British Columbia has established minimum nurse-to-patient ratios for a range of different hospital settings and is investing $237 million to ensure they are met. B.C. Premier David Eby pauses while speaking during an announcement about funding coverage of application and assessment fees for internationally trained nurses, at Langara College in Vancouver, B.C., Monday, Jan. 9, 2023. THE CANADIAN PRESS/Darryl Dyck


March 02, 2024

VANCOUVER - British Columbia has introduced minimum nurse-to-patient ratios across various hospital settings, committing $237 million to ensure compliance with these standards.

These ratios mandate one nurse for every four patients in adult medical and surgical units, operating 24/7, a first-of-its-kind initiative in Canada and globally. Provincial Health Minister Adrian Dix highlights the collaboration with the BC Nurses' Union in establishing six ratios, encompassing one nurse for every two patients in high-acuity units and a one-to-one ratio in adult and child intensive care units.

Additional ratios will be announced in June, with immediate efforts to implement the current ones using the allocated funding. The $237 million will support nurse recruitment, retention, and rehiring efforts, especially in rural areas and to address urban nursing vacancies.

Furthermore, around $68 million will fund the training and licensing of internationally trained nurses. Dix emphasizes that such ratios enhance care quality and alleviate burnout among nurses dealing with escalating workloads.

Palliative units will maintain a one-to-three nurse-to-patient ratio, while rehabilitation units will observe a one-to-five ratio during daytime and evening shifts and a one-to-seven ratio during night shifts.

Acknowledging B.C.'s leading role in nurse recruitment, Dix stresses the need for continuous improvement amidst rising demand due to population growth and health crises.

BC Nurses' Union president Adriane Gear lauds the ratios as historic, marking a significant shift in patient care delivery. However, Meena Brisard from the Hospital Employees' Union urges extending rural incentives and staffing models across the healthcare system to ensure equitable access to high-quality care statewide.

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