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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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200 papers
Undergraduate Nursing Students' Perspectives on Artificial Intelligence in Academia.
Lam M, Adhami N, Du O … +4 more , Huntley R, Abdulai AF, Yi Wong KL, Hung L
Can J Nurs Res · 2025 Dec · PMID 40474655 · Full text
With Artificial Intelligence (AI) tools becoming increasingly commonplace, the usage of AI-enabled tools in education has also grown. AI-enabled tools refer to machines incorporated with human-like capabilities, such as...
With Artificial Intelligence (AI) tools becoming increasingly commonplace, the usage of AI-enabled tools in education has also grown. AI-enabled tools refer to machines incorporated with human-like capabilities, such as reasoning, interpretation, and problem-solving, to perform tasks that require human intelligence. ChatGPT is one of these tools, which uses large language models (LLM), a type of AI that generates natural language, to give human-like answers to questions. This study investigated nursing students' perspectives on AI-enabled tools, such as ChatGPT, aiming to identify (1) perceived benefits and challenges and (2) implications for the ethical and responsible use of AI within undergraduate nursing programs. Using interpretive description, we conducted focus group interviews with undergraduate nursing students. Through convenience sampling, sixteen students were recruited. Our findings revealed four key themes - utilization as a support tool, utilization leading to a loss of competency in foundational skills, utilization risking credibility and academic integrity, and the need for further education and resources. Three key factors - evidence-based practice, ethical considerations, and the importance of critical thinking skills - influence nursing students' perspectives toward AI tools. To ensure the safe and ethical use of AI in academia, robust institutional policies and training are needed. Promoting open dialogues and education can help students understand AI's advantages, potential harms, and risk mitigation strategies. Future research should build a comprehensive understanding of the perspectives of undergraduate and graduate nursing students, and educators on AI usage in academia. Development of interventions that mitigate AI-usage risks is also necessary to improve integration into education.
Redefining Abortion Access in Canada - New Brunswick as a Case Study.
Paynter M, Norman WV
Can J Nurs Res · 2025 Sep · PMID 40462639 · Publisher ↗
Abstract loading — click title to view on PubMed.
Optimizing the Role of Registered Practical Nurses in the Operating Room: A Two-Phase Qualitative Descriptive Study.
Espin S, Bookey-Bassett S, Indar A … +4 more , Pringle V, Rose D, Santa Mina E, Teodoro J
Can J Nurs Res · 2025 Dec · PMID 40457866 · Full text
BackgroundCurrent nursing shortages are shifting approaches to health human resource planning. Broad changes are being implemented to support system planning, however, there is a need to engage in targeted strategies tha...
BackgroundCurrent nursing shortages are shifting approaches to health human resource planning. Broad changes are being implemented to support system planning, however, there is a need to engage in targeted strategies that address shortages in specialty nursing areas, such as the operating room.PurposeThe purpose of this study was to explore how Registered Practical Nurses (RPNs) are currently utilized within operating room settings in Ontario, Canada.MethodsA two-phase qualitative descriptive study design was conducted. Phase 1 consisted of an online survey and Phase 2 consisted of individual, semi-structured virtual interviews. Participants included nurses working in urban and community hospitals and/or private clinics. Descriptive statistics were used to report participant demographic data, and qualitative data were analyzed using inductive content analysis.ResultsSixty-five participants completed the survey, and 13 participants completed the semi-structured interviews. Participants identified differences in RPN role utilization within different healthcare settings, teamwork and work culture. Recommendations for RPN leadership opportunities, policy support, professional development, and the role of professional nursing organizations were also identified.ConclusionGiven the complex nature of healthcare systems, new models of care, and evolving scopes of practice for healthcare providers, it is important to consider how RPNs can be further utilized to support patient care including specialty areas. Re-evaluating the roles and responsibilities of RPNs in healthcare is essential to strengthen the nursing workforce and prepare for ongoing human resource challenges.
The Role of Technology Use in the Context of Social Isolation Among Immigrant Older Adults.
Metersky K, Lin P, Guruge S … +3 more , Zhuang ZC, Catallo C, Chandrasekaran K
Can J Nurs Res · 2025 Sep · PMID 40452471 · Full text
Technology has been integrated into every aspect of life for interpersonal support and connections and social isolation has become a hotspot topic for health promotion in nursing among various populations, but little att...
Technology has been integrated into every aspect of life for interpersonal support and connections and social isolation has become a hotspot topic for health promotion in nursing among various populations, but little attention has been paid to immigrant older adults using technology to overcome social isolation. The purpose of this narrative review is to comprehend the role of technology use in the context of social isolation, including the predisposing factors, encountered by immigrant older adults to support their psychosocial wellbeing. By studying relevant peer-reviewed articles published in professional databases from 2013 to 2024, 26 articles met the criteria and were accessed for this narrative review, despite an unexpected participant selection preference of older Asian immigrants living in a North American context among these eligible papers. It is discovered that technology use has improved the mental health of socially-isolated immigrant older adults. However, the benefits of technology use for these individuals are constrained by cultural and linguistic differences as well as educational backgrounds. Therefore, technology adaptation should be promoted in this population through a collaborative partnership with healthcare practitioners, educators, researchers and policymakers. There should be further exploration of the interrelationships between technology use and psychosocial support and continuous striving for the most suitable approach for social isolation prevention among immigrant older adults.
Examining the Experiences of Transgender and Non-Binary Nursing Students and Nurses in Canada.
Ziegler E, Bhatt Y, Fournier JL … +1 more , Hart C
Can J Nurs Res · 2025 Dec · PMID 40437928 · Full text
BackgroundTransgender and non-binary (TGNB) individuals face significant discrimination and underrepresentation in healthcare, particularly within the nursing workforce. These challenges often lead to increased stress, l...
BackgroundTransgender and non-binary (TGNB) individuals face significant discrimination and underrepresentation in healthcare, particularly within the nursing workforce. These challenges often lead to increased stress, limited career opportunities, and the concealment of identities.PurposeThis study investigates the experiences and challenges faced by TGNB nursing students and nurses in Canada.MethodsAn online anonymous questionnaire, featuring both closed and open-ended questions, was used to gather data from participants recruited through social media and nursing networks across Canada.ResultsThe survey was completed by 101 participants, with most being nursing students (54.5%) or registered nurses (20.8%), and predominantly practicing in Ontario (53.5%). While many participants were open about their TGNB identity, they reported insufficient TGNB representation and inadequate education on TGNB healthcare. Disclosing their gender identity remained difficult primarily due to fear of rejection, with 43.6% encountering barriers related to their gender identity when applying to nursing programs. Additionally, 67.3% experienced derogatory comments personally, and 66.3% witnessed similar remarks towards the TGNB community. Among 46 nurse participants, 84.7% have noticed discrimination towards TGNB patients during care and 80.4% towards a peer, colleague or superior. Only 29.7% reported to have received education on TGNB topics, which was often superficial.ConclusionsThe study reveals significant challenges for TGNB individuals in nursing education and the workforce, including discrimination, inadequate educational content, and barriers in professional settings. These findings highlight the need for more inclusive, supportive, and comprehensive education on TGNB healthcare to create a more equitable environment for TGNB nurses and patients.
RETRACTED: Family Members' Perspectives on Mental Illness Stigma: A Community Study.
Adu J, Oudshoorn A, Anderson K … +3 more , Marshall CA, Stuart H, Owusu MF
Can J Nurs Res · 2025 May · PMID 40375787 · Publisher ↗
Abstract loading — click title to view on PubMed.
From Doubt to Drive: Transforming Student Attitudes Toward Research.
Metersky K, Al-Hamad A, Hebert V
Can J Nurs Res · 2025 Sep · PMID 40356400 · Publisher ↗
Engaging undergraduate students in nursing research is of high significance for capacity building and advancement of the nursing profession especially with current global constraints to health research. Helping students...
Engaging undergraduate students in nursing research is of high significance for capacity building and advancement of the nursing profession especially with current global constraints to health research. Helping students understand the significance of research can position students towards success in leveraging research in their future careers. Currently, while research as a core nursing course is offered in some schools of nursing, it provides an introductory understanding of research methods and does not often contain a practical application component of what students are learning from a theoretical perspective. This editorial provides strategies on how nursing schools, universities, practice-site organizations, and external funding bodies can modify their existing practices to offer direct, application, research-based opportunities for undergraduate nursing students. Particularly, thinking about how assignments can be modified to instruct students about diverse types of publications and knowledge dissemination options can contribute to students feeling like their voice matters and this work has impact beyond a singular course. Offering students opportunities at the university level to receive research mentorship and learn about the conduct of research from inception to dissemination can equip students with the skills they need to lead research upon graduation on practice-related, first-hand issues they are witnessing as nurses. Research shadowing opportunities or involvement in research within organizations where students are practicing can demonstrate the connection between theory and real-world use of research and impact. Finally, advocating for increasing funding opportunities for undergraduate students from external funders can enhance the accessibility and quality of mentorship in research for such students.
Punctuated Entropy in the ICU During COVID-19: Team Nursing and Burnout.
Kitto S, Alexanian J, Vanderspank-Wright B … +1 more , Xyrichis A
Can J Nurs Res · 2025 Sep · PMID 40296560 · Publisher ↗
BackgroundThe novel demands on hospital capacity arising from the COVID-19 pandemic revealed already-existing systemic weaknesses. Intensive care units experienced a sustained surge capacity and were forced to introduce...
BackgroundThe novel demands on hospital capacity arising from the COVID-19 pandemic revealed already-existing systemic weaknesses. Intensive care units experienced a sustained surge capacity and were forced to introduce modified standards of care and practices.PurposeIn this article we use punctuated entropy as a conceptual lens to reveal the impact of the COVID-19 pandemic on Ontario hospitals by drawing attention to the cumulative impact of repeated disaster events on their capacity to recover.MethodsThis qualitative instrumental case study took place at a Medical-Surgical Intensive Care Unit in a university-affiliated teaching community hospital in a large urban center in Ontario, Canada. Twelve healthcare professionals from the ICU participated in in-depth semi-structured interviews.ResultsIn-depth interviews with healthcare providers revealed an already-vulnerable system and the disproportionate impact of COVID-19 on the nursing workforce, compounding pre- burnout and compassion injury.ConclusionThe structure of intensive care and the dynamics of collaborative practices within ICUs are subject to continual reconfiguration, potentially leading to punctuated entropy - a permanent state of a lack of capacity to recover. Disaster recovery planning in healthcare services delivery should not be focussed simply on navigating the 'temporary' effects of a single event, but rather on how the event interacts with the already existing 'pathological' state of the healthcare system. In this way solutions to longitudinal systemic problems in ICU healthcare delivery can be anticipated and plans for mitigation can be put in place.
Factors Associated with Intent to Leave and Burnout among Canadian Nurses Amidst the COVID-19 Pandemic: A Quantitative Analysis of the Survey on Health Care Workers' Experiences During the Pandemic.
Balakrishnar K, Long BS, Haritos AM … +2 more , Formuli E, Nowrouzi-Kia B
Can J Nurs Res · 2025 Sep · PMID 40296555 · Full text
BackgroundThe increased demands and stressors from the COVID-19 pandemic led to widespread burnout and job stress, prompting concerns about retention rates. This study identifies demographic and occupational predictors o...
BackgroundThe increased demands and stressors from the COVID-19 pandemic led to widespread burnout and job stress, prompting concerns about retention rates. This study identifies demographic and occupational predictors of Canadian nurses' intent to leave their jobs due to burnout and job stress during the COVID-19 pandemic.MethodsData was utilized from the Survey on Health Care Workers' Experiences During the Pandemic conducted by Statistics Canada. Multivariate logistic regression models were generated to analyze the associations between demographic and occupational factors and nurses' intent to leave.ResultsA total of 12,246 eligible participants responded to the survey (54.9% response); however, the analysis was restricted to 1138 nurses after excluding participants of other healthcare occupations. Younger nurses were significantly more likely to consider leaving their jobs [OR = 9.95, 95% CI: (5.92-16.73)], as well as nurses living in Alberta [OR = 3.16, 95% CI: (1.58-6.32)] and British Columbia [OR = 3.16, 95% CI: (1.66-6.03)]. Moreover, nurses with less work experience [OR = 3.91, 95 CI = (2.53-6.05)], work in acute care [(OR = 3.31, 95 CI = (1.69-6.51)], experienced changes in workload [OR = 2.69, 95% CI: (1.58-4.57)], had increased work hours [OR = 1.92, 95% CI: (1.27-2.92)], and lacked emotional support [OR = 3.43, 95 CI = (2.31-5.09)] had greater odds of intending to leave.ConclusionThe findings underscore the need for strategies to mitigate stress and burnout among nurses, particularly during public health crises. Implementing measures to address these factors could help improve retention rates and ensure a stable nursing workforce during future pandemics.
"How Can We Do Better?": A Case Study of a Pre-Implementation Analysis of a Residency Program for New Graduate Nurses in Canada.
Charette M, Robitaille A, Bouchard J … +3 more , Quesnel É, Ledoux I, Caty MÈ
Can J Nurs Res · 2025 Sep · PMID 40267324 · Full text
BackgroundUp to 33% of newly graduated nurses leave the profession within the first two years. This high turnover rate can burden care teams, negatively impacting the quality of care provided. To alleviate this problem,...
BackgroundUp to 33% of newly graduated nurses leave the profession within the first two years. This high turnover rate can burden care teams, negatively impacting the quality of care provided. To alleviate this problem, transition programs are offered to new nurses; however, they vary considerably in type and duration. Despite this heterogeneity, many researchers conclude that transition programs have a positive overall effect on new nurses' competencies, self-confidence, satisfaction, stress, and retention, especially when they are longer than six months and have an explicit framework and structure, such as residency programs.PurposeTo conduct a pre-implementation analysis of a residency program in the Canadian context.MethodsUsing a case study methodology, two sequential steps were performed to model the already implemented transition program and its components that needed to be upgraded to a residency program. Data were collected through 1) document analysis ( = 1,601) with selected interviews of stakeholders ( = 5) and 2) a survey with new graduate nurses ( = 29) and preceptors ( = 11).ResultsA preliminary logic model of the program was developed, depicting the structure of the proposed activities in terms of organizational orientation, unit integration, autonomous practice, and additional support measures. The operationalization of some program components was variable and sometimes missing, thereby affecting its quality.ConclusionThis study showed how transition programs already implemented in clinical settings can be enhanced into residency programs by conducting a pre-implementation analysis. This can positively impact the transition of newly graduated nurses, including their retention.
Examining the Effect of a Novel Stress Reduction Intervention on the Control of Prediabetes: A Feasibility Study.
Albdour M, El-Masri M, Jaber L … +3 more , Burghardt P, Jenuwine E, Lumley MA
Can J Nurs Res · 2025 Sep · PMID 40241549 · Publisher ↗
BackgroundPrediabetes is a major risk factor for type 2 diabetes (T2D) and cardiovascular disease. Although prediabetes is associated with chronic stress-related behavioral and physiological maladaptation, few studies ha...
BackgroundPrediabetes is a major risk factor for type 2 diabetes (T2D) and cardiovascular disease. Although prediabetes is associated with chronic stress-related behavioral and physiological maladaptation, few studies have focused on chronic psychological stress.PurposeThis study aimed to examine the feasibility and preliminary outcomes of Emotional Awareness and Expression Treatment (EAET) adopted and implemented among adults with high risk for prediabetes.MethodThis study used a prospective, within-subjects, repeated measures, uncontrolled design with a 4-week virtual intervention period and three measurement points for all participants: baseline, 3 months from baseline, and 6 months from baseline. Forty individuals were screened for prediabetes, and sixteen were eligible to participate. Divided into three groups, participants received four weekly virtual sessions of EAET. Glycated hemoglobin (A1C) and insulin secretion (C-peptide) were measured at baseline, 3- and 6-month periods in addition to self-reported eating habits, physical activity, and perceived stress.ResultsTwelve participants completed all sessions and were fully engaged in the intervention sessions. Across the study period, participants' perceived stress and unhealthy eating habits decreased significantly. Glycated hemoglobin (A1C) showed a non-significant drop at 6 months, but the average C-peptide concentration, exercise frequency, and exercise duration increased significantly.ConclusionsThe EAET stress reduction intervention is feasible and showed promising results in reducing stress and decreasing risk factors for T2D. EAET can be further developed to reduce the incidence and prevalence of T2D, which could lead to a significant decrease in the direct and indirect health and cost burdens of T2D.
Social Media Use to Promote Nursing Scholarship.
Metersky K, Tan V, El-Masri M
Can J Nurs Res · 2025 Jun · PMID 40239183 · Publisher ↗
Social media is a powerful tool to promote and communicate nursing scholarship. As the nursing profession evolves with advances in technology, platforms including X, LinkedIn, and TikTok offer unique opportunities for ac...
Social media is a powerful tool to promote and communicate nursing scholarship. As the nursing profession evolves with advances in technology, platforms including X, LinkedIn, and TikTok offer unique opportunities for academic engagement and professional networking at the individual and collective level. This editorial explores the growing role of social media use in nursing scholarship, and highlights its potential to bridge the gap between clinical practice, research, and education, by introducing practical strategies for new and experienced users to leverage their existing work and reach new audiences including: themed content posting, showcasing initiatives, and creative research dissemination methods. Despite its benefits, effective use of social media in nursing scholarship also requires awareness of potential risks including concerns about maintaining professionalism, data privacy, and upholding ethics. Drawing from personal experiences, this editorial provides recommendations for developing a professional digital presence, avoiding public backlash, and fostering a respectful online community.
Exploring nurses' experiences transitioning from clinicians to professors at Ontario colleges.
Greenway M, Belita E, Baxter P … +2 more , Pierazzo J, Boamah S
Can J Nurs Res · 2025 Jun · PMID 40239171 · Full text
BackgroundIn 2022, Ontario colleges and universities reported an estimated 67 vacant full-time nursing faculty positions, driving significant recruitment of nurses directly from clinical practice. Many of these nurses tr...
BackgroundIn 2022, Ontario colleges and universities reported an estimated 67 vacant full-time nursing faculty positions, driving significant recruitment of nurses directly from clinical practice. Many of these nurses transition to academia lacking the necessary pedagogical preparation and socialization for a faculty role, leading to feelings of inadequacy, stress and an increased intent to leave their positions.ObjectiveThis qualitative descriptive study explored nurses' experiences as they transitioned into the professor role to identify strategies to decrease transition stress, improve career satisfaction, and decrease early-career nursing faculty attrition at Ontario colleges.MethodsData were collected in semi-structured interviews with nine participants from Ontario colleges offering the Bachelor of Science in Nursing degree and analyzed using Conventional Content Analysis.ResultsStudy findings detailed their emotional experiences, diverse preparations before becoming a professor, and the challenges navigating their new role. The study provided three major themes: 1) emotional aspects of the transition experience, 2) preparation for the nursing professor role, and 3) navigating the role and college setting. Nursing professors desired improved orientation programs, formal mentorship opportunities and socialization to the nursing professor role.ConclusionThe findings underscore the need for evidence-informed orientation programs that provide comprehensive training in institutional policies, nursing pedagogy, and support in adapting to the academic culture. These findings can guide Ontario colleges in offering standardized orientation programs that support nurses' excelling as professors and improve retention of this important group.
Staff Experiences with the Implementation of Nurse Practitioner (NP)-led Clinics in New Brunswick, Canada.
MacNeill L, Légère K, Balcom S … +3 more , Luke A, Justason E, Doucet S
Can J Nurs Res · 2025 Sep · PMID 40239163 · Full text
BackgroundAccess to primary care is a challenge across Canada. In the province of New Brunswick (NB), approximately 15% of citizens do not have a primary care provider (PCP). The Government of NB recently implemented cli...
BackgroundAccess to primary care is a challenge across Canada. In the province of New Brunswick (NB), approximately 15% of citizens do not have a primary care provider (PCP). The Government of NB recently implemented clinics staffed by nurse practitioners (NPs) in various regions in the province to reduce the provincial waitlist for a PCP.PurposeThis study aimed to identify facilitators and barriers to NP-led clinic implementation, as perceived by clinic staff.MethodsUsing a cross-sectional qualitative descriptive design, data was collected using semi-structured interviews and analysed using qualitative content analysis.ResultsStudy participants included 16 employes of two NP-led clinics in NB (NPs, registered nurses (RN), licensed practical nurses (LPN), administrative staff, and managerial staff). Facilitators include having experienced mentors, collaborative practices, and well-equipped clinics. Barriers include rushed timelines, complex decision-making processes, large and complex caseloads, inadequate clinic space, and difficulty in staff recruitment and retention. Participants discussed the positive impact of NP-led clinics through improved access to primary care, resulting in reduced burdens on emergency departments and walk-in clinics. Participants recommend adding additional NP-led clinics and integrating multidisciplinary allied health professional teams to enhance care integration.ConclusionNP-led clinics are increasingly being implemented across Canada to improve primary care access, particularly in areas where there are shortages of PCPs. Findings from this study will help inform the development and implementation of other NP-led clinics across NB and Canada.
Impact of Trump's Executive Order on Nursing Research: The Shrouding of Racism Under the Guise of Equality.
Lapum J, Lee C, Rahman R … +2 more , Nielsen LS, Amanzai H
Can J Nurs Res · 2025 Mar · PMID 40111919 · Publisher ↗
Abstract loading — click title to view on PubMed.
A Narrative Inquiry of East Asian Parents and Mental Health in Canada: Critical Openings for Anti-Racism Strategies in Knowledge Translation.
Louie-Poon S, Richter S, Kunyk D … +1 more , Scott SD
Can J Nurs Res · 2025 Mar · PMID 40094584 · Full text
BackgroundAnti-Asian racism is linked with adverse mental health conditions in young East Asian populations. There is a need to explore how to develop mental health resources for East Asian parents, yet minimal research...
BackgroundAnti-Asian racism is linked with adverse mental health conditions in young East Asian populations. There is a need to explore how to develop mental health resources for East Asian parents, yet minimal research explores anti-racism strategies for this work.PurposeThe objectives were to: open a critical dialogue for developing anti-racism strategies for mental health knowledge translation (KT) resource development, and explore complexities with engaging East Asian parents when developing KT resources.MethodsA narrative inquiry was conducted to collect East Asian parent stories on anti-racism strategies and mental health. East Asian parents across Canada engaged in semi-structured interviews between August to October 2022. Dialogic/performance analysis was used to inductively analyze the data. Findings: Three composite counter-narratives emerged from the data: 1) Storying issues of access within child mental health KT; 2) Seeking understanding and solidarity for the East Asian identity and story; 3) Unlearning, breaking barriers, and storying resistance. The composite narratives wove together seven storylines: a) availability and affordability, b) language and vocabulary barriers, c) lack of representation, d) issues of representation: power and whiteness, e) East Asian standpoint epistemology, f) breaking cycles, g) culture as a source of strength.ConclusionThe findings highlighted the complexities of engaging East Asian parents and recommended the need for an East Asian standpoint epistemology when developing child mental health KT resources and counter-spaces as a way to facilitate the centrality of East Asian standpoint epistemologies. These anti-racism strategies may promote solidarity for shared experiences beyond the white gaze and spaces.
Influences Shaping Nurses' Continuing Professional Education Choices and Learning Pathways: An Exploratory Case Study.
Purvis JK
Can J Nurs Res · 2025 Sep · PMID 40094583 · Publisher ↗
BackgroundNurses engage in continuing professional education (CPE) to remain current in their knowledge and competencies, and to learn in ways that help them navigate an increasingly complex healthcare system. Recent tre...
BackgroundNurses engage in continuing professional education (CPE) to remain current in their knowledge and competencies, and to learn in ways that help them navigate an increasingly complex healthcare system. Recent trends indicate that CPE has shifted away from nurses' education to be more directed toward organizational and regulatory needs, which impacts nurses' professional learning.PurposeThe purpose of this research was to understand the influences that shape nurses' CPE choices and professional learning pathways, and the ways in which nurses learn.MethodsThis was an exploratory case study of later career nurses in Nova Scotia, Canada, that analyzed data from semi-structured interviews, participant artifacts, and government and regulatory policy documents. Critical and post-structural feminist lenses were applied to the data analysis.ResultsThree themes encompassing the key influences on nurses' CPE choices and learning pathways were identified: sociocultural context, structural/systems context, and shifting knowledge forms. The findings suggest that educational discourse embedded in the broader regulatory, government, and employer policy worked to direct the participants into CPE for employment and regulatory requirements, shaping nursing knowledge that reflects organizational needs.ConclusionThis study revealed sources of influence on nurses' CPE choices and professional learning pathways, such as sociocultural expectations for women to assume most family responsibilities. Structural influences within healthcare and regulation exert considerable influence on nurses' CPE and learning pathways to align with system needs. This study highlighted the limitations of these influences and the need for CPE programs and learning for nurses that enable rather than constrain their continued professional development.
Barriers and Facilitators to Nurse-Provider Communication in the Emergency Department: A Scoping Review.
Borawski S, Ralph J, Mulcaster A
Can J Nurs Res · 2025 Jun · PMID 40094582 · Full text
BackgroundEffective nurse-provider communication in the emergency department (ED) is crucial but often hindered by hierarchical dynamics and high workloadsObjectivesThis review aimed to examine, systematically map, and i...
BackgroundEffective nurse-provider communication in the emergency department (ED) is crucial but often hindered by hierarchical dynamics and high workloadsObjectivesThis review aimed to examine, systematically map, and identify gaps in existing literature concerning ED registered nurse-provider communication.Eligibility CriteriaStudies focused on direct communication between bedside registered nurses (RNs) and providers, including physicians, physician assistants (PAs), and nurse practitioners (NPs) in the ED, encompassing verbal, non-verbal and electronic communication. Non-direct patient care roles were excluded. Sources of Evidence: A search in CINAHL, MEDLINE and ProQuest Nursing & Allied Health identified 1978 sources, of which 37 studies were included: 15 qualitative, 9 quantitative, 4 mixed methods, 6 commentaries, 1 performance improvement project, and 1 scoping review.Charting MethodsData were extracted using Joanna Briggs Institute (JBI) guidelines and thematically analyzed according to Levac's framework.ResultsFour key themes emerged: (i) Interruptions hinder communication but can be reduced by electronic supports facilitating asynchronous communication, (ii) Power imbalances and high workload/communication load impede effective communication, emphasizing the need for structured communication tools and interprofessional communication training, (iii) Shared workspaces, electronic supports, and collaborative, respectful interactions enhance communication (iv) Timely updates and collaborative planning are valued, emphasizing the significance of consistent communication.ConclusionsThis review identified interventions that can improve ED nurse-provider communication, including electronic supports, shared workspaces, structured communication tools, and interprofessional communication training. Future research should evaluate these strategies' effectiveness and explore regional differences, particularly in Canada, where the literature is limited.
'I Was Shattered and Broken': Unmasking the Experiences and Responses of Black Canadian to Pregnancy Loss.
Boakye PN, Prendergast N, Thomas Obewu OA … +1 more , Mugambi D
Can J Nurs Res · 2025 Sep · PMID 40017046 · Full text
BackgroundPregnancy loss remains an invisible tragedy that impacts on the psychosocial well-being of women and their families. Cultural norms and beliefs about pregnancy loss affect how some women respond and process the...
BackgroundPregnancy loss remains an invisible tragedy that impacts on the psychosocial well-being of women and their families. Cultural norms and beliefs about pregnancy loss affect how some women respond and process the loss. Yet research about Black Canadian women's experiences of pregnancy loss is lacking. The purpose of this research was to explore Black Canadian women's experiences and responses to pregnancy loss.MethodsA descriptive exploratory qualitative design was used to gain insight into the experiences of Black Canadian women. Semi-structured interviews were conducted with women who identified as Black. Data was analyzed using a thematic analysis approach.ResultsWe purposely recruited and interviewed 32 Black Canadian women who experienced miscarriage, stillbirth, or neonatal death. Three overarching themes were identified: (a) coming to terms with the reality of losing a pregnancy, (b) grappling with the psychosocial burden of losing a pregnancy, and (c) navigating for support after losing a pregnancy.ConclusionAddressing the psychosocial burden of pregnancy loss is critical to promote the well-being of Black Canadian women. Nurses and other healthcare providers must recognize that the impact of pregnancy loss extends beyond the immediate clinical concerns. Therefore, intervention programs and follow up care must take a holistic and culturally responsive approach to address the needs of Black Canadian women beyond the period of the loss.
Systematic Search and Evaluation of mobile Apps for Wound Care Available in French-Language in Canada.
Gagnon J, Chartrand J, Probst S … +6 more , Maillet É, Reynolds E, Chaplain V, St-Jean H, East R, Lalonde M
Can J Nurs Res · 2025 Jun · PMID 39962802 · Full text
BackgroundWounds are a significant national health concern, impacting individuals, healthcare systems, and the environment. Despite efforts by organizations to promote evidence-based practices, gaps persist between theor...
BackgroundWounds are a significant national health concern, impacting individuals, healthcare systems, and the environment. Despite efforts by organizations to promote evidence-based practices, gaps persist between theory and nurse practice in wound care. Mobile apps show promises in enhancing wound care delivery, but their rapid evolution, including adaptations into different languages such as French, raises concerns about reliability and regulation. Evaluating these apps is crucial for ensuring patient safety and effective wound management.PurposeTo review and assess mobile wound care apps available in French for healthcare providers in Canada.MethodsA systematic search was conducted across the literature and the two main Canadian online app stores (App Store and Google Play). The included mobile apps underwent quality evaluation using the user version of the Mobile Application Rating Scale (uMARS).ResultsThe initial search retrieved 1,550 apps, of which 260 were screened and 5 included. Included apps were from France and were available on both stores. These apps varied in features, including wound dressing directory ( = 3), best practices reminders ( = 2), photography management and digital wound tracking ( = 1), and total body surface area calculator ( = 1). Evaluation using uMARS indicated total averages range from 3.52/5 to 4.10/5. The results offer scant insight into the design and evaluation of the apps included.ConclusionsThe study highlights the need for development and validation of a French wound care app tailored to Canadian healthcare contexts and best practice recommendations, emphasizing collaboration among nurses and stakeholders in technology enhancement for the benefit of Canadians' health.
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