{"title":"Sexual and Reproductive Health Services and Help-seeking Behaviors: Experiences and Perspectives of Young 1.5-Generation Bangladeshi Women in Toronto.","authors":"Nahela Nowshin, Lydia Kapiriri, Colleen M Davison","doi":"10.1177/08445621251356734","DOIUrl":"https://doi.org/10.1177/08445621251356734","url":null,"abstract":"<p><p>BackgroundThe \"1.5 generation\" refers to those who immigrated to a new country as children or adolescents. In the context of Canada, 1.5-generation Bangladeshis are underrepresented in the extant literature on sexual and reproductive health (SRH). Their cross-cultural positionality and ethnic background have implications for their SRH-related help-seeking behaviors and service utilization.PurposeThis paper explored the SRH related help-seeking behaviors and perspectives and experiences with accessing and utilizing SRH services among 1.5-generation Bangladeshi women in Toronto, Ontario.MethodsTen 1.5-generation Bangladeshi women, aged between 18 and 22, participated in this qualitative study. This study employed a narrative inquiry methodological approach and the Conceptual Framework of Access to Healthcare as a theoretical lens.ResultsKnowledge about routine SRH tests and utilization of these services were found to be low. Mothers, sisters, peers, the internet and mobile apps were identified as sources of informal help-seeking. The family doctor is the most significant source of formal help-seeking. The findings shed light on the demand- and supply-side dimensions of access to SRH care as well as the multiple barriers and facilitators to services. Individual-level social and cultural factors in SRH help- and care-seeking behaviors and attitudes were identified. Structural factors within the health system hindered effective service delivery.ConclusionThe findings highlight the need for SRH-focused educational and informational campaigns in residential neighborhoods concentrated by the Bangladeshi diaspora. Policymakers should address the structural barriers in the health system to improve the quality of SRH care. Further investigation is required to understand what culturally responsive SRH care entails for 1.5-generation patients from South Asian and Muslim backgrounds.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251356734"},"PeriodicalIF":1.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585245","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}
Aleksandra Lalovic, Molly Hyde, Yvonne Bergmans, Anna Kiriakidis, Nathania Ebegbare, Ashley Verduyn, Sakina J Rizvi
{"title":"Enhancing Trauma Resilience in Nurses and Personal Support Workers: A Feasibility Study of an 8-Week Supportive Trauma Exposure Preparation Intervention.","authors":"Aleksandra Lalovic, Molly Hyde, Yvonne Bergmans, Anna Kiriakidis, Nathania Ebegbare, Ashley Verduyn, Sakina J Rizvi","doi":"10.1177/08445621251354918","DOIUrl":"https://doi.org/10.1177/08445621251354918","url":null,"abstract":"<p><p>BackgroundNurses and personal support workers (PSWs) frequently face trauma in their work without sufficient resources to manage the resulting emotional stress. This contributes to high rates of burnout, which have remained elevated since the COVID-19 pandemic.PurposeTo address the need for effective interventions that mitigate the impact of trauma exposure in the healthcare workplace, we developed the Supportive Trauma Exposure Preparation (STEP) program, an 8-week virtual psychotherapy intervention. The aim of this study was to evaluate the feasibility, acceptability, and preliminary effectiveness of the STEP program in reducing burnout and enhancing resilience.MethodsA pilot study was conducted with 35 nurses and PSWs in Ontario assessing the feasibility, acceptability, and preliminary effectiveness of the STEP program at three months follow-up. Participants attended 8 weekly psychotherapy sessions, provided feedback on their experiences, and completed measures of burnout, resilience, mood, anxiety, and work and life functioning.ResultsThe study demonstrated strong feasibility and acceptability, with high participant engagement and satisfaction with the STEP program. Improvements in burnout and work functioning were observed at the three-month follow-up.ConclusionsThe STEP program shows promise as a novel intervention addressing the critical unmet need for preventing and managing the detrimental effects of trauma exposure among nurses and PSWs in the healthcare workplace. <i>ClinicalTrials.gov Registration # NCT04682561 (URL:</i> https://clinicaltrials.gov/study/NCT04682561).</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251354918"},"PeriodicalIF":1.7,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530237","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}
Martin Roberge, Thierno Diallo, Anouk Bérubé, Pierre-Paul Audate, Nancy Leblanc
{"title":"Climate Change Integration in Nursing Academic Curricula and Continuing Education: A Scoping Review.","authors":"Martin Roberge, Thierno Diallo, Anouk Bérubé, Pierre-Paul Audate, Nancy Leblanc","doi":"10.1177/08445621251341646","DOIUrl":"https://doi.org/10.1177/08445621251341646","url":null,"abstract":"<p><p>Background and PurposeThe consequences of climate change on individuals' and communities' health are numerous. Nurses are among the healthcare professionals most confronted with the climate crisis, and have great potential to limit its impact on vulnerable populations. However, our knowledge of educational options for preparing nurses to address climate change remains limited. The aim of this scoping review was to examine how climate change is integrated into the academic curricula or continuing education of nurses.Methods and ProceduresArksey and O'Malley's (2005) framework was used to conduct this scoping review. Documentary search strategies were developed and tested in four databases, and a search of the grey literature was carried out. A two-stage selection process was implemented. Data from 16 scientific articles were extracted and 11 grey literature references were included in the analyses. A narrative summary allowed to synthesize the findings.ResultsAcademic and healthcare organizations are increasingly implementing innovative and participatory educational initiatives to raise nurses' awareness of climate change's health impacts and encourage students and nurses to act in their daily lives and clinical practice. Challenges include a dense curriculum, the absence of a climate competency framework, and theoretical content being presented in an unstimulating manner.ConclusionsThe use of innovative, interactive teaching methods, reference to a theoretical model centered on planetary health, and climate change content distributed throughout the curriculum are some ways to stimulate students' interest in climate issues. Collaborative efforts involving academia and organizations are needed to foster nurses' awareness and encourage a variety of climate-oriented actions with planetary reach.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251341646"},"PeriodicalIF":1.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318287","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":"Translation, Adaptation, and Criterion Validation of the Family Caregiver Assessment Tool for French-Speaking Cardiovascular Patients in Canada (FAM-CAM-Fr).","authors":"Tanya Mailhot, Zineb Bouaouina, Imène Khetir, Céline Gélinas, Judith Brouillette, Claudie Roussy, Stéphanie Jarry, Patrick Lavoie","doi":"10.1177/08445621251350027","DOIUrl":"https://doi.org/10.1177/08445621251350027","url":null,"abstract":"<p><p>BackgroundDelirium is a common yet underdiagnosed condition in hospitalized older adults, particularly challenging to detect early in cardiology settings. Although delirium assessment tools improve detection rates, observations by family caregivers of patients' cognitive changes can offer valuable insights, supplementing assessments by healthcare professionals. However, validated French-language tools for family caregivers to assess delirium in acute care settings in Canada are lacking.PurposeTranslate, culturally adapt, and validate the Family Confusion Assessment Method for French-speaking cardiovascular patients and their caregivers (FAM-CAM-Fr).MethodsThe translation and cultural adaptation of the FAM-CAM were conducted following the guidelines of Sousa and Rojjanasrirat (2011). Criterion validation involved 100 dyads of family caregivers and hospitalized cardiovascular patients. The FAM-CAM-Fr's performance was assessed by comparing it to the Confusion Assessment Method (CAM) and the DSM-5 diagnostic criteria for delirium. Measures of sensitivity, specificity, and agreement with the CAM were calculated.ResultsThe FAM-CAM-Fr showed high specificity (92.6%) but low sensitivity (58%) in detecting delirium. Cohen's Kappa indicated a moderate agreement (>0.50) between the FAM-CAM-Fr and the CAM. Despite family caregivers using the tool without prior training, indicating its usability in real-world settings, sensitivity was lower compared to studies that included caregiver training, though specificity was similar.ConclusionThe FAM-CAM-Fr is promising as a specific tool for screening delirium in cardiovascular patients. Despite its low sensitivity, its high specificity indicates that it is effective at ruling out delirium. Future research should focus on further validation across various settings.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251350027"},"PeriodicalIF":1.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318289","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":"Enhancing Evidence-Based Practice Implementation in Acute Care: A Qualitative Case Study of Nurses' Roles, Interprofessional Collaboration, and Professional Development.","authors":"Jude Ominyi, Adewale Alabi","doi":"10.1177/08445621251351056","DOIUrl":"https://doi.org/10.1177/08445621251351056","url":null,"abstract":"<p><p>Background and PurposeEvidence-based practice (EBP) is essential for improving patient outcomes and healthcare quality. However, its implementation in acute care remains inconsistent due to organisational hierarchies, professional silos, and limited access to continuous professional development (CPD). Nurses play a key role in translating research into practice but often encounter barriers that limit their ability to lead EBP initiatives. Interprofessional collaboration and CPD are recognised enablers of EBP, yet their impact in acute care requires further investigation. This study explores how interprofessional collaboration, nurse-led initiatives, and CPD influence EBP adoption.Methods and ProceduresA collective qualitative case study was conducted across two acute care hospitals in the East Midlands, England. Data collection included 25 semi-structured interviews, nonparticipant observations, and document analysis over six years, with an intensive fieldwork phase in 2022. Thematic analysis was used to identify key patterns related to EBP adoption, interprofessional collaboration, and nurse-led knowledge implementation.ResultsNurses actively advocated for EBP integration but often worked independently due to the absence of formal collaboration structures. Interprofessional collaboration facilitated knowledge-sharing and decision-making, yet hierarchical constraints limited nurses' influence in clinical governance. CPD enhanced nurses' confidence and ability to challenge outdated practices, but disparities in access led to inconsistent EBP engagement across nursing teams.ConclusionStructured CPD, interdisciplinary collaboration, and inclusive decision-making are essential for EBP adoption. Addressing hierarchical constraints and resource limitations is crucial for sustaining evidence-driven care. Future research should explore the long-term sustainability of EBP implementation.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251351056"},"PeriodicalIF":1.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318288","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}
Michelle Lam, Nassim Adhami, Olivia Du, Riley Huntley, Abdul-Fatawu Abdulai, Karen Lok Yi Wong, Lillian Hung
{"title":"Undergraduate Nursing Students' Perspectives on Artificial Intelligence in Academia.","authors":"Michelle Lam, Nassim Adhami, Olivia Du, Riley Huntley, Abdul-Fatawu Abdulai, Karen Lok Yi Wong, Lillian Hung","doi":"10.1177/08445621251347025","DOIUrl":"https://doi.org/10.1177/08445621251347025","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251347025"},"PeriodicalIF":1.7,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235530","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":"Redefining Abortion Access in Canada - New Brunswick as a Case Study.","authors":"Martha Paynter, Wendy V Norman","doi":"10.1177/08445621251349655","DOIUrl":"https://doi.org/10.1177/08445621251349655","url":null,"abstract":"","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251349655"},"PeriodicalIF":1.7,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217259","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}
Sherry Espin, Sue Bookey-Bassett, Alyssa Indar, Victoria Pringle, Don Rose, Elaine Santa Mina, Juliette Teodoro
{"title":"Optimizing the Role of Registered Practical Nurses in the Operating Room: A Two-Phase Qualitative Descriptive Study.","authors":"Sherry Espin, Sue Bookey-Bassett, Alyssa Indar, Victoria Pringle, Don Rose, Elaine Santa Mina, Juliette Teodoro","doi":"10.1177/08445621251345337","DOIUrl":"https://doi.org/10.1177/08445621251345337","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251345337"},"PeriodicalIF":1.7,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209861","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 Role of Technology Use in the Context of Social Isolation Among Immigrant Older Adults.","authors":"Kateryna Metersky, Peiwen Lin, Sepali Guruge, Zhixi C Zhuang, Cristina Catallo, Kaveenaa Chandrasekaran","doi":"10.1177/08445621251347014","DOIUrl":"https://doi.org/10.1177/08445621251347014","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251347014"},"PeriodicalIF":1.7,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200371","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":"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":"<p><p>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.</p>","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}