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The Canadian Journal Of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmieres[JOURNAL]
The Canadian Journal Of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmieres[JOURNAL]
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When Volunteerism Meets Employability: Advancing Research and Professional Integration Pathways for Migrant Nurses.
Al-Hamad A
Can J Nurs Res · 2026 Mar · PMID 41841470 · Publisher ↗
Migration continues to reshape nursing workforces globally, creating both opportunities and challenges for migrant nurses navigating professional integration within unfamiliar healthcare systems. While existing integrati...
Migration continues to reshape nursing workforces globally, creating both opportunities and challenges for migrant nurses navigating professional integration within unfamiliar healthcare systems. While existing integration strategies often focus on regulatory pathways and employment readiness, less attention has been given to the relational and experiential role of civic engagement. This editorial examines how civic participation, particularly through volunteerism, can support migrant nurses' professional development, social connection, and workforce inclusion. Drawing on perspectives from migration, nursing workforce development, and community-engaged practice, the discussion highlights how volunteer initiatives can foster transferable skills, expand professional networks, and strengthen culturally responsive communication. Civic engagement is positioned as a meaningful space where migrant nurses develop contextual knowledge of healthcare delivery while contributing to community wellbeing. The editorial also considers the ethical and structural implications of relying on volunteerism, emphasizing the need to avoid reinforcing unpaid labour expectations without clear pathways to equitable employment. Implications for nursing education, policy, and practice are explored, including the potential role of structured civic engagement initiatives in enhancing mentorship, professional belonging, and disaster preparedness capacity. By reframing volunteerism as a relational pathway that complements traditional integration approaches, this editorial calls for the development of intentional frameworks that link civic participation to employment opportunities and professional recognition. Recognizing migrant nurses as active contributors rather than passive recipients of integration efforts is essential for building resilient, inclusive, and culturally responsive healthcare systems.
Workplace Accommodations for Nurses Who Experience Disabilities: A Scoping Review.
Thomson AE, Van Mulligen L, Winsor Murray J … +4 more , Adair J, Schira HR, Ramage M, Torres-Salbach S
Can J Nurs Res · 2026 Mar · PMID 41787870 · Publisher ↗
BackgroundProvisions of reasonable workplace accommodations can support the retention of nurses and midwives with disabilities in their professional roles. However, many encounter barriers to accessing accommodations in...
BackgroundProvisions of reasonable workplace accommodations can support the retention of nurses and midwives with disabilities in their professional roles. However, many encounter barriers to accessing accommodations in their practice.PurposeThis review aimed to map the existing knowledge and identify gaps in literature regarding workplace accommodations for nurses and midwives with disabilities.Method and ProceduresThe scoping review adhered to JBI methodology to identify available literature on workplace accommodations in nursing and midwifery practice. A search of CINAHL, SocINDEX, PsycInfo, PubMed, Web of Science, EMBASE, and ProQuest Dissertation identified 4160 articles. Data was extracted from 20 sources that met the eligibility criteria.ResultsWorkplace accommodations that employers were both able and unable to provide, as well as informal accommodations made by the employee, were uncovered. Key barriers included unclear processes, experiences of ableism, and self-disclosure difficulties. Alternatively, access to accommodations was facilitated by supportive and collaborative managers and colleagues.DiscussionWorkplace accommodations were found to contribute to nurses' success, yet the implementation was not without challenges. Workforce barriers must be universally addressed to improve inclusion in nurses and midwifery practice. A significant gap in research regarding accommodations in midwifery was found. Further research on strategies to promote accessibility in nursing and midwifery internationally is needed, with focus on Canada where literature was limited.ConclusionEffective provision of workplace accommodations requires clear policies, processes, and communication, which is currently lacking. A streamlined process would help to reduce absenteeism and retain nurses and midwives with disabilities.
Workplace Mental Health and Social media Addictive Behaviours: The Application of Mattering Theory.
Lee TY, Su C, Flett GL
Can J Nurs Res · 2026 Mar · PMID 41769800 · Publisher ↗
PurposeThe present study examined associations between adjustment and job satisfaction and multiple dimensions of mattering-including general mattering, mattering at work, anti-mattering experiences, and fears of not mat...
PurposeThe present study examined associations between adjustment and job satisfaction and multiple dimensions of mattering-including general mattering, mattering at work, anti-mattering experiences, and fears of not mattering-among working adults. A secondary, exploratory aim was to examine whether mattering-related outcomes differed as a function of personal COVID-19 infection history.MethodA cross-sectional study was conducted with 60 employees working primarily from home during the COVID-19 pandemic. Participants completed self-report measures assessing mattering, well-being, depression, social media addiction, and job satisfaction.ResultsGeneral mattering was positively associated with work mattering and affective job satisfaction, whereas anti-mattering was negatively associated with work mattering, well-being, and affective job satisfaction. Well-being was positively related to both work mattering and affective job satisfaction, supporting the protective role of perceived significance in the workplace. Social media addiction was positively correlated with non-mattering and depression, suggesting that diminished perceptions of mattering may be linked to maladaptive online behaviors and poorer mental health. Exploratory independent-samples t-tests indicated that individuals with a history of COVID-19 infection reported lower general mattering, work mattering, and affective job satisfaction, and higher anti-mattering, compared with those without infection.ConclusionThe findings highlight the importance of mattering as a resource for employee well-being and job satisfaction. Experiences of anti-mattering were associated with poorer mental health and greater vulnerability to problematic social media use. Exploratory differences linked to COVID-19 infection history suggest pandemic-related stressors may negatively influence employees' sense of value and satisfaction. These results underscore the need for organizational practices that foster employees' sense of mattering, particularly during periods of disruption.
Islamophobia in Canadian Nursing: An Interpretive Phenomenological Study Looking at the Experiences of Female Muslim Nurses.
Upal Z, Jackson J
Can J Nurs Res · 2026 Mar · PMID 41769791 · Publisher ↗
BackgroundMuslim Nurses in Canada are experiencing Islamophobia in the workplace and in educational institutions. These experiences result in increased mental distress for these nurses, social isolation at the workplace,...
BackgroundMuslim Nurses in Canada are experiencing Islamophobia in the workplace and in educational institutions. These experiences result in increased mental distress for these nurses, social isolation at the workplace, and considerations of leaving the nursing profession.AimThis study explores the experiences of Islamophobia for Registered Nurses who wear the hijab at work in Canada. This study is grounded in Critical Race Theory and aims to answer the following research question: What are the experiences of Islamophobia for female Canadian Registered Nurses who wear the hijab? The participants in the study described experiences from their workplaces and their experience attending nursing school in Canada.MethodA total of six participants were interviewed, and the findings were analysed using the Interpretative Phenomenological Analysis method. Muslim nurses' experiences were characterized by their sense of belonging.FindingsKey findings consist of the experiences of Islamophobia being related to the negative stereotypical identity of what it means to be a Muslim woman, being associated with these nurses, how they discover their own identity as nurses and finally, how they reconcile their personal and social identities as Muslim women with their identity as Registered Nurses.ConclusionThis study uncovers the process of self-discovery that Muslim nurses undergo after experiencing Islamophobia through being assigned an identity. This process enables them to reconcile what it means to be Muslim nurses, allowing them to practice comfortably at the workplace. Recommendations are that policy changes should be enacted, which protect Muslim nurses and work to prevent incidents of Islamophobia. Secondly, anti-racism training should be provided to both nursing students and staff to foster more supportive workplaces.
Environmental Justice and Equity in Canadian Nursing for Planetary Health: An Integrative Review.
Jones AT, Josewski V, Dewell S … +1 more , Astle B
Can J Nurs Res · 2026 Feb · PMID 41707639 · Publisher ↗
As planetary health challenges intensify, Canadian nurses are increasingly called to act for human health, health equity, and the health of the living world upon which humans depend. This integrative review explores how...
As planetary health challenges intensify, Canadian nurses are increasingly called to act for human health, health equity, and the health of the living world upon which humans depend. This integrative review explores how Canadian nurses have engaged with environmental justice and equity in the context of planetary health (including environmental health and climate change) over the past 25 years. Guided by Whittemore and Knafl's five-phase framework, 52 documents were analyzed from databases including CINAHL, MEDLINE, GreenFILE, Environment Index, Web of Science, and grey literature sources. Two overarching concept areas emerged: Environmental Equity and Justice in Nursing and Nursing for Planetary Health. Findings were organized across research, education, advocacy, and practice domains. Although the term "environmental justice" was used infrequently, its principles were widely reflected across the literature, with Indigenous environmental justice emerging as a distinct and critical area of emphasis. Nurses' primary contributions were situated in advocacy and education. The review highlights key gaps and future directions, including the need to diversify research methodologies, strengthen community-based collaborations, address health impacts among equity-denied populations, and integrate biodiversity, spirituality, and faith into nursing for planetary health. Developing environmental justice-informed planetary health nursing theory is also identified as an important next step. By grounding the profession in environmental justice, nursing is better positioned to engage with and respond to the complex, interrelated health challenges facing people, communities, and ecosystems on a rapidly changing planet.
Exploring Afghan Refugees' Post-Resettlement Experiences in North America: A Scoping Review.
Amanzai H, Wang BQ, Catallo C … +9 more , Guruge S, Sidani S, Sethi B, Ziegler E, Nishi S, Joy P, Stafford A, Borges A, Sediq M
Can J Nurs Res · 2026 Jun · PMID 41671316 · Full text
BackgroundDecades of war and political instability have forced millions of Afghans to flee from their homes, resulting in one of the world's largest humanitarian crises. Many refugees have resettled in North America, par...
BackgroundDecades of war and political instability have forced millions of Afghans to flee from their homes, resulting in one of the world's largest humanitarian crises. Many refugees have resettled in North America, particularly in Canada and the United States, where they have encountered numerous psychosocial and systemic barriers to adapting to their new environment.ObjectiveThis scoping review aims to explore the settlement experiences of Afghan refugees in North America, synthesize existing evidence on integration challenges, and identify key gaps in the literature.MethodsFollowing Arksey and O'Malley's methodological framework, six electronic databases were searched for relevant literature published between 2014 and 2024, which focused on Afghan refugee settlement experiences in the North American context. Seventeen eligible studies were included in the final review.ResultsMental health emerged as the most studied topic, with Afghan refugees experiencing moderate to high rates of psychological distress, depression, and post-traumatic stress disorder. Key risk factors included female gender, older age, pre-migration trauma, financial constraints, and social isolation. Protective factors, such as, strong social support networks, English language proficiency, and gainful employment were associated with improved mental health outcomes. In spite of the generally positive healthcare experiences, Afghan refugees encountered language barriers, limited health literacy, transportation difficulties, and cultural misunderstandings with healthcare providers.ConclusionAfghan refugees in North America face complex and intersecting barriers to health and healthcare access, and integration. Current literature by and large focuses on mental health, and there is an urgent need to expand research in other important areas of post-migration and (re)settlement.
Factors Explaining Nurses' Satisfaction with the Performance of Their Duties in Canada.
Jacob P, Lepnurm R, Quraishi AUR … +2 more , Whitty-Rogers J, Dobson R
Can J Nurs Res · 2026 Jun · PMID 41662237 · Full text
Shortages of registered nurses are frequently experienced in the provincial health care systems of Canada. The work environment needs attention to improve Nurses' Satisfaction with the Performance of their Duties (NSPD)....
Shortages of registered nurses are frequently experienced in the provincial health care systems of Canada. The work environment needs attention to improve Nurses' Satisfaction with the Performance of their Duties (NSPD). A hypothesized model was developed to find the factors associated with NSPD. A cross-sectional study covering two similar-sized health regions in Canada was used to test the model developed. A self-reported survey was conducted for a sample of nurses ( = 230) consisting of Registered Nurses ( = 196) and Licensed Practical Nurses ( = 34) working in the cardiology or stroke units in the health regions of Halifax and Saskatoon. A regression model was built to test the hypothesized model. The final model specified significant predictors of NSPD with Years in Practice as a control variable. Significant predictors explaining the variance were: Hassles (21.0%, = -0.098, = 0.022); Positive Attitude (21.2%, = 0.108, = 0.011); Unit Organization (14.4%, = 0.162, = 0.003); Leader Actions (3.1%, = 0.133, = 0.007); Objective Culture (1.5%, = 0.167, = 0.003); Fulfillment (7.2%, = 0.251, < 0.000); and Recognition (4.2%, = 0.295, < 0.000). The final model explained 72.6% of the variation in SPD. The evidence from this study provides insight into factors associated with NSPD. Application of leadership, motivation, and organizational culture theories to manage the work environment of hospitals to improve NSPD has the potential to alleviate current and projected nursing shortages, thus securing an experienced and satisfied nursing workforce in hospitals.
Pretesting Parenting Instruments with Indigenous Fathers and Two-Spirit Parents: A Qualitative Study.
Ferron EM, Butt ML, Goodfellow N … +4 more , Dame J, George SD, VanEvery R, Wright AL
Can J Nurs Res · 2026 Jun · PMID 41637218 · Full text
Background and PurposeThis qualitative study is part of a larger Indigenous community-led project in Southern Ontario, Canada, to support Indigenous fathers and Two-Spirit parents through the development of a culturally...
Background and PurposeThis qualitative study is part of a larger Indigenous community-led project in Southern Ontario, Canada, to support Indigenous fathers and Two-Spirit parents through the development of a culturally relevant parenting program. Conducted during Phase 2, this study pretested six well-established instruments to assess their clarity, comprehension, and cultural safety for use in evaluating the parenting program in Phase 3.Methods and ProceduresSix participants, all of whom were First Nations or Métis, either expecting a baby or parenting a child under the age of three, completed five instruments, specifically the Parenting Sense of Competence Scale (PSOC), Edinburgh Postnatal Depression Scale (EPDS), Relationship Assessment Scale (RAS), General Self-Efficacy Scale (GSES), and either the Paternal Antenatal Attachment Scale (PAAS) or Paternal Postnatal Attachment Scale (PPAS). Semi-structured interviews were conducted to gather insights on the instruments' instructions, terminology, response scales, and cultural relevance. Data were analyzed using conventional content analysis.ResultsParticipants identified barriers to understanding and accurately completing the instruments, including challenging terminology, ambiguous response scales, and cultural safety concerns. Recommendations included simplifying language, clarifying scale anchors, adding culturally relevant questions, and establishing culturally safe support pathways for participants disclosing distress.ConclusionEuro-Western developed instruments require refinement to ensure accessibility, cultural relevance, and safety for Indigenous fathers and Two-Spirit parents. This includes adapting tools to reflect Indigenous literacy frameworks and holistic wellness perspectives. This study underscores the ethical imperative for researchers to ensure cultural appropriateness and safety when engaging Indigenous communities in research.
Parish Nursing: A Novel and Easy Access to Territorial Care for Patients' Management and Primary Care Empowerment in Italy.
Masini F, Coco A, Sarti D … +4 more , Ridolfi S, Campanelli T, Prospero E, Minelli A
Can J Nurs Res · 2026 Jun · PMID 41637207 · Publisher ↗
Background and purposeAccess to healthcare remains difficult for many, particularly in underserved areas. In Italy's Marche Region, parish nursing agencies have been introduced as a territorial care strategy for enhancin...
Background and purposeAccess to healthcare remains difficult for many, particularly in underserved areas. In Italy's Marche Region, parish nursing agencies have been introduced as a territorial care strategy for enhancing access to healthcare and strengthening community-based services. The aim of this study is to assess the socio-demographic characteristics, service utilization, and satisfaction of users attending a parish nursing agency in the Marche Region.Methods and proceduresThis quantitative, cross-sectional explorative study drew on original data collected through an anonymous questionnaire completed by clients of a parish nursing agency. The responses were analyzed using descriptive statistical methods.Results82 individuals participated; 77% were autonomous, while 23% were accompanied by a caregiver. Among those without caregivers, 24% were foreigners, significantly higher than the regional average. Most users had a high educational level and at least one chronic condition. Frequently requested services included medical appointment scheduling, vital sign monitoring, and health information. Satisfaction was high: 83% rated the service as "excellent", and 17% as "satisfying".ConclusionThese preliminary findings indicate that parish nursing can provide accessible, person-centered, and satisfactory care to vulnerable individuals from diverse educational and socioeconomic backgrounds and suggest that parish nursing agencies could be considered a valuable component in shaping health policy recommendations.
A Descriptive Comparison of Scoring Methods and Criteria for Evaluating Consensus in Modified Delphi Methods.
Salum M, Schick-Makaroff K, Sawatzky R
Can J Nurs Res · 2026 Jun · PMID 41610201 · Publisher ↗
Background and PurposeModified Delphi methods are increasingly used to develop healthcare pathways with input from people with lived experience (PWLE) and clinicians/others. However, guidance on consensus analysis in thi...
Background and PurposeModified Delphi methods are increasingly used to develop healthcare pathways with input from people with lived experience (PWLE) and clinicians/others. However, guidance on consensus analysis in this context remains limited. We examined consensus outcomes across different scoring methods and criteria when participants were treated as a single combined group () versus two distinct groups ().MethodsWe conducted a secondary analysis of Round 1 data from a project involving PWLE (N = 8) and clinicians/others (N = 51). To assess agreement on 68 Delphi statements, we applied three methods for scoring percentage agreement that differed in how the middle response on a three-point Likert scale ("approve", "not sure either way", "do not approve") was treated. Method 1 excluded the middle response, methods 2 and 3 grouped the middle response with "do not approve", and "approve", respectively. We compared consensus rates (% of items reaching consensus) using percentage agreement cutoffs of ≥70%, ≥80%, and ≥90% of participants.ResultsConsensus results varied by participants grouping, treatment of middle response categories, and cutoff criteria. Results from the combined group of PWLE and clinicians/others provided a simplified overview consensus outcome. Treating the participants into as separate groups provide nuanced results.ConclusionThe analysis of data can change the results from which to draw conclusions and inform practice. Investigators should consider the alignment of each approach with the goals of their Delphi study.
Beyond Metrics: The Role of Arts-Based Research in Transforming Healthcare Culture.
Metersky K, Neretljak S, Lemus I
Can J Nurs Res · 2026 Jan · PMID 41604526 · Publisher ↗
In healthcare, organizational culture and patient safety are often defined through protocols, policies, and performance metrics. While essential, these structures rarely capture the emotional and relational dimensions th...
In healthcare, organizational culture and patient safety are often defined through protocols, policies, and performance metrics. While essential, these structures rarely capture the emotional and relational dimensions that shape how people work, care, and connect in high pressure environments. This editorial explores how arts-based research offers a rigorous and transformative approach to understanding and strengthening healthcare culture. Grounded in qualitative and constructionist paradigms, arts-based research integrates creative processes including music, movement, visual art, and storytelling into inquiry. These approaches enable clinicians to express and examine lived experiences of trust, empathy, moral distress, meaning, and belonging that may be difficult to articulate through words alone. The article highlights the vital role of community arts-based organizations as partners in this work, contributing expertise in creative facilitation, emotional translation, and collective reflection. Through collaborative projects and artistic outputs such as performances, exhibitions, and participatory workshops, arts-based research makes embodied forms of evidence visible and accessible, fostering dialogue across professional hierarchies and supporting organizational learning and change. As burnout and workforce strain intensify globally, culture transformation has become an ethical imperative, and safety cannot be separated from psychological wellbeing. Arts-based research does not replace evidence-based practice but expands what counts as evidence by integrating measurable and experiential dimensions of quality and safety. Ultimately, the integration of arts-based research into acute and critical care settings supports the rehumanization of healthcare by affirming medicine as both a science and an art and by positioning creativity, relationship, and imagination as central to sustainable cultures of care.
Barriers Encountered by Migrant Farm Workers When Accessing Health Care Services in Canada: A Scoping Review.
Naidoo S, Morrell S, Crawley J … +6 more , Pittman G, Mulcaster A, Pfaff K, Tay J, Kumar G, Scott K
Can J Nurs Res · 2026 Jun · PMID 41574912 · Full text
ObjectiveThis scoping review aims to examine and map existing literature about barriers encountered by migrant farm workers accessing health care services in Canada.MethodsThe search was conducted in multiple databases a...
ObjectiveThis scoping review aims to examine and map existing literature about barriers encountered by migrant farm workers accessing health care services in Canada.MethodsThe search was conducted in multiple databases and grey literature. The PRISMA-ScR was used to document the inclusion and exclusion process. Two or more team members screened and reviewed all articles to ensure accuracy in capturing data.Synthesis380 records were screened by examining abstracts and titles, and 325 were deemed irrelevant. Of the remaining records, 55 had full-text assessments; 16 were excluded because they did not meet the inclusion criteria. Thirty-nine articles were extracted. They represented a mix of qualitative and quantitative studies, reviews, and other forms of commentaries and analyses. The thematic analysis revealed barriers that affect migrant farm workers' access to Canadian health care services: (1) language and literacy challenges, (2) concern of medical repatriation, (3) lack of transportation, (4) barriers to timely care and medical follow-up, (5) restrictive work schedules, and (6) health care coverage issues.ConclusionThis review provides a synthesis of the barriers experienced by migrant farm workers when accessing Canadian health care services. Canadian health care policy experts and organizations where Canadian migrant farm workers seek care are encouraged to design and implement policies, practice changes and/or educational interventions to address these barriers. This review may also inform public health nursing programming to promote positive health outcomes in the migrant farm worker population.
Centring Social Justice in Nursing Educational Resources: Equity, Diversity, and Inclusion.
Lapum JL, St-Amant O, Hughes M … +1 more , Garmaise-Yee J
Can J Nurs Res · 2026 Jun · PMID 41529056 · Full text
Background and purposeOpen educational resources (OER) are socially progressive learning resources that are well positioned to disrupt the exclusionary and marginalizing processes that can sometimes occur within nursing...
Background and purposeOpen educational resources (OER) are socially progressive learning resources that are well positioned to disrupt the exclusionary and marginalizing processes that can sometimes occur within nursing texts. Recognizing the social justice underpinnings of OER, the study focus was to examine how leadership teams should integrate equity, diversity, and inclusion (EDI) into the design and production of nursing-related OER.Methods and proceduresThis study was theoretically informed by the concept of Othering. The interpretive descriptive methodology involved reflexive and critical dialogue with focus group data that honed skeptical thinking and encouraged the search for alternative ways to think about how codes and themes were named and conceptualized.FindingsParticipating in the two hour focus group were nine leaders, who were authors of two nursing-related OER. Participants included six nurse educators, one educational developer, and two students. Three themes were identified including: diversifying design and production; centring social justice; and nuancing inclusion.Discussion and conclusionPart of the blueprint to the design and production of OER that are shaped by EDI must include incredibly rich, vibrant, and diverse voices and teams who are focused on social justice. This approach offers ways to create space for the beauty of human difference, the nuances of inclusion, and the flourishing and growth of learners. Although we may never produce resources that fully embrace inclusion and belonging, we are confident that diverse and critical voices will shift us closer while centring social justice.
Nurse Practitioners' Experiences Navigating Treatment Decision-Making Affecting Older People with Neurocognitive Disorders and Cancer.
Shapkin K, Newton L, MacKinnon K … +1 more , Holroyd-Leduc J
Can J Nurs Res · 2026 Jun · PMID 41529040 · Full text
Background and PurposeNurse practitioners (NPs) make treatment decisions impacting older people with neurocognitive disorders (NCDs), like mild cognitive impairment and dementia. Research has shown that when this patient...
Background and PurposeNurse practitioners (NPs) make treatment decisions impacting older people with neurocognitive disorders (NCDs), like mild cognitive impairment and dementia. Research has shown that when this patient population has cancer, they face barriers accessing care, have higher mortality rates and limited involvement in decision-making. Despite their critical role, few NPs have been included in studies exploring treatment decision-making affecting this population. To improve experiences for older people and their families, this study explored NPs' decision-making experiences when individuals were living with an NCD and cancer.MethodsThis qualitative study was informed by interpretive description, a practice-oriented approach. Data collection methods included semi-structured interviews and reflective journaling. Data analysis was iterative with identification and revision of themes that have accompanying illustrations. The research team drew on relevant nursing and practice knowledge to identify meaningful implications for NP practice.ResultsFive themes were identified which included the observation that participants' decision-making was shaped by NPs' knowledge and assumptions. NP participants experienced uncertainty and ethical challenges while needing to creatively navigate health systems. Drawing on nursing knowledge, NPs sought to actively involve older people and their family in decision making.ConclusionNPs experience complex treatment decision-making when older people are living with an NCD and cancer, requiring navigation of multiple factors and challenges. The results showed shared decision-making processes are applied, suggesting that NPs take up relational treatment decision-making practices. However, there is a need for institutional change, further education, and research about NPs experiences in community settings.
Towards Global Knowledge Co-Creation Through Research Internationalization and Mentorship.
Metersky K, Kogan A, Al-Hamad A … +2 more , Kokorelias K, Yasin YM
Can J Nurs Res · 2026 Jun · PMID 41529033 · Publisher ↗
In an increasingly interconnected academic landscape, research is expanding beyond local and institutional boundaries, creating new opportunities for global collaboration among students, highly qualified personnel (HQPs)...
In an increasingly interconnected academic landscape, research is expanding beyond local and institutional boundaries, creating new opportunities for global collaboration among students, highly qualified personnel (HQPs), and faculty across career stages. While traditional mentorship models rooted in local faculty and student relationships remain valuable, they can restrict the broader relevance and innovation potential of research. Internationalization offers a compelling response by linking scholars across disciplines, cultures, and regions, enriching methodological diversity, cultural perspectives, and global visibility of scholarly work. For faculty, international collaboration strengthens research networks and enhances global impact. For HQPs, such engagement fosters globally minded researchers, builds institutional research capacity, and deepens international academic connections. Programs such as the Mitacs Globalink Research Internship, Academics Without Borders, and Global Affairs Canada mobility initiatives exemplify structured pathways that support cross border research, skill development, and collaborative knowledge creation. Although benefits are substantial, international research and mentorship present challenges, including visa complexities, language barriers, and variations in research training. These obstacles, however, can be mitigated through intentional mentorship strategies such as clear communication, structured orientations, peer pairing, and the use of translation technologies, turning challenges into opportunities for mutual learning and skill development. Ethical mentorship further requires equitable recognition of international scholars' contributions, ensuring reciprocal and respectful collaboration. To realize the full potential of research internationalization, institutions and mentors must intentionally cultivate inclusive environments that value diverse perspectives. By embracing equitable, and globally engaged mentorship, academia can advance research that transcends borders and contributes to a shared pursuit of global knowledge.
Breaking Through the Glass Ceiling-Having Conversation: A Constructivist Grounded Theory Study Exploring the Experiences of Nephrology Nurses' Practice in Kidney Supportive Care in Canada.
Concepcion Bachynski J, Duhn L, Costa IG … +1 more , Camargo-Plazas P
Can J Nurs Res · 2026 Jun · PMID 41364456 · Full text
BackgroundDialysis as treatment for kidney failure can result in significant physical and psychosocial symptom burden. Kidney supportive care (KSC), encompassing advance care planning (ACP), is an approach to care involv...
BackgroundDialysis as treatment for kidney failure can result in significant physical and psychosocial symptom burden. Kidney supportive care (KSC), encompassing advance care planning (ACP), is an approach to care involving early identification and treatment of symptoms that improves the quality of life of people receiving dialysis. However, ACP is underused and often initiated late in the illness. The delay or lack of engagement in KSC by nephrology nurses until near the end of life may result in people receiving care that is discordant with their values, wishes, and preferences.PurposeThe purpose of our study was to construct a substantive theory about the process of engagement in KSC by nurses in Canadian dialysis settings.MethodsUsing Charmaz's constructivist grounded theory method, 23 registered nurses working in hemodialysis and peritoneal dialysis were recruited to participate in two intensive interviews. Concurrent data collection and analysis were undertaken, with constant comparative analysis of codes until the attainment of theoretical saturation, as well as memo-writing and researcher reflexivity, to aid the emergence of categories and concepts.FindingsIn the substantive theory "Breaking Through the Glass Ceiling of Engagement-Having Conversation," three stages of engagement (Transactional, Intentional, Actional) are identified that describe nurses' practice patterns of engagement in communication about goals of care with patients. This engagement is modulated by a boundary of professionalism and familiarity with patients, amid multi-dimensional contextual barriers.ConclusionNephrology nurses have a vital role in discussions about goals of care and require training to enhance their communication skills.
"We Don't Want to Cry Wolf": A Qualitative Study About Nurses' Experiences Activating Rapid Response Teams.
Fitzgerald L, Sears K, Wilson R … +1 more , Duhn L
Can J Nurs Res · 2026 Jun · PMID 41364454 · Full text
Background & PurposePatient clinical deterioration is a major safety concern. One strategy implemented for health providers to improve the timely recognition and response to patient deterioration is the Rapid Response Te...
Background & PurposePatient clinical deterioration is a major safety concern. One strategy implemented for health providers to improve the timely recognition and response to patient deterioration is the Rapid Response Team (RRT). Despite this resource, patient deterioration still occurs and delayed activation of the RRT is one contributing factor. Little is known about unit-level nurses' experiences related to RRT activation, especially within the Canadian context, which is problematic given they are the ones who are primarily responsible for initiating the process. The purpose of this study was to understand the experiences of nurses practising on general adult inpatient medicine units and their activation of the RRT.Methods & ProceduresThe research question was addressed with a descriptive, exploratory qualitative study. Nurses working on general adult inpatient medicine units at an Ontario hospital study site were purposively recruited to participate. Semi-structured interviews with the six participants were held online and audio-video recorded. Inductive, thematic analysis was used.ResultsEleven themes about the barriers and facilitators to RRT activation, and one overarching theme-the resulted in relation to the nuanced, multi-factorial decision-making process unit-level nurses undertake when considering activation.ConclusionThis study contributes novel information to better understand RRT activation by nurses and will inform practice changes surrounding RRT policies, nursing education about the RRT, and new research on optimizing strategies for RRTs and deteriorating patients. The multi-layered activation process intricacies positions future work to improve escalation of patient clinical deterioration.
Perspectives and Beliefs Surrounding Postpartum Care and Physical Activity of South Asian Immigrant Women in Canada.
Lesser I, Bean C, Sangha H … +2 more , Mahmood B, Lear S
Can J Nurs Res · 2026 Jun · PMID 41364447 · Full text
IntroductionBeginning or returning to physical activity is an important element of postpartum care due to its associated mental and physical health benefits. South Asian immigrant women often report a lack of confidence...
IntroductionBeginning or returning to physical activity is an important element of postpartum care due to its associated mental and physical health benefits. South Asian immigrant women often report a lack of confidence in physical activity engagement and may face cultural barriers to engagement. The purpose of this study was to explore South Asian immigrant women's perspectives and beliefs surrounding postpartum care and physical activity in Canada.MethodEleven South Asian immigrant women ( = 31) who had given birth in Canada within the last 12 months and were able to understand and speak English or Punjabi, participated in the study. A semi-structured interview was used to explore participants' birth and postpartum healthcare experiences, as well as their physical activity engagement. Audio-recorded interviews were directly translated and transcribed from Punjabi to English and a reflexive thematic analysis approach was applied.ResultsThrough our analysis, we developed four themes: (a) conflicting traditional and modernized beliefs around postpartum care; (b) physical activity was important to care for one's child and the home, but perceptions of what constituted physical activity varied; (c) lack of time, lack of knowledge, a physically weak body, and exhaustion were barriers to physical activity engagement; and (d) social support was crucial in improving well-being and reducing feelings of isolation, particularly for those with live-in family.ConclusionGiven the high appreciation for community programming which support South Asian mothers, it is essential that culturally relevant physical activity be incorporated into healthcare education postpartum to increase knowledge around health benefits of physical activity. In addition, South Asian immigrant women may require community engagement (including programming) and informational support from healthcare providers.
The Effects of an Online Patient Portal on Nurses' and the Health Care Team's Work in an Outpatient Oncology Setting: A Qualitative Study.
Quinn SJ, Caine V, Petrovskaya O
Can J Nurs Res · 2026 Jun · PMID 41284587 · Full text
BackgroundIn November 2022, Alberta Health Services launched a new province-wide electronic health record, Connect Care (Epic), with a tethered patient portal, MyAHS Connect, across all Cancer Care Alberta sites. Oncolog...
BackgroundIn November 2022, Alberta Health Services launched a new province-wide electronic health record, Connect Care (Epic), with a tethered patient portal, MyAHS Connect, across all Cancer Care Alberta sites. Oncology patients now can view their health record (including results), view and manage appointments, enter data directly into their chart, and securely message their health care team.PurposeTo explore how an online patient portal effects nurses and the health care team's work in an outpatient oncology setting.MethodsA descriptive qualitative method was used for this research study. 15 health care providers were recruited (12 registered nurses, 2 medical oncologists, 1 clerical worker). Data was analyzed using thematic analysis with a technology-in-practice sociomaterial theoretical perspective informing our approach.ResultsThree main themes were generated: the invisibility of nurses' responsibility of supporting patient portal use, access to the portal shapes a new type of patient, and MyAHS Connect is as good as the networks of care provision in which it is embedded.ConclusionThis qualitative study details how patient access to the portal changed the ways that health care providers are working but the degree of this change was highly influenced by patient use of the portal, staff's use of the electronic health record, and the greater system context. This research highlights the substantial role of nurses when patient portals are used in health care practice settings.
Understanding the Residency Experience of Nurse Practitioners in Fraser Health: A Qualitative Study.
Crowe S, de Sequera M
Can J Nurs Res · 2026 Mar · PMID 41217845 · Publisher ↗
BackgroundThe transition from student to full-scope Nurse Practitioner (NP) is a phase marked by challenges such as patient complexity, expanding scopes of practice, and role ambiguity. NPs expanding presence in healthca...
BackgroundThe transition from student to full-scope Nurse Practitioner (NP) is a phase marked by challenges such as patient complexity, expanding scopes of practice, and role ambiguity. NPs expanding presence in healthcare environments, especially those involving complex patient care, necessitates the development of skills, competence, and confidence to practice at their full scope.PurposeThis study evaluated the experiences of NPs participating in the residency program within Fraser Health (FH), British Columbia, to gain insights into how the program impacted their transition to independent practice.MethodsA phenomenological qualitative approach was employed, involving semi-structured one-on-one interviews with fifteen NPs who completed the residency program. Data were analyzed using inductive thematic analysis to identify patterns and themes associated with various clinical phenomena.FindingsThree themes emerged from the analysis: recruitment, transition to practice, and areas for improvement. The residency program significantly influenced NPs' decisions to join FH, offering structured mentorship and professional development opportunities that attracted NPs from diverse backgrounds. Participants valued the exposure to various specialties and clinical environments, which enhanced their clinical skills and confidence. The program facilitated the building of professional networks, providing support and interprofessional collaboration. Despite the benefits, participants identified areas for improvement.ConclusionThe study highlighted the importance of structured residency programs in supporting new-graduate NPs during their transition to independent practice. Enhancing standardization and incorporating formal competency assessments could further improve residency outcomes. Investing in structured transition programs is essential to ensure new NPs are well-prepared to provide high-quality, independent care.
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