There is alleged to be a severe nursing shortage in Canada. While the shortage is
attributed in large part to fiscal restraint in the hospital sector in the early 1990s, there are
competing claims addressing why nursing employment levels changed over this period.
Supply-side proponents argue that deteriorating working conditions and stagnant wages
led nurses to voluntarily leave the profession, province, or country for better employment
prospects. Demand-side proponents argue that hospitals reduced staff levels in response
to a decline in inpatient utilization. There is also considerable disagreement on what
impact, if any, reduced nursing employment levels had on access to hospital care.
However, while there is no shortage of anecdotal evidence and plausible rhetoric, the
debate is being carried out in a largely data-free environment. This thesis attempts
partially to fill this void.
Part I of this thesis examines trends in the nursing employment level in Canada over the
hospital restructuring period. Results indicate that the number of nurses employed in
hospitals decreased significantly during the cut-backs period and that the decrease was
particularly severe among young nurses. The employment level is decomposed into three
separate components for each age group: the change in the potential supply of nurses, the
change in the employment rate of this group and the change in the likelihood that an
individual will work in the nursing profession conditional on being employed. Results
indicate that the third factor is most important. To determine whether the observed shift
toward non-nursing employment was voluntary, an occupational sector choice model is
developed and the pattern of nursing wages, non-nursing wages, and hospital expenditure
(a proxy for demand) is examined. The evidence strongly suggests that the reduction in
the nursing employment level in hospitals during the downsizing period was a result of a
decrease in the demand for nursing labour and did not represent voluntary movement out
of the nursing sector. That the decrease in demand primarily affected young nurses
appears to reflect the influence of seniority in the highly unionized nursing sector.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:BVAU.2429/14752 |
| Date | 05 1900 |
| Creators | Vujicic, Marko |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Relation | UBC Retrospective Theses Digitization Project [http://www.library.ubc.ca/archives/retro_theses/] |
Page generated in 0.0021 seconds