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The Path to a Stronger Health System Runs Through Nurses: Addressing Burnout and Moral Distress

  • Dr. Rosemary Kohr
  • May 25
  • 2 min read


a nurse experiencing burnout and emotional strain

Nurses are the backbone of Canada's healthcare system, providing essential care across long-term care, community health, tertiary hospitals, and mental health services. However, the increasing prevalence of burnout and moral distress among nurses is threatening the stability and effectiveness of healthcare delivery nationwide.


Understanding the Current Landscape related to Nurse Burnout

Recent data from the Canadian Federation of Nurses Unions (CFNU) reveals that approximately 31% of nurses meet clinical thresholds for burnout, with similar percentages experiencing anxiety and depression.  These mental health challenges are not isolated incidents but are indicative of systemic issues within the healthcare infrastructure.Canadian Federation of Nurses Unions


Additionally, Moral distress arises when nurses are unable to act according to their ethical beliefs due to institutional constraints, leading to feelings of frustration and powerlessness. This phenomenon has been particularly evident during the COVID-19 pandemic, where resource limitations and policy decisions often conflicted with nurses' professional judgment. 


A recent opinion piece in the Canadian Nurse points out that it is paramount to acknowledge the burnout issue and that unaddressed root causes lay within the system and education.

A diagram of how burnout develops and how it manifests

The Implications for Healthcare Delivery

The ramifications of unchecked burnout and moral distress are profound:

  • Patient Safety Risks: Burnout has been linked to increased medical errors, compromising patient care quality.Wikipedia

  • Workforce Attrition: High stress levels contribute to increased turnover rates, exacerbating staffing shortages.

  • Economic Costs: The financial burden associated with training new staff and managing errors is substantial.



Strategies for Mitigation

Addressing these challenges requires a multifaceted approach:

  1. Organizational Support: Healthcare institutions must foster environments where nurses feel valued and heard. Implementing regular mental health check-ins and providing access to counseling services can make a significant difference.

  2. Policy Reforms: Advocating for policies that ensure adequate staffing ratios and reasonable working hours can alleviate undue stress on nurses.

  3. Educational Initiatives: Training programs focusing on resilience and coping mechanisms can equip nurses with tools to manage stress effectively.

  4. Open Communication Channels: Encouraging transparent dialogues between management and nursing staff can help identify issues early and foster collaborative problem-solving.


Moving Forward

The well-being of nurses is intrinsically linked to the overall health of the Canadian healthcare system. By proactively addressing burnout and moral distress, we not only support our nurses but also ensure the delivery of safe, high-quality care to patients across the country.



If you're a nurse manager or frontline nurse experiencing these challenges, know that you're not alone. Reach out to professional organizations, support groups, or mental health professionals to seek assistance. Your health and well-being are paramount.


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