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Copyright of Canadian Journal of Dental Hygiene is the property of Canadian Dental Hygienists Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The Canadian Association of Radiologists Incidental Findings Working Group consists of both academic subspecialty and general radiologists and is tasked with adapting and expanding upon the American College of Radiology incidental findings white papers to more closely apply to Canadian practice patterns, particularly more comprehensively dealing with the role of ultrasound and pursuing more cost-effective approaches to the workup of incidental findings without compromising patient care. Presented here are the 2020 Canadian guidelines for the management of hepatobiliary incidental findings. Topics covered include initial assessment of hepatic steatosis and cirrhosis, the workup of incidental liver masses identified on ultrasound and computed tomography (with algorithms presented), incidental gallbladder findings (wall thickening, calcification, and polyps), and management of incidental biliary dilatation. [ABSTRACT FROM AUTHOR]

The environmental benefits of water table management (WTM), as a method to reduce nitrate pollution, are well known. However, there are few published studies on the effects of WTM on water use efficiency (WUE). This paper highlights the agronomic interest of WTM for increasing WUE of irrigated grain corn production. A field study was conducted in 2001 and 2002 at a large scale WTM research facility in Québec, Canada. The region experienced periods of drought during the two growing seasons. This study shows that, by keeping the water table at 0.80 m below the soil surface, there were on average 35% increases in grain corn yields, compared to conventional free drainage. The WUEs obtained with WTM (5.1 kg m−3 in 2001 and 7.1 kg m−3 in 2002) indicate that the method is generally more water efficient than conventional sprinkler and furrow irrigation. The WUE of WTM also compares well with that of water conservation methods such as alternate furrow irrigation and deficit sprinkler irrigation. Moreover, WTM requires low inputs in terms of equipment, energy, and labour, because it makes use of existing subsurface drainage systems, which are widespread in Eastern Canada due to the region's soils and climate, and because of its design, which does not necessitate high-pressure pumps and allows for automated management. Hence, WTM appears to be an interesting alternative to conventional irrigation methods due to its combined environmental and agronomical benefits. [ABSTRACT FROM AUTHOR]

Background: International and migrant students face specific challenges which may impact their mental health, well-being and academic outcomes, and these may be gendered experiences. The purpose of this scoping review was to map the literature on the challenges, coping responses and supportive interventions for international and migrant students in academic nursing programs in major host countries, with a gender lens. Methods: We searched 10 databases to identify literature reporting on the challenges, coping responses and/or supportive interventions for international and migrant nursing students in college or university programs in Canada, the United-States, Australia, New Zealand or a European country. We included peer-reviewed research (any design), discussion papers and literature reviews. English, French and Spanish publications were considered and no time restrictions were applied. Drawing from existing frameworks, we critically assessed each paper and extracted information with a gender lens. Results: One hundred fourteen publications were included. Overall the literature mostly focused on international students, and among migrants, migration history/status and length of time in country were not considered with regards to challenges, coping or interventions. Females and males, respectively, were included in 69 and 59% of studies with student participants, while those students who identify as other genders/sexual orientations were not named or identified in any of the research. Several papers suggest that foreign-born nursing students face challenges associated with different cultural roles, norms and expectations for men and women. Other challenges included perceived discrimination due to wearing a hijab and being a 'foreign-born male nurse', and in general nursing being viewed as a feminine, low-status profession. Only two strategies, accessing support from family and other student mothers, used by women to cope with challenges, were identified. Supportive interventions considering gender were limited; these included matching students with support services' personnel by sex, involving male family members in admission and orientation processes, and using patient simulation as a method to prepare students for care-provision of patients of the opposite-sex. Conclusion: Future work in nursing higher education, especially regarding supportive interventions, needs to address the intersections of gender, gender identity/sexual orientation and foreign-born status, and also consider the complexity of migrant students' contexts. [ABSTRACT FROM AUTHOR]

Purpose: Public education is an important institution in any democracy, and the significant resources invested form a critical pillar in its provision. The evidence used to manage said resources is, therefore, an important issue for education leaders and a matter public interest. The purpose of this paper is to consider the role education finance leaders in Ontario, Canada, and what types of evidence they are using, how they are being employed and how much priority is given to each. Design/methodology/approach: The paper employs a review of Ontario's K-12 education funding policies/reports, and interviews with five K-12 funding model experts/leaders – four business superintendents from school boards of varying sizes (based on enrollment) and one system leader (to introduce perspective from the two levels of governance in resource management) to understand how these experts use evidence to inform resource decision making. This sampling strategy was also grounded in a key assumption: School boards with larger enrollment – and consequently larger budgets – will have greater capacity to use all forms of evidence when managing resources, as the majority of board revenue comes from grants that are mostly based on enrollment. Findings: The findings bring important definition and prioritization of evidence that inform leaders' resource decision making in education. The results point to two tacit, normative, unacknowledged and, yet, competing evidence frameworks driving resource management. The government is the most influential, prioritizing strategic policy, performance data, fiscal context and professional judgment; values embedded in policy and research were mentioned only in passing, while local anecdotal types of evidence were given less priority. Compounding this challenge is that all sides in debates on school resource needs face issues of access to, transparency in the use of and the prioritization given to various evidence types. Research limitations/implications: Governments, with the assistance of academics, should formally articulate and make public the evidence framework they use to drive resource decision making. All sides of the resource management debate need to value a wider range of evidence, notably evidence that speak to local concerns, to reduce information gaps and, potentially, improve on the effective delivery of local educational programming. Education finance researchers could help to address access gaps by distilling research on the effective use of resources in a manner that is timely, tailored to the fiscal climate and to system- or district-level readiness for the implementation of a particular initiative. Practical implications: Resource management driven solely by "facts" can support student achievement outcomes and effective system operation, but alone will not satisfy local-level aspirations for education or inspire public confidence; a key ingredient for the sustainability of this public institution. The results could be used to improve the balance of "decent information" used to inform resource deliberations and establish a shared understanding across stakeholder groups to facilitate compromise. The current state of affairs has all sides in advancing claims for resource needs based on what they understand to be evidence all while portraying competing claims as uninformed, undermining public confidence in education. Originality/value: The paper draws from interviews with business superintendents and a system-level funding model expert, both lesser studied leaders on this topic in the Canadian context; offers a clear articulation of the evidence frameworks at play and the priority given to each type and how they are being used; presents definition and prioritization of evidence from the perspective of leaders in the Canadian context (most of literature is from the USA) – experts acknowledge that resource knowledge is contextually contingent and insight generated from other contexts will help to advance the field. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to study the factors influencing doctors’ involvement in Lean change initiatives in public healthcare organizations in Canada.Design/methodology/approach An inductive research was conducted over a three-year span studying Lean implementation across three healthcare organizations in Canada. Various interviews were conducted with healthcare actors. Through analytical induction, analysis of the data allowed for multiple factors to be triangulated from which a conceptual model was developed.Findings Fifty-four interviews with 18 Lean healthcare actors allowed for the identification of ten factors possibly influencing the commitment of doctors towards Lean change. These factors are categorized into pre-change antecedents and change antecedents. Also, the level of transformational leadership demonstrated by a project manager was shown to potentially moderate the effect of medical behavioral support for change on change outcomes. These findings allowed us to develop a conceptual model of medical commitment and its impact of Lean change outcomes.Originality/value The paper investigates the role doctors play in Lean implementation, currently an important issue discussed among healthcare actors and researchers. Yet, very little academic research has been published on this subject. [ABSTRACT FROM AUTHOR]

Increased interest in organizational change (i.e., shifts in an organization's structure, strategy, and processes) has led to considerable diversity in the theoretical approaches used to explain the phenomenon. This theoretical diversity has caused some scholars to suggest that a more complete understanding of organizational phenomena such as change is obtained when different theoretical perspectives are used in conjunction with one another. This paper examines a process of change that has been occurring in Canadian national sport organizations. Utilizing the theoretical approaches found in work on resource dependence theory. institutional theory, organizational culture, and the role of transformational leaders in managing change, the paper shows how these approaches explain different aspects of the change process. It also shows how a more complete understanding of change may be gained by using more than one theoretical perspective. [ABSTRACT FROM AUTHOR]

Purpose – This paper aims to provide an overview of a content analysis of sustainability policies from Canadian post-secondary education institutions. The paper reports findings on the orientations to sustainability evident in the policies; references to other policies within the documents; and other key themes on how sustainability is engaged in the policies in relation to overall governance, education, operations, research and community outreach. Design/methodology/approach – A sample of 50 Canadian colleges and universities was selected based on representativeness across a range of criteria. A qualitative thematic content analysis of these policies was conducted using a collaborative coding approach. Findings – Results suggest that most sustainability policies described a Brundtland (i.e. intergenerational) and/or three-pillar (e.g. economic, environmental and social) orientation to sustainability. Many sustainability policies also connected to other external municipal or provincial policies. In terms of various domains of sustainability, campus operations was discussed by all of the policies and in the most detail, while discussions of sustainability in education (i.e. the curriculum) and in research were vague, and discussions of sustainability in relation to community outreach were included less frequently. Originality/value – This comparative study provides a broad view of sustainability policies from post-secondary institutions across Canada. It deepens our understanding of the institutions’ conceptualizations of, and priorities for, sustainability. This paper has practical implications for institutions seeking to create or further develop their own policies, and it contributes to the comparative scholarly literature on the institutionalization of sustainability in higher education. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to examine the sustainability of policing organizations and propose approaches to enhance their sustainability. Design/methodology/approach – This paper uses an action research approach involving the researchers and partners from the main national policing bodies in Canada and six police service research sites. Findings – This paper presents a Sustainable Policing Framework (SPF) intended to enhance the sustainability of policing services. Practical implications – The SPF the authors present can be implemented by police service organizations to assist with organizational development as the external environment changes. Originality/value – No other approaches to police sustainability that involve a framework similar to the one that is presented are known. This paper provides specific tools for police services to deploy to address their sustainability concerns. [ABSTRACT FROM AUTHOR]

Purpose - The purpose of this paper is to provide an overview of the state of clinical governance practices globally as well as a more detailed examination of the clinical governance landscape in Canada. The paper explores the concept that established clinical governance practices are more important than ever as healthcare systems are increasingly under pressure to reduce costs while dealing with the challenges of ageing populations. Additionally, it suggests that healthcare could benefit by studying and adopting some of the successful governance policies that exist in other jurisdictions or sectors where quality and safety are an integral part of their governance mandate, such as the airline or nuclear energy sectors. Design/methodology/approach - This paper explores the status of clinical governance practices in Canada. This is achieved through a combination of author experience in addition to the review of existing literature and assessments on clinical governance practices and patient safety. Findings - While individual success stories can be found, standardized clinical governance practices across the range of healthcare providers remain largely absent. By focussing on standardized processes, and by placing an emphasis on improved clinical governance, healthcare providers can control and in some cases lower costs while improving efficiency and increasing patient safety. While progress has been slow for many years, the authors speculate that healthcare has reached a tipping point. As information systems develop and become more reliable and robust, and systems move to a patient-centric collaborative approach to care, there is a tremendous opportunity for healthcare and life sciences organizations to exploit and capitalize on both their growing information repositories, and the big data trends that have been embraced and leveraged by other sectors in recent years. Practical implications - Managing costs and delivering safe, efficient care to patients remain top considerations for healthcare boards and healthcare systems alike. As healthcare systems grapple with the increasing costs and risk associated with ageing populations and a more complex healthcare delivery model, effective clinical governance policies focussed on quality outcomes are essential. Originality/value - This paper highlights the responsibility of healthcare boards to learn lessons from other safety-critical industries and develop their own capacity to evaluate progress toward the goals identified above. It also provides insight into the role that leaders on both the corporate and clinical sides of the industry have to play, and the need for meaningful measures that will drive a quality agenda. The paper also emphases the link between established clinical governance practices and greater efficiency, reduced costs and improved patient safety. [ABSTRACT FROM AUTHOR]

This paper outlines a decision model for the acceptance of new policies by an insurer. The model assumes that the insurance management will wish to maintain or improve the existing performance of the combined portfolio of insurance policies and securities. The model defines the capacity of an insurer. Given certain reinsurance facilities, the capacities can be aggregated and the paper produces estimates of the collective capacity of the Canadian market. These estimates illustrate the potential for direct insurers to form effective reinsurance treaties. [ABSTRACT FROM AUTHOR]

Purpose This paper aims to describe the evolution of Sanokondu, highlighting the rationale, achievements and lessons learnt from this initiative. Sanokondu is a multinational community of practice dedicated to fostering health-care leadership education worldwide. This platform for health-care leadership education was conceived in 2014 at the first Toronto International Summit on Leadership Education for Physicians (TISLEP) and evolved into a formal network of collaborators in 2016.Design/methodology/approach This paper is a case study of a multinational collaboration of health-care leaders, educators, learners and other stakeholders. It describes Sanokondu’s development and contribution to global health-care leadership education. One of the major strategies has been establishing partnerships with other educational organizations involved in clinical leadership and health systems improvement.Findings A major flagship of Sanokondu has been its annual TISLEP meetings, which brings various health-care leaders, educators, learners and patients together. The meetings provide opportunities for dialog and knowledge exchange on leadership education. The work of Sanokondu has resulted in an open access knowledge bank for health-care leadership education, which in addition to the individual expertise of its members, is readily available for consultation. Sanokondu continues to contribute to scholarship in health-care leadership through ongoing research, education and dissemination in the scholarly literature.Originality/value Sanokondu embodies the achievements of a multinational collaboration of health-care stakeholders invested in leadership education. The interactions culminating from this platform have resulted in new insights, innovative ideas and best practices on health-care leadership education. [ABSTRACT FROM AUTHOR]

This paper focuses on the availability of economic indicators and metrics to assess effects of marine aquaculture production in the North Atlantic area (the EU, Norway, Canada and USA), including also social and environmental effects. We consider how aquaculture planning and management is organised in the different countries and the usefulness of economic information to address different aquaculture‐related policies. We find that the most relevant economic data for aquaculture management should be at the local and regional levels rather than nationally. The availability of such economic data is mapped for national, regional and local level. The focus is on data that are publicly available from authorities or research institutions. The availability of data is generally fairly good for national and regional data on the direct economic effects of aquaculture. Data on how aquaculture‐related products or input markets are affected are however poorly available, as are economic data on external effects from aquaculture. Countries with a larger aquaculture sector tend to have better availability of aquaculture‐related economic data than those with a smaller sector. An index is developed and calculated to show more specifically where the countries have relatively good or poor data availability compared to their needs. While it will not always be cost‐effective or meaningful to collect economic data on the effects of aquaculture, our study indicates that several countries could benefit from expanding such data collection. It can make trade‐off decisions more consistent and easier to perform, and aquaculture policies and measures can be better tailored to specific contexts. [ABSTRACT FROM AUTHOR]

This article presents data from a mixed-method study on evangelical faith-based organizations in Southern Ontario, Canada. The authors sought to explore the nature and extent of faith-sharing in these organizations by using the Convergent Triangulation Design, which permitted the use of semi-structured interviews, focus groups, surveys, and document review. First, The Great Commission acts as a de facto institutional policy in the evangelical faith-based organizations sampled; The Great Commission is a Biblical injunction, strongly observed by evangelicals, which states that evangelicals are commissioned by Jesus to share and ultimately convert others to their faith. The second theme is that in seeking to realize The Great Commission these organizations tried not to be coercive in sharing their faith. In the discussion, the paper explores briefly some of the potential ethical issues that emerge from faith-sharing in social service settings. [ABSTRACT FROM AUTHOR]

Studies on the development of cultural competence among healthcare providers tend to focus on the clinical encounter, with little attention paid to the environment. In this paper, results from a grounded theory study conducted with nurses and students to understand cultural competence development are presented; with a focus on findings that call particular attention to nurse-environment interactions. Two concurrent processes, as students and nurses develop cultural competence through interactions with their environment, were identified: "dealing with structural constraints" and "mobilizing social resources". These dynamic interactions between healthcare providers and the larger structures of healthcare systems raise critical questions about the power of healthcare providers to influence the structures that shape their practice. The intersection of nursing theory with social and critical theories is essential to gain a comprehensive understanding of cultural competence development and to transform healthcare providers' education in the service of social justice and health equity. [ABSTRACT FROM AUTHOR]

Using data from a survey of 769 firms, this paper provides empirical evidence of the nature of innovation and its determinants within knowledge intensive business services (KIBS). The aim of the paper is to analyse how KIBS innovate and whether they innovate differently in three Canadian knowledge intensive business industries: Computer System Designs and Related Services; Management, Scientific and Technical Consulting Services; and, Architectural, Engineering and Related Services. There are clear differences in the innovation profiles of the three sectors, which suggest that KIBS cannot be analysed as an undifferentiated group of establishments. However, there are also important within-sector differences that call for further investigation. [ABSTRACT FROM AUTHOR]

Children, as major stakeholders in paediatric hospitals, have remained absent from discussions on important healthcare issues. One critical area where children’s voices have been minimised is in the planning for future pandemics. This paper presents a subset of data from a programme of research which examined various stakeholder experiences of the severe acute respiratory syndrome (SARS) outbreaks of 2003. These data also generated recommendations for future pandemic planning. Specifically, this paper will examine the perspectives and recommendations of children hospitalised during SARS in a large paediatric hospital in Canada. Twenty-one ( n = 21) child and adolescent participants were interviewed from a variety of medical areas including cardiac ( n = 2), critical care ( n = 2), organ transplant ( n = 4), respiratory medicine ( n = 8) and infectious diseases (patients diagnosed with suspected or probable SARS; n = 5). Data analyses exposed a range of children’s experiences associated with the outbreaks as well as recommendations for future pandemic planning. Key recommendations included specific policies and guidelines concerning psychosocial care, infection control, communication strategies and the management of various resources. This paper is guided by a conceptual framework comprised of theories from child development and literature on children’s rights. The authors call for greater youth participation in healthcare decision-making and pandemic planning. [ABSTRACT FROM AUTHOR]

Purpose: Using the environment as a strategic tool is one of the most cost-effective and enduring approaches for improving public health; however, it is one that requires multiple perspectives. The purpose of this article is to highlight an innovative methodology that has been developed for conducting comprehensive performance evaluations in public sector health facilities in Canada. Background: The building performance evaluation methodology described in this paper is a government initiative. The project team developed a comprehensive building evaluation process for all new capital health projects that would respond to the aforementioned need for stakeholders to be more accountable and to better integrate the larger organizational strategy of facilities. Theoretical Framework: The Balanced Scorecard, which is a multiparadigmatic, performance-based business framework, serves as the underlying theoretical framework for this initiative. It was applied in the development of the conceptual model entitled the Building Performance Evaluation Scorecard, which provides the following benefi ts: (1) It illustrates a process to link facilities more effectively to the overall mission and goals of an organization; (2) It is both a measurement and a management system that has the ability to link regional facilities to measures of success and larger business goals; (3) It provides a standardized methodology that ensures consistency in assessing building performance; and (4) It is more comprehensive than traditional building evaluations. Conclusion: The methodology presented in this paper is both a measurement and management system that integrates the principles of evidence-based design with the practices of preand post-occupancy evaluation. It promotes accountability and continues throughout the life cycle of a project. The advantage of applying this framework is that it engages health organizations in clarifying a vision and strategy for their facilities and helps translate those strategies into action and measurable performance outcomes. [ABSTRACT FROM AUTHOR]

This paper presents the findings of a study designed to extend and develop a previous study conducted by the authors on the management of visitor impacts at visitor attractions in Scotland. This follow-up study sets out to discover the extent to which attractions in other countries experience similar impacts, with comparable management challenges to those already identified in the Scottish visitor attraction sector. In order to provide a direct comparison to the Scottish study, a replication of the research methodology employed in that study was considered necessary. Aself-completion survey was thus mailed to managers of paid-admission attractions in Canada, Australia and New Zealand: three ‘leading-edge’ destinations selected for comparison. Findings suggest that although many impacts are perceived to be similar across the four countries, a number of important differences are evident. Given that the reasons for such differences vary, the paper concludes that the development of a generic strategy for the management of visitor impacts internationally remains something for the future. In the meantime, the sector should rely on the identification and adoption of best practice on a case-by-case basis. The sector's diversity and fragmentation suggest that qualitative research holds the key to identifying appropriate techniques for managing visitor impacts. [ABSTRACT FROM AUTHOR]

Summary: Hypophosphatasia (HPP) is a rare inherited disorder of bone and mineral metabolism caused by loss of function mutations in the ALPL gene. The presentation in children and adults can be extremely variable and natural history is poorly understood particularly in adults. Careful patient evaluation is required with consideration of pharmacologic intervention in individuals meeting criteria for therapy. Introduction: The purposes of this review are to present current evidence regarding the diagnosis and management of hypophosphatasia in children and adults and provide evidence-based recommendations for management. Method: A MEDLINE, EMBASE, and Cochrane database search and literature review was completed. The following consensus recommendations were developed based on the highest level of evidence as well as expert opinion. Results: Hypophosphatasia is a rare inherited disorder of bone and mineral metabolism due to loss of function mutations in the tissue non-specific alkaline phosphatase (ALPL) gene causing reductions in the activity of the tissue non-specific isoenzyme of alkaline phosphatase (TNSALP). Deficient levels of alkaline phosphatase result in elevation of inhibitors of mineralization of the skeleton and teeth, principally inorganic pyrophosphate. The impaired skeletal mineralization may result in elevations in serum calcium and phosphate. Clinical features include premature loss of teeth, metatarsal and subtrochanteric fractures as well as fragility fractures. Poor bone healing post fracture has been observed. Myalgias and muscle weakness may also be present. In infancy and childhood, respiratory and neurologic complications can occur. Conclusions: HPP is associated with significant morbidity and mortality. Pharmacologic intervention can result in significant clinical improvement. This Canadian position paper provides an overview of the musculoskeletal, renal, dental, respiratory, and neurologic manifestations of hypophosphatasia. The current state of the art in the diagnosis and management of hypophosphatasia is presented. [ABSTRACT FROM AUTHOR]

Ecological connectivity within and across the boundaries of protected areas has become a key theme for conservation practitioners in Canada and internationally in recent years. This paper describes four case studies involving the assessment of ecological connectivity in national parks in Canada. Assessments occurred in three tiers: strategic environmental assessments conducted during management planning processes, an intermediate tier focussed on research and partnering at more refined spatial scales, and project level environmental impact assessments. While improved data, modelling and research on thresholds is needed, the multi-tiered approach facilitated the analysis of information and the collaboration with partners at scales required to conserve ecological connectivity within and across the boundaries of national parks. This work demonstrates practical approaches to conserving ecological connectivity as a response to biodiversity loss and highlights impact assessment in multiple tiers as a solution that is transferable to other sectors. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Public Administration is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper reflects on the state of cumulative effects research in Canada and future directions and challenges. The assessment and management of cumulative effects has been an enduring theme in the impact assessment literature, and scholars have consistently identified the challenges to assessing and managing cumulative effects under regulatory, project-based impact assessment. Current research on cumulative effects is focused largely on the development of frameworks and methodologies to advance cumulative effects assessment and management from individual projects to broader regional scales, and on developing the science and tools for assessing and monitoring cumulative effects. Ensuring that scholarly research continues to shape cumulative effects practice in the future requires that scholars not only attempt to improve practice under current existing regulatory processes, but also push the boundaries to ensure that decision processes also evolve so as to be accommodating of new and innovative approaches to cumulative effects at regional scales. This requires interdisciplinary approaches and sustained research funding, both of which present practical challenges to scholars, and research programmes that are developed in collaboration with industry, governments and communities. [ABSTRACT FROM AUTHOR]

This paper examines service providers' readiness to address the social participation expectations of aging baby boomers in the context of an Age-Friendly Cities framework in a mid-sized Canadian city. A convergent mixed-methods research approach was used for this study. Data were collected using a combination of online surveys (n = 32) and face-to-face interviews (n = 20) with key informants. Closed-ended survey questions were analyzed using descriptive statistics, while open-ended survey questions and interview transcripts were analyzed for thematic content following a constant comparison method. Overall, the findings indicate that while service providers identified social participation as an important focus area, there are a number of considerations that need to be addressed in order to enhance readiness to meet the emerging social participation needs of aging baby boomers. While this study was conducted in one city in Canada, the results may help professionals elsewhere to critically reflect on the development, implementation, and assessment of their own agefriendly social participation practices, programs, and policies. [ABSTRACT FROM AUTHOR]

This paper examines British Columbia's decision to host a world's fair (Expo 86) in Vancouver. Despite rapidly increasing deficit projections (from a $6-million projected loss in 1978 to over a$300-million projected loss in 1985), the provincial government remained steadfast in its plans to hold Expo. Expo is therefore a visible and prototypical example of the escalation of commitment, a phenomenon subject to extensive laboratory research in recent years. By examining the Expo case in some detail, this study provides field grounding for previous investigations of escalation. The case not only illustrates the frequently studied processes of self-justification and biased information processing but also highlights the potential importance of institutional explanations of escalation. New theory is proposed that integrates determinants of escalation from several levels of analysis overtime. It is proposed that escalation starts with project and psychological forces but can evolve overtime into a more structurally determined phenomenon. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to understand how a Canadian intervention based on a professional development (PD) model did or did not influence schools’ capacities to absorb a Healthy School (HS) approach into their operations. This study is the second part of a research project: previously published results regarding this research provided a detailed description of the PD model and highlighted the relevance and effectiveness of PD in improving actors’ HS-related knowledge and practices. The present paper focuses on the organizational impact of such PD intervention. Design/methodology/approach – The design was based on a realist evaluation approach, which helps to elicit a theory explaining how an intervention leads to particular outcomes. A multi-site case study of three schools with pre- (T0) and post- (T1) intervention comparison was adopted. Multiple qualitative methods were used to capture how the changes were achieved by collecting data from various stakeholders involved in the intervention. Findings – The PD model tested reinforced the schools’ capacities to absorb this type of initiative. For one of the capacities examined, “exploitation”, i.e., the ability to incorporate and maintain the initiative into schools operation, the evidence was less apparent. In congruence with the realist evaluation, the results are rendered in the form of a contextualized intervention theory identifying the links between the PD and the mechanisms that were likely necessary to explain what led to the changes in “absorptive” capacities (which refers to the capabilities of schools to acquire and assimilate HS knowledge, and also to transform and exploit them, in the context). Originality/value – The refined theory, based on empirical findings, can enable facilitators and practitioners to gain a deeper understanding of the action mechanisms shown to be determining in the success of HS implementation. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Forest Research is the property of Canadian Science Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper explores two issues that have been receiving increasing attention in recent decades, climate change adaptation and natural disaster risk reduction. An examination of the similarities and differences between them reveals important linkages but also significant differences, including the spectrum of threats, time and spatial scales, the importance of local versus global processes, how risks are perceived, and degree of uncertainty. Using a risk perspective to analyze these issues, preferential strategies emerge related to choices of being proactive, reactive, or emphasizing risk management as opposed to the precautionary principle. The policy implications of this analysis are then explored, using Canada as a case study. [ABSTRACT FROM AUTHOR]

Proactively managing disaster risk in the absence of an event is the result of the responsible organization or institution's political will. This paper is a comparative policy and practice study on factors affecting municipal institutional behaviour on flood management in the City of Vancouver and District of Maple Ridge, British Columbia. Using Q methodology, we identify three behavioural groups through a by-person factor analysis on local practitioners ( n = 12) in the study area. We compare these findings with data gathered from semi-structure in-depth interviews ( n = 7), literature on development pathway theory and a review of local responses in the two cities. We suggest the mechanisms in place for external funding is inherently different for smaller municipalities who lack administrative capacities. In the absence of cross-boundary risk, it becomes more difficult to access the resources necessary to adopt disaster risk reduction strategies requiring large inputs of hard infrastructure. These smaller municipalities are more reliant on the expressed interests of the public than that of larger municipalities who can more freely distribute resources based on risk. Not only does institutional behaviour influence the disaster risk management system in place, but also the external mechanisms in place to provide support for such proactive management forces institutional behaviour of smaller municipalities to be oriented towards more social inclusion as opposed to the risk-sensitive approach that larger municipalities are more easily able to align themselves. This hinders the adoption of disaster risk reduction in local emergency management policy and practice and reinforces a reactive disaster risk management. [ABSTRACT FROM AUTHOR]

The 3M National Teaching Fellowship (3MNTF) is the highest award in teaching in Canada and was first awarded in 1986, yet to date there has been no research measuring its impact on individual winners and their institutions. As part of this project, two focus groups were conducted at the 3MNTF Retreat in Banff, with the 2012 cohort, 3M retreat facilitators and coordinators and the representative from 3M Canada. In 2014, we conducted two additional focus groups with senior university administrators and educational developers at the Educational Developers Caucus Conference and a third focus group with the 2013 cohort at the Society for Teaching and Learning in Higher Education conference. This paper presents their perspectives on their unique set of experiences, both positive and negative, that reflect the impact of this award. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Fisheries & Aquatic Sciences is the property of Canadian Science Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Contemporary work arrangements are undergoing a dramatic transformation with increasing diversity in how work is done, by whom and where. This paper focuses on flexwork as an increasingly common work arrangement which changes the physical and relational dynamics between managers and employees. Drawing on a qualitative study of 'flexworkers' in a large MNC in Canada, it explores their relationships with their managers and vice versa. Located within an interpretive interactionist perspective, it highlights the centrality of interaction, identity construction and significant others and their influence on manager-employer relationships. It also explores and theorizes the relationships between flexworkers and their office-based colleagues. [ABSTRACT FROM AUTHOR]

This paper focuses on how continuity and change are managed discursively in narrative texts of organizational identity and thus helps move forward the discussion about persistence and change in organizational identity. The study reports on the content, context and authorial elements of the evolving narrative composed by a Canadian bank's senior managers. The analysis indicates that the discursive strategies employed by organizational authors to establish confluence (or simultaneous continuity and change) include the selective reporting of elements from the past, present and future, the juxtaposition of the‘modern and attractive’ with the‘outdated and undesirable’, the persistent use of expansive labels that allow the addition and subtraction of meanings attached to the labels, and the importation of selected themes from the wider macro-discourses. In keeping with the view that organizations are plurivocal, evolving narratives of the organization in the business press are also presented. These narratives contribute themes that are at times concordant with senior managers’ accounts and thus confirm the value of the changes in identity elaborated by management; at other times, press accounts are discordant with senior managers’ narratives and provide alternative evaluations of the changes. The paper concludes with reflections on the indeterminacy of both organizational identity– for the texts that constitute it remain open to multiple readings and to subsequent re-writing that continually destabilize it– and the narrative research enterprise that falls short of providing comprehensive and incontrovertible accounts of the voices that constitute organizations. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Animal Science is the property of Canadian Science Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Dairy goat kid rearing is the foundation of future milk production, yet little is known on this topic. References available to producers are limited, making it more difficult for dairy goat farms to reach their full production potential. This review paper aimed to identify the current recommendations on dairy goat kid rearing practices for intensive production systems and to assess whether the different recommendations were based on scientific literature. Recommendations on dairy goat kid rearing practices, from birth to weaning inclusively, were presented and compared between countries under similar intensive production systems, including Canada, the United States, and France. The different areas of rearing investigated included kidding management, colostrum management, liquid and solid feeding, health management, disbudding, housing, weaning, and growth monitoring. Gaps in the literature were identified in all areas except for disbudding. More research on the topic of goat kid raising practices would be beneficial to refine and validate current recommendations. [ABSTRACT FROM AUTHOR]

The conditions under which interdisciplinary research helps improve research performance are explored in a heterogeneous sample of 67 ongoing academic interdisciplinary teams from the United States and Canada. We conclude that interdisciplinary research is more appropriate for very difficult research questions and at early stages of the research process. Interdisciplinary research was found to inhibit the outputs of articles, books, papers, and technical reports when the research had a clearly identified client prior to the start of the project. Interdisciplinary research was not found to be more helpful for either applied or pure research. It was not found to be helpful either at the concluding stage of research or when used throughout the research process. [ABSTRACT FROM AUTHOR]

In this paper a model of wage and employment determination in a unionized industry is developed and estimated. The model incorporates rules governing union membership so that an insider-outsider model can be estimated. This approach allows the trade-off the union makes between wages and employment to vary depending on whether membership is growing or contracting. The model is estimated using data on the International Woodworkers of America and the wood products industry in British Columbia, Canada. The insider outsider model is consistently rejected in favour of models in which some positive weight is placed on all levels of employment. The results do suggest however that the weight the union places on employment decreases with the level of employment. [ABSTRACT FROM AUTHOR]

Resistance by physicians, medical researchers, medical educators, and medical students to pharmaceutical industry influence in medicine is often based on the notion that physicians (guided by the ethics of their profession) and the industry (guided by profit) are in conflict. This criticism has taken the form of a professional movement opposing conflict of interest (COI) in medicine and medical education and has resulted in policies and guidelines that frame COI as the problem and outline measures to address this problem. In this paper, I offer a critique of this focus on COI that is grounded in a broader critique of neo-liberalism, arguing it individualizes the relationship between physicians and industry, too neatly delineates between the two entities, and reduces the network of social, economic, and political relations to this one dilemma. [ABSTRACT FROM AUTHOR]

The Ontario Council of University Libraries (OCUL) is a consortium of the twenty-one university libraries in Ontario, Canada. Since 1967, OCUL member institutions have worked together to share costs and workload through collective purchasing and licensing of information resources and more recently through the establishment of a shared digital infrastructure known as Scholars Portal. Under the auspices of OCUL, Ontario's university map librarians formed the OCUL Map Group in 1973 to seek opportunities to communicate and collaborate to improve the collections and services they offer their users. The opportunities provided by collaboration have ensured a greater capacity to manage evolving collections of geospatial data. The group has served as a community of practice, which has provided educational opportunities and facilitated collaborative problem solving through a listserv, conference calls, and face-to-face meetings. This collegial environment has also led to the completion of a number of projects, which have resulted in the creation of new technical infrastructures and strategies for sharing the workload of data management tasks. This paper discusses the role of collaboration in OCUL projects and offers some suggestions for others considering embarking on collaborations of their own. [ABSTRACT FROM PUBLISHER]

This paper describes the requirements for a weighted visibility classification of seats in the University of New Brunswick's (UNB) Aitken University Centre (AUC). Price levels for seats are typically set for sections of seats based on promoter preferences. In a visibility classification, the digital elevation model (DEM) is created for the AUC and includes possible view obstructions. The view obstructions taken into account for this design were the penalty boxes, player bencher, and the rink boards. There were no other major obstructions in the AUC. The visibility calculations compute the number of visible pixels of the rink surface for each seat. It is expected that seats with a higher number of visible pixels will also have better visibility. The number of viewable pixels is weighted by distance to the center of ice surface to account for the preference of seats that are closer to the rink surface. This paper outlines the collection of data, weighted visibility classification method, and the development of information products. There are two main objectives of this weighted visibility classification and seating plan: (a) to demonstrate that a weighted visibility classification is a viable method to classify seats, and that this methodology could be used to set price levels for a venue and (b) create online web applications to suit the functionality for users and venue administrators. The user web application allows the user to pan, zoom and perform limited searches in the interactive map. [ABSTRACT FROM AUTHOR]

Decreasing government funding and regulated tuition policies have created a financially constrained environment for Canada’s universities. The conventional response to such conditions is to cut programme offerings and services in an attempt to lower costs throughout the institution. However, we argue that three Canadian universities have reacted with a different response. Instead of cutting costs, the University of Toronto, Queen’s University and the University of Lethbridge have chosen to implement decentralized budgeting and management structures in an attempt to increase efficiency and seek out new revenues. Using interview data and document analysis, this paper discusses the responses of these institutions and what they tell us about the strategies universities employ to cope with financial challenges that are likely to persist. [ABSTRACT FROM PUBLISHER]

Copyright of Canadian Water Resources Journal / Revue Canadienne des Ressources Hydriques is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Healthcare in Canada, as elsewhere, must adapt in order to better meet the needs of the chronically ill. Such adaptations are happening locally, but healthcare decision- and policy-makers require channels and mechanisms for sharing project outcomes and spreading or scaling up successful approaches. Without formal mechanisms, there is a risk of losing the rich knowledge produced by improvement projects; of compromising the efficient use of healthcare resources; and of negatively impacting the further distribution of potential outcomes and impacts. This paper profiles three Canadian collaborations, supported by the Canadian Foundation for Healthcare Improvement (CFHI), which supports healthcare leaders in working together to develop, share, implement, and sustain evidence-informed and systems solutions. The collaborations are team based and particularly relevant to patient engagement and chronic disease care. They illustrate early lessons on how collaborative partnerships, with a shared vision and ownership, can co-address multiple components, conditions and communities, using evidence-based approaches and embedding performance measurement and evaluation. They also demonstrate the role organizations such as CFHI can play in facilitating a collaborative approach to accelerating healthcare improvement within and across organizations or systems. [ABSTRACT FROM AUTHOR]

This paper describes the successful application of a manpower planning model for the numerical control of promotions, manning levels, recruitment, and training for non-commissioned ranks of the Canadian Armed Forces. [ABSTRACT FROM AUTHOR]

Since the legalization of medical assistance in dying (MAiD) in Canada in 2016, volitional non-participation in MAiD on the part of some healthcare institutions has revealed ethical uncertainties, potential access problems, and policy gaps. The problem has remained much neglected in the literature base, with no comprehensive studies on the subject so far. We analyzed print media articles and grey literature on institutional objections to and non-participation in MAiD. Thematic analyses were performed on all data to better understand the diverse stakeholder arguments and positions that characterize this important public health debate. Our search yielded 89 relevant media articles and 22 legislative, policy, and other relevant documents published since 2016 in the English language. We identified four main themes about institutional refusals to participate in MAiD, articulated as the following questions: (1) Who has the right to conscience? (2) Can MAiD be considered a palliative practice? (3) Are there imbalances across diverse stakeholder rights and burdens? and (4) Where are the gaps being felt in MAiD service implementation? Stakeholder views about institutional conscience with respect to MAiD are varied, complex, and evolving. In the absence of substantial systematic evidence, public domain materials constitute a key resource for understanding the implications for service access and determining the relevance of this contentious issue for future MAiD research and policy. [ABSTRACT FROM AUTHOR]

Aim: To examine the influence of hospital culture and authentic leadership on the effects of quality improvement practices on patient satisfaction. Background: Nurses in formal leadership roles shape and are shaped by organizational culture to achieve high performance standards to influence quality of care. Design: Using structural equation modelling, we tested a model on quality improvement practices across three participant groups that differed based on authentic leadership and hospital culture. Methods: We used survey data from a cross‐sectional study conducted in 2015 measuring nurse. Managers' perceptions of authentic leadership, implementation of quality improvement, and organizational culture in Canadian hospitals. Results: 226 nurse managers participated. Our model estimations fit for the high‐relational group and mixed group. Our model explained 50.7% and 39.5% variance in our outcome variable of patient satisfaction for the high‐relational group and mixed group, respectively. Our model failed to fit the low‐relational group. Conclusion: Authentic leadership and developmental/group hospital cultures improve quality management practices, quality of care and patient satisfaction. In organizations with low authentic leadership and hierarchical/rational cultures, strategies should target increasing authentic leadership and shifting to developmental cultures. Organizations with high authentic leadership and/or developmental/group cultures should target employee engagement, autonomy and teamwork. Impact: We examined how different combinations of authentic leadership and hospital culture influence the effects of quality management practices on quality improvement and patient satisfaction. Findings demonstrate that having both high authentic leadership and developmental or group hospital cultures are essential for quality improvement practices to enhance the quality of care and patient satisfaction. These organizations would benefit the most from systemic programs aimed at standardizing quality management practices as they have the culture and leadership to support these practices. For hospitals with hierarchical/rational cultures and/or low authentic leadership, enhancing hospital culture and leadership through leadership training and accreditation programs is critically needed. Patient or Public Contribution: The College and Association of Registered Nurses of Alberta contributed to this study by facilitating data collection and supporting the conduct of the study through messaging to its members. [ABSTRACT FROM AUTHOR]

One of the points on which researchers agree is the centrality of autonomy to professionalism. Moreover, a common conclusion in the studies of professions is that the profound changes in society over the last fifty years have threatened the autonomy and changed the archetype of professionalism. This paper contributes to the research on changes and continuities, challenges and opportunities for professionalism by discussing advantages and disadvantages of restricted professional autonomy. By describing the historical development in the Swedish and Canadian healthcare context, two major findings are discussed. First, although medical professionals have been subjected to certain constraints, they still appear to maintain a relatively high level of autonomy concerning the technical content of the work. Second, restricting professional autonomy is not negative merely due to the preservation of the professional archetype; rather, a «reasonable» limitation can be positive if professional autonomy is understood as a contract based on public trust. [ABSTRACT FROM AUTHOR]

How single organizations manage the process of change and why only some of them are able to actually reach radical change are central questions in today’s theoretical debate. The role played by the process of change and its dimensions (namely, pace, sequence and linearity), however, has been poorly investigated. Drawing on archetype theory, this paper explores: (i) whether a specific pace of radical change exists; (ii) whether different outcomes of change are characterized by different sequences of change in key-structures and systems (iii) how the three dimensions of the process of change possibly interact. As an example of organizational change the study takes into consideration processes of accounting change in three departments of two Canadian and two Italian municipalities. The results suggest the supremacy of the sequence of implemented changes over the other two dimensions of the process in order to achieve a radical outcome of change. [ABSTRACT FROM AUTHOR]

The vision of the Indigenous Physicians Association of Canada is healthy and vibrant Indigenous nations, communities, families and individuals supported by an abundance of well educated, well supported Indigenous physicians working together with others who contribute to this vision with us. In our first 5 years of operation as the Indigenous Physicians Association of Canada we have focused our efforts on workforce development, building partnerships with the Association of Faculties of Medicine of Canada, the Royal College of Physicians and Surgeons of Canada, the 17 Canadian faculties of Medicine, and many national Aboriginal organisations. We have asked, and continue to ask ourselves, what is necessary to have a medical workforce that is competent to provide high quality culturally safe care to First Nations, Inuit and Metis people? On reflection, some of these things include: a strong national Indigenous physicians organisation; mentorship and peer support; recognition and realisation of shared responsibility for Indigenous health workforce development; adequate resources; and long term commitment. This paper discusses Indigenous health workforce development goals, the Canadian medical school landscape as is relevant to pursuing these goals, recent Indigenous health education initiatives, and some of the lessons we have learned and will apply as we move forward and seek to achieve our goals. [ABSTRACT FROM AUTHOR]

Co-housing is a form of intentional community that encourages shared living and sees members jointly build and develop urban housing projects. Through an emphasis on traffic-free developments and reference to strong community sentiment, co-housing is construed by parents as providing a safer and more desirable location for raising children. Drawing on fieldwork in two Canadian co-housing developments, this paper demonstrates how parents are able to mediate risks associated with traffic, bullies, and strangers. [ABSTRACT FROM AUTHOR]