Canadian Journal of Nursing Research最新文献

{"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":"https://doi.org/10.1177/08445621251320710","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251320710"},"PeriodicalIF":1.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651379","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":"Influences Shaping Nurses' Continuing Professional Education Choices and Learning Pathways: An Exploratory Case Study.","authors":"Janet K Purvis","doi":"10.1177/08445621251322249","DOIUrl":"https://doi.org/10.1177/08445621251322249","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621251322249"},"PeriodicalIF":1.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651396","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":"Special Issue on Anti-Racism, Health, and Nursing.","authors":"Bukola Salami, Josephine Pui-Hing Wong","doi":"10.1177/08445621251313497","DOIUrl":"10.1177/08445621251313497","url":null,"abstract":"<p><p>Although race is socially constructed, racism and racialization are social determinants of health. Over four centuries of colonial genocide and structural violence against Indigenous and Black peoples in Canada have resulted in intergeneration traumas and health disparities among Indigenous and Black people, sustained by ongoing social, political, and economic inequities. Evidence indicates the impact of contemporary and historical forms of racism on health outcomes. This special issue invited papers that could contribute to our understanding of the role of racism in nursing and health in Canada as well as solutions to tackle racism in healthcare and the nursing profession. Our call for proposals produced around 16 articles, all of which provide critical insight to address racism in nursing and healthcare. These articles explore the experience of racism in Indigenous, Black, Asian, and other populations across education, clinical, and community settings. They also advance our understanding on philosophical and theoretical approaches to address racism and provide us with effective tools and insight to address racism in nursing and healthcare in Canada.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"3-4"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013762","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":"\"If I Stay Quiet, the Only Person That Gets Hurt Is Me\": Anti-Asian Racism and the Mental Health of Chinese-Canadian Youth During the COVID-19 Pandemic.","authors":"Isabella Ng, Carla Hilario, Jordana Salma","doi":"10.1177/08445621241289515","DOIUrl":"10.1177/08445621241289515","url":null,"abstract":"<p><p>Background and PurposeDespite documented accounts of racial discrimination against Chinese communities during the COVID-19 pandemic, few studies have examined experiences of racism among Canadian youth. This qualitative study explored the experiences of Chinese-Canadian youth during the COVID-19 pandemic and their mental health.MethodsA qualitative descriptive research design, informed by Critical Race Theory (CRT), was used for this study. Data was collected using focus groups and image-based elicitation methods. Youth who self-identified as Chinese-Canadian, aged 18-24, and who experienced some account of self-defined racism were included. We analyzed the data using a coding system developed for this study and formulated key themes.ResultsOur analysis identified three themes: (I) <i>Becoming racialized</i>; (II) <i>Learning the rules of racism</i>; and (III) <i>Effects of racism on mental health</i>. We discuss findings in relation to the model minority stereotype, intersectionality of race and gender, and factors leading to a lack of support.ConclusionsThis study provides evidence that racism had immediate and prolonged effects on the mental health of Chinese-Canadian youth and their relationships with peers, family, and even strangers. Our research suggests the need for enhanced services for Chinese-Canadian youth and other groups experiencing racism.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"33-46"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477436","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}

{"title":"Imposter Syndrome: A Reflective Discourse into the Experiences of Canadian Black Nurses through Art.","authors":"Nadia Prendergast, Ola Abanta Thomas Obewu","doi":"10.1177/08445621241289727","DOIUrl":"10.1177/08445621241289727","url":null,"abstract":"<p><p>Impostor syndrome is a common phenomenon experienced by individuals when entering new ranks in the workplace. Although women experience greater feelings of imposter syndrome than men, Black individuals report a prolonged experience of imposter syndrome when compared to their white counterparts, which negatively impacts their everyday experiences, health, and overall well-being. With growing studies showing the pervasive nature of anti-Black racism on the health of Black people, there remains a paucity of studies showing the connection between anti-Black racism and imposter syndrome. Within nursing, anti-Black racism can be seen to foster imposter syndrome through discriminatory practices that affect the career development, recruitment, and retention of Black nurses. Anti-Black racism is prevalent, and, in this paper, two Black nurses share insight through their own encounters with imposter syndrome and its relationship with anti-Black racism. Guided by Black feminist thought, they use art to navigate their reflective discourse as a means of reclaiming their identity and positionality as leaders in their rights. Reflective discourse is ideal for transformative learning to occur through dialogue. In addition, it promotes the use of art for deeper discussions when understanding the Black experience. Together, these nurses explicate how adopting Afrocentric knowledge and practices through their reflective discourse can affirm their identity, promote a sense of belonging, and assist in dismantling the effects of anti-Black racism and imposter syndrome within nursing.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"132-139"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477437","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}

{"title":"Health Equity Consortium: Equity, Diversity, and Inclusion for Black, Indigenous, and 2SLGBTQIA+ Nurses.","authors":"Paul-André Gauthier, Shelley Evans, Victoria Guido, Angela Cooper Brathwaite, Dania Versailles, Daria Adèle Juüdi-Hope, Corsita Garraway, Tanya Costa, Grace Suva, Brenda Stade, Doris Grinspun","doi":"10.1177/08445621241299999","DOIUrl":"10.1177/08445621241299999","url":null,"abstract":"<p><p>This article provides reflections on the initiatives and experiences of nurses who identify as Black, Indigenous, and/or 2SLGBTQIA + within the Canadian healthcare system, as well as the efforts of the Health Equity Consortium to promote equity within the nursing profession. The paper explores the unwavering commitment of marginalized nurses to exceptional patient care despite facing pervasive prejudices and discrimination. It discusses the Registered Nurses' Association of Ontario's (RNAO) commitment to diversity and the creation of the Health Equity Consortium to address systemic barriers. Furthermore, the article highlights the concept of intersectional stigma and the need for comprehensive cultural competency training and inclusive leadership practices. Additionally, it outlines the consortium's aim to gather more information and publish further work to advance equity within the nursing profession and healthcare system. Ultimately, the reflection underscores the importance of collective action and ongoing dialogue to drive meaningful change towards a more equitable and inclusive healthcare system.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"127-131"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142839960","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":"A Narrative Inquiry of East Asian Parents and Mental Health in Canada: Critical Openings for Anti-Racism Strategies in Knowledge Translation.","authors":"Samantha Louie-Poon, Solina Richter, Diane Kunyk, Shannon D Scott","doi":"10.1177/08445621251322552","DOIUrl":"10.1177/08445621251322552","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8-23"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651376","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}

{"title":"What Got Us Here Won't Get Us There: Critical History in Radical Black Re-imaginations of Canadian Nursing Histories.","authors":"J Kyra Philbert, Ismalia De Sousa, Lydia Wytenbroek, Geertje Boschma","doi":"10.1177/08445621241252187","DOIUrl":"10.1177/08445621241252187","url":null,"abstract":"<p><p>As a \"foursome\" of nursing history students and scholars, upcoming, junior, and seasoned, we presented a panel on new work and possibilities related to histories of Blackness and Black nurses in Canadian nursing history. Our presentation was the 2023 keynote Hannah Panel Presentation for the joint Canadian Society for the History of Medicine (CSHM-SCHM) and the Canadian Association for the History of Nursing (CAHN-ACHN) conference. Reflecting and expanding our perspectives, we share the relevance and significance of engaging with histories of Canadian Blackness and (in)visibility of Blackness in nursing history. This paper considers the overarching question of how does engaging with histories of Canadian Blackness serve as an anti-racist strategy when examining, analyzing and understanding the history of nursing and health care? A core tenant of this work aims at acknowledging how institutional relationships of power are reproduced within scholarship unless there is space for radical re-imaginations. The disruption to power is achieved by exploring the connections between nursing and history from the perspective of Black nurses' history or Black feminist thought. We also disrupt power by our form, in challenging expectations of scientific inquiry as the only format of valid knowledge production within the discipline. Possibilities of arts-based methodology as a site for democratization in nursing knowledge are evoked through the metaphoric language (water, fire, air and earth) interwoven within the text. We highlight how each of us engages with nursing history, further complicating previous narratives of our collective Canadian past. In publishing our thoughts on historical inquiry in a nursing journal, we hope to provoke more curiosity and interest in history within our discipline as a site for liberation!</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"147-160"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877576","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}

{"title":"Addressing Culturally Based Hidden Bias and RacisM (A-CHARM) Using Simulation Experiences, Nik's Story: A Quasi-Experimental Study.","authors":"Monakshi Sawhney, Jenny S Li, Michaela Patterson, Nathaniel P Gumapac, Crystal Sau, Ali Akbari","doi":"10.1177/08445621241253124","DOIUrl":"10.1177/08445621241253124","url":null,"abstract":"<p><p>Background/PurposeRacism and hidden bias experienced by underrepresented nursing students contribute to a loss of confidence and anxiety. The A-CHARM nursing project developed virtual simulation experiences for nursing students to practice how to address racism. 'Nik's Story' virtual simulation was created as part of the A-CHARM project. The purpose of this study was to examine the effectiveness of an education intervention, that included Nik's story, on cultural humility and cultural diversity awareness.MethodThis quasi-experimental study included a convenience sample of final year nursing students. After informed consent, participants completed a pre-intervention questionnaire that included the Cultural Humility Scale \"context for difference in perspective\" subscale, and the Cultural Diversity Awareness questionnaire to assess baseline knowledge. Students participated in an education intervention that included a lecture, Nik's story virtual simulation experience, a debrief and then completed a post-education/simulation questionnaire that included usability/learner engagement questions and the Cultural Humility Scale \"context for difference in perspective\" subscale, and the Cultural Diversity Awareness questionnaire.ResultsForty-seven students consented and completed the pre/post intervention questionnaire. Participants rated the effectiveness, engagement and usability of the simulation experience highly. There was a significant positive change in cultural humility \"context for difference in perspective\" subscale (pre-scores = 6.9, SD = 3.3; post-scores = 31.0, SD = 3.8, <i>p</i> < 0.001), and cultural diversity awareness (pre-scores = 95.4, SD = 8.9; post-scores = 103.4, SD = 9.8, <i>p</i> < 0.001).DiscussionThis intervention was effective in improving cultural humility and cultural diversity awareness in nursing students.ConclusionSimulation experiences regarding racism in the clinical setting provide a strategy for students to learn how to professionally navigate unwanted experiences.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"47-58"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945884","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}

{"title":"Re-thinking the Concept of Cultural Competency in Nursing Care of Older Adults.","authors":"Amany Farag Hassan Mohamed, Shokoufeh Modanloo","doi":"10.1177/08445621241272673","DOIUrl":"10.1177/08445621241272673","url":null,"abstract":"<p><p>The influx of migrants to Canada has resulted in a shift in the country's demographic landscape. Individuals often interpret and approach health and wellness through the lens of their cultural heritage, which has led to stereotyping behaviors and discriminatory practices, exacerbating the notion of \"Othering\". Immigrant older adults are likely to experience discrimination in a more dreadful way in the form of societal isolation and marginalization due to the collective systems of power such as ageism, ableism, and racism. This paper results from continuous thought-provoking discussions initiated by the first author (AM) in her doctoral program at the University of Western Ontario for the Philosophy of Nursing Science course, taught and facilitated by the second author (SM). After studying the course materials on \"revolutionary science\" and reflection on the process of paradigm shift introduced by Thomas Khun and engaging in critical discussions on a range of relevant philosophical concepts such as bio-power, othering, silencing and ignorance, marginalization, oppression, neoliberalism, health equity, and social justice, we have been prompted to rethink the concept of cultural competence in nursing education and healthcare practices, particularly in the context of nursing care of older adults. Therefore, in this paper, we will critique the concept of cultural competency in the context of an anti-racist and anti-oppressive lens and suggest a pivotal response to move towards an inquiry-driven approach based on cultural humility and respect in the nursing care of older adults.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"140-146"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967091/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917724","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}