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Put more nurses in primary care, says president of Canadian Nurses Association

Judy Shamian, president of the Canadian Nurses Association, met with health-care providers in Charlottetown on Tuesday. Part of her stop involved checking out this new building at UPEI, which will house the School of Nursing and Department of Applied Human Sciences. The building is scheduled to open early next year. Guardian photo

Judy Shamian, president of the Canadian Nurses Association, met with health-care providers in Charlottetown on Tuesday. Part of her stop involved checking out this new building at UPEI, which will house the School of Nursing and Department of Applied...

Published on November 29, 2011
Published on November 29, 2011
Dave Stewart  RSS Feed
Topics :
CNA , School of Nursing and Applied Human Sciences , Prince Edward Island , Charlottetown

There needs to be more nurses on the front lines of health care on Prince Edward Island, says the president of the Canadian Nurses Association (CNA).

Judy Shamian and the CNA were in Charlottetown on Tuesday, part of a cross-country tour to engage nurses, other health-care providers, government decision-makers and the media.

The big issue is the state of health care in the country and the CNA has some ideas on how to address major concerns such as doctor shortages.

“Absolutely,’’ Shamian said in an interview with The Guardian. “There are two ways to solve it. The first one is to accelerate the implementation of nurse practitioners.’’

She said nurses can cover the same workload the physicians do - managing anywhere from 600 to 1,200 patients each - and handle the care of those their clients.

The CNA president said nurses would still collaborate with doctors when the need is there but nurses are more than capable of managing their own workload.

The association is also big on teamwork, especially when it comes to people who suffer from chronic diseases.

“Every 67 cents of every dollar that is spent on health care goes to manage chronic illness,’’ Shamian said. “If we have teams then, for example, a diabetic patient doesn’t need to see the physician all the time. They can see the dietician, they can see a registered nurse, they can see the nurse practitioner, they can see the social worker.’’

The intent is to minimize the impact on and the use of physicians.

The one message Shamian says she’s hearing right across the country is the need for a stronger primary health-care system - giving everyone access to that primary care.

“And we are hearing that it’s an issue on the Island, too. We hear that some of the emergency rooms and urgent care (facilities) are shutting down because there are no physicians. Well, nurse practitioners are regulated and can work in any province and territory and (they) are terrific solutions.’’

Shamian also seemed impressed with the new building currently under construction at UPEI, which will house the School of Nursing and Applied Human Sciences. It’s scheduled to open early in 2012.

Donna Murnaghan, acting dean of nursing, said the new building will play a significant role in Island health care.

“This new facility will be an important platform where UPEI students, faculty and researchers will be able to contribute to health care and wellness on the Island and beyond,’’ Murnaghan said.

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Comments

  • Username
    WereisCoull
    - November 30, 2011 at 16:06:55

    This is the exact system that Dr.Coull had and Health PEI rejected it. Doctors did not want invest in the growing of their staff and infrastructure so the consenus was to discontinue his funding. He isn't even off the Island a month... Where was all the support from Nurse Practicioners while they were drumming him off the Island and out of the Country? Disgusting!

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    • Username
      no way
      - November 30, 2011 at 16:29:21

      Gove nurses more responsibility and they may want more money.

    • Username
      Not Here
      - December 1, 2011 at 10:25:33

      Dr. Coull was running a walk-in clinic under the banner of Family Physician practice. Very different approach. The proposed model doesn't suggest Nurses to do Doctor's work. It suggests Doctors to stop doing Nurses work.

    • Username
      no way
      - December 1, 2011 at 15:02:42

      Either way, it is taking work away from doctors and gioving it to nurses. More work for nurses, hence they will ask for more money.

  • Username
    justmeaguy
    - November 30, 2011 at 16:06:13

    I honestly get a huge laugh out of health care providers and their egos, especially RNs or BNs or whatever they call themselves these days. Change their model of care by adding more LPNs and it's a travesty and the LPNs aren't educated and can't handle the new model of care. Turn the tables and RNs feel they are just as good as Doctors. I love to laugh at double standards.

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  • Username
    neil
    - November 30, 2011 at 15:29:36

    Please tell me this isn't news to our politicians. Almost every province in Canada has been moving towards this for the past 10 years. Politicians either need to be more educated on what is going on in the world, or get their head out their arses. Nurses can easily do 75% of what a doctor can do and it is time we started allowing them to. Pay the nurses a little more, keep paying Doctors the same....I don't care, just provide efficient health care services.

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    • Username
      whereiscoull
      - December 1, 2011 at 00:19:59

      Apparently it is because they had it up and running and they shut it down.

  • Username
    Paul
    - November 30, 2011 at 15:25:03

    I don’t know if this issue has been discussed in the past but if it has, who ever would lay it aside? Looking beyond, I have first hand experience with many nurses over the years and without a nurse, it would have been impossible. So why not give nurses broader clinical authority? (I think I just invented that phrase) I would be glad to see a nurse practioner They would also speed up diagnosis and treatment in all units. Of course a doctor would be involved but his work load would decrease as well. Nurses are ready for the front lines. They’re involved with it daily now anyway

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    • Username
      heas Shaker
      - November 30, 2011 at 16:29:55

      They tried that, but doctors refused to work with them and doctors are gods on PEI.

  • Username
    Resident
    - November 30, 2011 at 09:47:23

    Every province but PEI has 24/7 Nurse hotline with 1-800 number. It can handle anywhere from 20-50% of emergency and walk-in clinic traffic. If we have no capacity to introduce this service on PEI, then outsource it to New Brunswick!!! Doug, give Us one reason WHY saving tens of millions of dollars of healthcare cost annually, and improving health services is NOT an option?

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  • Username
    Nurse's Help
    - November 30, 2011 at 09:30:05

    I would like to hear if other people are similar to myself. My doctor is great, but 8 out of 10 times a nurse is all I need. I would have no problem going to a nurse first and then being referred to my doctor if necessary. The most important thing is to have a close professional relationship with a person who understands my health situation. I believe that if people understood how much training a nurse gets, we'd be more confident of their skill set. I also wonder if nurses should be paid according to their actual duties, not just their certification levels? Bottom line: Thank you nurses - your work is very much appreciated.

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