Canadian Journal of Nursing Research最新文献

{"title":"The Impact of Canadian Medical Delays and Preventive Measures on Breast Cancer Experience: A Silent Battle Masked by the COVID-19 Pandemic.","authors":"Justine Fortin,&nbsp;Marjolaine Rivest-Beauregard,&nbsp;Clarisse Defer,&nbsp;Mélissandre Leblanc,&nbsp;Lunie Anne Thamar Louis,&nbsp;Carol-Anne Roy,&nbsp;Isabelle Lapierre,&nbsp;Alain Brunet,&nbsp;Marjorie Montreuil,&nbsp;Marie-France Marin","doi":"10.1177/08445621221097520","DOIUrl":"https://doi.org/10.1177/08445621221097520","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic led to the prioritization of breast cancer services towards patients who are currently in treatment or diagnosed with advanced stages of breast cancer, and the self-assessment of both tumor growth and treatment side effects. Alongside the stress associated with cancer itself, delays and complications due to COVID-19 may impact patients' mental health.</p><p><strong>Purpose: </strong>To describe the experiences of Canadians living with breast cancer who received a diagnosis and/or treatment during the pandemic, and to identify their recommendations for improving patients well-being during future pandemics.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with eighteen women living with breast cancer who also completed the Distress Thermometer questionnaire. The transcripts were analyzed using a descriptive thematic content methodology.</p><p><strong>Results: </strong>Women who started their breast cancer screening or treatment before the pandemic reported fewer delays and less psychological distress than those who started during the pandemic. Participants reported feeling dehumanized while receiving their medical care, being unable to be accompanied during medical visits, and fearing treatment interruption during the pandemic. Patient recommendations for improving care and psychological support included the presence of family caregivers at consultations to receive the diagnosis and for the first treatment session.</p><p><strong>Conclusion: </strong>Study findings provide new insights on how healthcare restrictions during the pandemic impacted on patient experiences and their well-being during screening and treatment for breast cancer. The need for cancer nursing practices and care delivery strategies that promote the delivery of compassionate, patient-centred care and the provision of psychological support during future pandemics are identified.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9086203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10743903","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":"Nurse Preceptors' Experiences of an Online Strength-Based Nursing Course in Clinical Teaching.","authors":"A Arnaert, M Di Feo, M Wagner, G Primeau, T Aubé, A Constantinescu, M Lavoie-Tremblay","doi":"10.1177/08445621211073439","DOIUrl":"10.1177/08445621211073439","url":null,"abstract":"<p><p><b>Background:</b> Online educational programs for nurse preceptors have been created based on various theoretical frameworks; however, no programs using a Strengths-Based Nursing (SBN) approach could be located. <b>Purpose</b>: This qualitative descriptive study explored the nurse preceptors' experiences in using a SBN approach to provide clinical teaching to nursing students after completing an online SBN clinical teaching course. <b>Methods:</b> Semi-structured interviews were conducted with six nurses. Data was thematically analyzed. <b>Findings</b>: Although their levels of familiarity with SBN varied, all preceptors acknowledged that using a SBN approach in clinical teaching benefits both students and educators. They reported that it empowered students and that it allowed them to discover their strengths. Getting to know their students helped the preceptors provide tailored learning experiences and feedback. Using the SBN approach simultaneously enhanced the preceptors' self-confidence and created opportunities for shared learning. <b>Conclusion:</b> Using a strengths' approach offers nurse preceptors a powerful tool to facilitate student learning and skills development in clinical practice.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2d/cd/10.1177_08445621211073439.PMC9936431.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10743894","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":"Priority Nursing Populations for Mental Health Support Before and During COVID-19: A Survey Study of Individual and Workplace Characteristics.","authors":"Farinaz Havaei,&nbsp;Maura MacPhee,&nbsp;Andy Ma,&nbsp;Yue Mao","doi":"10.1177/08445621221098833","DOIUrl":"https://doi.org/10.1177/08445621221098833","url":null,"abstract":"<p><strong>Background: </strong>Nursing is a high-risk profession and nurses' exposure to workplace risk factors such as heavy workloads and inadequate staffing is well documented. The COVID-19 pandemic has exacerbated nurses' exposure to workplace risk factors, further deteriorating their mental health. Therefore, it is both timely and important to determine nursing groups in greatest need of mental health interventions and supports.</p><p><strong>Purpose: </strong>The purpose of this study is to provide a granular examination of the differences in nurse mental health across nurse demographic and workplace characteristics before and after COVID-19 was declared a pandemic.</p><p><strong>Methods: </strong>This secondary analysis used survey data from two cross-sectional studies with samples (Time 1 study, 5,512 nurses; Time 2, 4,523) recruited from the nursing membership (∼48,000) of the British Columbia nurses' union. Data was analyzed at each timepoint using descriptive statistics and ordinal logistic regression.</p><p><strong>Results: </strong>Several demographic and workplace characteristics were found to predict significant differences in the number of positive screenings on measures of poor mental health. Most importantly, in both survey times younger age was a strong predictor of worse mental health, as was full-time employment. Nurse workplace health authority was also a significant predictor of worse mental health.</p><p><strong>Conclusions: </strong>Structural and psychological strategies must be in place, proactively and preventively, to buffer nurses against workplace challenges that are likely to increase during the COVID-19 crisis.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9118006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9307898","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":"The Effectiveness of an Online Learning Strategy on Changing Physical Activity Counseling Practice in Nurses.","authors":"Kristina H Karvinen,&nbsp;Treva Reed","doi":"10.1177/08445621221075157","DOIUrl":"https://doi.org/10.1177/08445621221075157","url":null,"abstract":"<p><strong>Background: </strong>Nurses may be well poised for providing physical activity guidance and support to patients.</p><p><strong>Purpose: </strong>The purposes of this study were to examine the effectiveness of a concise, evidence based online learning modules strategy (OLMS) for improving nurses' physical activity counselling.</p><p><strong>Methods: </strong>68 nurses were randomly assigned to either an OLMS group or control group. The OLMS group completed a series of six online learning modules aimed at improving physical activity counselling practice.</p><p><strong>Results: </strong>The OLMS group, compared to the control group, showed a trend for improvement in Physical Activity Counselling Practice (<i>p</i> = .063) after controlling for baseline values, and significant improvement in (a) Self-efficacy for Physical Activity Counselling (<i>p</i> = .001), (b) Knowledge of Physical Activity Guidelines, (<i>p</i> = .031), and (c) Perceived Benefits of Physical Activity Counselling (<i>p</i> = .014) over the course of the intervention. No significant change was found for Barriers for Providing Physical Activity Counselling (<i>p</i> > .05).</p><p><strong>Conclusions: </strong>The OLMS tested may be an effective means for improving self-efficacy, knowledge, and perceived benefits of physical activity counselling, suggesting the utility of online learning strategies for improving nurses' physical activity counselling practice. Given barriers to providing physical activity counselling were not affected by the intervention, future interventions and policy change could target these barriers specifically in order to give nurses more tools and time for reaching patients and addressing physical activity counselling in practice.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9302185","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":"New Graduate Nurses Navigating Entry to Practice in the Covid-19 Pandemic.","authors":"Kim McMillan,&nbsp;Chaman Akoo,&nbsp;Ashley Catigbe-Cates","doi":"10.1177/08445621221150946","DOIUrl":"https://doi.org/10.1177/08445621221150946","url":null,"abstract":"<p><strong>Background: </strong>The Covid-19 pandemic has significantly impacted organizational life for nurses, with known physical and psychological impacts. New graduate nurses are a subset of nurses with unique needs and challenges as they transition into their registered nurse roles. However, this subset of nurses has yet to be explored in the context of the Covid-19 pandemic.</p><p><strong>Purpose: </strong>To explore the experiences of new graduate nurses entering the profession in Ontario, Canada, during the Covid-19 pandemic approximately one year after entering the profession.</p><p><strong>Methods: </strong>Thorne's interpretive description method was utilized.</p><p><strong>Findings: </strong>All participants identified as completing second entry nursing programs, offering a unique perspective on new graduate nurse transition. Four themes emerged in the data: '<i>Virtual Didn't Cut It,' 'Go Where You Know,' 'Picking Up the Pieces,' and 'Learning When to Say No and Let Go.'</i> Participants felt ill prepared to enter the profession and were cognizant of the various challenges facing the nursing profession, and how these pre-existing challenges were exacerbated by the pandemic. They acknowledged the need to protect themselves against burnout and poor mental health, and as such, made calculated early career decisions - demonstrating strong socio-political knowing. Half of the participants had already left their first nursing job; citing unmet orientation, mental health, and wellbeing needs. However, all participants were steadfast in remaining in the nursing profession.</p><p><strong>Conclusions: </strong>Second entry new graduate nurses remain a unique subset of nurses that require more scholarly attention as their transition experiences may differ from the traditional trajectory of new graduate nurses.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9843155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10743593","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":"Exploring the Perceptions of Nurses on Receiving the SARS CoV-2 Vaccine in Palestine: A Qualitative Study.","authors":"Souad Belkebir,&nbsp;Beesan Maraqa,&nbsp;Zaher Nazzal,&nbsp;Abdullah Abdullah,&nbsp;Ferial Yasin,&nbsp;Kamal Al-Shakhrah,&nbsp;Therese Zink","doi":"10.1177/08445621211066721","DOIUrl":"https://doi.org/10.1177/08445621211066721","url":null,"abstract":"<p><strong>Background: </strong>Uncertainty about vaccination among nurses are major barriers to managing the ongoing COVID-19 pandemic worldwide.</p><p><strong>Purpose: </strong>To explore nurseś perceptions about receiving the SARS CoV-2 vaccine to inform the upcoming Palestinian Ministry of Health (MOH) vaccination efforts.</p><p><strong>Methods: </strong>Four focus groups were conducted with nurses between January 18 and 30, 2021, before MOH launched vaccinations in Palestine. Participants working in government and private facilities were invited to participate and completed an online or paper form to provide demographics, review the study purpose, and give consent. Meetings were facilitated in Arabic either online via the Zoom platform or face-to-face using the same interview guide. Transcripts were translated into English and coded using a template analysis approach.</p><p><strong>Results: </strong>Forty-six nurses, with a median age of 29.5y (range, 22-57) from across Palestine participated. Three major themes emerged: uncertainty, trust, and the knowledge needed to move forward. Uncertainty related to the evolving nature of COVID-19, the rapidity of vaccine development, the types and timing of available vaccines. The need for trusted experts to share scientific information about the vaccines to counteract the misinformation in social media. Moreover, reliable vaccine information may help vaccine-hesitant nurses move to vaccine-acceptors and to convince others, including their patients.</p><p><strong>Conclusion: </strong>The negative perception of nurses towards vaccines is problematic in Palestine and uncertainty about which vaccine(s) will be available adds to the lack of education and mass-media misinformation. Other countries with vaccination efforts that are not wholly planned or implemented and may be struggling with similar concerns<b>.</b></p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10729479","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":"\"I Called us the Sacrificial Lambs\": Experiences of Nurses Working in Border City Hospitals During the First Wave of the COVID-19 Pandemic.","authors":"A Dana Ménard,&nbsp;Kendall Soucie,&nbsp;Laurie A Freeman,&nbsp;Jody Ralph,&nbsp;Yiu-Yin Chang,&nbsp;Olivia Morassutti","doi":"10.1177/08445621221090780","DOIUrl":"https://doi.org/10.1177/08445621221090780","url":null,"abstract":"<p><strong>Background: </strong>The first wave of the COVID-19 pandemic had a significant impact on the personal and professional lives of frontline nurses.</p><p><strong>Purpose: </strong>The purpose of this descriptive phenomenological study was to explore the experiences of Canadian Registered Nurses (RNs) working in Ontario or United States hospitals during the first wave of the COVID-19 pandemic.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 36 RNs living in Ontario and employed either at an Ontario or United States hospital. Three main themes were identified across both healthcare contexts.</p><p><strong>Results: </strong>1) The <i>Initial Response</i> to the pandemic included a rapid onset of chaos and confusion, with significant changes in structure and patient care, often exacerbated by hospital management. Ethical concerns arose (e.g., redeployment, allocation of resources) and participants described negative emotional reactions. 2) Nurses described <i>Managing the Pandemic</i> by finding new ways to nurse and enhanced teamwork/camaraderie; they reported both struggle and resiliency while trying to maintain work and home life balance. Community responses were met with both appreciation and stigma. 3) Participants said they were <i>Looking Forward</i> to a \"new normal\", taking pride in patient improvements, accomplishments, and silver linings, with tempered optimism about the future. Many expressed a reaffirmation of their identities as nurses. Differences between participants working in the US and those working in Ontario were noted in several areas (e.g., initial levels of chaos, ethical concerns, community stigma).</p><p><strong>Conclusions: </strong>The COVID-19 pandemic has been very difficult for nursing as a profession. Close attention to post-pandemic issues is warranted.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/fa/10.1177_08445621221090780.PMC9016371.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10732305","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 Are the Characteristics of the Parish Nursing Research Literature and How Can it Inform Parish Nurse Practice and Research in Canada? A Scoping Review.","authors":"Elsie Millerd,&nbsp;Andrea Fisher,&nbsp;Jeanne M Lambert,&nbsp;Kathryn A Pfaff","doi":"10.1177/08445621211067378","DOIUrl":"https://doi.org/10.1177/08445621211067378","url":null,"abstract":"<p><strong>Background: </strong>Parish nursing is a specialized branch of professional nursing that promotes health and healing by integrating body, mind and spirit as a practice model. Parish nurses contribute to the Canadian nursing workforce by promoting individual and community health and acting as system navigators. Research related to parish nursing practice has not been systematically collated and evaluated.</p><p><strong>Purpose: </strong>This review seeks to explore, critically appraise and synthesize the parish nurse (PN) research literature for its breadth and gaps, and to provide recommendations for PN practice and research.</p><p><strong>Methods: </strong>A scoping review was conducted using Levac and colleagues' procedures and Arksey and O'Malley's enhanced framework. The CINAHL, ProQuest and PubMed databases were comprehensively searched for original research published between 2008 and 2020. The final sample includes 43 articles. The Mixed Methods Appraisal Tool was used to critically assess literature quality.</p><p><strong>Results: </strong>There is a significant gap in PN research from Canada and non-U.S. countries. Methodological quality is varied with weak overall reporting. The literature is categorized under three thematic areas: (1) practice roles of the PN, (2) role implementation, and (3) program evaluation research. Research that evaluates health promotion program interventions is prominent.</p><p><strong>Conclusions: </strong>More rigorous research methods and the use of reporting checklists are needed to support evidence-informed parish nursing practice. Building relationships among parish nurses, nursing researchers and universities could advance parish nursing research and improve evidence-based parish nursing practice. Research into the cost effectiveness, healthcare outcomes, and the economic value of PN practice is needed.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/63/10.1177_08445621211067378.PMC9936449.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10749554","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":"Photovoice Exploration of Frontline Nurses' Experiences During the COVID-19 Pandemic.","authors":"Ruhina Rana,&nbsp;Nicole Kozak,&nbsp;Agnes Black","doi":"10.1177/08445621211064691","DOIUrl":"https://doi.org/10.1177/08445621211064691","url":null,"abstract":"Background The current COVID-19 global pandemic has had a profound impact on the health care system and on the physical and psychological well-being of nurses. Previous pandemics have led to nurses leaving the profession. Therefore, it is important that we hear the voices of nurses who experienced the pandemic on the frontlines to influence future planning and policy development. Purpose The purpose of this study was to explore frontline nurses’ experiences during the COVID-19 pandemic through photos, narratives, and group discussions. Methods Twelve nurses in two groups shared their lived experiences through Photovoice, a participatory action approach. Photos and narratives were collected over five weeks per group. One group at the beginning of the pandemic and the other group six months later. Focus group discussions were held following each group. Results Five themes emerged from the photovoice data: (1) The work of nursing; (2) Miscommunication; (3) Fatigue; (4) Resilience; and (5) Hope for the future. Various subthemes were noted within each theme to delineate the lived experience of frontlines nurses working in the COVID-19 pandemic. Conclusions The voices of nurses and their experiences on the frontlines of the COVID-19 pandemic need to be considered in pandemic planning and integrated into health care policy, guidelines, and structural changes.","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936175/pdf/10.1177_08445621211064691.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10749556","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":"New Nurses' Perceptions on Transition to Practice: A Thematic Analysis.","authors":"Amy J Hallaran,&nbsp;Dana S Edge,&nbsp;Joan Almost,&nbsp;Deborah Tregunno","doi":"10.1177/08445621221074872","DOIUrl":"https://doi.org/10.1177/08445621221074872","url":null,"abstract":"<p><strong>Background: </strong>New nurses' transition to the workforce is often described as challenging and stressful. Concerns over this transition to practice are well documented, with the hypothesis that transition experiences influence the retention of new nurses in the workforce and profession.</p><p><strong>Methods: </strong>In a cross-sectional survey (<i>N</i> = 217) to assess new nurse transition in the province of Ontario, Canada, an open-ended item was included to solicit specific examples of the transition experience. The comments underwent thematic analysis to identify the facilitators and barriers of transition to practice for new nurses.</p><p><strong>Results: </strong>Comments were provided by 196 respondents. Three facilitator themes (supportive teams; feeling accepted, confident, and prepared; new graduate guarantee) and four barrier themes (feeling unprepared; discouraging realities and unsupportive cultures; lacking confidence/feeling unsure; false hope) to new nurse transition emerged.</p><p><strong>Conclusions: </strong>Concerns of nursing shortages are heightened in the current COVID-19 pandemic, reinforcing the priority of retaining new nurses in the workforce. The reported themes offer insight into the contribution of a supportive work environment to new nurses' transition. The recommendations focus on aspects of supportive environments and educational strategies, including final practicums, to assist nursing students' development of self-efficacy and preparation for the workplace.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/c6/10.1177_08445621221074872.PMC9936430.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10743899","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}