The Invisible Pillar: The Urgency of Fair Compensation for Nurses in Ecuador

Abstract

This article analyzes the situation of nurses in Ecuador, who face low wages, work overload, and adverse working conditions. Its objective is to describe the current reality of salary compensation in this profession. The study uses a qualitative and documentary approach, based on a bibliographic review of databases such as Google Scholar, PubMed, Lilacs, and government websites (WHO, PAHO, MSP). Research from the last five years that addressed the compensation and working conditions of nursing staff was included. The results show that high workload is associated with medical errors, burnout, and high staff turnover, affecting patient care. A wage gap was identified between the public and private sectors, with higher salaries in the public sector, influenced by education and experience. Factors such as rotating shifts and long careers increase the risk of burnout syndrome. Nursing, a predominantly female profession (90%), has historically been undervalued and poorly compensated. The discussion emphasizes the need for fair compensation, highlighting that, despite their vocation for service, nurses experience deteriorating mental health and insufficient protection of their labor rights. The conclusion maintains that ensuring adequate compensation is essential, not only through salary increases, but also through financial and non-financial incentives, psychological support, and ongoing training. These measures would promote nurses' biopsychosocial well-being, optimize the quality of care, and contribute to strengthening the Ecuadorian health system.