I study nurses' work environments. Some work environment factors that are important to nurses include the types of patients in their care, leadership support and teamwork. I use a variety of methods in my research, including surveys and interviews. My goal is to use best evidence to support healthy work environments for nurses, their colleagues, patients and families.
UBC School of Nursing
T201 2211 Wesbrook Mall
Canada V6T 2B5
I am a health systems researcher who studies nurses' work environment factors that influence nurse and patient outcomes. I recently conducted a survey study of BC nurses' workloads, examining factors at unit, job and task levels that affect nurses' capacity to provide safe, quality care. Nurses' workloads are influenced by unit staffing levels and skill mix. To make safe staffing decisions, patient care needs must be reliably assessed. I do research with a patient characteristics assessment tool, the synergy tool, which is used to guide nurse-manager staffing decisions and resource allocation.
My expertise includes leadership and healthcare administration. I have studied leadership development in different global contexts, including Taiwan and Hong Kong.
MSc , Purdue University
BSc , University of Michigan
BSc , University of North Carolina
MSc , University of Northern Colorado
PhD , Colorado State University
Affiliations & Links
Nursing Leadership Institute
I am the Deputy Director for the Chinese University of Hong Kong (CUHK)-UBC International Centre on Nursing Leadership. I co-designed the Centre’s curriculum with Ms. Adela Lai, former Chief Nursing Officer of Hong Kong Health Authority.
I am an Advisory Board member for Sigma Theta International Global Health Leadership Institute.
I am on the Editorial Board for the Journal of Pediatric Nursing and the Journal of Nursing Administration. I do reviews for several leadership and healthcare administration journals.
I act as an advisor for practice sites implementing and evaluating the Synergy Model™ patient characteristics assessment tool, the “synergy” tool. The tool is currently in use in BC (Fraser Health Authority), Hamilton and Niagara health systems in Ontario, and Regina health region, Saskatchewan.
Examples of Completed Service Projects
Canadian Interprofessional Healthcare Leadership Collaborative (2013-2015). This collaborative consisted of four universities, sponsored by the Institute of Medicine. I represented the University of British Columbia and acted as co-lead on the project with Dr. Lesley Bainbridge. Other university partners included Laval University, Queens University, University of Toronto and Northern Ontario School of Medicine.
BC’s Nursing Administrative Leadership Institute for First-Line Nurse Leaders (2004-2010) I was the Academic and Research Lead for BC’s Nursing Administrative Leadership Institute for First-Line Nurse Leaders.
Examples of Completed Research Projects
Nurses’ Workload Impact Study (2014-2016). I was Principal Investigator for a provincial survey study of nurses’ workloads. Funding was through the Michael Smith Foundation Nursing Research Initiative and the British Columbia Nurses’ Union.
Starting Out (2012-2016) I was a co-investigator on a CIHR-funded study (Dr. Heather Laschinger, PI), to investigate work environment factors that act as barriers or enablers to new nurse transition to practice: The Starting Out study.
Leadership and Health System Redesign (2009-2014). I was co-investigator on a CIHR-funded study (Drs. Graham Dickson, Bill Tholl, co-PIs) to investigate the types of leadership styles and behaviors that result in healthcare innovations at regional, provincial and national levels of government. I was responsible for coding and analyzing data from the national level component of the study.
Provincial Nursing Workload Capacity Project (2009-2010)
I was the Research Lead for the Provincial Nursing Workload Capacity project, a collaboration among the Ministry of Health Nursing Directorate, the BC Nurses’ Union and the health authority chief nursing officers.
Selected Publications not Indexed in PubMed
Dahinten, V. S., MacPhee, M., Hejazi, S., Laschinger, H., Kazanjian, M., McCutcheon, A., Skelton-Green, J. & O'Brien-Pallas, L. (2014). Testing the effects of an empowerment-based leadership development programme: part 2–staff outcomes. Journal of Nursing Management, 22(1), 16-28.
MacPhee, M., Dahinten, V. S., Hejazi, S., Laschinger, H., Kazanjian, A., McCutcheon, A., Skelton-Green, J. & O'Brien-Pallas, L. (2014). Testing the effects of an empowerment-based leadership development programme: part 1–leader outcomes. Journal of Nursing Management, 22(1), 4-15.
Havaei, F., Dahinten, V. S., & MacPhee, M. (2013). The effects of perceived organizational support and span of control on the organizational commitment of novice leaders. Journal of Nursing Management. DOI: 10.1111/jonm.12131.
MacPhee, M., Paterson, M., Tassone, M., Marsh, D., Berry, S., Bainbridge, L., Steinberg, M., Careau, E. & Verma, S. (2013). Transforming health systems through collaborative leadership: Making change happen! PAPER SERIES, 79. International Scholarship of Service Learning (ISSL), South Africa.
Kramer, M., Brewer, B. B., Halfer, D., Maguire, P., Beausoleil, S., Claman, K., MacPhee, M., & Duchscher, J. B. (2013). Changing our lens: seeing the chaos of professional practice as complexity. Journal of Nursing Management, 21(4), 690-704.
Spiri, W. C., & MacPhee, M. (2013). The Meaning of Evidence-Based Management to Brazilian Senior Nurse Leaders. Journal of Nursing Scholarship, 45(3), 265-272.
Garrett, B. M., MacPhee, M., & Jackson, C. (2013). Evaluation of an eportfolio for the assessment of clinical competence in a baccalaureate nursing program. Nurse Education Today, 33(10), 1207-1213.
MacPhee, M., Chang, L., Lee, D., & Spiri, W. (2013). Global health care leadership development: trends to consider. Journal of Healthcare Leadership, 5, 21-29.
Wong, C. A., Laschinger, H. K., Macdonald-Rencz, S., Burkoski, V., Cummings, G., D'amour, D., Grinspun, D., Gurnham, M. E., Huckstep, S., Leiter, M., Perkin, K., MacPhee, M., Matthews, S., O'Brien-Pallas, L., Ritchie, J., Ruffolo, M., Vincent, L., Wilk, P., Almost, J., Purdy, N., Daniels, F., & Grau, A. (2013). Part 2: Nurses' career aspirations to management roles: qualitative findings from a national study of Canadian nurses. Journal of Nursing Management, 21(2), 231-241.
Laschinger, H., Wong, C., MacDonald-Rencz, S., Burkoski, V., Cummings, G., Damour, D., Grinspun, D., Gurnham, M., Huckstep, S., Leiter, M., MacPhee, M., Perkin, K., Matthews, S., O’Brien-Pallas, L., Ritchie, J., Ruffolo, M., Vincent, L., Wilk, P., Almost, J., Purdy, N., Daniels, F., & Grau, A. (2013). Part 1: The influence of personal and situational predictors on nurses' aspirations to management roles: preliminary findings of a national survey of Canadian nurses. Journal of Nursing Management, 21(2), 217-230.
MacPhee, M., & Bora, L. Flexible work practices for nurses monograph. Published on the International Council of Nurses website www.ichrn.org. July 27, 2012.
MacPhee, M., Skelton-Green, J., Bouthillette, F., & Suryaprakash, N. (2012). An empowerment framework for nursing leadership development: supporting evidence. Journal of Advanced Nursing, 68(1), 159-169.
MacPhee, M. Flexible work practices for nurses fact sheet. Published on the International Council of Nurses website www.ichrn.org. July 27, 2012.
Garrett, B. M., MacPhee, M., & Jackson, C. (2011). Implementing high-fidelity simulation in Canada: Reflections on 3 years of practice. Nurse Education Today, 31(7), 671-676.
MacPhee, M., & Suryaprakash, P. (2011). First line nurse leaders’ healthcare change management initiatives. Available online December 5: doi: 10.1111/j.1365-2834.2011.01338.x
MacPhee, M., Wardrop, A., Campbell, C., & Wejr, P. (2011). The synergy model and its patient characteristics tool: A staff empowerment strategy. Canadian Journal of Nursing Leadership, 24(3), 42-56.
MacPhee, M., Skelton-Green, J., Bouthillette, F., & Suryapkash, N. (2011). An empowerment framework for nursing leadership development: supporting evidence. Journal of Advanced Nursing, 68(1), 159-169.
Garrett, B., MacPhee, M., & Jackson, C. (2010). High fidelity patient simulation: Considerations for effective learning. Nursing Education Perspectives, 31(5), 309-314.
Garrett, B., MacPhee, M., & Jackson, C. (2010). Implementing high fidelity simulation in Canada: Reflections on three years of practice. Nurse Education Today. 31(7), 671-676.
Boschma, G., Einboden, R., Groening, M., Jackson, C., MacPhee, M., et al. (2010). Strengthening communication education in an undergraduate nursing curriculum. International Journal of Nursing Education Scholarship, 7(1), article 28. doi: 10.2202/1548-923X.2043
MacPhee, M., Wardrop, A., & Campbell, C. (2010). Transforming workplace relationships through shared decision making. Journal of Nursing Management, 18(8), 1016-1026. doi: 10.1111/j.1365-2834.2010.01122.x
MacPhee, M., Wejr, P., Jewell, K., Wardrop, A., & Mildon, B. (2010). British Columbia’s Provincial Nursing Workload Project: Evidence to empowerment. Canadian Journal of Nursing Leadership, 23(1), 54-63.
MacPhee, M., Wejr, P., Davis, M., Semeniuk, P., & Scarborough, K. (2009). Practice-academic nurse educators: Finding common ground. International Journal of Nursing Education Scholarship, 6(1). Retrieved December 2009 from http://www.bepress.com/ijnes/vol6/iss1/art32.
MacPhee, M., Suryaprakash, N., & Jackson, C. (2009). Online knowledge networking: What leaders need to know. Journal of Nursing Administration, 39(10), 415-423.
MacPhee, M. (2009). Developing a practice-academic partnership logic model. Nursing Outlook, 57(3), 143-147.
MacPhee, M., Espezel, H., Clauson, M., & Gustavson, K. (2009). A collaborative model to introduce quality and safety content into the undergraduate leadership curriculum. Journal of Nursing Care Quality, 24(1), 83-89.
MacPhee, M., & Bouthillette, F. (2008). Developing leadership in nurse managers: The British Columbia Nursing Leadership Institute. Canadian Journal of Nursing Leadership, 21(3), 64-75.
MacPhee, M. (2007). Strategies and tools for managing change. Journal of Nursing Administration, 37(9), 404-415
MacPhee, M. (2002). Evidence-based practice in action. Journal of Pediatric Nursing, 17(4), 313-320.
Richardson, D., Branowicki, P., Zeidman-Rogers, L., Mahoney, J., & MacPhee, M. (2006). An evidence-based approach to nasogastric tube management: Special considerations. Journal of Pediatric Nursing, 21(5), 388-394.
Ellis, J., Priest, M., MacPhee, M., & Sanchez McCutcheon, A. (2006). Staffing for safety: A synthesis of the evidence. Ottawa, ON: Canadian Health Services Research Foundation.
Sanchez McCutcheon, A., MacPhee, M., Davidson, J., Doyle-Waters, M., Mason, S., & Winslow, W. (2006). Evaluation of patient safety and nurse staffing. Ottawa ON: Canadian Health Services Research Foundation.
MacPhee, M., Ellis, J., & McCutcheon, A. (2006). Nurse staffing and patient safety. Canadian Nurse, 102(8), 18-24.
MacPhee, M., McLean, G., & Woo, C. (2005). A nursing leadership evolution. (In press). Journal of Pediatric Nursing.
MacPhee, M., & Sredl, D. (2004). Mirror, mirror... Journal of Pediatric Nursing, 19(6), 371-373.
Lamagna, P., & MacPhee, M. (2004). Peripheral intravenous infiltration. Nursing Spectrum, June 28, 2004.
MacPhee, M., & Scott, J. (2002). The role of social support networks for rural hospital nurses: supporting and sustaining the rural nursing workforce. Journal of Nursing Administration, 32(5), 265-272.
MacPhee, M. (2001). Failure-to-thrive: Home-based interventions. In Preedy, V., Grimbles, G., & Watson, R (Eds.), Nutrition in the infant: Problems and practical procedures. (pp. 387-399). London, England: Greenwich Medical Media.
MacPhee, M., MacPhee, D., Morgan, G., & Gliner, J. (2000). Instructor’s manual to accompany research methods in applied settings: An integrated approach to design and analysis. Mawah, NJ: Lawrence Erlbaum Associates.
MacPhee, M. (2000). Hospital networking: comparing the work of nurses with flexible and traditional schedules. Journal of Nursing Administration, 30, 190-199.
I am a faculty member for the Sigma Theta Tau International Emerging Global Health Leaders Institute. The inaugural event took place September 7-10, 2016 in Washington, D.C.
I teach leadership and management within the undergraduate program (N351) and the graduate program (N512). Other courses include: N552 (graduate research methods) and N520 (Leadership and healthcare administration).