1. Nurses who work in rural and remote communities in Canada: a national survey
- Author
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Linda Van Pelt, Judith C. Kulig, Chandima Karunanayake, Norma J. Stewart, Davina Banner, Lela V. Zimmer, Pertice Moffitt, Nadine Mix, Julie Kosteniuk, Erin C. Wilson, Kelly Penz, Larine Sluggett, Neil Hanlon, Ruth Martin-Misener, Mary Ellen Andrews, Janna Olynick, Penny Anguish, Leana Garraway, Irene Koren, Kelley Kilpatrick, and Martha L. P. MacLeod
- Subjects
Male ,Public Administration ,Nurses ,Medically Underserved Area ,Health administration ,0302 clinical medicine ,Nursing Services ,Rural ,Northern ,030212 general & internal medicine ,Survey ,lcsh:R5-920 ,030504 nursing ,lcsh:Public aspects of medicine ,Health services research ,Remote ,Systematic sampling ,Middle Aged ,Quality Improvement ,3. Good health ,Retention ,Work (electrical) ,Workforce ,Workforce planning ,Female ,Recruitment ,lcsh:Medicine (General) ,0305 other medical science ,Adult ,Employment ,Canada ,medicine.medical_specialty ,Nurse's Role ,Job Satisfaction ,03 medical and health sciences ,Nursing ,medicine ,Humans ,Nurse education ,Rural Nursing ,Life Style ,Aged ,business.industry ,Research ,Public Health, Environmental and Occupational Health ,lcsh:RA1-1270 ,Methodological challenges ,Cross-Sectional Studies ,Family medicine ,Rural Health Services ,business - Abstract
Background In Canada, as in other parts of the world, there is geographic maldistribution of the nursing workforce, and insufficient attention is paid to the strengths and needs of those providing care in rural and remote settings. In order to inform workforce planning, a national study, Nursing Practice in Rural and Remote Canada II, was conducted with the rural and remote regulated nursing workforce (registered nurses, nurse practitioners, licensed or registered practical nurses, and registered psychiatric nurses) with the intent of informing policy and planning about improving nursing services and access to care. In this article, the study methods are described along with an examination of the characteristics of the rural and remote nursing workforce with a focus on important variations among nurse types and regions. Methods A cross-sectional survey used a mailed questionnaire with persistent follow-up to achieve a stratified systematic sample of 3822 regulated nurses from all provinces and territories, living outside of the commuting zones of large urban centers and in the north of Canada. Results Rural workforce characteristics reported here suggest the persistence of key characteristics noted in a previous Canada-wide survey of rural registered nurses (2001-2002), namely the aging of the rural nursing workforce, the growth in baccalaureate education for registered nurses, and increasing casualization. Two thirds of the nurses grew up in a community of under 10 000 people. While nurses’ levels of satisfaction with their nursing practice and community are generally high, significant variations were noted by nurse type. Nurses reported coming to rural communities to work for reasons of location, interest in the practice setting, and income, and staying for similar reasons. Important variations were noted by nurse type and region. Conclusions The proportion of the rural nursing workforce in Canada is continuing to decline in relation to the proportion of the Canadian population in rural and remote settings. Survey results about the characteristics and practice of the various types of nurses can support workforce planning to improve nursing services and access to care. Electronic supplementary material The online version of this article (doi:10.1186/s12960-017-0209-0) contains supplementary material, which is available to authorized users.
- Published
- 2017
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