Nurses - Workforce Commodity, or Autonomous Professionals: What Nurses Know about their Value, Working Conditions, Impacts on Patient Care, and Nursing Practice Concerns

Authors

DOI:

https://doi.org/10.25071/2291-5796.156

Keywords:

nursing shortage, knowledge, professional autonomy, working conditions, feminism

Abstract

The current focus on the critical shortage of nurses puts nurses at risk for representation as a health workforce commodity, rather than being recognized as an autonomous, knowledge-based profession without which the health of Canada’s population is in jeopardy. Nurses’ knowledge and professional role includes evaluation of their career, working conditions, and impact on patients and populations of care. The concern that nurses are leaving the profession can be analyzed within a feminist perspective related to autonomy and advocacy. The focus of this reflective commentary is to highlight, at a personal and collective level, that nurses are witnesses to the conditions fueling nursing shortages, the impact on the practice environment and the structural factors influencing these areas. We are therefore compelled to articulate the seriousness of our concerns and assert our knowledge and value as a profession.

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Author Biography

Anna Power-Horlick, Saskatchewan Polytechnic

Anna Power-Horlick serves as the Interprofessional Education Co-ordinator in the School of Nursing at Saskatchewan Polytechnic. 

References

Anders R.L. (2021). Engaging nurses in health policy in the era of COVID-19. Nursing forum, 56(1), 89-94. https://doi.org/10.1111/nuf.12514

Ausmed.com (2017). A World without Nurses [Video]. You Tube.

https://www.youtube.com/watch?v=zo_OrcYEwGU

Ball C.G., Engels, P. T., Gregg, S., & Harvey, E. J. (2022). The intersection of COVID-19 and public health care in Canada: What does the future hold for the surgical patients and health care workers left behind? Canadian Journal of Surgery, 65(1), E52–E53. https://doi.org/10.1503/CJS.000422

Bender, M. (2018). Re‐conceptualizing the nursing metaparadigm: Articulating the philosophical ontology of the nursing discipline that orients inquiry and practice. Nursing Inquiry, 25(3), e12243 n/a. https://doi.org/10.1111/nin.12243

Boamah, S.A., Hamadi, H. Y., Havaei, F., Smith, H., & Webb, F. (2022). Striking a Balance between Work and Play: The Effects of Work-Life Interference and Burnout on Faculty Turnover Intentions and Career Satisfaction. International Journal of Environmental Research and Public Health, 19(2), 809. https://doi.org/10.3390/ijerph19020809

Bourgeault, I. L. (2021). Vulnerabilities in the Nursing Workforce in Canada: The Anatomy and Physiology of Nursing Workforce Challenges and Potential Solutions for Better Planning, Policy and Management. Nursing Leadership (1910-622X), 34(4).

Burton, C.W. (2020). Paying the Caring Tax: The Detrimental Influences of Gender Expectations on the Development of Nursing Education and Science. Advances in Nursing Science, 43(3), 266–277. https://doi.org/10.1097/ANS.0000000000000319

Canadian Federation of Nurses Unions, 2022. Agency Nurses: Position Statement.

https://nursesunions.ca/wp-content/uploads/2023/03/2022_CFNU-Position-Statement_Agency-Nurses_EN.pdf

Canadian Nurses Association (2022a). News release: Governments must work together to combat nurse burnout, CNA, CFNU say. CNA News Room. https://www.cna-aiic.ca/en/blogs/cn-content/2022/01/20/governments-must-work-together-to-combat-nurse-bur

Canadian Nurses Association (2022b). News release: CNA applauds federal government for reinstating chief nursing officer for Canada. CNA News Room. https://www.cna-aiic.ca/en/blogs/cn-content/2022/02/01/cna-applauds-federal-government-for-reinstating-ch

Chachula, K., Myrick, F., & Yonge, O. (2015). Letting go: How newly graduated registered nurses in Western Canada decide to exit the nursing profession. Nurse Education Today, 35(7), 912–918. https://doi.org/10.1016/j.nedt.2015.02.024

Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human Resources for Health,18(1), 1–41. https://doi.org/10.1186/s12960-020-00469-9

Donnelly, G. (2022). Nursing Shortage: The Perfect Storm. Holistic Nursing Practice, 36(6), 333–333. https://doi.org/10.1097/HNP.0000000000000555

Goodare, P. (2017). Literature review: Why do we continue to lose our nurses? Australian Journal of Advanced Nursing, 34(4), 50–56.

Gunn, V., Muntaner, C., Ng, E., Villeneuve, M., Gea-Sanchez, M., & Chung, H. (2019). Gender

equality policies, nursing professionalization, and the nursing workforce: A cross-sectional, time-series analysis of 22 countries, 2000–2015. International Journal of Nursing Studies, 99, N.PAG. https://doi.org/10.1016/j.ijnurstu.2019.103388

International Council of Nurses (n.d.). The Global Nursing shortage and nurse retention.

International Council of Nurses Policy Brief. https://www.icn.ch/sites/default/files/inline-files/ICN%20Policy%20Brief_Nurse%20Shortage%20and%20Retention_0.pdf

Lasater, K.B., Aiken, L. H., Sloane, D. M., French, R., Martin, B., Reneau, K., Alexander, M., & McHugh, M. D. (2020). Chronic hospital nurse understaffing meets COVID-19: An observational study. BMJ Quality & Safety, 30(8), 639–647. https://doi.org/10.1136/bmjqs-2020-011512

Massachusetts Nursing Association, (2009). A World without Nurses [Video]. You Tube. https://www.youtube.com/watch?v=hLRDpQ3x7KQ

Musto, L. C., Rodney, P. A., & Vanderheide, R. (2015). Toward interventions to address moral distress: Navigating structure and agency. Nursing Ethics, 22(1), 91–102. https://doi.org/10.1177/0969733014534879

Needleman, J. (2017). Nursing skill mix and patient outcomes. BMJ Quality & Safety, 26(7), 525–528. https://doi.org/10.1136/bmjqs-2016-006197

Picard, A. (2021, February,16). Canada's nursing shortage is a gaping wound in our health care system. The Globe and Mail. https://www.proquest.com/newspapers/canadas-nursing-shortage-is-gaping-wound-our/docview/2489485547/se-2?accountid=39725

Poindexter, K. (2022). The Great Resignation in Health Care and Academia: Rebuilding the Postpandemic Nursing Workforce. Nursing Education Perspectives, 43(4), 207–208. https://doi.org/10.1097/01.NEP.0000000000001003

Powell, C. (n.d.). Saskatchewan Union of Nurses. The Encyclopedia of Saskatchewan. RetrievedJune11th,2023, from

https://esask.uregina.ca/entry/saskatchewan_union_of_nurses_strike.jsp

Scott, P. A., Matthews, A., & Kirwan, M. (2013). What is nursing in the 21st century and what does the 21st century health system require of nursing?. Nursing Philosophy, 15(1), 23-34.

Sofer, D. (2022). Nursing Shortage or Exodus? The American Journal of Nursing, 122(3), 12– 13. https://doi.org/10.1097/01.NAJ.0000822928.16774.9a

Smith, J., Korzuchowski, A., Memmott, C., Oveisi, N., Tan, H.-L., & Morgan, R. (2023). Double distress: women healthcare providers and moral distress during COVID-19. Nursing Ethics, 30(1), 46–57. https://doi.org/10.1177/09697330221114329

Thorne, S. (2021). Regaining Our Professional Vision. Nursing Leadership (1910-622X), 34(4).

Thorne, S., Sawatzky, R. (2014). Particularizing the General: Sustaining Theoretical Integrity in the Context of an Evidence-Based Practice Agenda. Advances in Nursing Science, 37(1), 5–18. https://doi.org/10.1097/ANS.0000000000000011

Tomblin Murphy, G., Sampalli, T., Bourque Bearskin, L., Cashen, N., Cummings, G., Elliott Rose, A., Etowa, J., Grinspun, D., Jones, E. W., Lavoie-Tremblay, M., MacMillan, K., MacQuarrie, C., Martin-Misener, R., Oulton, J., Ricciardelli, R., Silas, L., Thorne, S., & Villeneuve, M. (2022). Investing in Canada’s nursing workforce post-pandemic: A call to action. Facets (Ottawa), 7, 1051–1120. https://doi.org/10.1139/facets-2022-0002

Udod, S., (2023). A Call for Urgent Action: Innovations for Nurse Retention in Addressing the Nursing Shortage. Nurs. Rep. (2023), 13(1), 145–147. https://doi.org/10.3390/nursrep13010015

Published

2023-12-27

How to Cite

Power-Horlick, A. (2023). Nurses - Workforce Commodity, or Autonomous Professionals: What Nurses Know about their Value, Working Conditions, Impacts on Patient Care, and Nursing Practice Concerns. Witness: The Canadian Journal of Critical Nursing Discourse, 5(2), 18–25. https://doi.org/10.25071/2291-5796.156