There is abundant evidence verifying that patients benefit when nurses communicate better; therefore improving team dynamics will positively impact patient care and improve nurse engagement resulting in many positive outcomes for teams. This applied action research study assessed the research question: “What is the experience of team work and team dynamics among members of a multidisciplinary nursing team from a Licensed Practical Nurse perspective?” The experiences of licensed practical nurses (LPNs) and key external leaders (KELs) are explored and analyzed drawing from current literature in the field of teams in health, organizational culture in health, and transformative learning in health. Historical and leading communication, organizational culture, and leadership theories guide this study. During focus groups and interviews, the researcher and participants were influenced to generate new knowledge and insight on team dynamics, through appreciative inquiry. Manifest and latent content analysis identified key themes within each of the subtopic themes, generating a number of recommendations for future action. Through the identification of similar and unique perspectives between the literature and participants in this study, the action research goals of empowerment and emancipation of team members was dynamically met for research participants. Keywords: nursing; team dynamics; communication; collaboration; culture; leadership

In addressing the necessity of cultural transmission from one generation to the next, this ethnographic study examines ways that Indigenous canoe journeys enable communication of ancestral teachings and traditions, particularly to Kw‟umut Lelum youth. The objective is to identify how experiences and interactions within Indigenous canoe journeys, specifically Tribal Journeys, can connect youth to traditions, environments, Elders, other individuals, and each other. Drawing on interviews with adults and participant observation, I consider relational themes of self and identity to explore the cultural impact on the young people as they participate in Tribal Journeys 2010 and symbolic ceremonies within it. Through qualitative inquiry and inductive reasoning, this interpretive epistemological approach includes concepts specific to the Indigenous research paradigm and uses a performative narrative to present results. Kw‟umut Lelum Child and Family Services is a society committed to the well-being of Indigenous children residing within nine Coast Salish communities on Vancouver Island. The agency focuses on family, community, and sacredness of culture as guided by the Snuw‟uy‟ulh model, which uses the teachings of the present to unite the past and future. Tribal Journeys is a significant cultural event that upholds the Snuw‟uy‟ulh principles while facilitating the communication of ancestral teachings and traditions. Keywords: Indigenous, canoe, youth, culture, tradition, Coast Salish, narrative, perform

This descriptive, phenomenological case study presents the perspectives of small-scale coffee producers in Guatemala regarding cooperative membership, sustainable coffee certification programs and the role of ANACAFE. The viewpoints of two producer cooperatives are described based on participant observation, semi-structured interviews and focus groups. Through content analysis the transcribed data were categorized and summarized, and emergent themes are discussed. Advantages to cooperative membership include access to finances, information, cost sharing and expanding direct-trade relationships. Challenges identified are securing finances and attracting new membership. Certification programs may be desirable, but access to information regarding program types is limited. Participants feel that standards do not reflect cultural differences, and the producers question who actually receives the advertised price premiums. The use of best-practices incorporating the social, environmental and economic principles of certification programs is preferred. ANACAFE is a source of technical information and funding but resource access is selective and limited.

This descriptive case study examines the use of medical simulation technology in the three-year Thompson Rivers University respiratory therapy training program. Qualitative analysis of data gathered from 78 participants through interviews, observations, and discussion groups reveal a wide variety of low- intermediate- and high-fidelity technologies used for education and evaluation. Deliberate practice is the predominant learning theory informing the use of simulation for safe and ethical training in competencies that would otherwise pose significant risk to patients. Recommendations include enhancements of the existing technology with psychological and environmental fidelity, and for optimal curriculum placement of high-fidelity simulators at hospital sites for student development of critical thinking and team training. Further research into learning with high-fidelity simulation specifically within the context of a student respiratory therapist as an embedded hospital team member is needed. Keywords: respiratory therapy, patient simulation, critical thinking, learning, critical care, deliberate practice