Canada

Employment Integration of Nursing Graduates: Evaluation of a Provincial Policy Strategy Nursing Graduate Guarantee 2008-2009

This report presents the results of an evaluation of the Ontario provincial strategy for hiring new graduates, the Nursing Graduate Guarantee, for the year 2008-2009. [from summary]

Strategies to Advance 70% Full-Time Nurse Employment Toolkit

This toolkit was designed for nurse employers across the province of Ontario to use as a resource in working toward the 70% full-time nurse commitment. It is a practical guide to assist Nurse Managers and Human Resource Staff in identifying staffing needs and creating organization-specific strategies to increase full-time employment for nurses. [from author]

Integrating Internationally Educated Health Care Professionals into the Ontario Workforce

The purpose of this report is to provide background information to support the development of guidelines for the integration of internationally educated health professionals into the Ontario workplace. [from summary]

Retaining Institutional Wisdom: Using an Evidence-Informed Approach to Transfer Knowledge from Experienced Nurses to New Nursing Staff

The nursing service of a Quebec-based health and social services centre has developed an evidence-informed approach to capture knowledge from experienced nurses, and transfer it to new nursing staff. The project has increased the success rate of new nurse orientations and retention, and has reduced the reliance on supplemental nursing resources. [adapted from author]

Faculties of Medicine: Important Contributors to Health Human Resource Planning in Canada

This article suggests that because they are already heavily involved in meeting the HRH needs of the citizenry, Canadian medical faculties are extrememly well-positioned to actively participate in HRH planning. [adapted from abstract]

Are Clinicians Being Prepared to Care for Abused Women? A Survey of Health Professional Education in Ontario, Canada

This article details the results of a survey and environmental scan regarding educational opportunities available to future health care providers concerning the topic of intimate partner violence against women. [adapted from abstract]

National Physician Database, 2006-2007 Data Release

The National Physician Database (NPDB) provides information on the demographic characteristics of Canadian physicians and their level of activity within the country's medical care system. It is used by governments, professional associations, consulting firms, pharmaceutical companies, researchers and the media for medical human resource planning and utilization analysis. [adapted from introduction]

Conditions Underpinning Success in Joint Service-Education Workforce Planning

This commentary outlines strategies the authors have found successful in aligning health education and training with local health needs in ways that demonstrate socially accountable outcomes for Vancouver Island, Canada. [adapted from abstract]

Changing Nature of Nursing Work in Rural and Small Community Hospitals

This study investigates the influence of demographic characteristics, provincial policies, organizational changes and emerging practice challenges on the rural–urban segments of the Canadian nursing workforce in order to describe the nature of nursing work from the perspective of rural nurse executives and frontline nurses. [adapted from introduction]

Regulated Nurses: Trends, 2003 to 2007

This report presents five-year workforce trends across Canada, across regulated nursing professions and across a variety of demographic, education, mobility and employment characteristics, in order to inform health human resource planning. [from executive summary]

Workforce Trends of Pharmacists for Selected Provinces and Territories in Canada

The Pharmacist Database is a primary source of data on the size of the pharmacist workforce in Canada and contains information that is key to effective human resource planning in the health care sector. This report contains information on the supply, demographics, geographic distribution, education and employment of pharmacists in Canada. [adapted from introduction]

Identification of Recruitment and Retention Strategies for Rehabilitation Professionals in Ontario, Canada: Results from Expert Panels

Health human resource (HHR) strategies for Canadian rehabilitation professionals are lagging behind other professional groups such as physicians and nurses. The objectives of this study were: 1) to identify recruitment and retention strategies of rehabilitation professionals including occupational therapists, physical therapists and speech language pathologists from the literature; and 2) to investigate both the importance and feasibility of the identified strategies using expert panels amongst HHR and education experts. [from abstract]

Supply, Distribution and Migration of Canadian Physicians 2007

This report utilizes statistical information derived from a central data source for resource planning regarding the supply, distribution and migration of physicians in Canada. [from introduction]

International Mobility of Health Professionals and Health Workforce Management in Canada: Myths and Realities

This OECD report examines the role played by immigrant health workers in the Canadian health workforce, as well as the interactions between migration policies and education and health workforce management policies. [adapted from introduction]

Strategies to Overcome Physician Shortages in Northern Ontario: a Study of Policy Implementation Over 35 Years

Shortages and maldistibution of physicians in northern Ontario, Canada, have been a longstanding issue. This study seeks to document, in a chronological manner, the introduction of programs intended to help solve the problem by the provincial government over a 35-year period and to examine several aspects of policy implementation, using these programmes as a case study. [from abstract]

Canada's Health Care Providers 2007

This report looks at how the landscape of human resources for health (HRH) has evolved and current key challenges. It looks at the complexities of HRH planning and management in the current environment and how various jurisdictions are finding innovative ways to collect and use HHR information. It also talk abouts education and training, workplace environment, distribution and migration, and provides updated data and information on supply-side trends for health professions. [adapted from author]


There is also a reference guide that provides aggregate, supply-based trend information.

Laboring to Nurse: the Work of Rural Nurses who Provide Maternity Care

Research has identified that skilled nurses working in rural and remote locations are crucial for the provision of maternity care to rural parturient women. This study considered the experiences of rural nurses and their contributions to maternity care in rural and remote settings and in the small towns where women might be referred for care surrounding childbirth. [from introduction]

Obstetric Services in Small Rural Communities: What are the Risks to Care Providers?

Although there is an emerging understanding of the stressors faced by rural physicians, little is known about the experience of care providers offering maternity care in low-resourced environments. This article considers the experience of rural maternity care providers from the perspective of the social risks they perceive are incurred by practicing in a low-resource environment. [from abstract]

Environmental Scan of Pharmacy Technicians: Roles and Responsibilities, Education and Accreditation and Certification

This environmental scan of pharmacy technicians is intended to develop an accurate summary of knowledge, issues and activities relating to the roles and responsibilities, curriculum and accreditation, and certification of pharmacy technicians in Canada, from a national, provincial, territorial and international perspective. [from summary]

Modernizing the Management of Health Human Resources in Canada: Identifying Areas for Accelerated Change

Modernizing the way health care professionals are educated and engaged in their vital work requires a collaborative and coordinated approach among many players. The Health Council convened the summit on health human resources to focus on practical, short-term solutions. This report attempts to capture the lively discussion and encouraging examples of innovation brought forward at that forum, organized into four theme areas: education and training, scopes of practice, workplace practices and planning. [adapted from author]

Perverse Subsidy: Canada and the Brain Drain of Health Professionals from Sub-Saharan Africa

The Canadian health care system is one of the places where push comes to pull in terms of attracting health care professionals from sub-Saharan Africa. The authors call this the perverse subsidy: the costs of training these professionals are paid for by poorer people in poorer countries. The pull to Canada is equally a push from Africa. Reflections on a pilot study on a labour mobility issue that is equally a question of conscience. [from author]

Within Our Grasp: Healthy Workplace Action Strategy for Success and Sustainability in Canada's Healthcare System

The health and well-being of the health workforce and the quality of the healthcare work environment has a profound impact on the effectiveness and efficiency of healthcare services. This resource identifies priority actions that are known to improve the workplace and that can be implemented quickly and efficiently. The actions focus on both system wide and organizational performance improvement on specific areas relating to quality work life. [from executive summary]

Selecting Effective Incentive Structures in Health Care: a Decision Framework to Support Health Care Purchasers in Finding the Right Incentives to Drive Performance

This article discusses the development of a decision framework to assist policymakers in choosing and designing effective incentive systems. The researchers identified several models that have proven to be effective in changing or enabling a health provider’s performance.

Health Human Resources Modelling: Challenging the Past, Creating the Future

This document reports on the findings of three projects in Canada that link population health needs to health human resource planning, to illustrate the value and challenges in using health human resource data to inform policy decisions on nursing productivity and to generate evidence based retention policies to guide nursing workforce sustainability. [adapted from summary]

Decision Making for Nurse Staffing: Canadian Perspectives

This study explored nurse staffing decision-making processes, supports in place for nurses, nursing workload being experienced, and perceptions of nursing care and outcomes in Canada. A number of key themes emerged from the study that can form the basis for policy and practice changes related to determining appropriate workload for nursing in Canada. These include the use of staffing principles and frameworks, nursing workload measurement systems, nurse-to-patient ratios, and the need for uptake of evidence related to nurse staffing. [adapted from abstract]

Health Human Resources Planning: an Examination of Relationships Among Nursing Service Utilization, an Estimate of Population Health and Overall Health Status Outcomes in the Province of Ontario

The goal of this study was to develop and test a way to establish, monitor, and predict the need for nursing services by using the health needs of the population. This study explored the relationship between the health needs of Ontarians, their use of community and hospital nursing services, and variations in outcomes. The findings suggest that decisions about the deployment of nursing resources are associated with differences in outcomes. [adapted from author]

Nurse Wages and Their Context: Database Summary (North America, Western Europe and Japan)

This summary report provides information on nurse wages and the comparitive buying power of these wages in select countries in North America, Western Europe and Japan. The data are results from a survey of 10 National Nurses’ Associations. [from introduction]

Teamwork in Healthcare: Promoting Effective Teamwork in Healthcare in Canada

A healthcare system that supports effective teamwork can improve the quality of patient care, enhance patient safety, and reduce workload issues that cause burnout among healthcare professionals. To support the movement to make teamwork a reality, this report was commissioned to outline the characteristics of an effective team, how to measure its effectiveness, what interventions have been successful in implementing and sustaining teamwork in healthcare, lessons from other settings and countries, and the barriers to implementation in Canada. [adapted from executive summary]

Summary Report: Distribution and Internal Migration of Canada's Health Care Workforce

This report summarizes studies that examined the geographical distribution or mobility of a wide variety of health care providers in Canada. [adapted from introduction]

Taking the Next Step: Options and Support for a Pan-Canadian, Multi-Professional HHR Planning Mechanism

This study proposes potential options for creating a pan-Canadian HHR planning mechanism or mechanisms to better serve the process of coordinated HHR planning across jurisdictions and among multiple professions. The second goal is to assess the current level of support among both government actors at the federal, provincial and territorial levels and stakeholder organizations for creating a pan-Canadian HHR planning. The study examines the current HHR planning infrastructure in the country, recent international developments in HHR planning and the attitudes of key informants in governmental and non-governmental communities.