“We are facing the wall”: the health network is riddled with holes with thousands of vacant positions

2024-01-13 05:00:00

More than 7,000 nurses, 6,000 attendants and 2,000 office workers: the health network is riddled with holes and seeks to fill thousands of vacant positions to offer adequate services to Quebecers.

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The newspaper compiled the needs of the various CISSS and CIUSSS in the province following requests for access to information on vacant positions. Among those who have responded to us in recent weeks, the province, among other things, needs:

– More than 7000 nurses;

– Nearly 2,700 auxiliary nurses;

– More than 6,000 beneficiary attendants;

– 2200 administrative agents and 1000 maintenance workers.

“We are facing the wall,” worries Jean-Claude Bernatchez, director of the Labor Relations Observatory at the University of Quebec at Trois-Rivières.

Needs by the thousands

The CIUSSS de l’Est-de-l’Île-de-Montréal alone has just over 1,100 vacant nursing positions. Estrie is looking for more than 1,000 beneficiary attendants. The Capitale-Nationale needs more than 220 administrative agents to fill its offices.

The CHU Sainte-Justine had 1,588 vacant positions this fall, including 999 in nursing and cardio-respiratory care.

Vacancies may be newly created or absences to fill. It is not necessarily an empty chair, since positions sometimes have replacements and establishments will display surplus ones to facilitate recruitment and schedule management.

Nevertheless, they are a portrait of the gaping holes that undermine the effectiveness of the network.

“If I have 360 ​​nursing vacancies [par exemple], is that I need 360 people tomorrow morning. Certainly,” says Antranik Handoyan, director of human resources at the CIUSSS de la Mauricie-et-du-Centre-du-Québec.

Antranik Handoyan is director of human resources, communications and legal affairs at the Integrated University Health and Social Services Center of Mauricie-et-du-Centre-du-Québec (CIUSSS MCQ). PHOTO PROVIDED BY CIUSSS MCQ

“If I had 360 nurses, I would have departments whose needs would be met […] whose services would be given and I would have almost no extra time,” he illustrates.

Despite constant recruitment, it is the lack of retention that forces establishments to constantly post positions.

Just by day

“It’s a big challenge, specifically on 24/7 schedules. Despite the bonuses offered by the government, these are not the shifts that are popular. Young people want to work during the day,” continues Mr. Handoyan.

Beyond care, the needs are also “glaring” in various types of professions, such as medical secretaries, computer analysts or psychosocial personnel, relates Marc-Antoine Rouillard, deputy director of support for integrated workforce management. work at the CIUSSS de l’Estrie.

what are the solutions?

For Professor Jean-Claude Bernatchez, the health network must be more flexible in its schedules, measure the potential of employees to match them with the right job and interest young people in the field.

“And it’s pressing,” he said. According to him, the CISSS and CIUSSS struggle to project a positive image, in particular because of their control of information.

In Mauricie, Mr. Handoyan praises the “Sur ton X” initiative to improve retention, by guiding nurses towards an area of ​​care that interests them. Otherwise, an employee who would not have liked working in the kitchen might be reoriented towards housekeeping, for example.

In Estrie, Mr. Rouillard is promoting self-management of schedules, where employees consult each other to fill all shifts.

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