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Open Access The Effects of Nursing Turnover on Continuity of Care in Isolated First Nation Communities Les effets du roulement du personnel infirmier sur la continuité des soins dans les communautés autochtones isolées

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Abstract:

Many of Canada's northern First Nation communities experience difficulty recruiting and retaining appropriate nursing staff and must rely on relief nurses for short-term coverage. The latter often are not adequately prepared for the demanding nature of the practice. This study examined the consequences of nursing turnover on the continuity of care provided to residents of three Ojibway communities in northern Ontario. The findings are based on a review of 135 charts of oncology, diabetes, and mental health clients, and on interviews with 30 professional and paraprofessional health-care providers who served the communities. Nursing turnover is shown to detrimentally affect communications, medications management, and the range of services offered; it also results in compromised follow-up, client disengagement, illness exacerbation, and an added burden of care for family and community members.

French
Nombre de communautés autochtones du Nord canadien éprouvent des difficultés à recruter et à retenir un personnel infirmier compétent et doivent s'en remettre à des infirmières d'urgence pour des services à court terme. Ces dernières ne sont souvent pas préparées pour les tâches exigeantes inhérentes à ce type de pratique. Cette étude examine les conséquences du roulement du personnel infirmier sur la continuité des soins dispensés aux résidents de trois communautés objibways, situées dans le Nord de l'Ontario. Les résultats sont fondés sur l'examen de 135 dossiers de bénéficiaires atteints de cancer, du diabète et de troubles de santé mentale, ainsi que sur des entrevues réalisées auprès de 30 professionnelles et paraprofessionnelles soignantes oeuvrant dans les communautés. L'étude a démontré que le roulement du personnel infirmier influe sur la communication, la gestion des médicaments et la diversité des services offerts. Il entraîne également des problèmes à l'échelle des suivis, un désengagement de la part des clients, l'aggravement des maladies et un fardeau supplémentaire pour la famille et les membres de la communautés, obligés à dispenser des soins.

Keywords: ABORIGINAL HEALTH; NORTHERN NURSING PRACTICE; RECRUITMENT

Language: French

Document Type: Abstract

Publication date: 2005-01-01

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