PubMed · 14176063
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W J DEADMAN. 1964-09-05. INFANTICIDE.. https://pubmed.ncbi.nlm.nih.gov/14176063/
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BACKGROUND: Health systems worldwide face persistent health workers challenges including nursing shortages, workforce strain, and inequities. In Canada, these challenges have prompted renewed national and provincial reforms to strengthen recruitment, retention, leadership, and sustainability. This paper compares nursing workforce policy directions across Canada, and international jurisdictions to inform policy and planning. METHODS: A cross-country comparative analysis of policies building on a comprehensive national funded review that included an umbrella review of 69 systematic reviews, a comparative policy review of nursing workforce strategies in five jurisdictions, and validation through national horizon-scanning and policy dialogues (n >100). Evidence was analyzed across system, organizational, and individual levels. RESULTS: At the system level, international jurisdictions demonstrate comprehensive, legislated approaches integrating data, governance, and multi-year funding have advanced key nursing strategies. In Canada, the advances show the importance of strategies to have national and provincial/territorial alignment emphasizing leadership, flexibility, and inclusion as key levers. Organizational and individual-level reforms such as mentorship, leadership development, and wellness initiatives are expanding but remain variably evaluated. Experts identified national workforce data strategies and policy integration with embedded evaluation as key enablers to inform scalability and sustainability of implemented strategies. CONCLUSIONS: Canada's nursing workforce reforms are advancing toward coordinated, equity-driven, and evidence-informed strategies. Continued investment in evaluation, leadership, and national integrated data systems along with integrating nursing workforce planning within broader intersectoral planning will consolidate these gains and position Canada as an international leader in sustainable nursing workforce policy.
A Lake Erie sediment survey was conducted in 1997 to characterize spatial trends in contamination, and for comparison with a 1971 survey to assess any changes in environmental quality since the advent of measures to reduce contaminant sources. Contaminant data for some contaminant classes in 1971 was based on analysis of frozen archived samples, thereby allowing a direct comparison between surficial sediment contamination in 1971 and 1997 based on modern analytical methods. Lake-wide contaminant concentrations of polychlorinated biphenyls (PCBs) and organochlorine compounds including hexachlorobenzene and the DDT compounds in 1997 were substantially lower, compared to levels in samples collected in 1971. Lake-wide average sediment PCB levels were found to have decreased roughly 70% from 136 ng/g in 1971 to 43 ng/g in 1997. Similarly, reductions in other compound classes ranged from 40% to 80%. In 1997, some individual contaminants classes including PCBs exhibited a spatial trend toward increasing sediment contamination from the eastern basin to the western basin, and from the north-central basin to the south-central basin. Levels of organic contaminants in sediments in some areas of Lake Erie still exceeded the strictest Canadian Federal and Ontario Provincial guidelines. However, exceedances of guidelines describing contaminated environments in 1997 were predominantly restricted to the western basin and near-shore sites in the southern part of the central basin.
While much is known about the impact of law and public policy, we know considerably less about their antecedents. Theories of policy adoption suggest that a variety of policy inputs help to shape legislative change. This research considers the enactment of municipal smoking bylaws in Canada between 1970 and 1995. The emergence of second-hand smoke (SHS) has been offered as a viable explanation for the increased enactment of local smoking restrictions. A number of indicators confirm the rising public health concern around SHS. Using Health Canada data on municipal smoking bylaw enactment in Canada, this paper employs an event history analysis to trace the role of four indicators of the increased recognition of SHS as a public health concern-scientific research, parliamentary debate, print media, and health advocacy. Findings indicate that the print media and health advocacy play the strongest role in explaining the increase in the adoption of municipal smoking bylaws in Canada. Results lend support to the quantitative study of the policy adoption process and to theories of policy making that consider multiple influences on policy adoption.