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Biomedical subjects

J Roger Pitblado

Publications and source records attributed to J Roger Pitblado.

7 recordsLinked to original sources

Insights from a national study.

Aboriginal registered nurses have been identified as an essential group in the delivery of health services in First Nations communities. Despite this, there is a lack of information about this group of nurses in Canada. This article presents information about this group taken from two components of a national study, The Nature of Nursing Practice in Rural and Remote Canada: documentary analysis and a national survey of nurses. The aboriginal nurse participants were predominantly female, between the ages of 40 and 49, diploma prepared and with licensure for less than 10 years. The survey data showed 41.4 per cent returned to their home communities to work. The participants noted how they enjoyed the challenges of rural and remote nursing and wanted to raise their families in these small communities. They have been able to create supportive work environments, particularly with their nursing colleagues. The nurses are committed to working in rural and remote communities.

Attitude of Health Personnel↗

Registered nurses working alone in rural and remote Canada.

This paper describes the demographics of Registered Nurses (RNs) who work alone in rural and remote Canada, their workplaces, and the benefits and challenges of this unique nursing employment situation. Data presented are from a national survey, one of 4 principal approaches used in conducting the project The Nature of Nursing Practice in Rural and Remote Canada. Of the total survey sample, 412 nurses (11.5%) were employed as the only RN in their work setting. Variables of interest included level of education, employment setting, and regional distribution of workplaces. An exploration of predictors of work satisfaction confirmed previous research findings with respect to the importance of continuing education and face-to-face contact with colleagues. Findings from this analysis may inform policy decisions regarding the employment of RNs in rural and remote Canada.

Adult↗

For work and for school: internal migration of Canada's rural nurses.

Using data from the Registered Nurses Database and a recently conducted national survey, this study examined the internal migration patterns of Canadian-educated rural RNs. Inter-provincial migration rates, ranging from 11% to 27% depending on the database used, mask much wider variations in sub-provincial movement rates, which are particularly relevant when considering the provision of nursing services in rural and remote communities. Rural RNs are more likely to migrate if they are female, older, working in nursing stations, and living in remote communities. A majority of RNs whose migration is associated with going to school after their initial nursing education do not return to the jurisdiction where they were first registered. Targeted migration studies are needed to fully understand both the detailed patterns and the predictors of such movements in order to better assess recruitment and retention policies and to enhance our overall health human resources planning models.

Adult↗

A profile of registered nurses in rural and remote Canada.

Research on nursing practice issues in rural and remote areas of Canada is very limited. This report describes the method and initial results of a comprehensive survey of registered nurses (RNs) practising outside the commuting zones of large urban centres, designed to determine: who practises nursing in rural and remote Canada; the nature and scope of their nursing practice; and their satisfaction with their work, community, and practice supports. Using a mailed questionnaire with persistent follow-up, the data-collection frame included a stratified random sample of rural RNs and the full population of RNs who worked in the northern territories and outpost ("remote") settings. The analyses focus on regional comparisons of demographics and primary work settings and on provincial comparisons of satisfaction levels related to work and community. The survey is part of a larger multi-method project intended to inform policy on rural nursing practice in Canada.

Adult↗

A strategy for developing environmental health indicators for rural Canada.

Our understanding of and ability to describe rural health conditions can be considerably enhanced by the use of rural health indicators which allow us to compare rural and nonrural areas or areas differentially located on the urban-rural continuum in terms of various health conditions. However, while health indicators abound, there are very few that can be used to describe the health conditions of rural Canada. This paper discusses the concepts of health in a rural context and adopts a broad definition of health that goes beyond the mere absence of disease or impairment. We propose five broad categories of health indicators: health status indicators, health determinant indicators, health behaviour indicators, health resource indicators, and health service utilization indicators. The most commonly used health indicators in Canada and the datasets from which they are derived are examined in order to assess their applicability to "communities" or "regions". This review highlights the strengths and limitations of various datasets and indicators and their applicability to the "community" and "regional" scale for rural environments. Finally, challenges in data availability and use are discussed as they relate to rural health indicator development.

Canada↗