Shift Happens

If Nothing Changes, Nothing Changes


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Nursing culture is one of the most misunderstood parts of the profession—especially by the people making decisions about healthcare. 

In the first episode of this two-part conversation, Brandi and Darlene sit down with Dr. Kim McMillan, associate professor in the School of Nursing at the University of Ottawa, to dig into what “culture” truly means in nursing and why it’s so often reduced to oversimplified ideas.

Drawing on her research, Dr. McMillan explains the foundations of nursing culture, where common misconceptions come from, and how systemic pressures shape the way nurses practice today.

More About Dr. McMillan

A published paper in which Dr. McMillan examines how a culture of care and a culture of service in healthcare are often at odds, creating situations that result in moral distress for nurses. (Not open access):

  • Ideological tensions amidst rapid and continuous organizational change in healthcare


About MNU

Manitoba Nurses Union (MNU) represents more than 13,000 nurses across the province, advocating for fair wages, better working conditions, and quality patient care. Since 1975, MNU has been a bold voice for nurses, providing support and pushing for a stronger healthcare system. Learn more at manitobanurses.ca.


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Shift Happens is an MNU podcast, hosted by Darlene Jackson and Brandi Johnson. The show is produced and edited by Chynna Hill. Special thanks to Jane Chartrand for our show art and branding. Music and SFX on the show are produced by Ty Kiddo (https://www.instagram.com/tykiddomusic/).

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Shift HappensBy Manitoba Nurses Union