Canadian Journal of Nursing Research最新文献

{"title":"Experiences, Perspectives, and Professional Development Needs of Mental Health Nurses Caring for Women During the Perinatal Period in Acute Mental Health Settings.","authors":"Sara Lamoureux, Elizabeth M Forster, Amy E Mitchell","doi":"10.1177/08445621261483299","DOIUrl":"https://doi.org/10.1177/08445621261483299","url":null,"abstract":"<p><p>BackgroundHigh-quality management of mental illness for women admitted to acute mental health settings during the perinatal period is crucial due to the complexities associated with concurrent mental illness and pregnancy/childbearing.PurposeThis research aimed to identify perspectives and education needs and experiences of moral distress among psychiatric nurses caring for perinatal women in acute mental health settings.MethodsA convenience sample of 12 nurses from acute mental health units in public tertiary hospitals in south-east Queensland, Australia, completed a demographic survey and semi-structured interviews which were recorded, transcribed, and analysed using thematic analysis.ResultsFour overarching themes included: (i) Nursing Care, (ii) Work Environment, (iii) Workflow Challenges, and (iv) Moral Distress. Despite potential risks for women admitted to acute mental health units during the perinatal period, nurses provided compassionate care, demonstrated advocacy, reflected upon challenging conversations, and were cognizant of patient safety. Nurses reported limited educational preparation around perinatal mental health, and perceived deficits in continuing professional development opportunities and resources. Negative feelings associated with moral distress, including worrying and struggling, were highlighted by nurses and impacted care provision.ConclusionNurses require support to successfully navigate providing care to this complex clinical group within equally complex health care environments, team dynamics and moral/ethical considerations.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261483299"},"PeriodicalIF":2.4,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866435","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":"Living and Caring in Arctic Landscapes: Collaborative Insights from North-Sámi, Rural and Remote Norwegian Communities.","authors":"Nina Sivertsen, Katrine Brochmann, Berit Inger Anne Eira Buljo, June Brita Eira, Janne Isaksen Engnes, Jeanette Elise Huemer, Linda Okstad, Susan E Smith, Trine Alice Hågensen, Andrea Kenta, Helene Victoria Smith, Siri Mykleby Storum, Ingvild Arntzen Sørbøe, Hanna Sørlie, Grete Mehus","doi":"10.1177/08445621261458085","DOIUrl":"https://doi.org/10.1177/08445621261458085","url":null,"abstract":"<p><p>IntroductionThis study explored the life, health, and wellbeing of individuals living in rural and remote Arctic and North Sámi areas.MethodsA novel qualitative design was used, incorporating conversational interviews conducted in a <i>rundprat</i> (circle-talk) format. Data were collected from 55 participants across eight northern and Sámi rural and remote villages and townships, including 38 individual interviews, four focus groups (17 participants), and student field and reflection notes. The study was guided by a students-as-partners framework in which students and staff collaborated as co-researchers. A reciprocal, two-way learning process supported shared inquiry between students, academic researchers, clinicians, and nurse teachers. Through observation and interviews, students explored individual, group, and societal dimensions of rural health, deepening their understanding of both the community and the research process.FindingsThree main themes were identified: (1) Quality of life, (2) The realities (3) 'The Challenges We Face'. The findings reflect both the positive and challenging aspects of living in remote Arctic and North Sámi regions of Norway.ConclusionThis study shows that involving nursing students in collaborative fieldwork can offer valuable perspectives on health and wellbeing in Arctic and North-Sámi areas. While residents chose to remain in these regions for the environment, community, and quality of life; they continue to face significant disparities in health service access alongside experiences of racism and colonial structures. The findings point to an urgent need for improved emergency preparedness and stronger cultural inclusion in remote healthcare.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261458085"},"PeriodicalIF":2.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799523","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 Dual Experience of Postpartum Pain and Depressive Symptoms: A Qualitative Study.","authors":"Sandraluz Lara-Cinisomo, Anjali Patel, Audrey M Schissler, Melany E Romero","doi":"10.1177/08445621261475736","DOIUrl":"10.1177/08445621261475736","url":null,"abstract":"<p><p>PurposePostpartum pain and depression often occur together. Analyzing their combined effects on new parents' functional impairment, self-care, and infant care can enhance healthcare practice. Nurses are often the first to assess and treat postpartum patients, ensuring that birthing individuals' experiences and needs are acknowledged and addressed. This study aimed to clarify how these two challenges interfere with self-care and infant care, and to identify essential healthcare resources to support individuals facing this dual struggle.MethodsThe sample included 20 racially and ethnically diverse birthing individuals identifying as women, all of whom experienced postpartum pain and depressive symptoms. Data were collected between August 2022 and January 2024. Thematic analyses were conducted using NVivo.Major FindingsThe findings showed that experiencing postpartum pain and depressive symptoms negatively affects individuals' ability to care for themselves and their infants. This often leads to difficulties with infant bonding and neglect of self-care. Additionally, these dual conditions hinder essential health behaviors that contribute to overall well-being and parenting behaviors, such as breastfeeding. Participants highlighted the need for healthcare support, including access to resources, information about the dual challenges of postpartum pain and depression, and home visiting services.ConclusionPostpartum pain and depressive symptoms hinder new parents' self-care, which can compromise recovery and parenting behaviors that support optimal infant development. Nurses can help birthing individuals anticipate and manage the risks associated with the co-occurrence of postpartum pain and depression.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261475736"},"PeriodicalIF":2.4,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727868","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":"Determinants of Unsafe Abortion Practices Among Young Women in the Bongo District, Ghana.","authors":"Joel Afram Saah, Richard Opoku Asare","doi":"10.1177/08445621261477146","DOIUrl":"https://doi.org/10.1177/08445621261477146","url":null,"abstract":"<p><p>BackgroundUnsafe abortion remains a critical public health challenge among young women in Ghana, persisting despite the provisions of PNDC Law 102 permitting abortion.AimThis study examined the determinants of unsafe abortion among women aged 15-25 years in the Bongo District, Upper East Region, with particular focus on contraceptive use, health-system accessibility, and socio-economic pressures.MethodsUsing a qualitative study, thirty-four women from five communities were recruited through purposive sampling and interviewed using a semi-structured guide.ResultsFour main themes emerged firstly, the idea of having an unsafe abortion was so ingrained in the society that it had become a kind of a routine for people in the district; Secondly, not using contraceptives was more a result of the women's worries about becoming infertile, side effects, and their partners disapproval than simply not knowing about them; Thirdly, formal health services were so expensive, far, and the providers were so judgmental that many just gave up on them; Lastly, social stigma namely, the women's fear of disgracing their families and being expelled from school. The findings are that unsafe abortion in Bongo District is a systemic failure, not a lack of awareness.ConclusionThe findings of this study highlighted that unsafe abortion in Bongo District is a structural failure of the reproductive health system, of social support networks, and of policy implementation rather than a deficit of individual knowledge or moral resolve. Young women in the district are neither uninformed about the risks of unsafe procedures nor indifferent to their health.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261477146"},"PeriodicalIF":2.4,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702280","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 Characteristics of Working Overtime and Their Associations with Nurse and Patient Outcomes: A Systematic Review of Observational Studies.","authors":"Raouaa Braiki, Josiane Provost, Christian M Rochefort","doi":"10.1177/08445621261463879","DOIUrl":"https://doi.org/10.1177/08445621261463879","url":null,"abstract":"<p><p>To fill the nursing shortage, and to ensure continuous 24 h nursing coverage, working overtime has been increasing steadily over the recent years. Although working overtime has been associated with adverse nurse and patient outcomes, the results of existing studies remain scattered. This study aimed to systematically synthetize existing evidence on the characteristics of working overtime (i.e., mandatory or voluntary) and their associations with nurse and patient outcomes. <b>Method:</b> A systematic review was conducted. MEDLINE, CINHAL, Scopus, Campbell, Cochrane Library and PsycINFO were examined from March 2014 to April 2025. Two reviewers independently selected studies and extracted relevant data using a standardized extraction grid. <b>Results:</b> Among 5827 retrieved articles, 71 studies (65 cross-sectional and six longitudinal) met our inclusion criteria. These studies examined 27 adverse nurse outcomes and 10 adverse patient outcomes. Mandatory overtime was associated with eight adverse nurse outcomes, and no beneficial nurse outcomes. Voluntary overtime was associated with three adverse nurse outcomes. We found no study examining the association between mandatory/voluntary OT and patient outcomes. No study showed beneficial impacts of overtime on patient outcomes. Unspecified OT was inconsistently associated with adverse nurse (eg., burnout, sleep disorder) and patient outcomes (e.g., poor quality of care). <b>Conclusion:</b> While evidence suggests that working overtime is associated with numerous adverse nurse and patient outcomes, existing results are inconsistent. Robust research methods and longitudinal designs are required to better ascertain these associations. Stratifying the analyses by the type of exposure (i.e., voluntary vs. mandatory overtime), may also be beneficial.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261463879"},"PeriodicalIF":2.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686310","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":"Factors Contributing to Suicide Deaths Among Sri Lankan Tamil Men in Toronto, Canada: Perspectives of Family, Friends, and Service Providers.","authors":"Sepali Guruge, Parvathy Kanthasamy, Kaveenaa Chandrasekaran, Vathsala Illesinghe, Mahesan Ganesan","doi":"10.1177/08445621261473955","DOIUrl":"https://doi.org/10.1177/08445621261473955","url":null,"abstract":"<p><p>Approximately 4500 Canadians die by suicide annually, with men at three times the risk of women. Some ethnic and racialized groups face heightened vulnerability due to discrimination, historical trauma, and limited access to mental healthcare. In response to an alarming number of suicide deaths among Sri Lankan Tamil men in the Greater Toronto Area in 2019, this community-engaged study investigated micro-, meso-, and macro-level factors that contribute to suicide deaths in this population. In collaboration with Vasantham Tamil Wellness Centre, we conducted a community-based qualitative interpretive study, which was informed by an ecosystemic framework. Following research ethics board approval, individual semi-structured interviews were conducted with 10 family members and friends, and 12 service providers. The interviews were audio-recorded, (as needed) translated, transcribed, and analysed. We identified contributing factors at micro- (financial burden and upholding social status), meso- (community expectations and pressures, trauma related to the civil war in Sri Lanka, stigma of mental illness, and rigid gender role expectations), and macro-levels (lack of culturally-safe and linguistically-appropriate mental health services and experiences of systemic racism). These factors appeared to intersect and affect numerous domains of life (e.g., education and employment), leading to a cycle of marginalization, social isolation, mental health problems, and loss of hope and life. Multilevel interventions are urgently needed to prevent suicide deaths among Sri Lankan Tamil men in the Greater Toronto Area. Mental health initiatives and suicide prevention programs in Canada should be culturally-safe, linguistically-appropriate, and address historical and intergenerational trauma.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261473955"},"PeriodicalIF":2.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686190","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 Conceptual Framework for Action Research on the Sociocultural Aspects of Pregnancy and Postpartum Care among Brazilian Indigenous Women.","authors":"Margareth Santos Zanchetta, Leandro Da Silva De Medeiros, Ingrid Lima Silva, Dirce Stein Backes, Barbara Chyzzy, Fábio Prado Saldanha, Juliana Silveira Colomé","doi":"10.1177/08445621261474578","DOIUrl":"https://doi.org/10.1177/08445621261474578","url":null,"abstract":"<p><p>BackgroundBrazil has recognized the need to investigate the health context of Indigenous Peoples by (a) collecting data on service coverage, barriers, needs, and gaps in access to health care; (b) developing, funding, and implementing plans and strategies for multilingual service delivery (c) reducing gender, social, and cultural inequalities as well as geographical barriers that hinder equitable access to quality health services; and, (d) incorporating an intercultural-intersectoral approach in the development of policies and inclusive-participatory research.PurposePropose an original conceptual framework for action research on the socio-cultural aspects of pregnancy, childbirth, and the postpartum cycle among Brazilian Indigenous women.ResultsAn online consultation with healthcare professionals was conducted (April-June 2024) using audio recorded narratives to gather information about the health of pregnant and postpartum Indigenous women. The Canadian model of population health promotion guided information analysis. Fourteen healthcare professionals with experience working in four Brazilian states and with 11 ethnic groups were consulted. A total of 23 modifiable situations were identified, and an original conceptual framework was developed that encompasses the following health promotion areas as modifiable situations: structure of the healthcare network; administrative barriers in healthcare management; operationalization of care delivery; and clinical and social contexts.ConclusionThis article conceptualizes areas for innovative and socially responsive solutions to amend vulnerabilities in Brazilian Indigenous maternal health. The conceptual framework proposed offers a useful operational foundation for designing future interventions in Indigenous maternal health and for strengthening action research as a transformative methodological strategy in contexts marked by persistent historical and social inequalities.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261474578"},"PeriodicalIF":2.4,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702243","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":"Sociodemographic, Occupational, and Organizational Predictors of Problem-Solving Skills Among Long-Term Care Nursing Staff in the Atlantic Region of Canada.","authors":"Ogochukwu Kelechi Onyeso, Caitlin Robertson, Kazeem Adefemi, Heather Dicks, Janice Keefe, Rose McCloskey","doi":"10.1177/08445621261467256","DOIUrl":"https://doi.org/10.1177/08445621261467256","url":null,"abstract":"<p><p>BackgroundProblem-solving is a core professional competency in nursing, underpinning critical thinking, decision-making, and patient safety. The study explored the sociodemographic, occupational, and organizational determinants of problem-solving skills among registered nurses and licensed practical nurses working in long-term care homes in Canada's Atlantic provinces.MethodsCross-sectional data from the Atlantic Research Collaboration in Long Term Care (ARC-LTC) project (November 2023 to May 2024) were analyzed using chi-square, one-way ANOVA, bivariate and hierarchical linear regression.ResultsAmong 724 participants, 92.9% were women and 56.6% were aged 40 years and older. The mean problem-solving score was 3.83 (SD = 0.38). There were significant differences in the staff demographic characteristics across the region. For instance, New Brunswick had a higher proportion of diploma holders (χ² = 19.79, <i>p</i> < 0.001) and a lower proportion of staff born outside Canada (χ² = 35.06, <i>p</i> < 0.001) compared to other provinces. However, there was no significant difference in mean problem-solving scores across provinces (<i>F</i> = 0.119, <i>p</i> = 0.949), facility sizes (<i>F</i> = 0.113, <i>p</i> = 0.894), and facility ownership models (<i>F</i> = 2.908, <i>p</i> = 0.055). The final model indicated that being born in Canada (<i>β</i>=0.171), being a Registered Nurse (<i>β</i>=0.180), having a higher household income (<i>β</i>=0.134), having more years of experience within a unit (<i>β</i>=-0.095), and experiencing positive organizational factors such as leadership (<i>β</i>=0.088), culture (<i>β</i>=0.125), job satisfaction (<i>β</i>=0.185), work engagement vigor (<i>β</i>=-0.157), work engagement absorption (<i>β</i>=0.167), and organizational citizenship behaviour (<i>β</i>=0.215) were associated with better problem-solving scores (<i>p</i> < 0.05).ConclusionNursing staff characteristics and work contexts significantly influence problem-solving skills in Atlantic Canada. Tailored continuing professional development and supportive workforce policies could enhance nurses' performance.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261467256"},"PeriodicalIF":2.4,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608670","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 Nursing Homecare Data Science Investigation Using \"Persons with ALS\" (PALS) Electronic Health Records (EHRs).","authors":"Sally Remus, Lorie Donelle, Michael Bauer, Lynn Nagle","doi":"10.1177/08445621261469904","DOIUrl":"https://doi.org/10.1177/08445621261469904","url":null,"abstract":"<p><p>BackgroundData science, rooted in computer science, statistics, and information science is advancing healthcare research by unlocking \"insights\" from big data to discover knowledge about patient experiences and answer previously unanswerable questions. The comparatively limited engagement of Canadian nurse researchers in this field, relative to counterparts in other jurisdictions (e.g., United States) served as a key impetus for initiating this data science study.PurposeTo investigate homecare electronic health records (EHRs) of \"persons with ALS\" (PALS) disease and identify care-related factors that influence their preferences and ability to be safely supported at home.MethodGuided by a nursing informatics' data, information, knowledge, wisdom (DIKW) framework and the knowledge discovery in databases (KDD) methodology, a retrospective, secondary analysis of an integrated dataset (1159 clinical assessments and administrative data) documenting 240 PALS's homecare encounters (April 1, 2009 - July 31, 2019) was conducted. EHR data was analyzed using correlations and logistic regression to model institutionalization risk factors of PALS.ResultsFive significant models were generated that accurately distinguished PALS institutionalization status (at home/not home) while offering comparable predictive performance. The final model featuring six factors offers homecare providers real-time insights into PALS clinical status at the point of care. Four relate to ALS clinical manifestations of disease decline and two assessment outcome measures (MAPLe and CHESS), strongly predicting institutionalization and caregiver burden.ConclusionBig data science offers nurse researchers a transformative way to advance knowledge development that supports high-quality, sustainable healthcare delivery while fulfilling an intended benefit of EHRs.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261469904"},"PeriodicalIF":2.4,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593958","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":"Community Health Nurses' Perceptions of Emerging Artificial Intelligence and its Impact on Nursing Practice: An Explanatory Sequential Mixed Methods Study.","authors":"Mary Henderson Betkus, Davina Banner, Leanne M Currie, Piper Jackson, Shannon Freeman","doi":"10.1177/08445621261463882","DOIUrl":"https://doi.org/10.1177/08445621261463882","url":null,"abstract":"<p><p>BackgroundArtificial intelligence (AI) continues to emerge into nursing practice with much of the AI research being conducted in the acute care sector. Community health nurses (CHNs) have distinct skills and knowledge focusing on helping clients to live well in the community. Community practice is an essential part of healthcare yet often overlooked, creating a knowledge gap. This research aims to understand CHNs' knowledge and perceptions of AI to inform future practice.MethodAn explanatory sequential mixed methods design was conducted, a cross-sectional survey followed by focus groups to combine both sets of results for a comprehensive perspective.ResultsThere were 228 survey respondents and 27 participants forming 8 focus groups. The survey revealed professional concerns: AI giving a wrong recommendation (77.7%) or if a correct recommendation was dismissed (73.8%) with focus groups explaining they knew their responsibility in decision-making, their concerns focused on accepting AI recommendations blindly or using recommendations to assist with decision-making. Overall CHNs felt AI applications had usefulness (68.8%-88%), the focus groups further explained clinical relevance, user friendly and time efficiency were factors that would determine usefulness.ConclusionsDedicated time for AI education for CHNs is needed to address how recommendations are generated and the significance to give to AI recommendations. Clear policies and guidelines need to be established to inform CHNs use of AI. Success of AI in CHNs practice is dependent on applications that do not add time to their busy schedules.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261463882"},"PeriodicalIF":2.4,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148424949","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}