Safety, quality & education

A national survey of factors leading to health care worker turnover in Canadian intensive care units

Can J AnaesthPublished Cross-sectional study

Authors' conclusion

Intent to leave and workplace dissatisfaction remained high among ICU staff following the COVID-19 pandemic.

Study context

Population
Canadian intensive care unit (ICU) health care workers (nurses, respiratory therapists, physicians, social workers), surveyed August–December 2023
Participants
490 respondents
Outcome
Factors leading ICU health care workers to leave or consider leaving their ICU positions since the onset of the COVID-19 pandemic
Methodological detailsnational electronic survey, validated measures of well-being, workplace satisfaction and moral distress
  • National electronic survey
  • Validated measures of well-being, workplace satisfaction and moral distress

Main finding

As reported in the abstract

Turnover, intent to leave and contributing factors
Had left an ICU position since 2020
51%
Still employed: thought about leaving at least monthly
72%
Still employed: thought about leaving daily
19%
COVID-19 pandemic contributed to decision or desire to leave
58%
Factor: excessive workload
69%
Factor: inadequate staffing
68%
Factor: inadequate work-life balance
64%
Factor: decreased professional efficacy
51%
Factor: dissatisfaction with organizational leadership
60%
Factor: dissatisfaction with organizational culture
53%

Observational data: associations, not effects.

Further findings

Interventions deemed most important to improve retention

Unit-based
54%
Organization-based
20%

Workplace satisfaction and well-being, intent to leave vs already left

Similarly poor in staff with intent to leave and staff who had already left

Original publication

A national survey of factors leading to health care worker turnover in Canadian intensive care units. Can J Anaesth. Published 7 May 2026. doi:10.1007/s12630-026-03112-8

Composed by AI from the published abstract and checked against it. How Briefs are made →

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