Battle over language in Winnipeg's St. Boniface General Hospital

A language battle is brewing at one of Winnipeg's leading medical institutions.

Since October 14th, nursing jobs posted for the Woman and Child program at St. Boniface General Hospital list the ability to speak French as one of the qualifications.

That has some nurses worried the ability to speak French is taking priority over skill and experience, possibly putting patient care at risk.

"They've started hiring people into positions and taking French language qualifications over top of nursing experience," said nurse Tamara Burnham, a 14-year nursing veteran who works in the St. Boniface program that includes obstetrics and gynecology.

"With all the things going on in health care, to focus in on that doesn't make sense."

Manitoba Nurses Union Local 5 says it's gone to court to fight the French language requirement because it violates their collective agreement and common sense.

The nurses union went to court October 23rd after the Labour Board refused to hear the matter.
Their suit said the Labour Board erred when it refused to hear their complaint that the hospital committed an unfair labour practice by changing the conditions of employment and refusing to negotiate.

The hospital has a hard time filling all of its nursing shifts, never mind requiring that they're filled by French-speaking staff, said Burnham.

Burnham said she has never seen a francophone patient's treatment hampered because of a language barrier.
Most Franco-Manitobans can also speak English, she said.

"A very real problem, however, exists with the growing number of immigrants who speak neither official language," she said.

"If the hospital wanted to address a real language barrier, it would hire interpreters who speak languages like Urdu, Hindi and Mandarin," she said.
The hospital has volunteer interpreters who speak 60 languages but they're not always available when you need them, she said.

Burnham said she has seen women in labour unable to get pain medication because of a language barrier.

"You can't get informed consent because you don't know if they understand," said Burnham. "If it's a delivery, you can't stop a baby from coming," she said.

"Too bad they couldn't spend this much time and energy to have interpreters on call."

Union local president Debbie Mintz said the hospital hasn't done a demographic study of the patient population since the early 1990s, and doesn't know how the client population in Winnipeg has changed.

The hospital says it has to expand services in French.

"St. Boniface General Hospital has a government-conferred responsibility to actively offer and provide services in French to its patients, their families and the public," hospital spokeswoman Helene Vrignon wrote in a statement.

"To meet our legislated responsibility, a small number of staff in direct patient care positions must be bilingual French and English.
In fact, health services in the language of your choice is a basic component of quality of care."

Children's Hospital in London, Ont., to recruit 4 new heart doctors

An all-out effort will be made in 2008 to recruit at least three new children’s heart doctors to London, the head of the city’s hospitals said.

“It is very, very important to me to sustain Children’s Hospital and therefore we are going to devote a lot of time and energy to try and make this happen,” said Cliff Nordal, president of both London Health Sciences Centre and St. Joseph’s Health Care.

Both of London’s children’s heart doctors, Dr. Dion Pepelassis and Dr. Ilan Buffo, have resigned to accept positions at Winnipeg Children’s Hospital at the end of June.

"London needs a minimum of three of the specialists to provide a sustainable service and will try to hire four by the end of 2008, " Nordal said.

“We will be looking as well at international medical graduates that are in training in Canada.”

Nordal called the loss of the two children’s heart specialists “a blip” in an otherwise successful drive to recruit health care professionals to London.

Faced with the closure of hospital beds because of a lack of nurses, London Health Sciences Centre set a target last February to hire 450 new nurses.
To date, the hospital has recruited about 340, allowing it to reopen all of the closed beds.

“We expect by the end of March we will reach our target,” Nordal said.

The closed beds contributed to extended waits for patients in the city’s emergency departments and led to the cancellation of some surgeries.

"Not all the problems will be solved with the beds reopened," Nordal said.

The hospital still has difficulties providing enough beds for acute care because 40 to 70 beds are occupied by people waiting for placement in long-term care facilities or back into the community.

The Ontario government announced it will expand the number of long-term care beds in the London area by 600, but those beds won’t be available until late 2010.

St. Joseph’s Health Care has proposed to the Health Ministry that it opens 50 beds at the Parkwood Hospital site, at least on a temporary basis, to reduce the pressure.

“That has not been approved yet, but we are hopeful that that will be considered as at least an interim step,” Nordal said.

Another challenge that will persist in the face of rising cancer rates is the wait times for cancer scans and therapies.
In the past year, the number of people receiving cancer therapy treatments at LHSC grew by 15 percent.

“It is just a burgeoning amount of care required. It spills over into surgery, it spills over into imaging and as a result those are the areas we are having our greatest wait list challenges.”

“Those will be areas we will try to tackle in the coming year, trying to get down to the provincial average where possible,” Nordal said.

Source: The London Free Press

Related article:

Two children's heart doctors for Winnipeg Regional

Two children's heart doctors for Winnipeg Regional

The Winnipeg Regional Health Authority has successfully recruited two children's heart doctors from London, Ont.

WRHA spokeswoman Heidi Graham confirmed doctors Dion Pepelassis and Ilan Buffo of the Children's Hospital of Western Ontario were "aggressively recruited" to come work at Winnipeg's Children's Hospital, which has only one pediatric cardiologist for a population of 1.2 million.

The London doctors will leave their positions in Ontario at the end of June. The two are then expected to start in Winnipeg next summer, said Graham.

The move has left the Southwestern Ontario region with no such specialists for 450,000 kids.

"As every other jurisdiction does when there's a shortage, we recruit," said Graham.

"Manitoba has been short two cardiac specialists since this past summer," she said. The WRHA has been searching for specialists across Canada and the U.S. for months.

The two heart doctors weren't talking yesterday, but the London Health Sciences Centre's senior medical director for women and children said he believes they were offered "a very attractive overall package" in Winnipeg.

Winnipeg Sun

Nurses in Manitoba moving south to improve skills

A group of nurses in Manitoba is heading south of the border next month to upgrade their skills — something they say they'd have to wait years to do here at home.

The 15 licensed practical nurses are taking courses through Northland College in Minnesota to become registered nurses.

Frances Fleming Lavallee, an LPN for 20 years in Manitoba, said that it could take five to eight years to get into a similar upgrade program at Red River College in Winnipeg.

"It's sad, because Minnesota's saying, 'Yeah, we value what you've done and we value what your experience is, and we want you to come down here,' and that's not what I feel in Manitoba at all," she said.

Another LPN, Anita Peters agreed, wondering why Manitoba isn't making it easier for nurses to upgrade.

"With the nursing crisis … you would think that they would either put more classes, more instruction and open more schools of nursing to accommodate the numbers that are banging on their doors to be educated," she said.

"Our population is growing. They're going to need more nurses. Our growing elderly, our geriatric population is exploding. We need to have nurses in place to look after these folks."

Group members said they have already spent hundreds of dollars on tests and visas in anticipation of online and on-site classes at the school next year. The eight-month program, which involves about two days per week on the Thief River Falls campus, will cost each about $10,000.

Before they will be allowed to practice as RNs in Manitoba, the nurses will have to apply as international students and take an exam, Peters said.

Despite the obstacles, more nurses will head south to further their educations if Manitoba doesn't address the shortage of space in nursing programs, warned Maureen Hancharyk, president of the Manitoba Nurses Union.

"If something isn't done soon, it'll be, you know, before long hundreds and not just a dozen," she said.

Part of the concern is that those students may opt to remain in the U.S. after they've completed the course.

Christopher Twiss said he hopes to continue working in Manitoba when the course is done, "but if I'm sitting there in Minnesota or wherever, and they're sitting there with $15,000 signing bonus offers and all these things — well, I'm going to think about it."

Hancharyk said she has raised this issue with the health minister, but has not yet heard anything back.

CBC News

Editor:

"Isn't this totally the opposite of what the Provincial Government is trying to accomplish according to the Manitoba's Nursing Strategy?"