Table 3: Canadian mental health psychiatric quality of nurses work life.

Author and datePurposeDesign/methodology/approachProvinceSample sizeFindings

Robinson et al. (2003) [33]To examine prevalence, distribution, correlates, and predicators of vicarious trauma and burnout among registered psychiatric nurses (RPNs) in ManitobaSurvey contained the Maslach Burnout inventory, the Traumatic Stress Institute Belief Scale (TSIBS), and a section on PTSDManitoba295 surveys returned, response rate of 29%RPNs experiencing high levels of emotional exhaustion and higher levels of personal accomplishment. No significant difference on the TSIBS

Ryan-Nicholls (2004) [34]To address impact of health reform on RPN practiceFocus groupsManitoba33Increase in independence. Insufficient preparation for new roles, current, and future shortage of RPNs

Statistics Canada (2006) Findings from the 2005 National Survey of the Work and Health of Nurses [31]To assess work and health of Canadian nursesSurveyAll provinces19000 nurses including RNs, licensed practical nurses (LPNs), and RPNsMental and physical health problems of nurses linked to work stress, low autonomy, shift work, poor physician-nurse relationships, low support, and lack of respect

Health Canada (2002): “Our health, our future: creating quality workplaces for Canadian nurses, final report of the Canadian Nursing Advisory Committee" [29]To improve quality of nursing work life6 researches & information projectsAll provinces(i) Paucity of data on licensed practical nurses and RPNs
(ii) 51 recommendations (3 categories): (1) implement conditions to resolve work load, overtime, and absenteeism and decrease nonnursing tasks; (2) create professional practice environment in leadership, education, and prevention of violence and abuse; (3) monitor workplaces and health of nurses, accreditation, and research and disseminate information to keep nurses informed

Maslove and Fooks (2004) [30]To learn what actions to implement recommendation by the Canadian Nursing Advisory Committee (CNAC) made in the 2002 “Our health, our future: creating quality workplaces for Canadian nurses" reportScan of web sites, letter to stakeholders to learn what had been done, interviews with key informants, and presentation with 14 representatives from nursing stakeholders in Ottawa All provinces94 stakeholders, 14 key informantsIncreased number of education seats for RNs, LPNs, and RPNs, workload measurement systems, increased number of full time positions, nurse mentors, and flexible scheduling—progress not uniform but concentrate in acute care rather than community; responsibility to carry out recommendations is unclear, need for CNACs, leadership position, funding, survey, accreditation, research to identify problems

Health Canada (2007): “The working conditions of nurses: confronting the challenges" [32]To examine research on the state of Canada’s nurses and implication for a larger health care systemBulletin All provincesNAWorkplace and workforce issues require collaboration and government involvement