Canadian Journal of Nursing Research最新文献

Exploring nurses' experiences transitioning from clinicians to professors at Ontario colleges. 探索安大略大学护士从临床医生到教授的转变经验。

IF 1.7

Canadian Journal of Nursing Research Pub Date : 2025-06-01 Epub Date: 2025-04-16 DOI: 10.1177/08445621251320708

Michelle Greenway, Emily Belita, Pamela Baxter, Joanna Pierazzo, Sheila Boamah

{"title":"Exploring nurses' experiences transitioning from clinicians to professors at Ontario colleges.","authors":"Michelle Greenway, Emily Belita, Pamela Baxter, Joanna Pierazzo, Sheila Boamah","doi":"10.1177/08445621251320708","DOIUrl":"10.1177/08445621251320708","url":null,"abstract":"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.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"256-266"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding Nurse Retention at a Mental Health and Addictions Facility During a Dual Pandemic. 了解在双重流行病期间心理健康和成瘾机构的护士留任情况。

IF 1.7

Canadian Journal of Nursing Research Pub Date : 2025-06-01 Epub Date: 2024-09-18 DOI: 10.1177/08445621241283227

Alyssa Rafferty, Kristen Haase, Michelle Gagnon, Farinaz Havaei

{"title":"Understanding Nurse Retention at a Mental Health and Addictions Facility During a Dual Pandemic.","authors":"Alyssa Rafferty, Kristen Haase, Michelle Gagnon, Farinaz Havaei","doi":"10.1177/08445621241283227","DOIUrl":"10.1177/08445621241283227","url":null,"abstract":"BackgroundThe COVID-19 pandemic exposed nurses to new and more severe workplace stressors; exposure to these workplace stressors has exacerbated nurse turnover. Nurses working in mental health and substance use (MHSU) have also experienced the unique stressor of the overdose crisis in British Columbia (BC). MHSU nurses have been at the forefront of working to manage these dual emergencies. There is limited evidence related to the compounding effect of COVID-19 and the overdose crisis on nursing turnover. Understanding the unique conditions that MHSU nurses are currently experiencing and what factors influence a nurse's intention to stay in or leave a healthcare facility is essential in developing strategies to minimize turnover and maximize retention.PurposeTo explore the factors that affect nurse turnover while working through the dual emergencies within a MHSU facility in BC, Canada.MethodsA qualitative descriptive approach with an inductive, descriptive thematic analysis guided this quality improvement project.ResultsFindings were grouped into two main themes: reasons for leaving and reasons for staying. Reasons for leaving included workplace safety, seeking new opportunities, lack of support, and being short-staffed. Reasons to stay encompassed connections with clients, leaders and colleagues, support from colleagues and leaders, and feeling valued, safe, and heard.ConclusionsPerceived personal safety and protection from workplace violence were found to increase the likelihood of intent to leave and turnover among nurses. Further, psychosocial safety and connection among nurses and health leaders were found to decrease the likelihood of turnover.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"188-198"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sociodemographic and Health Determinants of Loneliness in Older Immigrants in Canada: A Cross-Sectional Study. 加拿大老年移民孤独的社会人口和健康决定因素：一项横断面研究。

IF 1.7

Canadian Journal of Nursing Research Pub Date : 2025-06-01 Epub Date: 2024-10-07 DOI: 10.1177/08445621241289234

Sepali Guruge, Souraya Sidani

{"title":"Sociodemographic and Health Determinants of Loneliness in Older Immigrants in Canada: A Cross-Sectional Study.","authors":"Sepali Guruge, Souraya Sidani","doi":"10.1177/08445621241289234","DOIUrl":"10.1177/08445621241289234","url":null,"abstract":"The COVID pandemic brought to light the pressing issues of social isolation and loneliness for older adults. Immigrant older adults' experience of loneliness is even more exacerbated by factors, such as, language barriers, and the loss of cultural community. Key determinants of loneliness in older immigrants are not clear in the literature. A cross-sectional study was conducted in nine cities across Canada to: describe the experience of emotional, social and overall loneliness; and examine the determinants of loneliness among Punjabi, Mandarin, and Arabic-speaking older immigrants. A total of 647 older immigrants participated in the study. Descriptive statistics were used to describe their experience of loneliness, and multiple regression analysis was performed to examine the determinants of loneliness. Most participants had a post-secondary education, were married, and had been in Canada for about 16 years. On average, the participants reported good physical and mental health, and moderate levels of emotional, social, and overall loneliness. Ethnocultural group, emotional wellbeing, and depression were associated with emotional loneliness. Social loneliness was associated with education, depression, psychological distress, age, and ethnocultural group. Determinants of overall loneliness were age, gender, ethnocultural group, self-rated mental health, emotional wellbeing, depression, and psychological distress. Community based interventions that target these key factors must be designed to address loneliness experienced by older immigrants.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"298-305"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Experiences and Perspectives of new Graduate Nurses on the Push-Pull Factors of Nursing Workforce Crisis Post COVID-19. 新毕业护士对新冠肺炎后护理人力危机推挽因素的体会与看法

IF 1.7

Canadian Journal of Nursing Research Pub Date : 2025-06-01 Epub Date: 2024-12-08 DOI: 10.1177/08445621241301953

Kateryna Metersky, Areej Al-Hamad, Nursel Selver Ruzgar, Valerie Tan, Grissel Crasto, Josephine Pui-Hing Wong

{"title":"Exploring the Experiences and Perspectives of new Graduate Nurses on the Push-Pull Factors of Nursing Workforce Crisis Post COVID-19.","authors":"Kateryna Metersky, Areej Al-Hamad, Nursel Selver Ruzgar, Valerie Tan, Grissel Crasto, Josephine Pui-Hing Wong","doi":"10.1177/08445621241301953","DOIUrl":"10.1177/08445621241301953","url":null,"abstract":"BackgroundThe aim of this study is to explore the practice experiences of new graduate nurses (NGNs) in publicly funded acute healthcare settings in the Greater Toronto Area, their perspectives on the determinants of their desire to stay or leave the nursing profession, and to identify action-oriented strategies to promote retention of NGNs.DesignQualitative, descriptiveMethodsFifteen NGNs participated in focus group sessions, where a semi-structured interview guide was created to generate discussion on NGNs' lived and professional experiences. We utilised the Social Ecological and Intersectionality frameworks to guide data analysis with an emphasis on social identities, power relationships, and the personal, interpersonal, organizational, and structural determinants of nursing retention.ResultsParticipants contextualized their major challenges within four professional development phases: 1.) accessible nursing education and practicum placement; 2) preparedness, orientation and mentorship during entry to practice; 3) navigating transition to independent practice and multi-level structural violence; 3.1) retention strategies; and 4) perspectives on professional trajectory for NGNs.ConclusionNGNs experience major challenges throughout their nursing education and career. The study findings indicate that further research and systemic reform is essential to support, develop, and retain nursing leaders in the acute care setting. Furthermore, the findings can inform the development of evidence-based nursing curriculum reform.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"215-226"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Accessing Trauma- and Violence-Informed Breastfeeding Support from Primary Care Providers among Women with Histories of Intimate Partner Violence: An Exploratory Interpretive Description Study. 有亲密伴侣暴力史的妇女从初级保健提供者处获得创伤和暴力启发的母乳喂养支持：一项探索性解释说明研究。

IF 1.7

Canadian Journal of Nursing Research Pub Date : 2025-06-01 Epub Date: 2024-10-03 DOI: 10.1177/08445621241280409

Kimberley T Jackson, Samantha Larose, Tara Mantler

{"title":"Accessing Trauma- and Violence-Informed Breastfeeding Support from Primary Care Providers among Women with Histories of Intimate Partner Violence: An Exploratory Interpretive Description Study.","authors":"Kimberley T Jackson, Samantha Larose, Tara Mantler","doi":"10.1177/08445621241280409","DOIUrl":"10.1177/08445621241280409","url":null,"abstract":"BackgroundIntimate partner violence (IPV) is a wicked social problem affecting women of all social strata and geographical location, globally. Pregnancy may be a time of heightened risk of IPV and more deleterious outcomes. Breastfeeding - a protective factor for maternal and child well-being - may be jeopardized or more challenging for women experiencing IPV. This study explored the experiences of postpartum women with histories of IPV who sought trauma- and violence-informed breastfeeding support from primary care providers.MethodsUsing interpretive description and philosophically underpinned by intersectionality, in-depth semi-structured interviews were completed at 12-weeks postpartum with five breastfeeding mothers with a history of IPV who sought breastfeeding support from a family physician clinic employing a trauma- and violence-informed (TVIC) model of care.FindingsFour themes and two sub-themes shed light onto the experience of accessing breastfeeding support for women with a history of IPV and the perceived barriers that they faced when attempting to accesses this support, including: 1) The (demoralizing) navigation of the perinatal system; 2) Fostering trust: i) \"It's support, but it's also knowledge\"; and ii) TVIC: feeling safe and feeling \"I mattered\"; 3) Informal support: partners, family, and friends; and 4) Baby in focus: overcoming challenges and building confidence.ConclusionsTVIC may aid in the development of trusting therapeutic relationships, in turn improving access to breastfeeding support, breastfeeding self-efficacy, and breastfeeding success for women who experience violence. Further research on the implementation and evaluation of TVIC for perinatal breastfeeding education and care among women is required.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"177-187"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge, Attitudes, and Perceptions of Quebec Nurses Relating to Climate Change in the Context of Their Practice with Children Aged 0 to 5 Years: A Cross-Sectional Descriptive Study. 魁北克护士在护理 0-5 岁儿童时对气候变化的认识、态度和看法：一项横断面描述性研究。

IF 1.7

Canadian Journal of Nursing Research Pub Date : 2025-06-01 Epub Date: 2024-10-29 DOI: 10.1177/08445621241292171

Nancy Leblanc, Anne-Gaëlle Légaré, Thierno Diallo, Maxime Sasseville, Souleymane Gadio, Lily Lessard

{"title":"Knowledge, Attitudes, and Perceptions of Quebec Nurses Relating to Climate Change in the Context of Their Practice with Children Aged 0 to 5 Years: A Cross-Sectional Descriptive Study.","authors":"Nancy Leblanc, Anne-Gaëlle Légaré, Thierno Diallo, Maxime Sasseville, Souleymane Gadio, Lily Lessard","doi":"10.1177/08445621241292171","DOIUrl":"10.1177/08445621241292171","url":null,"abstract":"Study backgroundReducing children's vulnerability to climate change (CC) depends firstly on parents having the ability to adapt.PurposeThe purpose of this study was to describe knowledge, attitudes, and perceptions of nurses in support of parents' ability to adapt to CC to protect the physical and psychosocial health of 0-5 year olds.MethodsA cross-sectional descriptive study was used. A total of 127 pediatric nurses from the province of Quebec completed an online questionnaire documenting nurses' knowledge, attitudes, and perceptions about CC.ResultsA third of nurses have little or no knowledge of the health risks of CC for children, even though they consider it to be a major issue for children. Nurses perceive that parents don't generally consider their children to be among the most vulnerable to CC, trivialize their effects on their children's health, have little knowledge of the effects of CC mainly on their children's psychosocial health, know little about the means to use to protect them, and more readily seek help from family and friends to ensure their children's protection. Nurses affirm that they are responsible for discussing the health effects of CC with parents, introduce measures to reduce their effects, possess little knowledge and few skills for reducing their effects, and feel unprepared to deal with their effects in their practice.ConclusionsGreater access to training on CC-related concepts is needed to increase nurses' knowledge. Nurses' perceptions must be validated with parents to promote optimal protection of children from CC.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"306-313"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"I Am Not Alone": A Photovoice Exploration of Diabetes Self-Management for Older Persons in Rural Ontario, Canada. “我并不孤单”：加拿大安大略省农村老年人糖尿病自我管理的光声探索。

IF 1.7

Canadian Journal of Nursing Research Pub Date : 2025-06-01 Epub Date: 2025-01-28 DOI: 10.1177/08445621251313500

Lenora Duhn, Madison Robertson, Idevania Costa, Beatriz Alvarado, Geneviève C Paré, Pilar Camargo-Plazas

{"title":"\"I Am Not Alone\": A Photovoice Exploration of Diabetes Self-Management for Older Persons in Rural Ontario, Canada.","authors":"Lenora Duhn, Madison Robertson, Idevania Costa, Beatriz Alvarado, Geneviève C Paré, Pilar Camargo-Plazas","doi":"10.1177/08445621251313500","DOIUrl":"10.1177/08445621251313500","url":null,"abstract":"ObjectiveTo explore diabetes self-management for older adults in rural Ontario.MethodsFourteen adults, 65 and older, with diabetes, participated in this study using a participatory, art-based approach involving photovoice and semi-structured interviews. Data underwent hermeneutic phenomenology analysis.FindingsFour themes emerged, elucidating the lived experiences of participants managing diabetes in a rural context.DiscussionThis study underscores the challenges and strategies of diabetes self-management in rural older adults. A holistic approach, encompassing physical, emotional, and mental well-being, is pivotal, augmented by proactive lifestyle choices. Effective coordination in medication management and enhanced communication among health care providers emerged as essential. The unique role of pets illuminates their profound impact on participants' activity levels and emotional fortitude, suggesting they can be vital assets in diabetes care. Collectively, these findings guide health professionals and policymakers in crafting nuanced, context-sensitive interventions to optimize diabetes management for older adults in rural contexts.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"242-255"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Systematic Search and Evaluation of mobile Apps for Wound Care Available in French-Language in Canada. 加拿大法语伤口护理手机应用系统搜索与评价

IF 1.7

Canadian Journal of Nursing Research Pub Date : 2025-06-01 Epub Date: 2025-02-17 DOI: 10.1177/08445621241312394

Julie Gagnon, Julie Chartrand, Sebastian Probst, Éric Maillet, Emily Reynolds, Valérie Chaplain, Heidi St-Jean, Raphaelle East, Michelle Lalonde

{"title":"Systematic Search and Evaluation of mobile Apps for Wound Care Available in French-Language in Canada.","authors":"Julie Gagnon, Julie Chartrand, Sebastian Probst, Éric Maillet, Emily Reynolds, Valérie Chaplain, Heidi St-Jean, Raphaelle East, Michelle Lalonde","doi":"10.1177/08445621241312394","DOIUrl":"10.1177/08445621241312394","url":null,"abstract":"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 (n = 3), best practices reminders (n = 2), photography management and digital wound tracking (n = 1), and total body surface area calculator (n = 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.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"284-297"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers and Facilitators to Nurse-Provider Communication in the Emergency Department: A Scoping Review. 急诊科护士-提供者沟通的障碍和促进因素：范围审查。

IF 1.7

Canadian Journal of Nursing Research Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1177/08445621251320710

Sylwia Borawski, Jody Ralph, Adam Mulcaster

{"title":"Barriers and Facilitators to Nurse-Provider Communication in the Emergency Department: A Scoping Review.","authors":"Sylwia Borawski, Jody Ralph, Adam Mulcaster","doi":"10.1177/08445621251320710","DOIUrl":"10.1177/08445621251320710","url":null,"abstract":"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.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"267-283"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Safer Stimulant Supply: Program Outcomes. 更安全的兴奋剂供应：项目结果。

IF 1.7

Canadian Journal of Nursing Research Pub Date : 2025-06-01 Epub Date: 2025-01-27 DOI: 10.1177/08445621251314227

Marlene Haines, Patrick O'Byrne

{"title":"Safer Stimulant Supply: Program Outcomes.","authors":"Marlene Haines, Patrick O'Byrne","doi":"10.1177/08445621251314227","DOIUrl":"10.1177/08445621251314227","url":null,"abstract":"ObjectivesWith nearly 50,000 people having died since 2016 as a result of the unregulated toxic drug supply, novel approaches to care are needed. A small number of Safer Stimulant Supply programs have been piloted in Canada, which seek to provide a pharmaceutical-grade stimulant medication replacement for the toxic unregulated stimulant supply. In this paper, we describe the results of retrospective Safer Stimulant Supply program medical chart reviews.MethodsWe extracted data from program intake and check-in forms collected on an ongoing basis by the clinical teams. In total, 28 medical charts were included in this evaluation. Data collected was reported using descriptive statistics.ResultsChart reviews showed that over the course of the program, program participants reported an overall decrease in their unregulated stimulant use. Specifically, at program intake and check-in appointments, cocaine use went from a median of 10 points/day to 0 points/day, and crystal methamphetamine use went from a median of 1.5 points/day to 0 points/day. Chart reviews also showed that program participants reported increased access to primary care and infectious disease programs and improvements in housing status.ConclusionsOur research demonstrated that program participants found Safer Stimulant Supply programs to be impactful in addressing ongoing drug use. Safer Stimulant Supply programs remain an underutilized but important harm reduction tool to address the drug poisoning crisis.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"324-329"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0