Canadian Journal of Nursing Research最新文献

{"title":"Psychometric Properties of the French Version of the Provider Co-Management Index-RN.","authors":"Allison A Norful, Dana Ryan, Julia Lukewich, Deanne Curnew, Marie-Eve Poitras, Cloé Beaulieu, Maria Mathews, Lindsay Hedden, Emily Gard Marshall, Leslie Meredith, Sarah Spencer, Gillian Young","doi":"10.1177/08445621261493517","DOIUrl":"https://doi.org/10.1177/08445621261493517","url":null,"abstract":"<p><p>BackgroundStrengthening primary care through team-based models is a global priority as strong primary care systems are consistently associated with improved outcomes. The Provider Co-Management Index for Registered Nurses (PCMI-RN) is a validated instrument measuring co-management (i.e., cohesiveness of providers managing the same patient) between interdisciplinary providers; however, no validated French-language version exists, limiting applicability.PurposeTo translate the PCMI-RN into French and evaluate its psychometric properties.MethodologyThe PCMI-RN was translated into French using a forward-backward translation method. An online survey collected data from Registered Nurses working in primary care settings across Canada between October 2023 and March 2024, including responses on the PCMI-RN (French Version). Statistical analyses included measures of reliability, specifically internal consistency (Cronbach's alpha), and iterative factor modelling to assess construct validity.ResultsA total of 354 French-language responses were analyzed. The PCMI-RN (French Version) demonstrated excellent internal consistency (Cronbach's alpha = 0.942), with item-total correlations ranging from 0.539 to 0.755. Goodness-of-fit indices (RMSEA < 0.08, CFI > 0.90) supported the model's construct validity when loaded onto a single factor and were consistent with the original PCMI. The PCMI-RN (French Version) retained the theoretical integrity of the original instrument.ConclusionThe PCMI-RN (French Version) is a reliable and valid tool for assessing co-management in French-speaking primary care contexts. Its availability supports nursing practice by offering a standardized French language tool that can inform professional development, strengthen team-based care, and facilitate comparisons across regions and countries, contributing to improved interdisciplinary collaboration.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261493517"},"PeriodicalIF":2.4,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149128675","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}

{"title":"Multidimensional Well-Being Among Retired Old Adults: A Cross-Sectional Survey.","authors":"Yasin M Yasin, Areej Al-Hamad, Emily Read, Kateryna Metersky","doi":"10.1177/08445621261492763","DOIUrl":"https://doi.org/10.1177/08445621261492763","url":null,"abstract":"<p><p>BackgroundRetirement well-being is a multidimensional concept shaped by individual, interpersonal, community/service, and policy-related factors.AimThis study examined physical, mental, social, spiritual, and financial well-being among retired older adults in New Brunswick and identified factors associated with each dimension.MethodsA cross-sectional survey was conducted with 1,903 retired older adults aged 65 years and older in New Brunswick, Canada. Guided by the Socio-Ecological Model, descriptive statistics, bivariate analyses, and five hierarchical multiple linear regression models were conducted.ResultsParticipants reported moderate well-being across all domains, with financial well-being appearing most vulnerable. Bivariate analyses showed associations between well-being dimensions and several sociodemographic, retirement-related, household, service access, and policy/satisfaction factors. In the final regression models, not being married/common-law was associated with higher physical, mental, social, and spiritual well-being, while living with a spouse/partner was associated only with higher financial well-being. Other significant predictors varied by domain and included education, service use, perceived policy support, satisfaction with services, employment sector, and retirement duration. Final models explained small proportions of variance.ConclusionRetirement well-being is shaped by factors across socio-ecological levels. Findings support integrated age-friendly strategies addressing health, social connection, housing, services, financial security, and policy support.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261492763"},"PeriodicalIF":2.4,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116498","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}

{"title":"The Effectiveness of Digital Psycho-Oncology Interventions on Anxiety and Depression in Cancer Survivors: A Systematic Review.","authors":"Ilany Nandia Chandra, Mohamad Rusdiansyah, Anya Bunga Fakhriyah, Putri Annelydia, Suci Wahyu Hariyanto, Ayyu Sandhi, Melyza Perdana","doi":"10.1177/08445621261491462","DOIUrl":"https://doi.org/10.1177/08445621261491462","url":null,"abstract":"<p><p>BackgroundCancer survivors frequently experience anxiety and depression, which can impair quality of life. Digital psycho-oncology interventions represent a promising strategy to address these psychosocial concerns.AimThis systematic review evaluated the types of digital psycho-oncology interventions for cancer survivors and summarized their efficacy in reducing anxiety and depression.MethodsThis systematic review adhered to PRISMA guidelines and was registered in PROSPERO (CRD420251240232). Searches were conducted in PubMed, Scopus, MEDLINE, PsycNET, and CINAHL for articles published between 2015 and 2025. Eligible studies evaluated digital psycho-oncology interventions for cancer survivors and assessed anxiety and/or depression. Methodological quality was appraised using the Joanna Briggs Institute tools, and findings were synthesized descriptively.ResultsOf 720 identified records, 11 studies met the inclusion criteria. Web-based platforms were the most common delivery modality, followed by mobile applications. Interventions were generally multicomponent, most often combining psychoeducation and social/psychological support, and ranged in duration from 4 weeks to 12 months. Anxiety was assessed in 7 studies, all of which reported significant reductions. Depression was assessed in 10 studies; 5 reported significant improvement, whereas 5 found non-significant effects.ConclusionsDigital psycho-oncology interventions appear promising for improving psychosocial outcomes in cancer survivors, particularly anxiety. However, evidence for depression remains mixed. Future research should prioritize larger, methodologically robust trials with standardized outcomes and longer follow-up to address current heterogeneity.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261491462"},"PeriodicalIF":2.4,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076326","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}

{"title":"Evaluating Leadership Competencies in Undergraduate Nursing Education: A Scoping Review.","authors":"Jodie L Steffan, Megan Kirkpatrick, Tammy O'Rourke, Debbie Fraser","doi":"10.1177/08445621261487477","DOIUrl":"https://doi.org/10.1177/08445621261487477","url":null,"abstract":"<p><p>BackgroundNurse leaders play a pivotal role in advancing patient care and strengthening healthcare systems. Nursing leadership is a set of foundational competencies that must be cultivated from the outset of nursing education and developed throughout a nurse's professional career. Evaluating leadership competency in undergraduate nursing students is critical, yet current assessment processes are varied and underexplored.PurposeTo identify and synthesize the literature on evaluative processes used in undergraduate nursing education to assess leadership competency in clinical practice through a scoping review.MethodsThe Joanna Briggs Institute (JBI) methodology was used to search, screen, and extract data. Databases in the literature search included CINAHL Plus with Full Text, MEDLINE, APA PsycINFO, Academic Search Complete, and ProQuest Dissertations and Theses - Full Text. A targeted grey literature search and citation search were also conducted. Searches were completed in June 2024, depicted in a PRISMA Flow Diagram.Results606 sources were reviewed, and 11 met the inclusion criteria. The review identified significant variability in the frameworks, tools, and definitions used to evaluate nursing student leadership competencies. While all sources used validated tools, most articles lacked standardized methods.ConclusionsEvaluating leadership competency in undergraduate nursing programs is a complex process. Without a broadly accepted definition of nursing leadership, standardized frameworks, and evaluation measures, it is difficult to assess leadership skills and behaviours, hindering the preparation of future nurse leaders.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261487477"},"PeriodicalIF":2.4,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065063","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}

{"title":"Bridging Care After Discharge from the Emergency Department for Patients Presenting with a Mental Health Concern.","authors":"Stephanie Lucchese, Natalie Weiser, Ifat Witz, Daniela Bellicoso","doi":"10.1177/08445621261483294","DOIUrl":"https://doi.org/10.1177/08445621261483294","url":null,"abstract":"<p><p>AimTo explore patient experiences of receiving telephone-delivered brief contact interventions following discharge from the emergency department for a variety of mental health or substance use concerns.DesignQualitative descriptive study.MethodsFollowing a brief contact intervention delivered by telephone, semi-structured interviews were conducted to assess the patient experience. Inductive content analysis was used to analyze interview transcripts; descriptive statistics were used to summarize demographic characteristics.Data SourcesParticipants were recruited from an urban academic hospital where they had presented to the ED for a mental health or substance use concern, received a post-discharge brief contact intervention, and consented to a follow-up interview.ResultsPatients presented to the emergency department for a variety of mental health and substance use concerns. Four themes were generated: value of human connection and feeling cared for<i>; p</i>ositive impact on mental health and coping<i>;</i> impact of individual circumstances<i>; and r</i>ecommendations for future program development<i>.</i>ConclusionTelephone-delivered brief contact interventions were experienced as a supportive, and provided social- and emotional-support for patients to bridge a vulnerable transition period after emergency department discharge. Perceived benefits were greatest for individuals with fewer social or therapeutic supports.Implications for the profession and/or patient careBrief contact interventions can strengthen continuity of care, mitigate feelings of abandonment, and promote patient safety post-discharge. Implementation requires clarity, consistency, and can be done in collaboration with community support services.ImpactFindings can inform emergency department-to-community transitions, particularly for individuals facing isolation. This intervention can maintain communication between patients and nurses/mental health providers.Reporting MethodThis study adhered to the SRQR guidelines for qualitative research.Patient ContributionPatients who received wellness checks contributed as participants, sharing their experiences and recommendations. Their perspectives shaped study themes, interpretation, and implications.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261483294"},"PeriodicalIF":2.4,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012961","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}

{"title":"Psychological Distress and Predictors of Anxiety and Depression in New Hemodialysis Patients.","authors":"Abubaker Hamed, Joy Maddigan, Brittnay Woodman, Linda MacPherson, Pamela Pike, Ahtisham Younas","doi":"10.1177/08445621261479664","DOIUrl":"https://doi.org/10.1177/08445621261479664","url":null,"abstract":"<p><strong>Background: </strong>Patients initiating hemodialysis experience substantial lifestyle changes that increase their risk of psychological distress, including anxiety and depression. Despite these challenges, the existing literature has primarily focused on long-term hemodialysis populations, with limited research examining psychological distress during the early stages of hemodialysis treatment.</p><p><strong>Aim: </strong>To assess levels of anxiety and depression among newly diagnosed CKD patients beginning hemodialysis and to identify demographic and clinical predictors of psychological distress.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 50 adults initiating hemodialysis within the first year of dialysis treatment at the Kidney Care Centre in St. John's, NL. Data were collected using a demographic questionnaire and the Hospital Anxiety and Depression Scale (HADS). Descriptive and multiple regression analyses were performed.</p><p><strong>Results: </strong>High prevalence of psychological distress was observed. Anxiety was reported in 67.4% of participants (M = 11.41, SD = 2.32), while 60.9% were borderline and 8.7% clinically depressed (M = 8.52, SD = 1.99). Predictors did not significantly explain anxiety (Adjusted R² = .127, p = 0.11), though shorter dialysis duration (1-6 months) was associated with higher anxiety (p = 0.01). Depression was significantly predicted by employment status (Adjusted R² = .277, p = 0.019), with employed patients reporting higher scores.</p><p><strong>Conclusion: </strong>Newly initiated hemodialysis patients experience substantial anxiety and depression, particularly in the early treatment period. Early psychological screening, structured orientation programs, and person-centered coping interventions tailored to individual occupational and social contexts are recommended to support mental health and treatment adherence.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261479664"},"PeriodicalIF":2.4,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978247","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}

{"title":"Registered Nurses and Nurse Practitioners' Perceptions of Physical Activity Monitors in Patient Care.","authors":"Myles W O'Brien, Chloe Vukosa, Faisal Bin Aziz, Sebastian Harenberg, Carson Halliwell, Britney Benoit, James A Hughes, Ryan E R Reid","doi":"10.1177/08445621261485347","DOIUrl":"https://doi.org/10.1177/08445621261485347","url":null,"abstract":"<p><p>PurposeNurses engage in a substantial amount of patient contact and can be a source of healthy lifestyle advice. Wearable activity monitors may serve as valuable tools for promoting physical activity. We assessed the perceptions of registered nurses and nurse practitioners regarding the barriers and facilitators influencing the integration of activity monitors into clinical care.MethodsA cross-sectional survey was completed by 47 registered nurses (mean age 36.4 ± 11.7 years; 44 female) and 17 nurse practitioners (mean age 36.8 ± 6.7 years; 17 female). The survey included Likert-scale items assessing perceived barriers, facilitators, and willingness to use activity monitors with patients. Descriptive statistics were calculated and comparisons between registered nurses and nurse practitioners were conducted.ResultsAlmost all registered nurses (98%) and nurse practitioners (94%) reported an interest in incorporating activity monitors into routine care. Nurse practitioners rated cost, lack of departmental support, and difficulty for patients as greater barriers to using activity monitors compared to registered nurses (all <i>p</i> < 0.05, <i>d</i> = 0.50-0.80). Nurse practitioners reported less workplace support, fewer training opportunities, and less technological support (all <i>p</i> < 0.05, <i>d</i> = 0.75-1.87) than registered nurses.ConclusionNurses reported a strong interest in incorporating wearable activity monitors into patient care. Registered nurses reported low barriers, but strategies to help nurse practitioners address concerns of patient cost and difficulty for patients are needed. Nurses are an underutilised resource for physical activity promotion, and integrating wearable technology into practice may help more patients lead physically active lifestyles.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261485347"},"PeriodicalIF":2.4,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945288","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}

{"title":"Surgical Nurses' Experience of Hallway Healthcare.","authors":"Zoe Ruddy, Kimberly McMillan, Brandi Vanderspank-Wright, Christine J McPherson","doi":"10.1177/08445621261483295","DOIUrl":"https://doi.org/10.1177/08445621261483295","url":null,"abstract":"<p><p>BackgroundHallway healthcare refers to the provision of patient care in hospital hallways. Although traditionally associated with overcrowded emergency departments, it has increasingly extended into acute inpatient settings. Differences in the organization and delivery of care across healthcare settings highlight the need to examine nurses' experiences of hallway healthcare within their specific clinical contexts. This study explored nurses' experiences of hallway healthcare in acute surgical inpatient settings.MethodsA qualitative study, guided by interpretive description, was used to explore the experiences of nurses working in surgical inpatient settings in Ontario, Canada. Purposeful sampling was used to recruit nine nurses with experience of hallway healthcare. Data were collected through individual semi-structured interviews and analyzed thematically to identify key patterns in the data.ResultsThree main themes were identified: Part of the Job, Constrained in Care and Voice, and Relational Disruption. Rather than a temporary strategy to facilitate patient flow, hallway healthcare had become normalized within participants' practice. Driven by top-down organizational decisions, participants described providing care in environments they perceived as unsafe and inappropriate for delivering person-centred surgical care. These conditions heightened their concerns about patient safety, disrupted therapeutic and workplace relationships, and placed significant professional and emotional pressure on nurses.ConclusionThis study provides new insights into nurses' experiences of hallway healthcare in surgical inpatient settings. The findings highlight the need for organizational and system-level action to create healthy work environments that enable nurses to provide safe, person-centred care.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261483295"},"PeriodicalIF":2.4,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892527","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}

{"title":"Open Data and Open Science in Qualitative Research: Protecting Participants While Promoting Transparency.","authors":"Kateryna Metersky, Marco Nanfara","doi":"10.1177/08445621261486274","DOIUrl":"https://doi.org/10.1177/08445621261486274","url":null,"abstract":"","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261486274"},"PeriodicalIF":2.4,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889172","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}

{"title":"Islamophobia in Canadian Nursing: An Interpretive Phenomenological Study Looking at the Experiences of Female Muslim Nurses.","authors":"Zahra Upal, Jennifer Jackson","doi":"10.1177/08445621261426504","DOIUrl":"10.1177/08445621261426504","url":null,"abstract":"<p><p>BackgroundMuslim Nurses in Canada are experiencing Islamophobia in the workplace and in educational institutions. These experiences result in increased mental distress for these nurses, social isolation at the workplace, and considerations of leaving the nursing profession.AimThis study explores the experiences of Islamophobia for Registered Nurses who wear the hijab at work in Canada. This study is grounded in Critical Race Theory and aims to answer the following research question: What are the experiences of Islamophobia for female Canadian Registered Nurses who wear the hijab? The participants in the study described experiences from their workplaces and their experience attending nursing school in Canada.MethodA total of six participants were interviewed, and the findings were analysed using the Interpretative Phenomenological Analysis method. Muslim nurses' experiences were characterized by their sense of belonging.FindingsKey findings consist of the experiences of Islamophobia being related to the negative stereotypical identity of what it means to be a Muslim woman, being associated with these nurses, how they discover their own identity as nurses and finally, how they reconcile their personal and social identities as Muslim women with their identity as Registered Nurses.ConclusionThis study uncovers the process of self-discovery that Muslim nurses undergo after experiencing Islamophobia through being assigned an identity. This process enables them to reconcile what it means to be Muslim nurses, allowing them to practice comfortably at the workplace. Recommendations are that policy changes should be enacted, which protect Muslim nurses and work to prevent incidents of Islamophobia. Secondly, anti-racism training should be provided to both nursing students and staff to foster more supportive workplaces.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"353-363"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13454409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327754","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}