I think it's multi-faceted. We hear from nurses that one of the reasons they're choosing to consider leaving the profession is their workplace environments. They're talking about having to work short of people, having excessive workloads where they're looking after twice as many patients as they normally should be. They're complaining about feeling like the quality of care has deteriorated, along with those environments. They're talking about situations where they're being asked to work 24-hour shifts. We wouldn't allow a pilot to fly a plane doing a 24-hour shift, yet in some places we'll allow a nurse to work 24 hours. We're hearing a lot about burnout issues that are continuing to impact nurses, a significant deterioration in the self-reported mental health status of nurses, which was already an issue prior to the pandemic and has drastically worsened.
We need to address some of those situations in workplaces that are creating stress, and there also need to be mental health supports and other supports to help clinicians to get past the very challenging experiences they have faced during the pandemic This would be very similar to the supports that have been put in place for first responders, like PTSD supports and some of those mental health supports, to help clinicians deal with some of the tragic things they have experienced.