{"id":226,"date":"2020-11-14T19:52:52","date_gmt":"2020-11-14T19:52:52","guid":{"rendered":"http:\/\/oasis-sante.com\/?p=226"},"modified":"2020-11-14T19:56:36","modified_gmt":"2020-11-14T19:56:36","slug":"six-solutions-pour-contrer-la-penurie-dinfirmieres","status":"publish","type":"post","link":"https:\/\/www.oasis-sante.com\/en\/2020\/11\/14\/six-solutions-pour-contrer-la-penurie-dinfirmieres\/","title":{"rendered":"Six solutions to counter the nurses shortage"},"content":{"rendered":"

Marie-Eve Cousineau<\/a><\/h3>\n\n\n\n

17 septembre 2020 <\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

On the eve of a potential second wave of COVID-19, the healthcare system remains \"very fragile\". The statement of the Minister of Health and Social Services Christian Dub\u00e9 is without appeal. There is a lack of nurses and nursing assistants in the network. But what to do to counter the short-term staff shortage? Here are six possible solutions, compiled by\u00a0Le Devoir<\/em>\u00a0\u00e0 partir d\u2019entrevues avec des experts\u00a0du monde de la sant\u00e9.<\/p>\n\n\n\n

Encourage full-time work<\/strong><\/p>\n\n\n\n

About 60% of staff in the health network work part-time, according to the government. \"If we had all these beautiful people working at 75% or 90% of a complete task, that would already help\", underlines Roxane Borg\u00e8s Da Silva, associate professor in the department of management, evaluation and health policy at the 'Montreal university.<\/p>\n\n\n\n

According to Roxane Borg\u00e8s, Quebec must put in place incentives to encourage nurses to work full time rather than part time. \"The government should make a commitment to those who work full-time that they will not work compulsory overtime,\" she said. Staff would thus have better control over their work schedule, personal agenda and family life.<\/p>\n\n\n\n

Change of tone and message<\/strong><\/p>\n\n\n\n

On March 21, the Legault government adopted a ministerial decree allowing health establishments to modify the working hours of staff, as well as to suspend or cancel leave already authorized. Part-time employees in particular were forced to work full-time. \"The government has taken a very directive tone,\" said Damien Contandriopoulos, a professor at the School of Nursing at the University of Victoria in British Columbia. That's a very bad idea. \u00bb<\/p>\n\n\n\n

Nurses, he says, have left the network or even the profession. Many are exhausted. \"The government must recognize that its approach was wrong,\" he continued. He must tell the nurses \u201ctell us what you want, we will offer it to you\u201d. He must drastically change his message of appeal to the good heart, to the dedication of nurses.<\/p>\n\n\n\n

Retirees and students to the rescue<\/strong><\/p>\n\n\n\n

As in the first wave, the government needs to expand its labor pool in anticipation of the fall, according to Carl-Ardy Dubois, director of the University's Department of Health Management, Evaluation and Policy. of Montreal, who authored the report \"COVID-19 and the Healthy Workforce. Clear the land and lift the institutional locks\".<\/p>\n\n\n\n

Retirees, graduates in the health field, new graduates: as many people as possible must be mobilized, points out Carl-Ardy Dubois. \u201cOn the other hand, in the case of retirees, is there a lot left to mobilize for the second wave? \" he asks.<\/p>\n\n\n\n

Currently, 1,134 retired nurses and 700 retired nursing assistants lend a hand in the field, according to their respective professional order. \u201cWe hope that others will be added,\u201d says Carole Grant, president of the Order of Nursing Assistants of Quebec.<\/p>\n\n\n\n

New cohorts of graduates will also come as reinforcements. According to the Order of Nurses of Quebec, 3,473 candidates for the practice of the profession will take their professional exam this week, which has been postponed twice since the start of the pandemic in March. In addition to this number, there are 155 candidates for the professional examination for specialized nurse practitioners.<\/p>\n\n\n\n

As for future nursing assistants, they must first resume their courses. Vocational training centers have suspended their training to accommodate the approximately 10,000 students in the accelerated beneficiary attendant program in CHSLDs, says Carole Grant. \u201cThese accelerated attendant training students are now done,\u201d she said. We can think that the training of auxiliary nurses has started again. This varies from region to region. \u00bb<\/p>\n\n\n\n

Appeal to newcomers<\/strong><\/p>\n\n\n\n

Environ 500 candidats, issus de l\u2019immigration<\/a>Approximately 500 candidates with an immigrant background apply each year for recognition of equivalence to the Order of Nurses and Auxiliary Nurses of Quebec. These are more numerous since the pandemic. \u201cCandidates may be ready to work during the 2nd wave, says the president of the Order, Carole Grant. Sometimes, the refresher training is not very long. The Order of Nursing Assistants of Quebec is one of the Quebec professional orders that welcomes the most newcomers to its ranks.<\/p>\n\n\n\n

Take care of current employees<\/strong><\/p>\n\n\n\n

At the height of the first wave, more than 10,000 health network employees were absent from their jobs. They had contracted COVID-19, were in administrative isolation or did not show up for work for various reasons.<\/p>\n\n\n\n

\u00ab L\u2019enjeu va \u00eatre de pouvoir mieux prot\u00e9ger les employ\u00e9s, dit Carl-Ardy Dubois. \u00c7a veut dire des \u00e9quipements de protection individuelle disponibles et ne pas faire la m\u00eame erreur de mobilit\u00e9 de la main-d\u2019\u0153uvre. \u00bb<\/p>\n\n\n\n

Du soutien psycho-social doit aussi \u00eatre offert aux troupes en \u00ab \u00e9tat de fatigue \u00bb, selon lui. \u00ab Il ne faut pas seulement avoir une ligne d\u2019appel \u00bb, pr\u00e9cise Carl-Ardy Dubois. Des initiatives doivent \u00eatre mises en place localement, estime-t-il.<\/p>\n\n\n\n

Des incitatifs pour le temps suppl\u00e9mentaire<\/strong><\/p>\n\n\n\n

La F\u00e9d\u00e9ration interprofessionnelle de la sant\u00e9 du Qu\u00e9bec d\u00e9nonce depuis longtemps le temps suppl\u00e9mentaire obligatoire, qui est devenu, selon elle, \u00ab un r\u00e9el mode de gestion \u00bb. Damien Contandriopoulos croit qu\u2019il faut combler les quarts de travail autrement.<\/p>\n\n\n\n

\u00ab Le temps suppl\u00e9mentaire obligatoire, \u00e7a n\u2019existe pas en Colombie-Britannique, dit-il. Jamais une infirmi\u00e8re va se faire imposer un deuxi\u00e8me shift apr\u00e8s en avoir fait un. La fa\u00e7on de fonctionner n\u2019est jamais coercitive. Elle est beaucoup plus ax\u00e9e sur les incitatifs. \u00bb<\/p>\n\n\n\n

Le syndicat des infirmi\u00e8res de la Colombie-Britannique confirme que le temps suppl\u00e9mentaire obligatoire est limit\u00e9 \u00e0 des situations d\u2019urgence \u00ab comme l\u2019\u00e9crasement d\u2019un avion de passagers \u00bb. \u00ab Certains employeurs peuvent offrir du temps suppl\u00e9mentaire au taux triple lorsqu\u2019ils sont d\u00e9sesp\u00e9r\u00e9s et ont offert les quarts en temps suppl\u00e9mentaire r\u00e9gulier, sans trouver personne pour les combler \u00bb, indique le syndicat dans un courriel.<\/p>\n\n\n\n

Damien Contandriopoulos estime que cet incitatif peut en valoir le co\u00fbt \u00e0 long terme. \u00ab Les agences de placement priv\u00e9es, \u00e7a co\u00fbte aussi \u00e9norm\u00e9ment cher. \u00bb<\/p>","protected":false},"excerpt":{"rendered":"

Marie-Eve Cousineau September 17, 2020 At the dawn of a potential second wave of COVID-19, the health system remains \"very fragile\". The finding of the Minister of Health and Services...<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/www.oasis-sante.com\/en\/wp-json\/wp\/v2\/posts\/226"}],"collection":[{"href":"https:\/\/www.oasis-sante.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.oasis-sante.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.oasis-sante.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.oasis-sante.com\/en\/wp-json\/wp\/v2\/comments?post=226"}],"version-history":[{"count":3,"href":"https:\/\/www.oasis-sante.com\/en\/wp-json\/wp\/v2\/posts\/226\/revisions"}],"predecessor-version":[{"id":232,"href":"https:\/\/www.oasis-sante.com\/en\/wp-json\/wp\/v2\/posts\/226\/revisions\/232"}],"wp:attachment":[{"href":"https:\/\/www.oasis-sante.com\/en\/wp-json\/wp\/v2\/media?parent=226"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.oasis-sante.com\/en\/wp-json\/wp\/v2\/categories?post=226"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.oasis-sante.com\/en\/wp-json\/wp\/v2\/tags?post=226"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}