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Major Health Issues in Nova Scotia: An Environmental Scan

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# Reference Brief Notes<br />

providers and facilities have the will<strong>in</strong>gness and resources available to<br />

properly address the many associated legal and ethical issues.<br />

10. Kearney,AJ. Facilitat<strong>in</strong>g <strong>in</strong>terprofessional<br />

education and practice. Can.Nurse; 2008;<br />

104(3):22-6.<br />

11. K<strong>in</strong>gma,M. Nurses on the move: A global<br />

overview. <strong>Health</strong> Serv.Res.; 2007;<br />

42(3p2):1281.<br />

12. Lavieri,M and Puterman,M. Optimiz<strong>in</strong>g<br />

nurs<strong>in</strong>g human resource plann<strong>in</strong>g <strong>in</strong> british<br />

columbia. <strong>Health</strong> Care Manag.Sci.; 2009;<br />

12(2):119.<br />

13. Normand,C. Strengthen<strong>in</strong>g public health<br />

human resources <strong>in</strong> Europe: Meet<strong>in</strong>g the<br />

tra<strong>in</strong><strong>in</strong>g challenge. Eur.J.Public <strong>Health</strong>; 2004;<br />

14(1):11.<br />

14. Pariyo George,W, Kiwanuka Suzanne,N,<br />

Rutebemberwa,E, et al. Effects of changes <strong>in</strong><br />

the pre-licensure education of health workers<br />

on health-worker supply. Cochrane Database of<br />

Systematic Reviews; 2009; (2): Art. No.:<br />

CD007018. DOI:<br />

10.1002/14651858.CD007018.pub2.<br />

15. Philipp,DL and Wright,DL. Recruit<strong>in</strong>g<br />

healthcare professionals to rural areas.<br />

Radiol.Manage.; 2005; 27(6):44-50.<br />

Collaborative patient-centred care has the potential to address serious<br />

issues <strong>in</strong> the Canadian health-care system such as those related to<br />

<strong>in</strong>creas<strong>in</strong>g complexity of care; patient safety and access; and<br />

recruitment and retention of health human resources. The author<br />

presents the rationale for collaborative care and describes an<br />

<strong>in</strong>terprofessional education project at Memorial University of<br />

Newfoundland that is prepar<strong>in</strong>g students and health professionals for<br />

this groundbreak<strong>in</strong>g change <strong>in</strong> practice.<br />

This paper looks at nurse migration flows <strong>in</strong> the light of national<br />

nurs<strong>in</strong>g workforce imbalances, exam<strong>in</strong>es factors that encourage or<br />

<strong>in</strong>hibit nurse mobility, and explores the potential benefits of circular<br />

migration. The dearth of data on which to develop <strong>in</strong>ternational<br />

health human resource policy rema<strong>in</strong>s. There is grow<strong>in</strong>g recognition,<br />

however, that migration will cont<strong>in</strong>ue and that temporary migration<br />

will be a focus of attention <strong>in</strong> the years to come. Inject<strong>in</strong>g migrant<br />

nurses <strong>in</strong>to dysfunctional health systems--ones that are not capable of<br />

attract<strong>in</strong>g and reta<strong>in</strong><strong>in</strong>g staff domestically--will not solve the nurs<strong>in</strong>g<br />

shortage.<br />

This paper describes a l<strong>in</strong>ear programm<strong>in</strong>g hierarchical plann<strong>in</strong>g<br />

model that determ<strong>in</strong>es the optimal number of nurses to tra<strong>in</strong>,<br />

promote to management and recruit over a 20 year plann<strong>in</strong>g horizon<br />

to achieve specified workforce levels. Age dynamics and attrition<br />

rates of the nurs<strong>in</strong>g workforce are key model components. The<br />

model was developed to help policy makers plan a susta<strong>in</strong>able nurs<strong>in</strong>g<br />

workforce for British Columbia, Canada. <strong>An</strong> easy to use <strong>in</strong>terface and<br />

considerable flexibility makes it ideal for scenario and "What-If?"<br />

analyses.<br />

n/a<br />

The current and projected crisis because of a shortage of health<br />

workers <strong>in</strong> low and middle-<strong>in</strong>come countries (LMICs) requires that<br />

effective strategies for expand<strong>in</strong>g the numbers of health workers are<br />

quickly identified <strong>in</strong> order to <strong>in</strong>form action by policymakers,<br />

educators, and health managers. This study’s objective was to assess<br />

the effect of changes <strong>in</strong> the pre-licensure education of health<br />

professionals on health-worker supply. The authors’ conclude that<br />

the evidence to estimate the likely effects of <strong>in</strong>terventions <strong>in</strong> prelicensure<br />

education to <strong>in</strong>crease health-worker supply is generally<br />

<strong>in</strong>sufficient or unavailable, particularly <strong>in</strong> LMICs. Further research<br />

could focus on determ<strong>in</strong><strong>in</strong>g the magnitude of student drop-out rates<br />

<strong>in</strong> health professional tra<strong>in</strong><strong>in</strong>g <strong>in</strong>stitutions, identify<strong>in</strong>g the students at<br />

risk of dropp<strong>in</strong>g out, and determ<strong>in</strong><strong>in</strong>g the applicability of westernbased<br />

<strong>in</strong>novations <strong>in</strong> low and middle-<strong>in</strong>come countries.<br />

Ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g an adequate number of healthcare providers for the<br />

nation's most underserved populations is <strong>in</strong>creas<strong>in</strong>gly difficult. Rural<br />

medical services have issues that often complicate recruitment and<br />

retention of qualified medical professionals. This review of literature<br />

exam<strong>in</strong>es some of the issues unique to rural areas. Consideration of<br />

these issues dur<strong>in</strong>g recruitment strategies may lead to <strong>in</strong>creased<br />

recruitment and retention of healthcare professionals to rural areas.

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