Volume 36, Issue 4 p. 352-357

Work-Related Disability in Canadian Nurses

Linda O'Brien-Pallas

Linda O'Brien-Pallas

Linda O'Brien-Pallas , RN, PhD, Lambda Pi , CHSRF/CIHR Chair Nursing Health Human Resources, Professor and Co-Director Nursing Effectiveness, Utilization and Outcomes Research Unit (NRU), University of Toronto, Toronto, Canada; Judith Shamian , RN, PhD, Lambda Pi , Executive Director, Office of Nursing Policy, Health Canada, Ottawa, Canada; Donna Thomson , RN, MBA, Vice President of Patient Service St. Peter's Hospital, Hamilton, Canada; Christine Alksnis , PhD, Assistant Professor, University of Waterloo, Waterloo, Canada; Mieke Koehoorn , PhD, Associate Scientist, Institute for Work and Health, Toronto, Canada; Michael Kerr , PhD, Scientist, Institute for Work and Health, Toronto, Canada; Shirliana Bruce , MA, former Research Officer, NRU, University of Toronto, Toronto, Canada. This research was supported by funding from the Workplace Safety and Insurance Board of Ontario, Toronto, Ontario, Canada (grant 4887). The views in this paper are those of the authors and might not reflect those of the funding agency. Correspondence to Dr. O'Brien-Pallas, Faculty of Nursing, University of Toronto, 50 St. George St., Toronto, Ontario, Canada M5S 3H4. E-mail: [email protected]

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Judith Shamian

Judith Shamian

Linda O'Brien-Pallas , RN, PhD, Lambda Pi , CHSRF/CIHR Chair Nursing Health Human Resources, Professor and Co-Director Nursing Effectiveness, Utilization and Outcomes Research Unit (NRU), University of Toronto, Toronto, Canada; Judith Shamian , RN, PhD, Lambda Pi , Executive Director, Office of Nursing Policy, Health Canada, Ottawa, Canada; Donna Thomson , RN, MBA, Vice President of Patient Service St. Peter's Hospital, Hamilton, Canada; Christine Alksnis , PhD, Assistant Professor, University of Waterloo, Waterloo, Canada; Mieke Koehoorn , PhD, Associate Scientist, Institute for Work and Health, Toronto, Canada; Michael Kerr , PhD, Scientist, Institute for Work and Health, Toronto, Canada; Shirliana Bruce , MA, former Research Officer, NRU, University of Toronto, Toronto, Canada. This research was supported by funding from the Workplace Safety and Insurance Board of Ontario, Toronto, Ontario, Canada (grant 4887). The views in this paper are those of the authors and might not reflect those of the funding agency. Correspondence to Dr. O'Brien-Pallas, Faculty of Nursing, University of Toronto, 50 St. George St., Toronto, Ontario, Canada M5S 3H4. E-mail: [email protected]

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Donna Thomson

Donna Thomson

Linda O'Brien-Pallas , RN, PhD, Lambda Pi , CHSRF/CIHR Chair Nursing Health Human Resources, Professor and Co-Director Nursing Effectiveness, Utilization and Outcomes Research Unit (NRU), University of Toronto, Toronto, Canada; Judith Shamian , RN, PhD, Lambda Pi , Executive Director, Office of Nursing Policy, Health Canada, Ottawa, Canada; Donna Thomson , RN, MBA, Vice President of Patient Service St. Peter's Hospital, Hamilton, Canada; Christine Alksnis , PhD, Assistant Professor, University of Waterloo, Waterloo, Canada; Mieke Koehoorn , PhD, Associate Scientist, Institute for Work and Health, Toronto, Canada; Michael Kerr , PhD, Scientist, Institute for Work and Health, Toronto, Canada; Shirliana Bruce , MA, former Research Officer, NRU, University of Toronto, Toronto, Canada. This research was supported by funding from the Workplace Safety and Insurance Board of Ontario, Toronto, Ontario, Canada (grant 4887). The views in this paper are those of the authors and might not reflect those of the funding agency. Correspondence to Dr. O'Brien-Pallas, Faculty of Nursing, University of Toronto, 50 St. George St., Toronto, Ontario, Canada M5S 3H4. E-mail: [email protected]

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Christine Alksnis

Christine Alksnis

Linda O'Brien-Pallas , RN, PhD, Lambda Pi , CHSRF/CIHR Chair Nursing Health Human Resources, Professor and Co-Director Nursing Effectiveness, Utilization and Outcomes Research Unit (NRU), University of Toronto, Toronto, Canada; Judith Shamian , RN, PhD, Lambda Pi , Executive Director, Office of Nursing Policy, Health Canada, Ottawa, Canada; Donna Thomson , RN, MBA, Vice President of Patient Service St. Peter's Hospital, Hamilton, Canada; Christine Alksnis , PhD, Assistant Professor, University of Waterloo, Waterloo, Canada; Mieke Koehoorn , PhD, Associate Scientist, Institute for Work and Health, Toronto, Canada; Michael Kerr , PhD, Scientist, Institute for Work and Health, Toronto, Canada; Shirliana Bruce , MA, former Research Officer, NRU, University of Toronto, Toronto, Canada. This research was supported by funding from the Workplace Safety and Insurance Board of Ontario, Toronto, Ontario, Canada (grant 4887). The views in this paper are those of the authors and might not reflect those of the funding agency. Correspondence to Dr. O'Brien-Pallas, Faculty of Nursing, University of Toronto, 50 St. George St., Toronto, Ontario, Canada M5S 3H4. E-mail: [email protected]

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Mieke Koehoorn

Mieke Koehoorn

Linda O'Brien-Pallas , RN, PhD, Lambda Pi , CHSRF/CIHR Chair Nursing Health Human Resources, Professor and Co-Director Nursing Effectiveness, Utilization and Outcomes Research Unit (NRU), University of Toronto, Toronto, Canada; Judith Shamian , RN, PhD, Lambda Pi , Executive Director, Office of Nursing Policy, Health Canada, Ottawa, Canada; Donna Thomson , RN, MBA, Vice President of Patient Service St. Peter's Hospital, Hamilton, Canada; Christine Alksnis , PhD, Assistant Professor, University of Waterloo, Waterloo, Canada; Mieke Koehoorn , PhD, Associate Scientist, Institute for Work and Health, Toronto, Canada; Michael Kerr , PhD, Scientist, Institute for Work and Health, Toronto, Canada; Shirliana Bruce , MA, former Research Officer, NRU, University of Toronto, Toronto, Canada. This research was supported by funding from the Workplace Safety and Insurance Board of Ontario, Toronto, Ontario, Canada (grant 4887). The views in this paper are those of the authors and might not reflect those of the funding agency. Correspondence to Dr. O'Brien-Pallas, Faculty of Nursing, University of Toronto, 50 St. George St., Toronto, Ontario, Canada M5S 3H4. E-mail: [email protected]

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Michael Kerr

Michael Kerr

Linda O'Brien-Pallas , RN, PhD, Lambda Pi , CHSRF/CIHR Chair Nursing Health Human Resources, Professor and Co-Director Nursing Effectiveness, Utilization and Outcomes Research Unit (NRU), University of Toronto, Toronto, Canada; Judith Shamian , RN, PhD, Lambda Pi , Executive Director, Office of Nursing Policy, Health Canada, Ottawa, Canada; Donna Thomson , RN, MBA, Vice President of Patient Service St. Peter's Hospital, Hamilton, Canada; Christine Alksnis , PhD, Assistant Professor, University of Waterloo, Waterloo, Canada; Mieke Koehoorn , PhD, Associate Scientist, Institute for Work and Health, Toronto, Canada; Michael Kerr , PhD, Scientist, Institute for Work and Health, Toronto, Canada; Shirliana Bruce , MA, former Research Officer, NRU, University of Toronto, Toronto, Canada. This research was supported by funding from the Workplace Safety and Insurance Board of Ontario, Toronto, Ontario, Canada (grant 4887). The views in this paper are those of the authors and might not reflect those of the funding agency. Correspondence to Dr. O'Brien-Pallas, Faculty of Nursing, University of Toronto, 50 St. George St., Toronto, Ontario, Canada M5S 3H4. E-mail: [email protected]

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Shirliana Bruce

Shirliana Bruce

Linda O'Brien-Pallas , RN, PhD, Lambda Pi , CHSRF/CIHR Chair Nursing Health Human Resources, Professor and Co-Director Nursing Effectiveness, Utilization and Outcomes Research Unit (NRU), University of Toronto, Toronto, Canada; Judith Shamian , RN, PhD, Lambda Pi , Executive Director, Office of Nursing Policy, Health Canada, Ottawa, Canada; Donna Thomson , RN, MBA, Vice President of Patient Service St. Peter's Hospital, Hamilton, Canada; Christine Alksnis , PhD, Assistant Professor, University of Waterloo, Waterloo, Canada; Mieke Koehoorn , PhD, Associate Scientist, Institute for Work and Health, Toronto, Canada; Michael Kerr , PhD, Scientist, Institute for Work and Health, Toronto, Canada; Shirliana Bruce , MA, former Research Officer, NRU, University of Toronto, Toronto, Canada. This research was supported by funding from the Workplace Safety and Insurance Board of Ontario, Toronto, Ontario, Canada (grant 4887). The views in this paper are those of the authors and might not reflect those of the funding agency. Correspondence to Dr. O'Brien-Pallas, Faculty of Nursing, University of Toronto, 50 St. George St., Toronto, Ontario, Canada M5S 3H4. E-mail: [email protected]

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First published: 03 December 2004
Citations: 37

Abstract

Purpose : To determine factors contributing to high registered nurse (RN) injury claim rates in Canadian hospitals.

Design : Cross-sectional study of secondary 1998-99 data for RNs (N = 8,044) in Ontario, Canada, linked at the hospital level (n = 127).

Methods : Descriptive statistics, correlations, and logistic regression analyses were conducted.

Results : The odds of a high RN lost-time claim rate increased by 70% for each quartile increase in the percentage of RNs reporting more than 1 hour of overtime per week. The odds of a high RN musculoskeletal lost-time claim rate decreased by 64% for every one unit increase in the hospital-level score on the nurse-physician relationship subscale.

Conclusions : To retain and optimize scarce hospital nursing resources, strategies to address overtime, sick time, and nurse-physician relationships might provide fiscal and human benefits.