Health inequity among Indigenous populations continues to widen despite advances in Indigenous health research. Under Canada's esteemed universal healthcare system, Indigenous populations continue to experience much poorer health outcomes due to the intersectional legacies of colonialism and racism. In this commentary, we reflect on structural, systemic and service delivery racism at all levels of care, which are deeply embedded in historical, political, institutional and socioeconomic policies and practices that continue to perpetuate harm and genocide of Indigenous Peoples. We call for immed ..read more

A global health human resource crisis has intensified the need for innovative education programs to maximize the supply of nurses worldwide. In response to the current and anticipated shortage of nurses globally, a novel collaborative undergraduate nursing program was developed at the University of New Brunswick in Fredericton, NB, and Manipal Academy of Higher Education in Karnataka, India. The resulting dual degree model is shaped by the contexts of the participating countries and current activities related to the international recruitment and migration of registered nurses. This partnership ..read more

Just culture supports learning, encourages transparency and minimizes harm following reported patient safety incidents. Healthcare leaders have a key role in establishing and maintaining a just culture to improve patient safety at the macro, meso and micro levels of the healthcare system. In this paper, we discuss the role of leaders at various levels in the healthcare system in fostering a just culture to support the reporting of and learning from patient safety incidents. Specifically, leadership challenges related to establishing a just culture to improve patient safety are analyzed. In add ..read more

Background: There is a growing interest in quality improvement collaboratives (QICs), even though less remains known about contextual factors that impact collective and local project implementation. A study was undertaken that used the Consolidated Framework for Implementation Research (CFIR) to explore the contextual factors impacting the use of this nationwide QIC in Canada. Methods: A deductive or direct qualitative content analysis using CFIR was employed to explore the contextual factors impacting the implementation of a nationwide QIC and participating organizations. Data were used from ..read more

Big Challenges Meet Big Leadership in 2024 ..read more

The Public Health Leadership program administered by the Public Health Branch at the Regional Municipality of York, ON, focused on enhancing people-centred competencies of managers to effectively support staff during the pandemic. The program aimed to boost participative management competencies and resiliency skills of managers by providing them with peer mentorship, ready-to-use resiliency tools, debriefing supports and actionable strategies in the form of e-blasts. Program participants provided feedback collected through two program evaluation surveys. This article describes the results of t ..read more

To increase retention of nurses and ease the nursing shortage, innovative mentorship strategies must be implemented. Our rapid review shows that mentorship programs in hospitals for early-, mid- and late-career nurses is an effective way to improve nurse retention. The unique needs of internationally educated nurses must also be considered in these programs to bolster the Canadian nursing workforce supply. We highlight five tools that are critical to the successful implementation of nurse mentorship programs in hospitals: (1) establish reciprocal relationships between mentors, mentees, hospita ..read more

As the number of people with dementia admitted to hospitals is expected to grow, now is the time to identify methods to improve nursing care of this population. We conducted an environmental scan to identify and describe interventions in Canadian hospitals to improve the nursing care of people with dementia, how they are being evaluated and what issues influence the success of interventions. Methods included a search of published and unpublished literature and key stakeholder interviews. Interventions are described under three categories: (1) interventions to improve nurses' knowledge, attitud ..read more

It is easy to get lost in a sea of negativity about everything that is going wrong with healthcare and nursing today. Nurses' Voices (<a href="https://nursesvoices.ca/">https://nursesvoices.ca/</a>) was launched to amplify the voices of Canadian nurses in challenging times. We listened to amazing stories of nurses making a difference in our healthcare system despite the difficult situations they faced. Our guests talked about their experiences, their aspirations, their challenges, what brings them joy in tough situations and their determination to deliver the best care possible to ..read more

This review of Sarah DiGregorio&rsquo;s recent book, Taking Care: The Story of Nursing and Its Power to Change Our World, discusses how nurses and their formalized leadership have not always been aligned, especially on issues of social justice. The book provides an important perspective on the nursing role throughout history and the power of nursing work to change the world.&nbsp ..read more