Election 2025: Thinking about health care

The 2025 Canadian federal election campaign is taking place in the context of a global crisis and a serious threat to national sovereignty. Health care is a well-documented concern of Canadians in recent years although not the highest priority at this crucial moment. In an article in the Globe and Mail (April 8, 2025), Health Columnist André Picard writes about the opportunity for reform: The federal election is a chance to reform health care, if we would be so bold. He notes that this period of national unity is a chance to save and enhance medicare to improve primary care access and overcome system capacity issues. As Mr. Picard states “This is an ideal time to shore up medicare, to embrace and bolster a program that distinguishes us from Americans like no other. That’s what political leaders should be vowing to do.”

The Canadian Nurses Association has developed a comprehensive Election Platform with the tagline: “A Healthier Canada, Powered by Nurses: A Vision for 2025 and Beyond.” The platform outlines five priorities from CNA’s current policy work and feedback from members through a 2024 survey and pre-election webinars.   

Five Key Priorities for Federal Action:

  1. Improve Access & Quality by Implementing Bold Policy Levers
    Modernizing regulatory requirements and federal legislation will enable nurses to work to their full potential. This includes the development of national licensure, supporting ethical international recruitment, and strengthening data-driven workforce planning at the federal level.
  2. Unleash the True Value of the Nursing Workforce to Meet Population Health Needs
    Expanding team-based and nurse-led models of care, alongside increased investments in nursing leadership, education, and digital health, will achieve better outcomes at lower costs. This will help create a more responsive health system.
  3. Invest in the Well-Being of the Health Workforce & Prioritize National Workplace Protections
    Protecting nurses from workplace violence, moral distress, and mental health challenges is critical. CNA is calling on the federal government to implement national workplace protections and mental health supports for nurses.
  4. Tackle Social Determinants of Health & Invest in Planetary Health
    Addressing environmental factors such as housing, food security, and income stability, as well as reducing the health sector’s carbon footprint, is key to improving long-term health outcomes. Nurses are critical partners in this work.
  5. Strengthen Our Public Health System & Combat Mis-/Disinformation
    Strengthening pandemic preparedness, enhancing disease surveillance, and investing in public health infrastructure will ensure that Canada is ready for future health challenges. CNA also calls for increased efforts to combat misinformation about health, particularly with nurses leading evidence-based public education campaigns. (Source CNA 2025 Election Platform Summary).

CNA has prepared a guide for nurses: Tips to Get Involved in the Federal Election. In a webinar for members just before the election call, we were encouraged by the CNA team to be ready to amplify key messages, become active on social media, and use our own local networks. I acknowledge the work of our national nursing association in preparing for the election and in facilitating action by nurses at all career stages and settings.

The tips are useful and here’s the most important one: “Your vote is your voice. Make sure you are registered and take part in the election. Encourage your colleagues and those in your networks to do the same.” The need to combat misinformation and disinformation is increasingly important as emphasized in the platform and tips. I’m grateful for the role of our national professional association at this time and to acknowledge, also, the work of the Canadian Federation of Nurses Unions, provincial and territorial organizations, and other national organizations including the Canadian Public Health Association and the Canadian Medical Association.

The Canadian Association of Schools of Nursing (CASN-ACESI) has released its election platform Educate Nurses, Elevate Care with excellent messages from leaders in nursing education. A central message is: “Meeting the current health care needs starts with investing in quality nursing education” as the platform makes the case for preparing future nurses for roles in primary care, promoting healthy communities, and in advancing health equity.

This election reminds me of following/tracking campaigns and results in the last decade. During past federal elections (2015 & 2019), I worked with colleagues Susan Duncan and Patrick Chiu to examine activities of our nursing organizations in the campaigns with a view to member engagement strategies and key policy messages. Our work at that time led to conference presentations and two publications:

Canadian Journal of Nursing Leadership Volume 29, No 4

Whyte, N.B., & Duncan, S.M. (2016). Engaging nursing voice and presence during the federal election campaign 2015. Canadian Journal of Nursing Leadership, 29(4): 19-34. https://doi.org/10.12927/cjnl.2016.24986

Canadian Journal of Nursing Research Volume 52, No 3

Chiu, P., Duncan, S., & Whyte, N. (2020). Charting a research agenda for the advancement of nursing organizations’ influence on health systems and policy. Canadian Journal of Nursing Research52(3), 185-193. https://doi.org/10.1177/0844562120928794

It was interesting to revisit our papers recently and to note our conclusions that nursing’s collective influence must be situated in policy research on health systems and ongoing political advocacy for health equity. Returning to Mr. Picard’s article, I echo his belief that this is the opportune time to reform the Canadian health system in a bold spirit of unity.

Comox Valley, British Columbia

By Nora Whyte – April 8, 2025

Note – Edited April 9, 2025 to include the CASN platform published on this date.

I acknowledge with respect that I live and work on the Unceded traditional territory of the K’òmoks First Nation.

Public Health Nursing in Japan: Then and Now

An editorial in The Lancet caught my attention earlier this summer and started me thinking about past visits to Japan and many encounters with Japanese public health nurses. The editorial by Richard Horton –  Offline: Japan’s Hidden Secret – refers to comments made at a global meeting by Dr. Hajime Inoue, an Assistant Minister in the Japanese Ministry of Health, Labour, and Welfare. Speaking at a side-event at the 2024 World Health Assembly, Dr. Inoue pointed out the impressive contributions of the country’s 53,000 public health nurses in achieving positive population health outcomes. I enjoyed reading the description of current public health nursing roles and the recognition given by The Lancet in sharing the successful model from Japan.

Early in my consulting career, I was asked if I would take on a role of coordinating a study tour to British Columbia for a group of nursing leaders from the Japanese Nursing Association (JNA). Their 1994 tour – funded by a grant to JNA by the Ministry of Health and Welfare – had the purpose of learning how health systems in various countries were embarking on health policy reforms. JNA sent groups to other countries during a two-year period and compiled reports from each tour. The study tours explored ways in which nurses were taking on new responsibilities in community health including home care.

Following the 1994 study tour, I received a lovely invitation from the JNA in 1995 to visit Japan to meet with nursing leaders including tour members as they worked on promoting new policies and roles in public health nursing and home care to meet changing demographics. It was a professional highlight and a great honour to serve as a consultant during two trips in 1995 and 1996. Connections made in that period led to further visits by Japanese colleagues to Canada as well as collaboration on documents and one journal publication. 

I was proud to be a co-author with three colleagues on an article published in Public Health Nursing in 1999 (25 years ago!). It was a rewarding collaborative effort to write the paper and to see it in print: Murashima, S., Hatono, Y.,  Whyte, N., & Asahara, K. (1999). Public Health Nursing in Japan: New Opportunities for Health Promotion. Public Health Nursing, 16 (2), 133-139.

As noted in our abstract, we outlined the history, organization, and new opportunities identified at that time:

Major changes are taking place in public health nursing in Japan. These include significant developments in employment, education, and roles of public health nurses (PHNs). Demographic and economic factors have prompted the Japanese government to focus health service delivery on community-based care, particularly for the growing elderly population. Public health nurses are redefining their roles and are assuming important functions in planning, implementing, and evaluating community health programs for the elderly. Japanese PHNs are using a variety of health promotion strategies to initiate change at the local level. This article presents two case studies to highlight the leadership role of PHNs in creating new services that foster healthy communities” (Murashima et al., 1999, p. 133).

My later involvement involved visits to Japanese universities to conduct seminars with students and faculty and participation in two conferences. I met PHN leaders in their communities where they gave me tours of public health centres and described current successes and challenges.

Visit to a Public Health Centre

Throughout these visits, I remember many interesting informal discussions, wonderful meals, and time to enjoy the beauty of Japan in both rural and urban areas. Above all, I remember the great kindness of the nurses and others in each place I visited.

Dinner with Students at Kochi College of Nursing, 2000.

As Richard Horton notes, “public health nurses evolved to be a unique comparative advantage enjoyed by Japan’s rapidly advancing health system” and asks why we are not sharing national experiences more widely (Horton, 2024, p. 2578). I agree fully and believe we need to continue to learn from policy and practice experiences in other countries.

Kochi Castle

By Nora Whyte – August 25, 2024

I acknowledge with respect that I live and work on the Unceded traditional territory of the K’òmoks First Nation.

Nurses in the News

National Nursing Week in Canada is around the corner (May 6 to 12) and it is fitting to think about nurses in the news and how our vast experiences and perspectives are profiled. We often talk about the need for a much greater presence in the public media in our communities and around the country.

Two nurses who are bringing their expertise to the public discussion about health care in Canada are Amie-Archibald Varley and Sara Fung, co-hosts of The Gritty Nurse Podcast and authors of The Wisdom of Nurses. Since the release of their book, they are in demand for interviews and book signings. As I’m reading their book, I’m thinking about their questions and the multiple issues they raise about the profession. I’m pleased to see the attention the book is getting on social media and to learn that it has become a bestseller already.

Amie and Sara pose the question: “How many famous nurses can you name?” and then go on to share profiles of nurses from the past as well as current nurses who are well-known for their advocacy and contributions to changes in nursing and health care in Canada. They weave in their own personal stories – including their experiences in nursing school – as they describe their career paths in hospitals and, ultimately, the realization that they needed to make changes in their professional lives. They have included chapters by contributing authors to round out diverse voices and experiences.

I have no hesitation in recommending it and hope that readers will discuss it with people in their workplaces, in policy meetings, and in nursing schools across the country. Part of that discussion could explore the collective influence of nurses, thinking beyond one individual “famous nurse” to the groups of courageous nurses who came together to form nursing associations and unions not only in the distant past but also within the last 25 to 50 years. I’m thinking of the Canadian Indigenous Nurses Association, the Canadian Nursing Students’ Association, our national specialty groups, and the newly formed professional associations of the past 5 to 10 years, including the Nurses and Nurse Practitioners of BC in my home province.

Looking beyond our borders, we can celebrate the voice of national and global nursing organizations exerting their collective influence in reforming health systems and leading vital policy work. A great example is found in this recent announcement from the International Council of Nurses (ICN).

Dr. Cipriano, president of ICN will co-chair the global Steering Committee on Universal Health Coverage, known as ‘UHC2030’ with Dr. Magda Robalo:

UHC2030 warmly welcomes new co-chairs Dr Magda Robalo and Dr Pamela Cipriano – UHC2030

I feel fortunate that I have known famous nurses in my nursing lifetime, both in Canada and in countries I have visited for conferences and as a consultant. Memorable individuals and visionary groups of nurse leaders give me hope this Nursing Week.

By Nora Whyte – April 29, 2024

I acknowledge with respect that I live and work on the Unceded traditional territory of the K’òmoks First Nation.

New ICN Campaign: “Our Nurses. Our Future”

The International Council of Nurses (ICN) launched an exciting new campaign – “Our Nurses. Our Future.” – on International Nurses Day, May 12, 2023. A key resource is a ten-point Charter for Change that provides guidance for the future.

Courtesy of ICN – 2023

The first point sets the tone for global health action:

Protect and invest in the nursing profession to rebuild health systems that can deliver the Sustainable Development Goals and Universal Health Coverage to improve global health. Recognise and value health and health care as an investment not a cost. Secure commitments for investment to maintain equitable and people-centred care.

Each point is worth attention and action this year. I will reflect on point 8 as we prepare for the ICN Congress in Montreal this July:

Actively and meaningfully engage national nursing associations as critical professional partners in all aspects of health and social care policy, delivery and leadership as the experienced and trusted voice of nursing. Build local, national and global multilateral partnerships.”

On this day, I am reminded of warm connections with international colleagues I have met through partnerships, exchange visits and conferences over many decades. In particular I’m thinking about the nurses, faculty members and students at Guru Nanak College of Nursing in Punjab and my friends at the Canada India Education Society and UBC School of Nursing. The hospitality and conversations were wonderful! Also remembering nurse leaders I met and admired in the Japanese Nursing Association and the Democratic Nursing Organization of South Africa (DENOSA). Thank you and best wishes for International Nurses Day and beyond!

By Nora Whyte – May 12, 2023

I acknowledge with respect that I live and work on the Unceded traditional territory of the K’òmoks First Nation.

Congress Banner courtesy of ICN.

Updates on Nursing Associations 2022

Parksville, BC – June 2022

I’m writing this update at the end of June in advance of our summer break in Canada. World events in the first half of 2022 have left us shaken and concerned about the future as we grapple with climate issues, global conflicts, food security, and population health. As I follow the daily news, I also turn my attention to developments in nursing and look for statements and opportunities for advocacy.

ICN Updates

The 75th World Health Assembly took place in May. It was interesting to follow on social media as it generated considerable attention this year. The International Council of Nurses (ICN) was active in presenting ‘Interventions’ on specific resolutions. See ICN’s summary here.

ICN along with the International Confederation of Midwives and the WHO met for their 9th Triad meeting in May. The representatives issued the 2022 Triad Statement focusing on health care workforce issues and reporting on what countries are doing in response to the Global Strategic Directions for Nursing and Midwifery 2021-2025. Howard Catton, ICN CEO, has been interviewed by many news media this year speaking about the war in Ukraine and related humanitarian crises and on the scale of the nursing shortfall globally.

Annual Meetings

The Canadian Nurses Association (CNA) and the Association of Nurses and Nurse Practitioners of BC (NNPBC) held their annual meetings in June. Both were open to all members and observers in a virtual format. The CNA Meeting of Members was noteworthy because it marked the first time that individual members could vote to elect candidates for the Board of Directors and vote on AGM motions. The previous federation model of territorial and provincial member associations carrying votes has ended. As a member who is following these changes, it will be interesting to see how the new membership structure will work and how the new Board will communicate with members throughout the country.  

After both meetings, I was left somewhat disappointed that there wasn’t more substance presented on what our associations are doing to demonstrate leadership during the current health care staffing crisis and other major issues in 2022 (I receive newsletters and view social media updates but others may not). I do recognize that annual meetings present highlights and financial statements on the previous year and are always six months out of date for the current year’s activities. It makes me wonder if members would be interested in (and commit to attending) an organizational update given in the autumn each year. We could meet the new Board members, hear their priorities for the current year, and ask questions – all through a virtual format, and in a less formal manner than at an annual meeting.

Annual meetings and major events aside, I do appreciate the ongoing work of our professional associations at all levels to bring a nursing perspective to provincial, national, and global health challenges and policy change.

By Nora Whyte – June 27, 2022

I acknowledge with respect that I live on the Unceded traditional territory of the K’òmoks First Nation.

Save the date for July 2023!

Nurses for Peace

ICN Campaign: Nurses for Peace

The International Council of Nurses (ICN) has launched a #NursesforPeace social media campaign to join nurses around the world in solidarity with the nurses of Ukraine.

ICN in partnership with the European Federation of Nurses Associations (EFN) and the European Forum of National Nursing and Midwifery Associations (EFNNMA) issued a powerful statement on March 3, 2022. Speaking on behalf of the global nursing community, they condemn the illegal invasion of Ukraine and call for an immediate ceasefire.

ICN is encouraging nurses around the globe to participate in the social media campaign and to add our support by signing the statement.

Thank you to ICN and European partners for your strong leadership at this critical moment and for demonstrating support for the Ukrainian people in this call for humanitarian action. For updates and suggested actions, please visit the ICN website.

#NursesforPeace

By Nora Whyte – March 3, 2022

I acknowledge with respect that I live on the Unceded traditional territory of the K’òmoks First Nation.