Nursing leadership (Toronto, Ont.)最新文献

The COVID-19 pandemic has laid bare the underlying vulnerabilities of the Canadian nursing workforce more clearly than ever before. In this commentary, I highlight how the roots of the present vulnerabilities of the nursing workforce lie in part with the complex and adaptive nature of the nursing workforce system. I also propose systemic solutions to address these vulnerabilities through enhanced foundational data on the nursing workforce. These data can be adopted across the range of Canadian nursing workforce stakeholders to create high-quality, interactive and iterative planning, policy and management processes.

Confronted with a pandemic amid a nursing shortage and an aging and culturally diverse patient population, nursing leaders need to explore innovative ways to meet increasing human resource demands to ensure patient safety. Internationally educated nurses (IENs) are an untapped resource to sustain the nursing workforce and provide culturally appropriate care. Based on the authors' lived experience and knowledge in supporting IENs, this commentary highlights the challenges that threaten the integration of IENs into the Canadian nursing workforce. It also recommends practical strategies to address these challenges, guide innovative and sustainable change and unpack systemic barriers to achieve organizational diversity and equity.

After decades of growth and relative stability in professional nursing across the country, events of the past decade have generated unease across the profession as the very existence of some of our institutions is threatened. In this commentary, we describe factors leading to the erosion of historic membership models that were the backbone of professional nursing representation in Canada. We argue that clinging to old models of jurisdictional representation will not be fiscally sustainable in an all-voluntary membership model and suggest principles we believe could underpin a strong, united and pan-Canadian professional association representing all nurses in Canada.

Calls for national-level chief nursing officers are over a century old. However, global uptake of these roles and Canadian opportunities for nurses to lead in federal health policy environments have been limited. The absence of such a role in Canada limits connection to global activities, reduces Canadian capacity to participate as a member state in World Health Organization-led nursing activities and, within our borders, leaves the healthcare system without national leadership to coordinate and liaise with senior nurses across our provinces and territories for the benefit of our citizens and systems. In this article, a brief history of global advocacy for state or national level chief nursing officer roles and examples of federal chief nursing officers, in the Canadian context, offers a consideration of the unique contribution of nursing knowledge and leadership to health policy - extending arguments for nursing leadership in the policy arena beyond traditional arguments of strength in numbers or unique claims to caring. Findings from a Canadian national project by the Global Nursing Leadership Institute further illuminate the concrete steps we need to take toward enabling full-spectrum nursing leadership in policy, where policy science, political competency, identification of policy nurses and a revitalization of organizational structures across the country can extend the vision for nursing leadership in policy beyond a single seat at a single table.

At this point of time in Canada, growing awareness of the great historical and ongoing harms of colonialism and racism demands that nursing take leadership in decolonizing the profession. Drawing on our experiences as nurses, educators and researchers and as persons who have experienced racism, we call on nursing leaders to deepen structural understanding of discrimination, make a collective commitment and shift away from "shaming and blaming" of individuals toward structural and systemic solutions. Action is required in all domains, diversifying and shifting power in every arena; revamping curriculum, practices and policies; and directly tackling racism.