Think Nursing! Report

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http://thinknursing.ca

ThinkNursing.ca

Towards a Better Workplace

cfnu.ca


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AcknowledgementsThe National Executive Board o the CFNU would like to acknowledge the dedication

and hard work o the research team who are making this project possible: Patricia

Wejr (BCNU), Tony Olmsted (UNA), Larry Lemoal (SUN), Stuart Croall (MNU), Lawrence

Walter (ONA), Nancy Johnson (ONA), Suzanne Maltais (NBNU) and Amanda Crupi

(CFNU). The CFNU would also like to thank the communications staf o the CFNU

member organizations who worked hard to capture nurses stories and pull thistogether: Colleen Ryan (NLNU), Coleen Logan (NSNU), George Bergeron (NBNU),

Melanie Levanson (ONA), Bill Craword (MNU), Cheryl Krett (SUN), Keith Wiley (UNA),

Art Moses (BCNU) and Pam Foster (CFNU). We are especially grateul to the nurses

who are taking time to share their personal stories. These stories are truly the driving

source o inspiration or this ongoing project.

Published by

The Canadian Federation o Nurses Unionscnu.ca

2841 Riverside Drive, Ottawa, Ontario K1V 8X7613-526-4661

2009 The Canadian Federation o Nurses Unions

All rights reserved. No part o this book may be reproduced or transmitted in any orm or by

any means, electronic or mechanical, including photocopying, recording, or by any inormationstorage or retrieval system without the permission o the publisher.

Project manager: Linda Silas

CFNU Researcher: Amanda CrupiGraphic design: Sean Dillon-Fordyce

Web development: Deanna MacArthurAssistants: Oxana Genina, Ismail Maniliho

Translation: JCA Design

First Edition June 2009ISBN: 978-0-9784098-3-8

Printed and bound in Canada by Plantagenet Printing

Table of contents

CFNU Presidents Message

CNSA Presidents Message

Introduction

Beginnings

The Collection

Nurse/Patient Ratios 80/20 Project

Flexible Scheduling

Non-Nurising Duties

Culture o Saety

Nursing Leadership

Overcapacit y and Productivity

More Ideas or Discuss ion International Recruitment o Nurses

Career Pathways and Support or Education

Child Care

Layout o Nursing Units

The Bigger Picture

Culture

Leadership

Organizational Collaboration Stability

Evidence and Evaluation

Next Steps

Healthy Healthcare Leadership Charter


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maintenance o a healthy workplace, but the areas and way in which too

inormation are placed play an important role. Research has indicated co

poorly organized work environments and negative patient outcomes. Re

that changes in technology, unit organization and design would contribu

the use o nurses time and saer delivery o patient care.

The Bigger Picture

We have provided real tools and initiatives, to improve nursing today and

in the initial research done or. To encourage dialogue, we wish

observations o the larger issues emerging rom the contributions. Again,

conclusive, and we look orward to your comments. Comments can be ma

The ollowing ve areas have emerged rom the initial work as themes th

applicable to initiatives ostering a better workplace. Culture, Leadership

Collaboration, Stability, and Evidence and Evaluation have had some imp

o the topics discussed. More importantly, these themes will likely inorm

analysis o each new topic as it arises in the course o this conversation, a

part in the implementation o any improvements to nursing work and to

Culture:

As noted in the research paper on thinknursing.ca, a culture o health and

corrupted or missing in workplaces across the country. Reorming this cu

(Continued from page 20)

critical care nurses. Facilities will benefit from more qualified and higher skilled nurses, consistency

in training, improved recruitment and retention, and succession planning. The province will see

improvements in areas such as utilization of health resources, consistency in training and service

delivery. Patients and the public will benefit from improved quality of patient care. This is one

of those rare times when you find a solution that is an absolute win for everyone: the nurses, the

province, the patients and the public, said Brookins.


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are falling through the cracks. Its also had a positive impact on retention, she said.

Its not a perfect system. What Im happy about is that the importance of our senior nursing leaders

and their vital role in mentoring was recognized, said Ms. Ebbett.

Im hopeful that further innovative ideas can be introduced to provide new graduates with an even

softer place to fall, she concluded.

We invite you to visit thinknursing.ca and to share, learn, and contribute yand ideas about how to build better workplaces or nurses. In addition to

discussed above, the website will also provide links to research, policy do

initiatives that you can use to enact positive changes in your workplace a

representative or employer. For example, our website will prole the Qua

Health Care Collaborative a group that champions healthy workplaces a

o tools and suggestions that can help you and your employer get on bo

workplace. It is the belie o the collaborative that A undamental way to

through healthier workplaces. It is unacceptable to work in, receive care i

and und unhealthy healthcare workplaces. Has your employer signed th

Charter? A copy o the charter is on page thirty-ve, but you can downloa

visiting: qwqhc.ca.

The website thinknursing.ca is a place where success stories rom nurses

proled. Through the website nurses can connect and share with one an

suggestions about issues important to them.

When it comes to enacting positive and sustainable change in a system,

that it takes a village. We hope that you will join us in our eforts to eng

o healthcare stakeholders to be a part o positive change in the worklie


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On-site child care goes a long way to reduce tardiness and absenteeism. It reduces turnover. For

parents, there are the obvious attractions they know their child is near should anything happen.

They are invested in the daycare on so many levels, says Hazelton.

I moved here from Halifax with two small children. Without Near to Me, I probably would not have

been able to work. They offer space to hospital employees first. I was able to start work right away

without a break in service, says Dowe.

Dowe says that Near to Metakes the worry out of raising a family and working as a nurse, enabling

her to concentrate on her patients and her job.

Ive been called into work at the last minute and in a panic, you rush out the door with the kids.

Knowing that I can take my kids to a daycare on hospital property, have time to undress them and get

them settled and not have to throw them in the door and run, is a big deal to me. The hospital daycare

allows me to get to work without that regular morning stress so I can start my day on a positive note.

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