Analyse des trajectoires professionnelles des infirmières durant la crise sanitaire : Pour des stratégies visant à optimiser la rétention des infirmières et la qualité des soins

Context: In Canada as elsewhere, certain groups of individuals have been disproportionately affected by the pandemic. This is the case for nurses, who were highly mobilized due to the essential nature of their services. As direct witnesses to the effects of the pandemic, they have dealt with unprecedented administrative measures aimed at ensuring access to health services and extremely difficult working conditions. Some nurses have left the health network during the pandemic, while others, with potentially different characteristics, have continued their commitment or have returned to the profession. However, what characterizes these different professional trajectories is poorly understood. Objectives: 1) Describe the professional trajectories of nurses during the COVID-19 pandemic and identify their determinants; 2) Explore the adaptation strategies used by nurses in 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 "experience mapping" study will be conducted with a maximum variation sample of nurses who participated in Phase 1 and contrasting the trajectories and determinants identified. The mappings, from focus groups, will explain the results of the survey and 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 nursing staff and the public.