From the Editor-in-Chief

from the grip of a very cold and snowy winter and beginning to inch our way toward the season of growth, new life and hope - spring. This issue feels a little similar to that to me. In Canada, we are in the grip of some serious challenges to the safety and stability of many of the structures and systems we often take for granted, healthcare systems being one of them. And yet, as I read the articles in this issue, I feel hope. Why? Because within these pages, there are research articles, evidence reviews and commentaries authored by people who are tackling some very complex challenges with bold, innovative ideas and actions for change. Collaboration and partnership are essential to doing the work, along with a courageous generosity of spirit that takes my breath away.