Susan VanDeVelde-Coke, RN, MA, MBA, PhD, is Executive Vice President, Programs/Chief, Health Professions and Nursing Executive, Sunnybrook Health Sciences Centre, Toronto; former Vice President, Operations, of the Victorian Order of Nurses (VON), Ottawa; and Adjunct Professor at the University of Toronto. In this interview, Dr. Coke reflects on the state of nursing today from the perspective of a senior nurse administrator.