada’s nursing workforce post-pandemic: A call to action

Cited by 24 publications

References 74 publications

Impact of the Work Environment on Nurse Outcomes: A Mediation Analysis

Impact of the Work Environment on Nurse Outcomes: A Mediation Analysis

COVID-19 pandemic: the impact on Canada’s intensive care units

A Call for Urgent Action: Innovations for Nurse Retention in Addressing the Nursing Shortage

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