Why would Alberta allow for attrition of #abhealth nurses rather than just lay them off?
Well, #AbLeg. Let me introduce to you former Premier Mike Harris, mid-1990's Ontario and the economic costs of hospital restructuring.
Shortly after assuming office in 1995, `Mike the Knife` moved swiftly to close several hospitals, lay off hundreds of nurses and dramatically reduce health care costs.
In response to public antipathy, Mike said:
"Just as Hula-Hoops went out & those workers had to have a factory...that would manufacture something else... governments have put off these decisions for so many years that restructuring sometimes is painful."
-@globeandmail (1997)
Yes. Mike compared hospital nurses to workers in hula-hoop factories.
His 'Common Sense Revolution' established Ontario's first Health Services Restructuring Commission to immediately cut health-care spending.
It is estimated that nearly $2 billion was spent by the Commission just to close Ontario hospitals and fire hospital workers at the time.
Around this time, @picardonhealth also published a highly-influential book called "Critical Care" which was a rallying call for Canada to rapidly invest in it's nursing workforce.
Why would #abhealth nurses quit a well-paying job?
Well, #AbLeg... let me briefly explain the link between nurse-sensitive outcomes, moral distress and burnout (with links to health sciences literature)...
Despite what @Alberta_UCP thinks, adequately staffed nursing units unequivocally prevent death.
One @TheLancet study found:
"An increase in a nurses' workload by 1 patient increased the likelihood of an inpatient dying within 30 days of admission by 7%"
This same study also found a moderating effect from highly-educated nurses on the units. That is, for every 10% increase in bachelor's degree prepared nurses the likelihood of mortality dropped by 7%.