Health-care workers call for government help as burnout worsens and staff shortages increase

Health-care workers and health sector organizations say the high rate of burnout and staff shortages in hospitals across the countryhas become "endemic" and they're calling on the federal government to sit down with provinces and territories to findsolutions.

The number of job vacancies among health-care practitioners mostly in hospitals increasedalmost 92 per cent in theSeptember to December 2021 period compared to the sameperiod pre-pandemic in 2019, Statistics Canada data show.

Paul-mile Cloutier isCEO of HealthCareCAN, an organization that represents health organizations and hospitals. He saidthe situation is getting worse and leading to longer wait times and surgerydelays.

'The system is bleeding people at all levels and it's not just the [intensive care unit] or the emergency, it's across the board," said Cloutier. "It's like sleepwalking into a catastrophe."

Cloutier said there are 13 different health-care systems in provinces and territories across the country and nocentral body collecting and analyzing data. His organization wants to see a new nationwidebody that can deal with capacity issuesand address the problem of vacancies caused by burnout.

Dr. Katharine Smart, president of the Canadian Medical Association, told CBC Power & Politics guest host David Cochraneon Friday that she met recently with Health Minister Jean-Yves Duclos to discuss the issues facing Canada's health-care system.

"I think what we need is federal leadership to really recognize these challenges that we're seeing across the health-care system aren't unique to one province or territory," she said. "We need that leadership to really define what are the key elements where we need action, and we need the funding to go solve some of those problems."

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Duclos announced in March that the federal government would give $2 billion to the provinces and territories to help clear the health-care backlog created by the years-long pandemic crisis.

Health Canada spokesperson Anne Gnier said the government is taking other steps to reduce health systembacklogs and address workforce burnout.

In a statement issued to CBC News, she pointed to a $140-million commitment in the federal budget to support the Wellness Together Canada online portal. The portalprovides free and confidential mental health and substance abuse tools and services to frontline workers and makeslegislative changes meantto keep workplaces free from threats, violence and harassment.

"A safe working environment is critical to support the retention of health-care workers," Gnier said in the statement.

Gnier noted that the budget also provides $115 million over five years, and $30 million each year thereafter, to expand a program that recognizes foreign health-carecredentials and enables health-care professionals from abroad to work in Canada. Millions of dollars more were earmarked to address the supply and retention of health-care workers in rural and remote Canadian communities, she said.

But Cloutier and Smart both said Ottawa must do more.

"There needs to be a first ministers' meeting on health in partnership with some of the health partners," Cloutier said. "I think that could be really helpful because I think the provinces understand that there's also a big issue provincially."

Ontario emergency room physician Dr. Kari Sampsel handed in her resignation in December 2021 after 15 years on the job. She saidshe fearedher workplace was no longer safe for herself or her patients.

Sampselsaid she had to treat patients in their vehicles in the hospital's parking lot andhallways because the ER was overflowing and there were no beds available.

''We do it all because it's the right thing to do," said Sampsel, who added she didn't want to name her former hospital out of a concern about backlash. "This is what we are trained to do."

Sampsel said that when the work climatestarted taking a toll on her mental health, she felt she had to step away.

"I no longer do a job I love because it was basically killing me," she said.

Sampsel said these problems were present well before COVID's arrival, although the pandemic helped to make them worse.

"COVID put pressure on other parts of the system, so now everyone feels like the [emergency]department," she says.

She said her former department is now down a dozen full-time doctors andmost of her colleagues arecomplaining of burnout.

"People are leaving for self-preservation. It's not the work that's the problem. It's the circumstances," she said.

The breaking point

HealthCareCAN is now asking the federal government for more funding to improve workplace environments andwork-life balance, and for additional mental health services for staff.

"'I think now what they need to do is to sit down with the provinces and have a really frank discussion about how to go forward on the issue of health human resources," Cloutier said.

Danielle Chaput, an intensive care unit nurse in Ontario for 12 years, said she was diagnosed during the pandemic with compassion fatigue, clinical burnout and generalized anxiety disorder.

"As long as I have been a nurse, we have been short-staffed," she said.

Chaput estimates that at one point, the patient-to-nurse ratio in the hospital was 8:1. She said her breaking point came when she realized she could no longer provide the care she felt her patients deserved because of circumstances beyond her control.

"I've never seen it this bad in terms of how many people are leaving," she said.

Chaput said she's taking fewer shifts at the hospital to work on her mental health. "It's very hard to think about because nursing is all I've ever wanted to do," she said.

"I grieve for the loss of a profession I once knew, and I'm working on separating my identity from my job."

Chaputsaid she's started a businessto support health-care workers and othersexperiencing workplaceburnout and anxiety.