Louise Shaw, Teresa Evans, Melissa Ciardulli, Debra Kiegaldie
{"title":"Fostering Cultural Safety Through COIL: Evaluating an Indigenous Health Module for Nursing Students in Australia and Canada.","authors":"Louise Shaw, Teresa Evans, Melissa Ciardulli, Debra Kiegaldie","doi":"10.1177/08445621261466749","DOIUrl":"https://doi.org/10.1177/08445621261466749","url":null,"abstract":"<p><p>BackgroundAchieving culturally safe healthcare is a global priority, yet traditional immersion programs are often costly, inaccessible or short-term, limiting opportunities to examine positionality, power, and colonial accountability. Collaborative Online International Learning (COIL) offers a scalable alternative in nursing education. This study evaluated a COIL Indigenous Health module delivered through a virtual global classroom and immersive digital tools across two countries.MethodsA mixed methods design included pre- and post-module surveys and focus group interviews. Of 165 enrolled nursing students, 162 consented to participate and 74 provided matched pre-post responses. Students engaged in synchronous virtual global classrooms, virtual reality (VR) simulations, and asynchronous Padlet discussions. Cultural capability was measured using a validated tool; paired-samples <i>t</i>-tests (α = 0.01; Cohen's <i>dz</i>) quantified pre-post change. Post-module surveys (students) and focus groups (students n = 12; faculty n = 10) assessed COIL perceptions.ResultsAdvocacy for Indigenous health improved significantly (<i>p</i> < .001; <i>dz</i> ≈ 0.68), as did confidence in culturally safe communication (<i>p</i> = .001; <i>dz</i> ≈ 0.40). Students rated the Indigenous Health VR scenario highly (<i>M</i> = 4.50) reporting transformative learning. Faculty reported enhanced pedagogical skills, deepened research engagement and strengthened international partnerships.ConclusionsThe Indigenous Health COIL module improved cultural capability and facilitated deep reflection on equity and historical influences related to Indigenous health. Immersive VR and cross-national dialogue created emotionally resonant learning experiences. Faculty gained opportunities for professional growth and sustained collaboration. Embedding Indigenous-led COIL modules into core curricula offers a scalable, globally relevant approach to developing culturally safe health professionals.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261466749"},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413353","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 Clinical Research Nurse and Study Coordinator Experience: An Integrative Review of Factors Shaping a Multifaceted Role.","authors":"Rebecca Lu, Fuqin Liu","doi":"10.1177/08445621261462331","DOIUrl":"https://doi.org/10.1177/08445621261462331","url":null,"abstract":"<p><p>BackgroundClinical research nurses and clinical study coordinators serve a critical role in the management of clinical studies. However, their efforts are underrecognized. Exploring the factors that shape the study coordinator's experience can provide deeper insights necessary for affirming and advancing this role.PurposeThis review explored the factors that shape the study coordinator's experience.MethodsThis integrative review identified key factors that shape the study coordinator's experience. Relevant articles were retrieved from PubMed, CINAHL, and manual searches. Only articles that focused on the experience of study coordinators were included.ResultsFindings were organized under individual, relational, and structural dimensions. Factors from the individual dimension represent the core of the experience and include fulfillment and distress. Factors from the relational dimension include advocacy identity and team cohesion, which can moderate experience by contributing to fulfillment or intensifying distress. The structural dimension, which includes organizational structure and organizational support, exerts the most influential effect by shaping factors from the other dimensions.ConclusionOrganizational engagement is necessary to provide support for the study coordinator's role. Role clarity, increased leadership support, mentorship, and training can mitigate burnout and improve psychological well-being.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261462331"},"PeriodicalIF":2.4,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413343","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}
Kerri-Ann Hughes, Gemma Bidwell, Camille Cronin, Sara Donevant, Marja Kaunonen, Jette Marcussen, Rhonda Wilson
{"title":"Applied Multimethod Thematic Analysis Using an International Study of Menopause in Registered Nurses.","authors":"Kerri-Ann Hughes, Gemma Bidwell, Camille Cronin, Sara Donevant, Marja Kaunonen, Jette Marcussen, Rhonda Wilson","doi":"10.1177/08445621261457509","DOIUrl":"10.1177/08445621261457509","url":null,"abstract":"<p><p>BackgroundNurse researchers from six participating countries (Great Britain, Australia, New Zealand, USA, Finland and Denmark) collaborated on an international menopause study on nurses.PurposeTo demonstrate an iterative two stage thematic analysis within a qualitative paradigm as it applied to an international menopause study.MethodsUsing an exploratory approach, the Framework Method and Braun and Clarke's thematic analysis were applied to data from 48 participants.ResultsThe Framework method provided an organising structure capturing large amounts of narrative data into a structured matrix. Following detailing of the larger data set into abstracted categories, Braun & Clarke's thematic analysis method enabled researchers to abstract themes into specific narratives reflective of participants voices.ConclusionThe iterative thematic analysis approach enabled nurse researchers to effectively collaborate across different countries, different time-zones and different cultures to synthesise a large body of qualitative data in a systematic, structured approach. This research demonstrates an iterative systematic methodological approach that can be used by nurse researchers analysing data manually where other programmes are not available.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261457509"},"PeriodicalIF":2.4,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391980","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 Retention Strategies for Mid-Career Nurses: A Scoping Review and Thematic Analysis.","authors":"Victoria Babysheva, Elena Neiterman","doi":"10.1177/08445621261463085","DOIUrl":"https://doi.org/10.1177/08445621261463085","url":null,"abstract":"<p><p>BackgroundHealthcare systems face difficulties in retaining nurses due to the demanding nature of the work. Turnover among mid-career nurses is of particular concern, as it diminishes the pool of experienced staff available to provide patient care and mentorship. While retention strategies for early-career nurses are well-documented, less is known about interventions targeting mid-career nurses.MethodsWe conducted a scoping review following Arksey and O'Malley's framework, systematically searching PubMed and CINAHL, including grey literature sources, for studies on mid-career nurse retention published between January 2014 and February 2025. Our goal was to map the scope, nature, and focus of the existing research, and to identify key knowledge gaps.ResultsTwenty-two studies from 10 countries met the inclusion criteria, with 16 examined interventions tailored for mid-career nurses. Among these, ten focused on retaining nurses within their current roles, while six aimed to reduce attrition from the organization entirely. The interventions were grouped into three thematic areas: optimizing role satisfaction, work culture, and customized retention strategies. While these strategies appear promising, their actual impact on retention remains unclear. Many studies provided limited outcome data, lacked consistent measures at both individual and organizational levels, and rarely addressed potential unintended effects. Moreover, there is no widely accepted definition or clear conceptualization of what constitutes a mid-career nurse.ConclusionsOur findings highlight the lack of focused initiatives to retain mid-career nurses and point to an urgent need for innovation in this space. Future efforts should prioritize the formal evaluation of existing programs to assess their effectiveness.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261463085"},"PeriodicalIF":2.4,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346589","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":"Retraction: \"Family Members' Perspectives on Mental Illness Stigma: A Community Study\".","authors":"","doi":"10.1177/08445621261445226","DOIUrl":"https://doi.org/10.1177/08445621261445226","url":null,"abstract":"","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261445226"},"PeriodicalIF":2.9,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260041","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":"Harnessing Compassion to Support Nurses' Mental Health: A Qualitative Study.","authors":"Marianne Sofronas, Sheri Lynn Price, Houssem Eddine Ben-Ahmed, Christine Tulk, Ivy Lynn Bourgeault, Kim McMillan","doi":"10.1177/08445621261458099","DOIUrl":"https://doi.org/10.1177/08445621261458099","url":null,"abstract":"<p><p>PurposeLiterature documenting mental health concerns among nurses is abundant, as is evidence that working conditions are a significant contributing factor. While conducting a study on the mental health experiences of seven professional cohorts in Canada, an unexpected finding was that for nurses struggling with their mental health, compassion profoundly shaped their experiences. This paper reports findings from a secondary analysis of the nursing cohort of this dataset to examine the role that compassion played in the experiences of nurses, their interprofessional relationships, and engagement with institutional policies and processes. Qualitative analysis of interviews with 52 nurses across Canada was conducted using interpretive description's inductive approach. Analysis was guided by the conceptual framework of Compassionate Communities.ResultsCompassion in the workplace impacted nurses' experiences of mental health, the process of requesting a leave of absence, and negotiating return to work. Nurses described how practicing in uncompassionate environments prompted them to engage in presenteeism at the expense of their own wellbeing, often missing the signs of their distress. Seeking help was deemed more complicated than remaining at work; leave of absence and return to work processes were marked by uncompassionate responses from managers and institutional procedures. Nurses encountered stigma when disclosing a mental health concern, negatively impacting their professional identity and interprofessional relationships.ConclusionsImplementing compassionate organizational practices and processes is instrumental in supporting nurses' mental health experiences and supporting psychologically safe work environments. This paper adds to the literature on compassion, compassionate communities, and nurses' mental health experiences.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261458099"},"PeriodicalIF":2.9,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212816","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":"From Gatekeeping to Collaboration: Supporting Internationally Educated Nurses in Rural and Northern British Columbia.","authors":"Caroline Sanders, Danielle Haggarty, Madison Friesen, Terri McKellar, Carolee Clyne, Catharine Schiller, Ibolya Agoston, Alison Roots","doi":"10.1177/08445621261454191","DOIUrl":"https://doi.org/10.1177/08445621261454191","url":null,"abstract":"<p><p>AimTo examine the experiences, motivations, and perceived inequities of internationally educated nurses (IENs) residing in northern British Columbia and to identify systemic, geographic, and regulatory barriers to workforce integration.BackgroundAlthough IENs are critical to Canada's health workforce, many face prolonged licensure processes and limited access to education and employment, particularly in rural and remote communities.DesignGuided by Equity Theory and organizational perspectives, this mixed-methods study explored how perceived inequities influence motivation, engagement, and workforce participation.MethodsData were collected through three focus groups and interviews (<i>n</i> = 13), an online survey (<i>n</i> = 79), and a key partner workshop with regulators, assessors, educators, a union and health system partners (<i>n</i> = 16).ResultsFour themes emerged: resourcefulness, rural life, mental health and identity, and challenges within the registration process. Participants demonstrated resilience and strong professional commitment but reported delays, financial strain, and limited access to local training and navigational support. Survey findings echoed these barriers. The key partner workshop translated findings into partnership-based strategies to improve educational access, regulatory collaboration, and rural workforce pathways.ConclusionEffective IEN integration requires coordinated, equity-oriented partnerships across regulators, educators, and employers. Strengthening these collaborations can improve licensure access, support retention, and enhance healthcare capacity in underserved regions.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"8445621261454191"},"PeriodicalIF":2.9,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145009","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}
Jennifer Moore, Patricia Morris, Rose McCloskey, Karen Furlong, Sue McNulty
{"title":"Pressed for Time: Physiological Indicators of Care Aides' Mental Workload in Response to Simulated Pressures in Long-Term Care Homes.","authors":"Jennifer Moore, Patricia Morris, Rose McCloskey, Karen Furlong, Sue McNulty","doi":"10.1177/08445621251385021","DOIUrl":"10.1177/08445621251385021","url":null,"abstract":"<p><p>BackgroundMental workload is an important indicator of an individual's interaction with task demands. Care aides in long-term care (LTC) settings frequently report excessive demands imposed on their daily work due to challenging resident behaviours and organizational expectations. Understanding mental workload in these contexts is key to predicting staff strain and guiding support strategies.MethodsTwenty-eight care aides from six LTC homes in New Brunswick, Canada, participated in a simulated care scenario involving common challenges encountered when completing resident care. Two physiological markers of mental workload, namely heart rate variability (HRV) and pupil dilation, were continuously measured across five experimental stages, each designed to elicit different cognitive and emotional demands. Hierarchical mixed-effects models assessed the impact of demographic variables and experimental stages on mental workload.ResultsMental workload increased significantly, as indicated by decreased HRV and increased pupil diameter, when the care aide was required navigate impossible requests made by the resident. Contrary to expectations, resistance to care, verbal aggression, direct time pressure, and intervention by a supervisor did not significantly influence physiological correlates of mental workload.ConclusionThese findings suggest that creative problem-solving, such as responding to impossible resident demands, may be more mentally taxing than expected stressors like aggression or time pressure. To manage mental workload, staff should be prepared and supported to adapt creatively under pressure. Further efforts should be made to understand the relationship between increased mental workload and cumulative stress in care aides.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"221-233"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304049","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":"Nurse Practitioners' Experiences Navigating Treatment Decision-Making Affecting Older People with Neurocognitive Disorders and Cancer.","authors":"Kimberly Shapkin, Lorelei Newton, Karen MacKinnon, Jayna Holroyd-Leduc","doi":"10.1177/08445621251412229","DOIUrl":"10.1177/08445621251412229","url":null,"abstract":"<p><p>Background and PurposeNurse practitioners (NPs) make treatment decisions impacting older people with neurocognitive disorders (NCDs), like mild cognitive impairment and dementia. Research has shown that when this patient population has cancer, they face barriers accessing care, have higher mortality rates and limited involvement in decision-making. Despite their critical role, few NPs have been included in studies exploring treatment decision-making affecting this population. To improve experiences for older people and their families, this study explored NPs' decision-making experiences when individuals were living with an NCD and cancer.MethodsThis qualitative study was informed by interpretive description, a practice-oriented approach. Data collection methods included semi-structured interviews and reflective journaling. Data analysis was iterative with identification and revision of themes that have accompanying illustrations. The research team drew on relevant nursing and practice knowledge to identify meaningful implications for NP practice.ResultsFive themes were identified which included the observation that participants' decision-making was shaped by NPs' knowledge and assumptions. NP participants experienced uncertainty and ethical challenges while needing to creatively navigate health systems. Drawing on nursing knowledge, NPs sought to actively involve older people and their family in decision making.ConclusionNPs experience complex treatment decision-making when older people are living with an NCD and cancer, requiring navigation of multiple factors and challenges. The results showed shared decision-making processes are applied, suggesting that NPs take up relational treatment decision-making practices. However, there is a need for institutional change, further education, and research about NPs experiences in community settings.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"168-182"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967430","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}
Lindsay Fitzgerald, Kim Sears, Rosemary Wilson, Lenora Duhn
{"title":"\"We Don't Want to Cry Wolf\": A Qualitative Study About Nurses' Experiences Activating Rapid Response Teams.","authors":"Lindsay Fitzgerald, Kim Sears, Rosemary Wilson, Lenora Duhn","doi":"10.1177/08445621251400541","DOIUrl":"10.1177/08445621251400541","url":null,"abstract":"<p><p>Background & PurposePatient clinical deterioration is a major safety concern. One strategy implemented for health providers to improve the timely recognition and response to patient deterioration is the Rapid Response Team (RRT). Despite this resource, patient deterioration still occurs and delayed activation of the RRT is one contributing factor. Little is known about unit-level nurses' experiences related to RRT activation, especially within the Canadian context, which is problematic given they are the ones who are primarily responsible for initiating the process. The purpose of this study was to understand the experiences of nurses practising on general adult inpatient medicine units and their activation of the RRT.Methods & ProceduresThe research question was addressed with a descriptive, exploratory qualitative study. Nurses working on general adult inpatient medicine units at an Ontario hospital study site were purposively recruited to participate. Semi-structured interviews with the six participants were held online and audio-video recorded. Inductive, thematic analysis was used.ResultsEleven themes about the barriers and facilitators to RRT activation, and one overarching theme-the <i>Self-Imposed Complexity of Deciding to Activate the RRT-</i>resulted in relation to the nuanced, multi-factorial decision-making process unit-level nurses undertake when considering activation.ConclusionThis study contributes novel information to better understand RRT activation by nurses and will inform practice changes surrounding RRT policies, nursing education about the RRT, and new research on optimizing strategies for RRTs and deteriorating patients. The multi-layered activation process intricacies positions future work to improve escalation of patient clinical deterioration.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"114-128"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709789","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}