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Job making nurses sick

Statistics Canada's survey on the work and health of nurses supports the need for government action to resolve staffing levels and workplace conditions for Ontario's registered nurses, says the president of the Ontario Nurses' Association (ONA).
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Statistics Canada's survey on the work and health of nurses supports the need for government action to resolve staffing levels and workplace conditions for Ontario's registered nurses, says the president of the Ontario Nurses' Association (ONA).


"We have been sounding the alarm for years about the need to be proactive in heading off a nursing shortage, about improving working conditions for nurses, and about the risk to patient care when too few nurses are working too many hours of overtime with too few resources," says Linda Haslam-Stroud.


The National Survey of the Work and Health of Nurses found nurses regularly work overtime, and many have more than one job. The study indicates that psychosocial and interpersonal factors (including work stress, low autonomy and lack of respect) are more strongly associated with health problems among Canada's 314,900 nurses.


Ninety-five percent of nurses in Canada are women.


The proportion of nurses who reported a high level of work stress (as determined by the level of job strain, physical demands, and support from co-workers and supervisors) was higher than that for employed people overall. Job strain results when the psychological demands of a job exceed the worker's discretion in deciding how to do it.


Nearly one-third (31 percent) of female nurses were classified as having high job strain. The figure for all employed women was 26 percent.


Job strain was strongly related to fair or poor physical and mental health, and to lengthy or frequent absences from work for health-related reasons. For example, 17 percent of nurses who perceived high job strain reported 20 or more sick days in the past year, compared with 12 percent of nurses who perceived less job strain.


The survey found that many nurses worked overtime, and only about six in 10 had full-time jobs in 2005.


Nearly half (46 percent) of nurses reported that their employer expected them to work overtime, and three in 10 regularly worked paid overtime, for an average of five hours per week. One-half regularly work unpaid overtime, averaging four hours per week.


Overall, however, nine out of 10 nurses reported that they had good working relations and collaborated well with doctors. And over one-half of nurses said that they were able to spend time with their patients, thanks to adequate support services.


The Ontario nursing union represents 52,500 front-line registered nurses and allied health professionals working in Ontario hospitals, long-term care facilities, public health, the community and industry. It has been vocal about the effects of the nursing shortage on its members.


"The Statistics Canada survey proves what ONA has been saying for so long now," says Haslam-Stroud. "Nurses are burning out due to the heavy workloads and long hours. Yet they also have a difficult time finding a full-time job.


They are more likely to experience violence on the job than all other professions, and in Ontario, up to one-third of practising RNs are eligible to leave the system beginning next year.


"We trust the results of this survey will prompt employers to take action to improve working conditions for their nurses," says Haslam-Stroud. "RNs from the hospital sector, 48,000 of them in Ontario, are currently without a contract, and awaiting a decision from an arbitrator. This follows the breakdown of negotiations with the Ontario Hospital Association last summer when its team announced that it was demanding the gutting of nurses' sick-leave provisions."


(The full Statisics Canada report is available at www.statcan.ca . Type nurses work study in the search engine.)


-With files from CNW


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