ArticleCanadian journal of public health = Revue canadienne de sante publique
Surge capacity and casualization: Human resource issues in the post-SARS health system.
Article in Canadian journal of public health = Revue canadienne de sante publique. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- The impact of facility and staff characteristics on infection control of COVID-19: Perceptions of elder care home managers in Stockholm, Sweden.Nursing open · 2024Article
- The Crisis in the Nursing Labour Market: Canadian Policy Perspectives.Healthcare (Basel, Switzerland) · 2023Article
- Operationalizing integrated needs-based workforce planning at Nova Scotia Health in response to the COVID-19 pandemic.Healthcare management forum · 2022Article
- Rights versus Risks: The Impact of Isolation on Residents and Families in Long-Term Care.Healthcare policy = Politiques de sante · 2022Review
- COVID-19 infection prevention and control procedures and institutional trust: Perceptions of Palestinian healthcare workers.Frontiers in public health · 2022Article
- Never Let a Crisis Go to Waste: What Have We Learned About Clinical Pathways for Transcatheter Structural Heart Interventions?Structural heart : the journal of the Heart Team · 2021Article
- Healthcare worker's emotions, perceived stressors and coping mechanisms during the COVID-19 pandemic.PloS one · 2021Article
- Optimization of home care nurses in Canada: A scoping review.Health & social care in the community · 2019Article
- Understanding nurses' dual practice: a scoping review of what we know and what we still need to ask on nurses holding multiple jobs.Human resources for health · 2018Article
- Healthcare Workers Emotions, Perceived Stressors and Coping Strategies During a MERS-CoV Outbreak.Clinical medicine & research · 2016Article
- Increases in absenteeism among health care workers in Hong Kong during influenza epidemics, 2004-2009.BMC infectious diseases · 2015Article
- Review
- A narrative review on the effect of economic downturns on the nursing labour market: implications for policy and planning.Human resources for health · 2012Article
- Workforce integration of new graduate nurses: evaluation of a health human resources employment policy.Healthcare policy = Politiques de sante · 2011Article
- Where Are Ontario's Respiratory Therapists Working?Healthcare policy = Politiques de sante · 2011Article
- The precarious supply of physical therapists across Canada: exploring national trends in health human resources (1991 to 2005).Human resources for health · 2007Article
- Hospital nurse staffing and public health emergency preparedness: implications for policy.Public health nursing (Boston, Mass.)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In Ontario, the unpredictable funding climate of the 1990s led health care organizations to look for ways to reduce costs. Adopting a just-in-time staffing policy, they employed fewer full-time workers, scheduled part-time workers to work regular shifts, took on more casual staff, and became increasingly reliant on agency nurses and overtime to cover shifts. These policies resulted in higher costs and reduced surge capacity, and placed the health of nurses and patients in jeopardy. Fewer staff meant more overtime. Stress-related absenteeism increased. Some nurses reacted to casualization by working for multiple employers. During the SARS (severe acute respiratory syndrome) epidemic in Toronto, nursing resources were stretched to their limits. An exploratory investigation, based on relevant literature and interviews with 13 nurse administrators who held key positions during the epidemic, confirmed the lack of spare capacity in the health care system and indicated that community and long-term care sectors had less capacity than acute care. Low surge capacity in these sectors increased the vulnerability of the entire health care system. Capacity issues should be addressed as part of a larger human resources initiative to create a more flexible workforce. Since SARS, a number of government and organizational initiatives have been developed to increase nursing capacity.
Indexed as
Identifiers
16827414PMC6975992What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.