Charting the OT overload driving many nurses from the job

After months without a break, Linda Boutillier, an emergency room nurse in Dartmouth, N.S., took a much-needed vacation earlier this summer. 

But she received a call nearly every day to come back to help out. Soon after returning, she worked an 19-hour shift.

Boutillier had been on the schedule for 13 hours, but given the lack of staff, stayed on for another six.

"I feel guilty when I can't do it — because I know my team and I know the burden the patients are suffering," she said.

"I love my coworkers and I also care about my community. So when I can't be here, it makes me feel like I'm letting the system down and I'm letting my colleagues down."

Nova Scotia, in particular, saw one of the biggest increases in the proportion of nurses who did overtime during the pandemic, according to data from Statistics Canada compiled by CBC News.

As emergency rooms in some parts of Canada reduce their hours due to staffing shortages, and analysts warn the system is buckling under the strain, representatives for nurses say the signs of trouble were evident prior to the pandemic.

Linda Silas, president of the Canadian Federation of Nurses (CFN), said the reliance on overtime to fill staff shortages has had a detrimental effect on the profession. 

She said the lack of work/life balance drives many from full-time positions.

"It's a vicious circle, but we have to stop it," she said. "We've been talking about the working condition, the poor working conditions of nurses for 10, 15 years."

Along with Nova Scotia, the amount of overtime required has been especially high in New Brunswick, Saskatchewan and British Columbia, the data shows, when compared to the national average.

September 2021 appears to have been an especially challenging month for Nova Scotia's health system, with 47 per cent of its nurses working extra hours that month, marking the highest reliance on OT of any province in any month throughout the pandemic.

Further data indicates those nurses who do work overtime are clocking more hours. In July, the average nurse doing overtime worked nine extra hours, the highest that figure has been since the first months of the pandemic.

A shortage of staff has resulted in closures of emergency rooms in parts of the country, including Ontario and Quebec.