New knowledge and evidence for better leadership.

The Canadian healthcare system is increasingly complex and more difficult to manage with each passing decade - a situation compounded by near-constant change in health authority structures, interprofessional teamwork and conflict, the actions and decisions of senior administrators and government officials, changing public demographics and consumer expectations of the healthcare system, and the implementation of new knowledge, evidence and innovation. Through these changes - or despite them - nurses remain the largest group of healthcare providers at the interface of the healthcare system and the patient/client. Nurses must continue working with individuals and families to improve health outcomes while managing through systems changes and translating them into everyday work settings for themselves and their clients.