Framed around recognized factors that affect clinician wellbeing, this interactive resource this resource provides you with clear, context-specific information to guide your decisions aimed at reducing burnout among nurses in Quebec.
This tool transforms qualitative evidence into insights that can guide meaningful organizational and policy action.
To provide decisionmakers and healthcare leaders with structured, evidence insight into the factors shaping the wellbeing of nurses and nurse practitioners working in Quebec.
To identify leverage points for targeted organizational or policy action, and support informed decisionmaking on clinician burnout.
To offer an accessible way to explore what supports and undermines the wellbeing of Quebec nurses and nurse practitioners, based on their own voices. To help users understand the complexity of burnout and highlights areas where improvements can support healthier clinicians and safer, more sustainable care.
What is the NAM Framwork?
A comprehensive framework developed by the National Academy of Medicine (NAM) that organizes the factors that influence clinician well-being into external factors (e.g., organizational, regulatory, practice environment) and individual factors (e.g., skills, personal factors).
- Healthcare professional
- Social services professional
- Decision-maker or manager
- Continuous improvement agents and regional continuous improvement agents (AACQs – ARACQs)
- Family medicine clinic or family medicine group
- Clinical coordinator
1. Policymakers and health system decisionmakers would use this tool to:
Support evidence informed policy and organizational decision making
By clarifying how systemic, organizational, and sociocultural factors interact to shape nurse and nurse practitioner wellbeing (e.g., workload, regulations, scope of practice, funding and accountability structures)
Facilitate dialogue across policy, management, and clinical stakeholders
By translating qualitative evidence into an accessible, contexts pecific resource relevant to Quebec’s primary care and community settings
2. Managers and organizational leaders would use this tool to:
Identify priority areas for targeted action
For example: workload, scope of practice, interprofessional collaboration, administrative burden, regulatory constraints) that align with health system performance, equity, and workforce sustainability goals
Better understand how organizational factors and practice environments
For example: leadership, workload, team functioning, role clarity, documentation burden) influence nurse wellbeing
3. Clinicians and professional stakeholders would use this tool to:
- Recognize shared patterns and challenges across diverse nursing contexts, reducing the sense that burnout is an individual failure
- Gain language and conceptual clarity to articulate how structural, organizational, and sociocultural factors affect wellbeing
- Support professional reflection, dialogue, and advocacy for changes that promote sustainable, equitable, and meaningful practice
The resource is an interactive presentation that includes a plain‑language summary and four sections:
- Why this matters
- What we looked at
- What we found (succinctly explains how each identified factor supports or undermines the wellbeing of nurses and nurse practitioners)
- What needs to change
Interactive navigation features allow users to personalize their experience and explore content based on their interests, roles, and informational needs.
Situation: A Family Medicine Group (FMG) leadership team notices rising burnout among nurses and wants to better understand the underlying causes before acting.
Using the resource
They use the interactive synthesis to explore Quebec nurses’ experiences, identify key organizational and practice environment factors affecting wellbeing, and guide team discussions on priority areas for improvement.
Impact
The FMG develops a shared understanding of burnout drivers. This supports more informed decision making, improves collaboration within the team, and lays the groundwork for sustainable organizational changes that support both clinician wellbeing and quality of care.
- Dat V.T Nguyen, Ingram School of Nursing, McGill University, Montréal, QC, Canada
- Paula Louise, Bush, Department of Family Medicine, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada
- Dorsa, Salimi, Department of Family Medicine, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada
- Sylvie Lambert, Ingram School of Nursing, McGill University, Montréal, QC, Canada
Nguyen, D. V. T., Bush, P. L., Lambert, S. D., & Salimi, D. (2026). What shapes the well-being of Quebec nurses? Insights from their reported experiences [Interactive presentation]. Genially. https://view.genially.com/65fadeb15953dd0014da5a52