Eliminating the shortage of registered nurses in Canada: An exercise in applied needs-based planning

Health Policy

Volumn 105, Issue 2-3, 2012, Pages 192-202

  Tomblin Murphy, Gail ^a   Birch, Stephen ^b   MacKenzie, Adrian ^a   Alder, Rob ^c   Lethbridge, Lynn ^a   Little, Lisa ^d,e  

^a DALHOUSIE UNIVERSITY   (Canada)

^b MCMASTER UNIVERSITY   (Canada)

^c WESTERN UNIVERSITY   (Canada)

^d Canadian Nurses Association   (Canada)

^e NONE   (Canada)

Author keywords

Health planning; Health policy; Health services needs and demand; Health services research; Human resources; Nurses

Indexed keywords

ABSENTEEISM; ARTICLE; CANADA; EDUCATION PROGRAM; HEALTH CARE DELIVERY; HEALTH CARE NEED; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH SERVICE; HUMAN; MIGRATION; NURSING EDUCATION; NURSING SHORTAGE; PRODUCTIVITY; REGISTERED NURSE; SIMULATION;

EID: 84861230926     PISSN: 01688510     EISSN: 18726054     Source Type: Journal    
DOI: 10.1016/j.healthpol.2011.11.009     Document Type: Article

References (78)

1. Lavieri M.S., Puterman M.L. Optimizing nursing human resource planning in British Columbia. Health Care Management Science 2009, 12:119-128.
2. Yun H., Jie S., Jieng A. Nursing shortage in China: state, causes, and strategy. Nursing Outlook 2010, 58:122-128.
3. Barnett T., Namasivayam P., Narudin D.A.A. A critical review of the nursing shortage in Malaysia. International Nursing Review 2010, 57:32-39.
4. Cook L. A Nurse Education and Training Board for New Zealand: report to the Minister of Health 2009, Ministry of Health, Wellington. http://www.moh.govt.nz/moh.nsf/pagesmh/9397/$File/nurse-education -training-board-nz-aug09-v2.pdf,%202010-12-22.
5. Barber P., López-Valcárcel B.G. Forecasting the need for medical specialists in Spain: application of a system dynamics model. Human Resources for Health 2010, 8:24.
6. Centre for Workforce Intelligence CFWI medical factsheets 2011 2009, CFWI, London. http://www.cfwi.org.uk/intelligence/cfwi-medical-factsheets/cfwi-medical -summary-sheets-2011,%202011-12-21.
7. World Health Organization Working together for health: World Health Report 2006 2006, WHO, Geneva.
8. Evans R. Strained mercy: the economics of Canadian health care 1994, Butterworths, Toronto.
9. Lavis J., Birch S. The answer is... now what was the question? Applying alternative approaches to estimating nurse requirements. Canadian Journal of Nursing Administration 1997, 10:24-44.
10. Birch S., O'Brien-Pallas L., Alksnis C., Tomblin Murphy G., Thomson D. Beyond demographic change in human resources planning: an extended framework and application to nursing. Journal of Health Services Research and Policy 2003, 8:225-229.
11. Markham B., Birch S. Back to the future: a framework for estimating health-care human resource requirements. Canadian Journal of Nursing Administration 1997, 10(1):7-23.
12. O'Brien-Pallas L., Baumann A., Donner G., Tomblin Murphy G., Lochhass-Gerlach J., Luba M. Forecasting models for human resources in health care. Journal of Advanced Nursing 2001, 33(1):120-129.
13. Birch S., Kephart G., Tomblin Murphy G., O'Brien-Pallas L., Alder R., MacKenzie A. Health human resources planning and the production of health: development of an extended analytical framework for needs-based health human resources planning. Journal of Public Health Management Practice 2009, S56-S61. (Suppl.).
14. Gray A. The production of dental care in the British National Health Service. Scottish Journal of Political Economy 1982, 29:59-74.
15. Mantha A., Stewart N. Total work redesign: leading nursing care towards the future. Presentation at the HHR Knowledge Series meeting of the Canadian Nurses Association 2007.
16. Eastaugh R. Hospital nurse productivity enhancement. Journal of Health Care Finance 2007, 33(3):39-47.
17. Roos N.P., Shapiro E., Bond R., Black C., Finlayson G., Newburn-Cook C., et al. Changes in health and health care use of Manitobans, 1985-1998 2001, Manitoba Centre for Health Policy and Evaluation, Winnipeg.
18. Tomblin Murphy G., Kephart G., Lethbridge L., O'Brien-Pallas L., Birch S. Planning for what? Challenging the assumptions of health human resources planning. Health Policy 2009, 92(2-3):225-233.
19. Bloor K., Maynard A. Planning human resources in health care: towards an economic approach. An international comparative review 2003, Canadian Health Services Research Foundation, Ottawa.
20. Campbell B.J., Kissoon N., Syed N., Fraser H.S. Health human resource planning in Barbados and the eastern Caribbean states a matter of sustainability. West Indian Medicine Journal 2008, 57(6):542-548.
21. Stordeur S., Léonard C. Challenges in physician supply planning: the case of Belgium. Human Resources for Health 2010, 8:28.
22. Birch S, Kephart G, Tomblin Murphy G, O'Brien-Pallas L, Alder R, MacKenzie A. Human resources planning and the production of health: a needs-based analytical framework. Canadian Public Policy 2007; XXXIII(Suppl.):S1-S16.
23. Hall T., Meija A. Health manpower planning: principles, methods, issues 1978, WHO, Geneva.
24. Spetz J. Forecasts of the registered nurse workforce in California 2009, California Board of Registered Nurses, Sacramento. http://www.rn.ca.gov/pdfs/forms/forecasts2009.pdf,%202011-07-29.
25. Nooney J.G., Lacey L.M. Validating HRSA's nurse supply and demand models: a state-level perspective. Nursing Economics 2007, 25(5):270-278.
26. Tomblin Murphy G., MacKenzie A., Alder R., Birch S., Kephart G., O'Brien-Pallas L. An applied simulation model for estimating the supply of and requirements for registered nurses based on population health needs. Policy, Politics and Nursing Practice 2009, 10(4.):240-251.
27. Tomblin Murphy G., MacKenzie A., Alder R., Rigby J., Tomblin S. Needs-based planning for Jamaica's human resources for health 2011, Jamaica Ministry of Health, Kingston.
28. Scheffler R., Liu J., Kinfu Y., Dal Poz M. Forecasting the global shortage of physicians: an economic- and needs-based approach. Bulletin of the World Health Organization 2008, 86(7):516-523.
29. Dreesch N., Dolea C., Dal Poz M.R., Goubarev A., Adams O., Aregawi M., et al. An approach to estimating human resource requirements to achieve Millennium Development Goals. Health Policy and Planning 2005, 20(5):267-276.
30. Scheffler R.M., Bruckner T.A., Fulton B.D., Yoon J., Shen G., Chisholm D., et al. Human resources for mental health: workforce shortages in low- and middle-income countries. Human Resources for Health Observer 2011, 8.
31. Aiken L.H., Clarke S.P., Sloane D.M., Sochalski J.A., Silber J.H. Hospital nurse stafffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association 2002, 288(16):1987-1993.
32. Tourangeau A.E., Doran D., McGillis-Hall L., O'Brien-Pallas L.L., Pringle D., Tu J.V., et al. Impact of hospital nursing care on 30-day mortality for acute medical patients. Journal of Advanced Nursing 2006, 57(1):32-44.
33. Needleman J., Buerhaus P., Pankratz V.S., Leibson C.L., Stevens S.R., Harris M. Nurse staffing and inpatient hospital mortality. New England Journal of Medicine 2011, 364(11):1037-1045.
34. O'Brien-Pallas L., Tomblin Murphy G. Appendix: example of a conceptual model for HHR planning. A framework for collaborative Pan-Canadian health human resources planning 2006, Federal/Provincial/Territorial Advisory Committee on Health Delivery and Human Resources (ACHDHR), Ottawa, p. 29-36.
35. Buchan J. Nurse workforce planning in the UK 2007, Royal College of Nursing, London. http://www.rcn.org.uk/__data/assets/pdf_file/0016/107260/003203.pdf,%202 011-07-29.
36. Canadian Institute for Health Information Regulated nurses: Canadian trends, 2005 to 2009 2010, CIHI, Ottawa.
37. College of Registered Nurses of British Columbia New graduate registered nurse study - 2005 2005, CRNBC, Vancouver.
38. Insightrix Research Services Nursing Education Program of Saskatchewan (NEPS) 2-year follow-up survey: 2005 graduates 2007, College of Nursing of the University of Saskatchewan, Regina.
39. Ontario Ministry of Health and Long-Term Care Nursing graduate guarantee 86 per cent of participants gain full time employment. Ministry of Health and Long-Term Care News 2008, 6 March.
40. Statistics Canada. Information about the national population health survey. Statistics Canada Catalogue 82F0068XIE; 1999.
41. Statistics Canada. Canadian community health survey - guide. Statistics Canada Catalogue 82M0013GPE; 2005.
42. Statistics Canada. Residential care facilities survey. Statistics Canada Catalogue 83-237-XWE; 2008.
43. Evans R., Schneider D., Barer M. Health human resources productivity: what it is, how it's measured, why (how you measure) it matters, and who's thinking about it 2010, Canadian Health Services Research Foundation, Ottawa.
44. Public Health Agency of Canada Report from the National Diabetes Surveillance System: diabetes in Canada, 2009 2009, PHAC, Ottawa, ISBN 978-1-100-50509-1.
45. Canadian Nurses Association. Personal communication - estimates of new RN ETP seats as of 2008; 2008.
46. Molina Kooker B., Kamikawa C. Successful strategies to improve RN retention and patient outcomes in a large medical centre in Hawaii. Journal of Clinical Nursing 2011, 20(1-2):34-39.
47. O'Brien-Pallas L., Tomblin Murphy G., Shamian J., Li X., Hayes L.J. Impacts and determinants of nurse turnover: a pan-Canadian study. Journal of Nursing Management 2010, 18:1073-1086.
48. Bournes D., Ferguson-Paré M. Human becoming and 80/20: an innovative professional development model for nurses. Nursing Science Quarterly 2007, 20(3):237-253.
49. Hinson T.D., Spatz D.L. Improving nurse retention in a large tertiary acute-care hospital. Journal of Nursing Administration 2011, 41(3):103-108.
50. Sermeus W., Aiken L.H., Van den Heede K., Rafferty A.M., Griffiths P., Moreno-Casbas M.T. Nurse forecasting in Europe (RN4CAST): rationale, design and methodology. BMC Nursing 2011, 10:6.
51. Buchan J. Reviewing the benefits of health workforce stability. Human Resources for Health 2010, 8:29.
52. Canadian Institute for Health Information National survey on the health and work of nurses 2006, CIHI, Ottawa.
53. Statistics Canada. Days lost per worker by cause, by province (illness or disability), 2009. http://www40.statcan.ca/l01/cst01/labor60b-eng.htm.
54. Shields M., Wilkins K. Findings from the 2005 national survey of the work and health of nurses 2006, Statistics Canada, Ottawa.
55. Labonté R., Packer C., Klassen N. Managing health professional migration from sub-Saharan Africa to Canada: a stakeholder inquiry into policy options. Human Resources for Health 2006, 4:22.
56. Stilwell B., Diallo K., Zurn P., Vujicic M., Adams O., Dal Poz M. Migration of health-care workers from developing countries: strategic approaches to its management. Bulletin of the World Health Organization 2004, 82:595-600.
57. Birch S., Maynard A. Dental manpower. Social Policy and Administration 1985, 19(3):199-217.
58. Fisher E.S., Wennberg D.E., Stukel T.A., Gottlieb D.J., Lucas F.L., Pinder E.L. The implications of regional variations in medicare spending. Part 1: the content, quality, and accessibility of care. Annals of Internal Medicine 2003, 138(4):273-287.
59. Fisher E.S., Wennberg D.E., Stukel T.A., Gottlieb D.J., Lucas F.L., Pinder E.L. The implications of regional variations in medicare spending. Part 2: health outcomes and satisfaction with care. Annals of Internal Medicine 2003, 138(4):288-298.
60. Alter D.A., Stukel T.A., Newman A. The relationship between physician supply, cardiovascular health service use and cardiac disease burden in Ontario: supply-need mismatch. Canadian Journal of Cardiology 2008, 24(3):187-193.
61. Baxter J., Leary A. Productivity gains by specialist nurses. Nursing Times 2011, 107(30-31):15-17.
62. Huws D.W., Cashmore D., Newcome R.G., Roberts C., Vincent J., Elwyn G. Impact of case management by advanced practice nurses in primary care on unplanned hospital admissions: a controlled intervention study. BMC Health Services Research 2008, 29(8):115-122.
63. Walker V., Bamford D. An empirical investigation into health sector absenteeism. Health Services Management Research 2011, 24(3):142-150.
64. Pillay T., Nightingale P., Owen S., Kirby D., Spencer A. Neonatal nurse staffing and delivery of clinical care in the SSBC Newborn Network. Archives of Disease in Childhood: Fetal and Neonatal Edition 2011, 10.1136/adc.2011.300224.
65. Chung C., Collins A., Cui N. Development and implementation of an interdisciplinary oncology program in a community hospital. American Journal of Health System Pharmacists 2011, 68(18):1740-1747.
66. Ku H.L., Wang P.C., Su M.C., Liu C.C.H., Hwang W.Y. Application of radio-frequency identification in perioperative care. Association of Perioperative Nurses Journal 2011, 94(2):158-169.
67. Bairstow P.J., Ashe S., Heavens M., Lithgo P.S. The home based rehabilitation service: rationale, operation and outcomes. Australian Health Review 1997, 20(2):55-68.
68. Hardy C., Whitwell D., Sarsfield B., Maimaris C. Admission avoidance and early discharge of acute hospital admissions: an accident and emergency based scheme. Emergency Medicine Journal 2001, 18(6):435-440.
69. Hughes S.L., Ulasevich A., Weaver F.M., Henderson W., Manheim L., Kubal J.D., et al. Impact of home care on hospital days: a meta analysis. Health Services Research 1997, 32(4):415-432.
70. Ventana Systems Inc. Vensim software. 2011. http://vensim.com/software.html,%202011-11-01.
71. Canadian Institute for Health Information Internationally educated physicians and nurses in Canada 2007, CIHI, Ottawa.
72. Selke H.M., Kimaiyo S., Sidle J.E., Vedanthan R., Tierney W.M., Shen C., et al. Task-shifting of antiretroviral delivery from health care workers to persons living with HIV/AIDS: clinical outcomes of a community-based program in Kenya. Journal of AIDS 2010, 55(4):483-490.
73. Gamroth L., Budgen C., Lougheed M. Feasibility and outcomes of paid undergraduate student nurse positions. Nursing Leadership 2006, 19(3):e1-e14.
74. Beecroft P.C., Kunzman L., Krozek C. RN internship: outcomes of a one-year pilot program. Journal of Nursing Administration 2001, 31(12):575-582.
75. Sanjana P., Torpey K., Schwarzwalder A., Simumba C., Kasonde P., Nyirenda L., et al. Task-shifting HIV counselling and testing services in Zambia: the role of lay counsellors. Human Resources for Health 2009, 7:44.
76. Aiken L.H., Sloane D.M., Clarke S., Poghosyan L., Cho E., You L., et al. Importance of work environments on hospital outcomes in nine countries. International Journal of Quality Health Care 2011, 23(4):357-364.
77. Morris M.B., Chapula B.T., Chi B.H., Mwango A., Chi H.F., Mwanza J., et al. Use of task-shifting to rapidly scale-up HIV treatment services: experiences from Lusaka, Zambia. BMC Health Services Research 2009, 9:5.
78. Shetty A.K., Mhazo M., Moyo S., von Lieven A., Mateta P., Katzenstein D.A., et al. The feasibility of voluntary counselling and HIV testing for pregnant women using community volunteers in Zimbabwe. International Journal of STD and AIDS 2005, 16:755-759.