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These charts show nurses are doing more OT than ever. They say it's driving many from the profession – CBC.ca

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After months without a break, Anne Boutillier, an emergency room nurse in Dartmouth, N.S., took a much-needed vacation earlier this summer. 

But she received a call nearly every day to come back to help out. Soon after returning, she worked an 19-hour shift.

Boutillier had been on the schedule for 13 hours, but given the lack of staff, stayed on for another six.

“I feel guilty when I can’t do it — because I know my team and I know the burden the patients are suffering,” she said.

“I love my co-workers and I also care about my community. So when I can’t be here, it makes me feel like I’m letting the system down and I’m letting my colleagues down.”

Nova Scotia, in particular, saw one of the biggest increases in the proportion of nurses who did overtime during the pandemic, according to data from Statistics Canada compiled by CBC News.

As emergency rooms in some parts of Canada reduce their hours due to staffing shortages, and analysts warn the system is buckling under the strain, representatives for nurses say the signs of trouble were evident prior to the pandemic.

Linda Silas, president of the Canadian Federation of Nurses Unions (CFNU), said the reliance on overtime to fill staff shortages has had a detrimental effect on the profession. 

She said the lack of work-life balance drives many from full-time positions.

“It’s a vicious circle, but we have to stop it,” she said. “We’ve been talking about the working condition, the poor working conditions of nurses for 10, 15 years.”

Along with Nova Scotia, the amount of overtime required has been especially high in New Brunswick, Saskatchewan and British Columbia, the data shows, when compared to the national average.

September 2021 appears to have been an especially challenging month for Nova Scotia’s health system, with 47 per cent of its nurses working extra hours that month, marking the highest reliance on OT of any province in any month throughout the pandemic.

Further data indicates those nurses who do work overtime are clocking more hours. In July, the average nurse doing overtime worked nine extra hours, the highest that figure has been since the first months of the pandemic.

A shortage of staff has resulted in closures of emergency rooms in parts of the country, including Ontario and Quebec.

Silas said a lack of nurses was apparent prior to the pandemic and now the need is even more acute. 

Already, in 2019, a third of registered nurses — who make up the majority of the nursing workforce — were over 50, with many close to retirement, according to the CFNU.

‘Fix the workplace’

A recent survey of the federation’s members found 94 per cent of respondents were experiencing burnout. Younger nurses said they were more likely to leave the profession.

Silas said many are tempted to leave full-time posts to work for agencies where they have a better schedule and pay.

“What we need to do is to fix the workplace,” she said. “We have to make sure there’s flexibility that they can get a day off and that we have a safe nurse-patient ratio.”

While OT work among all health-care workers sharply increased after March 2020, the rate has since plateaued among non-nursing health-care workers. The proportion of nurses clocking extra hours, however, continues to climb.

“It’s important to recognize that we have a problem and we need to fix it right away,” said Sylvain Brousseau, head of the Canadian Nurses Association.

Brousseau is also a professor at the Université du Québec en Outaouais and researches the working conditions of nurses.

He said the increased overtime is a symptom of a problem in the system — OT is now built into the managing structure at many hospitals. 

“When you don’t fix the problem, people are leaving the health-care system,” he said.

WATCH | An N.L. nurse explains why she quit her job

Overworked N.L. nurse quits permanent job

13 days ago

Duration 2:12

Lauren Byrne quit her full-time job as an emergency room nurse in Newfoundland and Labrador because of a crushing workload and went casual, something her nursing colleagues are also considering.

Boutillier, for her part, wants to see the nurses still on the job rewarded, with better pay and time off when they request it.

“It’s the work-life balance that we don’t have. And that’s not being respected,” she said. “I feel like lately we’re just a cog in a wheel, filling a flooded system.”

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Quebec premier visits Cree community displaced by hydro project in 1970s

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NEMASKA – For the first time in their history, members of the Cree community of Nemaska received a visit from a sitting Quebec premier on Sunday and were able to share first-hand the story of how they were displaced by a hydroelectric project in the 1970s.

François Legault was greeted in Nemaska by men and women who arrived by canoe to re-enact the founding of their new village in the Eeyou Istchee James Bay region, in northern Quebec, 47 years ago. The community was forced in the early 1970s to move from their original location because they were told it would be flooded as part of the Nottaway-Broadback-Rupert hydro project.

The reservoir was ultimately constructed elsewhere, but by then the members of the village had already left for other places, abandoning their homes and many of their belongings in the process.

George Wapachee, co-author of the book “Going Home,” said community members were “relocated for nothing.”

“We didn’t know what the rights were, or who to turn to,” he said in an interview. “That turned us into refugees and we were forced to abandon the life we knew.”

The book, published in 2022 by Wapachee and Susan Marshall, is filled with stories of Cree community members. Leaving behind sewing machines and hunting dogs, they were initially sent to two different villages, 100 and 300 kilometres away, Wapachee said.

In their new homes, several of them were forced to live in “deplorable conditions,” and some were physically and verbally abused, he said. The new village of Nemaska was only built a few years later, in 1977.

“At this time, families were losing their children to prison-schools,” he said, in reference to the residential school system. “Imagine the burden of losing your community as well.”

Legault’s visit came on Sept. 15, when the community gathers every year to remember the founding of the “New Nemaska,” on the shores of Lake Champion in the heart of the boreal forest, some 1,500 kilometres from Montreal. Nemaska Chief Clarence Jolly said the community invited Legault to a traditional feast on Sunday, and planned to present him with Wapachee’s book and tell him their stories.

Thomas Jolly, a former chief, said he was 15 years old when he was forced to leave his village with all his belongings in a single bag.

Meeting Legault was important “because have to recognize what happened and we have to talk about the repercussions that the relocation had on people,” he said, adding that those effects are still felt today.

Earlier Sunday, Legault had been in the Cree community of Eastmain, where he participated in the official renaming of a hydro dam in honour of former premier Bernard Landry.

This report by The Canadian Press was first published Sept. 16, 2024.

The Canadian Press. All rights reserved.



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B.C. mayors seek ‘immediate action’ from federal government on mental health crisis

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VANCOUVER – Mayors and other leaders from several British Columbia communities say the provincial and federal governments need to take “immediate action” to tackle mental health and public safety issues that have reached crisis levels.

Vancouver Mayor Ken Sim says it’s become “abundantly clear” that mental health and addiction issues and public safety have caused crises that are “gripping” Vancouver, and he and other politicians, First Nations leaders and law enforcement officials are pleading for federal and provincial help.

In a letter to Prime Minister Justin Trudeau and Premier David Eby, mayors say there are “three critical fronts” that require action including “mandatory care” for people with severe mental health and addiction issues.

The letter says senior governments also need to bring in “meaningful bail reform” for repeat offenders, and the federal government must improve policing at Metro Vancouver ports to stop illicit drugs from coming in and stolen vehicles from being exported.

Sim says the “current system” has failed British Columbians, and the number of people dealing with severe mental health and addiction issues due to lack of proper care has “reached a critical point.”

Vancouver Police Chief Adam Palmer says repeat violent offenders are too often released on bail due to a “revolving door of justice,” and a new approach is needed to deal with mentally ill people who “pose a serious and immediate danger to themselves and others.”

This report by The Canadian Press was first published Sept. 16, 2024

The Canadian Press. All rights reserved.



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Manitoba NDP removes backbencher from caucus over Nygard link

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WINNIPEG – A backbencher with Manitoba’s NDP government has been removed from caucus over his link to convicted sex offender Peter Nygard.

Caucus chair Mike Moyes says it learned early Monday that a business partner of Mark Wasyliw is acting as Nygard’s criminal defence lawyer.

Moyes says Wasyliw was notified of the decision.

“Wasyliw’s failure to demonstrate good judgment does not align with our caucus principles of mutual respect and trust,” Moyes said in a statement.

“As such MLA Wasyliw can no longer continue his role in our caucus.”

Nygard, who founded a fashion empire in Winnipeg, was sentenced earlier this month to 11 years in prison for sexually assaulting four women at his company’s headquarters in Toronto.

The 83-year-old continues to face charges in Manitoba, Quebec and the United States.

Moyes declined to say whether Wasyliw would be sitting as an Independent.

The legislature member for Fort Garry was first elected in 2019. Before the NDP formed government in 2023, Wasyliw served as the party’s finance critic.

He previously came under fire from the Opposition Progressive Conservatives for continuing to work as a lawyer while serving in the legislature.

At the time, Wasyliw told the Winnipeg Free Press that he was disappointed he wasn’t named to cabinet and planned to continue working as a defence lawyer.

Premier Wab Kinew objected to Wasyliw’s decision, saying elected officials should focus on serving the public.

There were possible signs of tension between Wasyliw and Kinew last fall. Wasyliw didn’t shake hands with the new premier after being sworn into office. Other caucus members shook Kinew’s hand, hugged or offered a fist bump.

This report by The Canadian Press was first published Sept. 16, 2024.

The Canadian Press. All rights reserved.



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