2023-05-06 07:00:00
I was surprised by the directive, shocked
affirmed Denis Cloutier, president of the Union of care professionals of the East-of-the-Island-of-Montreal, in an interview with All one morning on ICI Première, Friday. When they do sit-ins, it’s because they [les infirmières] face situations where they feel they are unable to provide quality care to their patients.
In recent months, public outings by nursing staff at Hôpital Maisonneuve-Rosemont (HMR) in the east of Montreal have crystallized the exasperation of health network staff with overtime (TS) and especially mandatory overtime (TSO).
According to data obtained by Radio-Canada under the access to documents law, HMR is not the only hospital where nurses are recording TS a you TSO.
Last year, the nursing and cardiorespiratory care personnel (category 1) of some twenty hospitals across Quebec posted a total of TS and of TSO greater than 10% of the regular hours worked.
The rate of TS average reached 7.46%, while the rate of TSO average was 0.28% for the 93 hospitals for which we had data.
According to the Ministry of Health’s online dashboard, the rate of TSO of nursing and cardiorespiratory care personnel reached 0.62% during the summer vacation of 2022.
The regions of Montreal, Montérégie and Outaouais are particularly affected by the use of overtime.
As stated by the president of the Fédération interprofessionnelle de la santé du Québec (FIQ), Julie Bouchard, in the negotiations, what we want is the total eradication of compulsory overtime
.
According to data from the Ministry of Health, nurses across the network accumulated approximately nine million overtime hours in 2021-2022.
A recurring situation
The use of overtime is not new.
According to our data, before the pandemic (2019-2020), overtime rates among nurses were also prevalent. Three years later, the rates have increased slightly for the hospitals from which we obtained the data.
As the doctor of nursing sciences and teacher Nathalie Saké-Doucet reminds us,nurses, and that’s where the TSOand it remains a main issue today”,”text”:”at the end of the 1990s, with the ambulatory shift, we forced almost 6,000 nurses into retirement, and that’s where the TSO was born , and it remains today a main issue”}}”>at the end of the 1990s, with the ambulatory shift, almost 6,000 nurses were forced into retirement, and this is where the TSOand it remains today a main issue.
Nathalie Saké-Doucet, Doctor of Nursing and Teacher
Photo : Radio-Canada
This extra time is concentrated where there are the most labor retention and workload issues. […] in emergencies, obstetrics units and intensive care
adds Ms. Saké-Doucet.
Moreover, according to data from the Quebec Institute of Statistics, hospital nurses are among the workers who work the most overtime in Quebec. In 2021, the Quebec average was 4%, all trades combined, and 6.5% for teaching staff.
The obsession with retention
When he began work on the study of health credits last week, Minister Christian Dubé did not hesitate to answer that the main problem in the health network remained staff retention.
000more who leave [chaque année] because they no longer want to work in the healthcare network […] It’s much more a retention issue than an attraction issue”,”text”:”What’s worrying is the 20,000 more who leave [chaque année] because they no longer want to work in the healthcare network […] It’s much more a retention issue than an attraction issue”}}”>What is worrying is the 20,000 more who leave [chaque année] because they no longer want to work in the healthcare network […] It’s much more a retention issue than an attraction issue.
said Christian Dubé.
« We are able to find young nurses in training, young nurses, orderlies […] because they form a lot of them. What we have difficulty with is retaining them. »
Met on the occasion of a union demonstration of the Common Front (CSN, CSQ, FTQ, APTS), nurse clinician Mélanie Samson did not hesitate to point out the effects of work overload to her young colleagues.
Personally, I know some who have left for other departments where there is less traffic. Others have simply left the domain
, she says. Ms. Samson has worked for 12 years in the emergency department at Cité-de-la-santé in Laval.
Mélanie Samson, nurse, Cité de la santé de Laval
Photo : Radio-Canada
TSOthere is a will”,”text”:”The new management is trying to do zero TSO, there is a will”}}”>The new management tries to make zero TSOthere is a will
recognizes the president of the Union of nurses, respiratory therapists and nursing assistants of Laval (SIIIAL-CSQ), Dereck Cyr. […] and right now in the ER there are about 15% to 20% of TSO every day.”,”text”:”But they do not always respect the collective agreement in the means […] and right now in the ER, there’s about 15% to 20% OSI every day.”}}”>But they do not always respect the collective agreement in the means […] and right now in the ER there’s about 15% to 20% OST every day.
Self-management of schedules
In recent months, Minister Christian Dubé has often promoted self-management of timetables in order to transfer the TSO in TS.
Some hospitals like the CHUM offer nurses the opportunity to express their schedule preferences and choose available overtime slots. 12-hour shifts are also offered in some departments.
Au MSSSwe specify that […] and already, we observe: a decrease in the number of occasional absences, a decrease in the number of shifts in TSO and an increase in the satisfaction rate of employees participating in the project”,”text”:”many establishments have begun an organizational deployment beyond the pilot projects […] and already, we observe: a decrease in the number of occasional absences, a decrease in the number of shifts in TSO and an increase in the satisfaction rate of employees participating in the project”}}”>many establishments have started an organizational deployment beyond the pilot projects […] and already, we observe: a decrease in the number of occasional absences, a decrease in the number of shifts in TSO and an increase in the satisfaction rate of employees participating in the project.
In addition to self-management of schedules, some also suggest staff mobility from one department to another, in particular to the emergency department.
For the President of the FIQit is out of the question to accept such a proposal.
CHSLD or in GMF do not want to be transferred from one place to another, because the safety of care would be in question”,”text”:”Care professionals who work in CHSLDs or FMGs do not want to be transferred from one place to another, because the safety of care would be called into question”}}”>Care professionals who work in CHSLD or in GMF do not want to be transferred from one place to another, because the safety of care would be jeopardized
says Julie Bouchard.
Asked this week to find out if he feared a walkout in the fall, Prime Minister François Legault replied that he hoped not.
What we want is to settle as quickly as possible for the good of the people of Quebec, but also for the good of the workers.
argued the Prime Minister.
I am thinking, among other things, of the health network. We don’t want it anymore, the use of private agencies, we don’t want it anymore, compulsory overtime, so that means having a new organization of work. This is going to happen a lot in the negotiations of collective agreements.
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