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In this second part of a paper examining the problem of nursing shortages in the health profession in Canada, the author draws on nursing reports from three provinces, Ontario, British Columbia, and Alberta, to identify how professional associations are dealing with the nursing shortage. Although education is seen as a major key to the nursing dilemma, the author notes that Canadian nurses are already exceedingly well educated. Neither more education nor public relation campaigns have been able to overcome the systemic problems facing the nursing profession today. If there is a solution, it lies in a more integrative approach, where structural issues, value issues, and even legal issues related to statute can be addressed. The author believes that the issue of nursing shortages cannot be resolved without a substantial degree of empowerment and autonomy for the profession.

This is the first part of a two‐part paper examining the problem of nursing shortages in the health profession in Canada. It draws on the problem from a historical and sociological perspective, with personal interviews, and historical data, to demonstrate the author’s theory that nursing shortages are nothing new. They are systemic in nature resulting from fundamental problems in the profession itself. Traditional solutions such as bringing in cheaper labour have exacerbated the problems, serving to perpetuate the commonly held view of nursing as an extension of women’s work in the home. Poor working conditions, ongoing power struggles with administrators and the medical establishment, and a handmaiden image have all served to create an ongoing cultural environment of powerlessness which the nursing profession has been unable to transcend, and serves as a deterrent to successful professional leadership and ongoing recruitment.