Searches
/
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]
Sun
200 papers
Layered Injustices: Mapping Everyday Discrimination in Nursing Education through an Intersectional Lens.
Van Bewer V, Mekonnen A, Kramer M
Can J Nurs Res · 2026 Mar · PMID 41217830 · Full text
BackgroundDespite stated commitments to equity, nursing education environments remain sites of pervasive everyday discrimination, especially for students with intersecting marginalized identities.PurposeThis study aimed...
BackgroundDespite stated commitments to equity, nursing education environments remain sites of pervasive everyday discrimination, especially for students with intersecting marginalized identities.PurposeThis study aimed to examine patterns of everyday discrimination among undergraduate nursing students using an intersectional lens, with particular attention to how experiences vary across overlapping axes of social identity and structural vulnerability.MethodA cross-sectional survey of 260 undergraduate nursing students was conducted at a large Canadian university. Everyday discrimination was measured using the Everyday Discrimination Scale (EDS), alongside sociodemographic variables related to race, gender, disability, financial insecurity, and English language status. Data were analyzed using ANOVA and factorial interaction models, with QuantCrit principles informing variable construction, modeling, and interpretation.ResultsEveryday discrimination was commonly reported and significantly higher among students identifying as racialized, especially those born in Africa, financially insecure, or with a disability. Interaction effects revealed that students at the intersection of multiple marginalized identities, particularly women with disabilities or racialized students with financial insecurity-reported the highest levels of discrimination.ConclusionFindings reveal that discrimination is structurally patterned and intensifies at the intersections of race, class, gender, migration, and disability. Through our intersectional and QuantCrit lens, this study advances how inequities are reproduced in Canadian nursing programs and raises urgent questions about ethics, responsibility, and institutional accountability, particularly in relation to the recruitment and support of racialized, international, economically disadvantaged students.
Nurses' and Patients' Perspectives on Care Coordination Across Health Care and Social Services Sectors: A Qualitative Study.
Karam M, Chouinard MC, Kevork M … +2 more , Fleming R, Arnaud D
Can J Nurs Res · 2026 Mar · PMID 41212728 · Full text
BackgroundNurse care coordinators strive to build connections between different organizations to assist patients with complex needs in navigating the healthcare system. However, they often lack adequate support in their...
BackgroundNurse care coordinators strive to build connections between different organizations to assist patients with complex needs in navigating the healthcare system. However, they often lack adequate support in their roles and encounter challenges related to the tasks themselves and to organizational and systemic factors.PurposeThis study aims to evaluate a care coordination program in Quebec from the perspectives of both providers and beneficiaries.MethodsWe used a qualitative research design following an experience-based co-design approach.19 semi-structured interviews were held, ten with nurse care coordinators and nine with older adults and informal caregivers. An interview guide based on Valentijn et al. framework was used. Data were analysed using both deductive and inductive approaches.ResultsFactors influencing care coordination practice and the experience of older adults were identified. These include growing complexity of needs, patient-centered care, trusting relationships, interprofessional collaboration, communication tools, role clarity, shared values and objectives, the merger of health and social care institutions, and governmental guidelines and standards.ConclusionMany integrated care objectives are effectively implemented. Despite nurses' efforts, older adults have expressed a need for more presence from care coordinators and better communication. This stems from the increasing complexity of patients' needs and situations, as well as the nursing shortage. The study provides a systemic perspective on the challenges of a care coordination program at various levels. As such, it offers valuable insights for care providers, staff managers, and policymakers in integrated healthcare systems, enabling targeted improvements and offering guidance for broader application.
Integrating Diverse Ways of Knowing and Challenging Epistemic Injustice: An Example of Emancipatory Curricula in Canadian Nursing Education.
McKeown A, Glasgow-Osment B, Campbell H … +1 more , Modanloo S
Can J Nurs Res · 2026 Mar · PMID 41160466 · Full text
PurposeColonial frameworks remain embedded within nursing education, mandating a critical and ethical response to the Truth and Reconciliation Commission's to integrate diverse knowledge systems into curricula and pedag...
PurposeColonial frameworks remain embedded within nursing education, mandating a critical and ethical response to the Truth and Reconciliation Commission's to integrate diverse knowledge systems into curricula and pedagogical practices. This paper aims to provide settler educators with a structured framework to decolonize educational practices and fostering culturally safe and reciprocal learning environments.MethodsThis framework integrates decolonial approaches from scholars and collectives, adapting them to local Indigenous contexts and institutional initiatives. The framework's five-phase process - (1) Grounding, (2) Interrogation, (3) New Learning, (4) Commitment, and (5) Rebuilding- was used to guide the critical examination and transformation of curriculum and pedagogy. Called to deepen their colonial consciousness, the authors engaged in learning and unlearning through intentional relationships with local Indigenous communities, being gifted knowledges from Elders and Indigenous scholars. The authors critically reflected on how nursing is taught and evaluated, focusing thier transformative change on their and nursing courses. This process revealed the epistemic injustice and pervasive white-centring embedded in course design, assessments, and pedagogical approaches. Engaging in the decolonizing framework led to course redesign that prioritizes diverse ways of knowing in content, assessment, and pedagogy.ConclusionThis study highlights how engaging in a minor reform, can become a catalyst for broader decolonization efforts, but true transformation requires sustained commitment, critical self-reflection, and institutional accountability. Decolonizing nursing education is a collective responsibility, that involves dismantling colonial frameworks and actively prioritizing Indigenous knowledges within nursing pedagogy and practice.
The Experiences of Service Providers Who Care for Homeless Pregnant or Early Parenting Women.
Jarvis K, Richter S, Caine V
Can J Nurs Res · 2026 Mar · PMID 41148108 · Full text
BackgroundHomelessness among women and children is a growing concern, shaped by intersecting structural inequities. Service providers working with women who are homeless, particularly those who are pregnant and/or parent...
BackgroundHomelessness among women and children is a growing concern, shaped by intersecting structural inequities. Service providers working with women who are homeless, particularly those who are pregnant and/or parenting young children, navigate complex responsibilities that span legal, medical, housing, child welfare, and psychosocial domains. These responsibilities are often carried out in under-resourced environments and in response to trauma rooted in systemic injustice. A feminist pragmatist perspective recognizes the relational, embodied, and context-specific nature of this work, and values the insights of direct care providers as essential to shaping equitable and responsive care.PurposeOur study purpose is to deepen our understanding of the ethical tensions and emotional and embodied labor inherent in the work of service providers who work with pregnant and/or parenting women who are homeless, while advocating for structural reforms that support both client outcomes and provider well-beingMethodsThis study is part of a larger community-based research initiative. This article draws on a subset of data from 22 semi-structured interviews and two focus groups with service providers, including social workers, nurses, nurse practitioners, psychologists, corrections staff, outreach workers, and health administrators. Data were analyzed thematically, guided by feminist pragmatist principles that center experience, reflexivity, and practical action.ResultsFindings reveal persistent systemic barriers to care, including inadequate housing, fragmented services, and institutionalized discrimination. Despite these challenges, service providers expressed a deep sense of purpose and fulfillment in their work, rooted in relational engagement, advocacy, and bearing witness to the resilience of the women they support.ConclusionAwareness of the human condition and a commitment to relational, justice-oriented care are central to effective service delivery. Health systems must prioritize equity and justice, ensuring that nurses and service providers are empowered and supported as advocates for pregnant and/or parenting women who are homeless.
Examining Nurse Practitioner Experiences in Delivering Virtual Care During the COVID-19 Pandemic: A Mixed-Method Study.
Burrows M, Kromhoff J, Housden LM … +6 more , Scarborough K, Per J, Tantongco M, Jiang E, Dalton K, Crowe S
Can J Nurs Res · 2026 Mar · PMID 41144338 · Publisher ↗
BackgroundThe COVID-19 pandemic required Nurse Practitioners (NPs) in Fraser Health Authority (FHA) to rapidly pivot to virtual care health services. Most NPs had little to no education on providing virtual care and ther...
BackgroundThe COVID-19 pandemic required Nurse Practitioners (NPs) in Fraser Health Authority (FHA) to rapidly pivot to virtual care health services. Most NPs had little to no education on providing virtual care and there is a paucity literature on how to best deliver this type of care.PurposeThe purpose of this study was to explore the experiences of NPs in FHA who were required to rapidly integrate virtual care into their practice due to the COVID-19 pandemic, while considering competencies and supports needed to integrate virtual care successfully into NP practice.MethodsThis mixed-methods study purposively sampled 41 NPs in FHA in urban British Columbia. Methods consisted of electronic surveys, and semi-structured interviews and focus groups. Data was analyzed using an interpretive description approach.ResultsThe study found a significant increase in the use of virtual care during the pandemic, with NPs reporting improved efficiency (68.3%) and comfort in virtual care delivery. However, challenges were identified in relational practice, confidence, and workflow, particularly in maintaining therapeutic relationships and conducting physical assessments. Themes from qualitative data highlighted the need for targeted education, standardized protocols, and improved technological infrastructure to support virtual care integration.ConclusionThe findings underscore the complexity of adapting to virtual care and emphasize the importance of training, policy development, and system-level supports to enhance its implementation. These results provide critical insights into the competencies required for virtual care and inform future strategies to improve its integration into NP practice in Canada and beyond.
Embedding Climate Literacy in Canadian Nursing Curricula and Research: Lessons from Wildfires and Heat Waves.
Al-Hamad A, Metersky K, Yasin YM
Can J Nurs Res · 2026 Mar · PMID 41118519 · Publisher ↗
Climate change is one of the greatest global health challenges of the twenty-first century, with wildfires, heat waves, floods, and other extreme events posing profound threats to health systems, communities, and vulnera...
Climate change is one of the greatest global health challenges of the twenty-first century, with wildfires, heat waves, floods, and other extreme events posing profound threats to health systems, communities, and vulnerable populations. Nurses, as the largest segment of the healthcare workforce, are uniquely positioned to respond to these crises, yet climate literacy and climate-health research remain underdeveloped in nursing. While recent progress has been made in embedding environmental health into Canadian nursing curricula, implementation is inconsistent, and research examining the intersections of climate change, health outcomes, and nursing practice is limited. This editorial argues that advancing both nursing education and nursing research is essential to prepare the profession for the realities of a climate-altered world. Climate literacy must be integrated into all levels of nursing education, moving beyond elective or peripheral status to become a core competency. At the same time, nursing research must expand its scope to evaluate disaster nursing interventions, address inequities faced by Indigenous and racialized communities, explore community resilience strategies, and assess the long-term impacts of climate-focused education on workforce readiness. By embedding climate literacy in curricula and prioritizing nursing research, the discipline can generate evidence to inform practice, shape policy, and strengthen health system resilience. Nurses equipped with climate literacy competencies will be able to provide effective care during climate-related disasters, advocate for systemic reforms, and build equitable, sustainable communities. In doing so, nursing can take a leadership role in addressing the health impacts of climate change and advancing global health equity.
"Rolling the Boulder Up the Hill": A Qualitative Study of Parents' Experiences Providing Ongoing Care at Home for Their Child with Complex Medical Needs.
Tay J, Rapoport A, Crawley J … +2 more , Ta J, Kichler JC
Can J Nurs Res · 2026 Mar · PMID 41100874 · Full text
Background & PurposeParents of children with medical complexity (CMC) provide continuous, intensive care that encompasses a range of technical tasks, emotional support, advocacy, and coordination within fragmented health...
Background & PurposeParents of children with medical complexity (CMC) provide continuous, intensive care that encompasses a range of technical tasks, emotional support, advocacy, and coordination within fragmented healthcare systems. Existing research often treats caregiving as a discrete phenomenon, overlooking how parents make meaning of their roles amid uncertainty and moral distress. This study aimed to explore the lived experiences of parents caring for children with medical complexity at home, examining how caregiving is experienced, sustained, and made meaningful in everyday life.Methods & ProceduresAn exploratory qualitative design was used to conduct in-depth, semi-structured interviews with 15 parents (13 mothers, two fathers) of CMC receiving home care in Ontario, Canada. Purposive sampling was used to recruit parents. Data were analyzed using Braun and Clarke's thematic analysis approach.ResultsTwo overarching themes emerged from parents' accounts: (1) The Layered and Relentless Nature of Caregiving; and (2) The Transformation of Self Through Caregiving, with effects spanning social life, identity loss, mental and physical health decline, and financial strain. Parents reported role overload, identity loss, chronic fatigue, emotional isolation, and ongoing pressure to advocate within unresponsive systems. The lack of consistent and reliable home care and financial support intensified challenges.ConclusionCaring for a CMC impacts parental well-being and reshapes their identity. Sustainable caregiving requires policies and services that support more than just childcare. Integrated mental health services, equitable access to respite, income protections, and caregiver-informed systems are needed to relieve families of unsupported responsibilities and ensure the long-term sustainability of home-based complex care.
Validation of the French-Canadian Version of FAME, a Family Engagement Measurement Tool for the Intensive Care Unit.
Duong J, Kifell J, Gélinas C … +4 more , Udupa S, Beydoun SA, Stephenson A, Goldfarb M
Can J Nurs Res · 2026 Mar · PMID 41091932 · Full text
BackgroundA growing body of evidence supports the benefits of family engagement in patient care in intensive care units (ICUs). The English version of the FAMily Engagement (FAME) tool has been validated to measure ICU f...
BackgroundA growing body of evidence supports the benefits of family engagement in patient care in intensive care units (ICUs). The English version of the FAMily Engagement (FAME) tool has been validated to measure ICU family engagement. This study aimed to validate the French-Canadian version of FAME.MethodsParticipant-level data from two prospective observational validation studies of the FAME tool, involving family members of patients from eight Canadian ICUs between May 2022 and July 2024, were included. Family members completed FAME in English or French-Canadian. Following discharge, family members completed questionnaires measuring care satisfaction and mental health (anxiety and depression). Reliability was assessed by internal consistency, and convergent and predictive validity by correlation between FAME and related outcome measures. A comparison of French and English scores was also conducted.ResultsA total of 104 family members completed the French-Canadian FAME questionnaire (age 57.0 ± 15.2 years; 62% women; 8% non-White; 53% spouse/partner). This version demonstrated internal consistency (Cronbach's alpha = 0.84) and convergent and predictive validity. FAME was associated with care satisfaction, but not anxiety or depression scores. There were no significant differences in overall FAME, care satisfaction, or anxiety and depression scores between the French and English cohorts (p > 0.05).ConclusionThe French-Canadian version of the FAME tool demonstrated reliability and convergent and predictive validity in French-Canadian speakers, supporting the inclusion of French-speaking family members in future studies utilizing the FAME tool to measure family involvement in ICU patient care.This study includes data from Measuring Family Engagement in Care (The FAME Study), ClinicalTrials.gov (NCT05659485): https://clinicaltrials.gov/study/NCT05659485.
Pressed for Time: Physiological Indicators of Care Aides' Mental Workload in Response to Simulated Pressures in Long-Term Care Homes.
Moore J, Morris P, McCloskey R … +2 more , Furlong K, McNulty S
Can J Nurs Res · 2026 Jun · PMID 41091854 · Publisher ↗
BackgroundMental workload is an important indicator of an individual's interaction with task demands. Care aides in long-term care (LTC) settings frequently report excessive demands imposed on their daily work due to cha...
BackgroundMental workload is an important indicator of an individual's interaction with task demands. Care aides in long-term care (LTC) settings frequently report excessive demands imposed on their daily work due to challenging resident behaviours and organizational expectations. Understanding mental workload in these contexts is key to predicting staff strain and guiding support strategies.MethodsTwenty-eight care aides from six LTC homes in New Brunswick, Canada, participated in a simulated care scenario involving common challenges encountered when completing resident care. Two physiological markers of mental workload, namely heart rate variability (HRV) and pupil dilation, were continuously measured across five experimental stages, each designed to elicit different cognitive and emotional demands. Hierarchical mixed-effects models assessed the impact of demographic variables and experimental stages on mental workload.ResultsMental workload increased significantly, as indicated by decreased HRV and increased pupil diameter, when the care aide was required navigate impossible requests made by the resident. Contrary to expectations, resistance to care, verbal aggression, direct time pressure, and intervention by a supervisor did not significantly influence physiological correlates of mental workload.ConclusionThese findings suggest that creative problem-solving, such as responding to impossible resident demands, may be more mentally taxing than expected stressors like aggression or time pressure. To manage mental workload, staff should be prepared and supported to adapt creatively under pressure. Further efforts should be made to understand the relationship between increased mental workload and cumulative stress in care aides.
Meeting of the Minds at the International Council of Nurses' Congress 2025: Roadmap for Advancing Collaboration in Nursing Research among International Organizations.
Metersky K, Neretljak S, Clarke D
Can J Nurs Res · 2025 Dec · PMID 41052244 · Publisher ↗
Three CJNR board members (Metersky, Clarke, & Roux) presented at the International Council of Nurses conference in June 2025. The vision presented in this editorial was developed to further the CJNR mission to serve the...
Three CJNR board members (Metersky, Clarke, & Roux) presented at the International Council of Nurses conference in June 2025. The vision presented in this editorial was developed to further the CJNR mission to serve the international nursing community by broadening dissemination of research.
Unpacking the Mystery of the Ontario Healthcare System in Canada: Ukrainian Temporary Migrants and Healthcare System Navigation.
Metersky K, Zanchetta MS, Al-Hamad A … +8 more , Yasin YM, Tan V, Tsvygun K, Podobailo T, Cosgrove C, Onushko B, Falenchuk O, Sunak T
Can J Nurs Res · 2025 Dec · PMID 40920123 · Full text
BackgroundIn response to the full-scale Russian invasion of Ukraine, the Government of Canada welcomed thousands of temporary migrants under the Canada-Ukraine Authorization for Emergency Travel (CUAET) program. Ukrainia...
BackgroundIn response to the full-scale Russian invasion of Ukraine, the Government of Canada welcomed thousands of temporary migrants under the Canada-Ukraine Authorization for Emergency Travel (CUAET) program. Ukrainian temporary migrants who are settled in Ontario experience acute, chronic, and complex health issues, creating additional demand upon the healthcare system. Despite a collective awareness of difficulty in accessing existing healthcare resources, little is known about how Ukrainian temporary migrants experience and utilise the Ontario healthcare system.PurposeTo explore the lived experiences of Ukrainian temporary migrants navigating the Ontario healthcare system, and to report on the results of a knowledge translation (KTr) workshop intervention delivered with this population to assist in the development of knowledge and skills related to healthcare system navigation.MethodsA KTr workshop was delivered with ten Ukrainian temporary migrants who have temporarily settled in Toronto, Canada. Inductive and deductive thematic analysis was used.ResultsFour themes emerged: 1) concerns regarding accessibility and wait times; 2) difficulties navigating the healthcare system; 3) transnational health practices; and 4) a desire for increased involvement in the care plan.ConclusionsThis project highlights barriers to services and the need for healthcare providers to explore equitable and accessible solutions to support temporary migrants.
Optimizing Academic-Practice Partnerships to Promote Transition to Nursing Practice.
Halverson KL, Lalonde M, Duchscher J … +3 more , Xin S, Currie C, Raynak A
Can J Nurs Res · 2026 Mar · PMID 40836641 · Full text
BackgroundAn academic-practice partnership was implemented in Northwestern Ontario with the goals of enhancing cross- sector collaboration, co-creating research knowledge related to transition to practice, engaging and r...
BackgroundAn academic-practice partnership was implemented in Northwestern Ontario with the goals of enhancing cross- sector collaboration, co-creating research knowledge related to transition to practice, engaging and recruiting nurses, and mobilizing knowledge to improve the transition experience. There is a growing nursing shortage requiring novel solutions to support retention, particularly for rural and remote populations. Academic-practice partnerships can be leveraged to improve working conditions and consequently job satisfaction (Padilla & Kreider, 2020; Rogers et al., 2020).MethodUsing qualitative methodology, semi-structured virtual interviews were conducted with nine Registered Nurse participants ranging in experience from three to seven months employed at the same hospital in Northwestern Ontario.The interview guide was developed collaboratively by an advisory board comprised of the researcher, hospital staff and input from two student ambassadors from the graduating class. Thematic analysis was completed and broad categories were established with data then expanded into five overarching themes.ResultsFive themes representing impactful sentiments shared by the new graduate nurses were identified: "I couldn't be the nurse I know I could be"; "I'm with you right now"; "You have to catch up"; "Do you want to learn it with me?"; and "I feel thrown in and unprepared".ConclusionNew graduate nurses experience a dissonance between expectations and reality influenced by their interactions with preceptors and colleagues. Academic-practice partnerships can create supportive learning environments, allowing new nurses to transition to independent practitioners while establishing stronger professional identity, which is a positive indicator for retention.
RN and RPN Perceptions and Experiences of Prescribing Opioid Agonist Therapy to People with an Opioid Use Disorder in British Columbia.
Lavigne A, Karpa J, White M
Can J Nurs Res · 2025 Dec · PMID 40820351 · Publisher ↗
Study backgroundBritish Columbia (B.C.) has suffered a significant loss of life every day due to the unregulated drug poisoning crisis that has affected this province since 2016 (B.C. Coroners Service, 2023). In Septembe...
Study backgroundBritish Columbia (B.C.) has suffered a significant loss of life every day due to the unregulated drug poisoning crisis that has affected this province since 2016 (B.C. Coroners Service, 2023). In September 2020 the B.C. Provincial Medical Health Officer, issued a provincial health order to allow registered nurses (RNs) and registered psychiatric nurses (RPNs) to diagnose and prescribe pharmacological treatment for opioid use disorder (OUD) (Ministry of Health, 2020).PurposeTo understand how RNs and RPNs in B.C. experience their expanded role as nurse prescribers of opioid agonist therapy (OAT).MethodsUtilizing Sally Thorne's (2016) Interpretive Description method, a purposeful sample of RNs and RPNs across the province who actively prescribe OAT to people with an OUD were interviewed about their experience and perceptions.ResultsKey findings of this study include insights into the positive and challenging experiences of prescribing OAT in B.C.; operational implementation considerations for RNs and RPNs prescribing OAT; and the strengths and flexibility that RNs and RPNs can bring to OAT care.ConclusionsFindings within this research are relevant to other Canadian provinces considering implementing RN/RPN OAT prescribing as a strategy to increase access to pharmacological treatment for people with OUD.
Virtual Violence as a Contributing Factor to the Mental Health of Young People: A Scoping Review.
Silva RVDS, Dias Moura HS, Betetti PNA … +2 more , Santos FLD, Fortuna CM
Can J Nurs Res · 2025 Dec · PMID 40801920 · Publisher ↗
Virtual violence is facilitated by anonymity and the presence of aggressors on the internet, and the characteristics of this phenomenon amplify both the reach and intensity of the suffering experienced by victims-particu...
Virtual violence is facilitated by anonymity and the presence of aggressors on the internet, and the characteristics of this phenomenon amplify both the reach and intensity of the suffering experienced by victims-particularly in the psychological realm of young people. This review aimed to identify the mental health consequences of virtual violence among young students who use digital technologies, seeking to uncover patterns, experiences, and impacts for those involved. The databases consulted were EMBASE, Scopus, MEDLINE, CINAHL, LILACS, and Web of Science. The sources found were subjected to a two-stage screening process conducted by three reviewers. In the end, 18 articles were included. The studies were organized into five dimensions, and the findings indicated that involvement in cyberbullying-whether as a victim or a perpetrator-predicts greater psychological suffering for both parties. Gender and sexual orientation were found to be contributing factors to the worsening of participants' mental health. By contrast, parental and school involvement in young people's lives had a positive effect, both in reducing the number of victims and in helping to contain aggressors. This review reinforces the importance of recognizing and classifying cyberbullying as a form of violence. It also encourages the development of targeted prevention programs that raise awareness among all involved-especially families and school staff-who play a crucial role in supporting victims and breaking these patterns of violence.
Next Step, Adulthood: The Role of Nurse Navigators in Supporting the Transition of Neurodivergent Youth from Pediatric to Adult Health Services in Canada.
Balsdon D
Can J Nurs Res · 2025 Dec · PMID 40767310 · Publisher ↗
In Canada, 7% of youth 15-24 identify as living with neurodevelopmental conditions or intellectual disabilities, such as autism spectrum disorder or attention deficit disorder. These youth face significant challenges whe...
In Canada, 7% of youth 15-24 identify as living with neurodevelopmental conditions or intellectual disabilities, such as autism spectrum disorder or attention deficit disorder. These youth face significant challenges when transitioning from pediatric to adult healthcare services. Fragmented systems, diminished support, and increased health vulnerabilities mark these transitions. Adult healthcare systems often lack the coordinated, family-centered approach of pediatric care, resulting in care gaps, mental health risks, and poor health outcomes. This commentary argues that nurse navigators offer a practical, evidence-informed, and ethically grounded solution to improve transitional care. Drawing on successful models in oncology care, the nurse navigator role can bridge service silos, advocate for inclusive care, and support youth and families during this critical life stage. Despite systemic barriers such as workforce shortages and inconsistent policy implementation, the integration of nurse navigators into Canadian healthcare frameworks represents a necessary step toward equitable, person-centered transitional care. This paper calls for national investment in a scalable navigation model tailored to the needs of neurodivergent youth and their families, which aligns with Canada's legislative commitments to accessibility, inclusion, and health equity.
Sexual and Reproductive Health Services and Help-seeking Behaviors: Experiences and Perspectives of Young 1.5-Generation Bangladeshi Women in Toronto.
Nowshin N, Kapiriri L, Davison CM
Can J Nurs Res · 2025 Dec · PMID 40624978 · Full text
BackgroundThe "1.5 generation" refers to those who immigrated to a new country as children or adolescents. In the context of Canada, 1.5-generation Bangladeshis are underrepresented in the extant literature on sexual and...
BackgroundThe "1.5 generation" refers to those who immigrated to a new country as children or adolescents. In the context of Canada, 1.5-generation Bangladeshis are underrepresented in the extant literature on sexual and reproductive health (SRH). Their cross-cultural positionality and ethnic background have implications for their SRH-related help-seeking behaviors and service utilization.PurposeThis paper explored the SRH related help-seeking behaviors and perspectives and experiences with accessing and utilizing SRH services among 1.5-generation Bangladeshi women in Toronto, Ontario.MethodsTen 1.5-generation Bangladeshi women, aged between 18 and 22, participated in this qualitative study. This study employed a narrative inquiry methodological approach and the Conceptual Framework of Access to Healthcare as a theoretical lens.ResultsKnowledge about routine SRH tests and utilization of these services were found to be low. Mothers, sisters, peers, the internet and mobile apps were identified as sources of informal help-seeking. The family doctor is the most significant source of formal help-seeking. The findings shed light on the demand- and supply-side dimensions of access to SRH care as well as the multiple barriers and facilitators to services. Individual-level social and cultural factors in SRH help- and care-seeking behaviors and attitudes were identified. Structural factors within the health system hindered effective service delivery.ConclusionThe findings highlight the need for SRH-focused educational and informational campaigns in residential neighborhoods concentrated by the Bangladeshi diaspora. Policymakers should address the structural barriers in the health system to improve the quality of SRH care. Further investigation is required to understand what culturally responsive SRH care entails for 1.5-generation patients from South Asian and Muslim backgrounds.
Enhancing Trauma Resilience in Nurses and Personal Support Workers: A Feasibility Study of an 8-Week Supportive Trauma Exposure Preparation Intervention.
Lalovic A, Hyde M, Bergmans Y … +4 more , Kiriakidis A, Ebegbare N, Verduyn A, Rizvi SJ
Can J Nurs Res · 2025 Dec · PMID 40589165 · Publisher ↗
BackgroundNurses and personal support workers (PSWs) frequently face trauma in their work without sufficient resources to manage the resulting emotional stress. This contributes to high rates of burnout, which have remai...
BackgroundNurses and personal support workers (PSWs) frequently face trauma in their work without sufficient resources to manage the resulting emotional stress. This contributes to high rates of burnout, which have remained elevated since the COVID-19 pandemic.PurposeTo address the need for effective interventions that mitigate the impact of trauma exposure in the healthcare workplace, we developed the Supportive Trauma Exposure Preparation (STEP) program, an 8-week virtual psychotherapy intervention. The aim of this study was to evaluate the feasibility, acceptability, and preliminary effectiveness of the STEP program in reducing burnout and enhancing resilience.MethodsA pilot study was conducted with 35 nurses and PSWs in Ontario assessing the feasibility, acceptability, and preliminary effectiveness of the STEP program at three months follow-up. Participants attended 8 weekly psychotherapy sessions, provided feedback on their experiences, and completed measures of burnout, resilience, mood, anxiety, and work and life functioning.ResultsThe study demonstrated strong feasibility and acceptability, with high participant engagement and satisfaction with the STEP program. Improvements in burnout and work functioning were observed at the three-month follow-up.ConclusionsThe STEP program shows promise as a novel intervention addressing the critical unmet need for preventing and managing the detrimental effects of trauma exposure among nurses and PSWs in the healthcare workplace. https://clinicaltrials.gov/study/NCT04682561).
Climate Change Integration in Nursing Academic Curricula and Continuing Education: A Scoping Review.
Roberge M, Diallo T, Bérubé A … +2 more , Audate PP, Leblanc N
Can J Nurs Res · 2025 Sep · PMID 40528665 · Full text
Background and PurposeThe consequences of climate change on individuals' and communities' health are numerous. Nurses are among the healthcare professionals most confronted with the climate crisis, and have great potenti...
Background and PurposeThe consequences of climate change on individuals' and communities' health are numerous. Nurses are among the healthcare professionals most confronted with the climate crisis, and have great potential to limit its impact on vulnerable populations. However, our knowledge of educational options for preparing nurses to address climate change remains limited. The aim of this scoping review was to examine how climate change is integrated into the academic curricula or continuing education of nurses.Methods and ProceduresArksey and O'Malley's (2005) framework was used to conduct this scoping review. Documentary search strategies were developed and tested in four databases, and a search of the grey literature was carried out. A two-stage selection process was implemented. Data from 16 scientific articles were extracted and 11 grey literature references were included in the analyses. A narrative summary allowed to synthesize the findings.ResultsAcademic and healthcare organizations are increasingly implementing innovative and participatory educational initiatives to raise nurses' awareness of climate change's health impacts and encourage students and nurses to act in their daily lives and clinical practice. Challenges include a dense curriculum, the absence of a climate competency framework, and theoretical content being presented in an unstimulating manner.ConclusionsThe use of innovative, interactive teaching methods, reference to a theoretical model centered on planetary health, and climate change content distributed throughout the curriculum are some ways to stimulate students' interest in climate issues. Collaborative efforts involving academia and organizations are needed to foster nurses' awareness and encourage a variety of climate-oriented actions with planetary reach.
Enhancing Evidence-Based Practice Implementation in Acute Care: A Qualitative Case Study of Nurses' Roles, Interprofessional Collaboration, and Professional Development.
Ominyi J, Alabi A
Can J Nurs Res · 2025 Dec · PMID 40528648 · Full text
Background and PurposeEvidence-based practice (EBP) is essential for improving patient outcomes and healthcare quality. However, its implementation in acute care remains inconsistent due to organisational hierarchies, pr...
Background and PurposeEvidence-based practice (EBP) is essential for improving patient outcomes and healthcare quality. However, its implementation in acute care remains inconsistent due to organisational hierarchies, professional silos, and limited access to continuous professional development (CPD). Nurses play a key role in translating research into practice but often encounter barriers that limit their ability to lead EBP initiatives. Interprofessional collaboration and CPD are recognised enablers of EBP, yet their impact in acute care requires further investigation. This study explores how interprofessional collaboration, nurse-led initiatives, and CPD influence EBP adoption.Methods and ProceduresA collective qualitative case study was conducted across two acute care hospitals in the East Midlands, England. Data collection included 25 semi-structured interviews, nonparticipant observations, and document analysis over six years, with an intensive fieldwork phase in 2022. Thematic analysis was used to identify key patterns related to EBP adoption, interprofessional collaboration, and nurse-led knowledge implementation.ResultsNurses actively advocated for EBP integration but often worked independently due to the absence of formal collaboration structures. Interprofessional collaboration facilitated knowledge-sharing and decision-making, yet hierarchical constraints limited nurses' influence in clinical governance. CPD enhanced nurses' confidence and ability to challenge outdated practices, but disparities in access led to inconsistent EBP engagement across nursing teams.ConclusionStructured CPD, interdisciplinary collaboration, and inclusive decision-making are essential for EBP adoption. Addressing hierarchical constraints and resource limitations is crucial for sustaining evidence-driven care. Future research should explore the long-term sustainability of EBP implementation.
Translation, Adaptation, and Criterion Validation of the Family Caregiver Assessment Tool for French-Speaking Cardiovascular Patients in Canada (FAM-CAM-Fr).
Mailhot T, Bouaouina Z, Khetir I … +5 more , Gélinas C, Brouillette J, Roussy C, Jarry S, Lavoie P
Can J Nurs Res · 2025 Sep · PMID 40528645 · Full text
BackgroundDelirium is a common yet underdiagnosed condition in hospitalized older adults, particularly challenging to detect early in cardiology settings. Although delirium assessment tools improve detection rates, obser...
BackgroundDelirium is a common yet underdiagnosed condition in hospitalized older adults, particularly challenging to detect early in cardiology settings. Although delirium assessment tools improve detection rates, observations by family caregivers of patients' cognitive changes can offer valuable insights, supplementing assessments by healthcare professionals. However, validated French-language tools for family caregivers to assess delirium in acute care settings in Canada are lacking.PurposeTranslate, culturally adapt, and validate the Family Confusion Assessment Method for French-speaking cardiovascular patients and their caregivers (FAM-CAM-Fr).MethodsThe translation and cultural adaptation of the FAM-CAM were conducted following the guidelines of Sousa and Rojjanasrirat (2011). Criterion validation involved 100 dyads of family caregivers and hospitalized cardiovascular patients. The FAM-CAM-Fr's performance was assessed by comparing it to the Confusion Assessment Method (CAM) and the DSM-5 diagnostic criteria for delirium. Measures of sensitivity, specificity, and agreement with the CAM were calculated.ResultsThe FAM-CAM-Fr showed high specificity (92.6%) but low sensitivity (58%) in detecting delirium. Cohen's Kappa indicated a moderate agreement (>0.50) between the FAM-CAM-Fr and the CAM. Despite family caregivers using the tool without prior training, indicating its usability in real-world settings, sensitivity was lower compared to studies that included caregiver training, though specificity was similar.ConclusionThe FAM-CAM-Fr is promising as a specific tool for screening delirium in cardiovascular patients. Despite its low sensitivity, its high specificity indicates that it is effective at ruling out delirium. Future research should focus on further validation across various settings.
About
- Frequency
- Sun
- Papers found
- 200
- RSS feed
- Subscribe