An Examination of Self-Employed Nursing Regulation in Three Canadian Provinces

Policy Polit Nurs Pract. 2023 Nov;24(4):265-277. doi: 10.1177/15271544231175472. Epub 2023 May 29.

Abstract

The COVID-19 pandemic and its related stresses such as short-staffing, heavy workloads, and burnout are prompting nurses to re-consider institutional employment, bringing a renewed interest in self-employed nursing and its regulation. There is limited research on the regulation of self-employed nursing roles, and published work focuses on nurses' experiences rather than on regulatory practices themselves. This qualitative case study research aimed to examine the regulation of self-employed nurses by comparing the regulatory policies and processes of nursing regulatory bodies in Ontario, Alberta, and Saskatchewan. The findings demonstrated wide variation in the regulation of self-employed nurses across these jurisdictions. The article includes recommendations to clarify and harmonize the processes used to regulate self-employed nurses.

Keywords: Canada; case study; employment; nurse's role; nurses; regulation.

MeSH terms

  • COVID-19*
  • Employment
  • Humans
  • Nurse's Role
  • Ontario
  • Pandemics*