Analysis of the professional trajectories of nurses during the health crisis: For strategies aimed at optimizing the retention of nurses and the quality of care

Google translate:Context: In Canada as elsewhere, certain groups of individuals have been disproportionately affected by the pandemic. This is the case of nurses, strongly mobilized because of the essential nature of their services. Direct witnesses of the effects of the pandemic, they have come to terms with unprecedented administrative measures aimed at ensuring accessibility to health services and extremely difficult working conditions. Nurses left the healthcare system during the pandemic, while others, with potentially different characteristics, continued their commitment or returned to the profession. However, what characterizes these different professional trajectories is not well known. Objectives: 1) Describe the professional trajectories of nurses during the COVID-19 pandemic and identify the determinants; 2) Explore the coping strategies used by nurses on these trajectories, and those they would like to see implemented. Methods: An explanatory sequential mixed study is proposed. Phase 1: a provincial survey will be conducted with a representative sample of nurses mobilized during the pandemic. This survey will identify and describe the professional trajectories of these nurses and their determinants. Phase 2: a qualitative study of the "experience mapping" type will be carried out with a sample with maximum variations of nurses who participated in Phase 1 and contrasting in terms of the trajectories and determinants identified. The mappings, produced by focus groups, will make it possible to explain the results of the survey and to determine adaptation strategies. An integrated knowledge transfer approach supports both phases of the study. Contributions: This project aims to create strategies by and for nurses to address the long-term impacts of COVID-19 on nurses and the public.]