New level of nursing essential as part of healthcare reform

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  • LULY DIZON says:

    Hi Laura all this is a wonderful thing! PSW’s are so grateful to have your support.

  • Jason says:

    Laura thank you for this proposed restructuring. There needs to be an understanding at the institutional level that the roles/tasks of PSWs has expanded greatly over the years. PSWs deserve formal acknowledgement that comes from belonging to a regulatory body that standardizes the educational requirements and standards of practice. And with those requirements I would expect the total compensation to be adjusted higher. Being paid less to care for a human being than to pour a cup of coffee is a disgrace.

  • Erika Rendon says:

    Love this approach. Elevating their roles and this progression will ensure better care practices and retention of the role that is so hands on with individuals of any age.

  • Sally says:

    I agree that lack of standardisation and low wages are a real problem for our system, but it sounds to me like these tasks are really ideal for RPNs. I would suggest that there is a need for employers to recognise the scope of this care and employ RPNs as well as PSWs, rather than muddying the waters with a new role. LTC providers have been cutting costs by requiring PSWs to perform regulated provider tasks, rather than hiring the correct skill mix for their clients.

  • Anika says:

    What an interesting perspective, Laura! It sounds similar to the CNA (Certified Nurse Assistant) designation in the United States, which requires education and examinations. This addition of a new level of nursing sounds like it would allow for more appropriate and safer delegation of nursing tasks, hopefully allowing for more patient-centred care and safer staff-patient ratios. Thanks for sharing!

    • Laura Bulmer says:

      You are right Anika, upgrading the designation would be safer. In Canada, Nursing Assistants already exist (with multiple names) and they are required to take 2 years to complete their studies before going onto examinations (= registration). RNs by comparison 4 years. What I am proposing is yet another tier. I appreciate you taking the time to comment- have a great day. Laura


Laura Bulmer


Laura Bulmer is a full-time professor at a Toronto community college and chair of the Canadian Association of Continuing Care Providers (CACCE). She has received the RNAO Best Practice Award for her work in palliative care and is a recipient of the Crystal Apple Teaching Award. She would love to hear your stories and is always looking for fellow PSW advocates to join her on this journey. You can reach her at vanbulmer@hotmail.com.

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