Canadian Journal of Nursing Research最新文献

{"title":"Truth to Action: Lived Experiences of Indigenous Healthcare Professionals Redressing Indigenous-Specific Racism.","authors":"Mona Lisa Bourque Bearskin, Meste'si Llucmetkwe Colleen Seymour, Rose Melnyk, Melba D'Souza, Judy Sturm, Tracy Mooney, Nikki Rose Hunter-Porter, Audrey Elaine Ward, Blythe Bell","doi":"10.1177/08445621241282784","DOIUrl":"10.1177/08445621241282784","url":null,"abstract":"<p><p>Study BackgroundThe experience of discrimination through stereotyping, profiling, and bias-informed care not only leads to poor access to healthcare services, but low retention rates of Indigenous health professionals (IHP). As health systems transformation evolves, a significant gap remains in supporting IHP to safely address racism, to be supported culturally to bring their authentic selves and voices to work, and to attend to one's own intellectual, physical, relational, cultural and spiritual wellness within a westernized model of care.PurposeThe aim of the study was to investigate the experiences of IHP working in mainstream healthcare in order to understand how their work environment impacts the delivery of cultural safe practices. What is reported in this manuscript, as an exercise in truth-telling, is findings about lived experiences of IHP working in one mainstream provincial healthcare region, and not the whole context and outcomes of the study.MethodsUsing Indigenous research methodologies, we embodied our Indigeneity into every facet of the research process. We facilitated three talking circles with participants grounded in a distinct cultural and ceremonial context following Secwepemc protocols.ResultsThe collective voices of IHP revealed the following common experiences: confronting genocide; addressing Indigenous-specific racism; uprooting toxicity and inequities; and upholding Indigenous human rights while enhancing accountability of systems transformation.ConclusionsThe experience of IHP working in health systems goes beyond mere individual employment obligations, its often about a families and communities advocacy for Indigenous rights, culturally safe working environments and access to dignified and respectful healthcare service. This study highlights the need for IHP to be actively involved in health system transformation to ensure the redesigning and restructuring of healthcare service delivery by and for Indigenous Peoples remains centered on Indigenous health and human rights.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"94-111"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373222","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":"\"Dual Pandemics\": Intersecting Influences of Anti-Black Racism and the COVID-19 Pandemic on the Mental Health of Black Youth.","authors":"Samah Osman, Olivia Aiello, Khadija Brouillette, Mischa Taylor, Kwame McKenzie, Andre M N Renzaho, Jo Henderson, Hayley Hamilton, Bukola Salami","doi":"10.1177/08445621241253116","DOIUrl":"10.1177/08445621241253116","url":null,"abstract":"<p><p>BackgroundThe intersection of the COVID-19 pandemic with systemic anti-Black racism in the form of police violence and the subsequent Black Lives Matter movement has created an especially critical juncture to examine the mental health of Black youth.PurposeThe purpose of this study was to understand the intersecting impacts of anti-Black racism and the COVID-19 pandemic on the mental health of Black youth.MethodsA youth-engaged research approach and intersectionality framework were utilized. Semi-structured interviews with Black youth across Canada (ages 16 to 30, n  = 48) were conducted online via Zoom and analyzed using thematic analysis. Fourteen Black youth were hired to form a Black youth advisory committee, who guided the research process.ResultsThe \"dual pandemics\" of the COVID-19 pandemic alongside highly publicized incidents of racism and the subsequent Black Lives Matter movement negatively impacted participants' mental health. Four main themes emerged: (1) ongoing exposure to acts of anti-Black racism (2) compounding effect of racism on mental health; (3) high stress levels and fear; and (4) anger and emotional fatigue from lack of shared, long-term solutions.ConclusionThe simultaneous occurrence of the COVID-19 pandemic and instances of systemic anti-Black racism in the form of police violence presented \"dual pandemics\" for the Black community, profoundly impacting the mental health of Black youth and adding urgency and impetus to its prioritization. Results of this study indicate that it is critical to explore each event individually as well as the combined impact on the mental health of Black youth, particularly from a racial perspective.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"24-32"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945950","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":"Anti-Black Medical Gaslighting in Healthcare: Experiences of Black Women in Canada.","authors":"Priscilla N Boakye, Nadia Prendergast, Annette Bailey, McCleod Sharon, Bahareh Bandari, Awura-Ama Odutayo, Eugenia Anane Brown","doi":"10.1177/08445621241247865","DOIUrl":"10.1177/08445621241247865","url":null,"abstract":"<p><p>BackgroundStereotype about Black people contribute to nurses and healthcare providers gaslighting and dismissing of their health concerns. Despite the popularity of the term medical gaslighting in mainstream literature, few studies have explored the experiences of Black women during pregnancy and childbirth.PurposeThis paper aims to provide an in-depth insight into Black women's experiences of anti-Black medical gaslighting when accessing care during pregnancy and childbirth.MethodsUtilizing qualitative methods, we conducted 24 semi-structured interviews with Black women in the Greater Toronto Area. We used thematic analysis to ground the data analysis and to generate insight into Black women's experiences.ResultsThree overarching themes: 1) Not Being Understood: Privileging of Medical Knowledge Contributing to the Downplaying of Health Concerns, 2) Not Being Believed: Stereotypes Contributing to Dismissive Healthcare Encounters and 3) Listen to Us: Turning off the Cycle of Medical Gaslighting. These themes highlight ways anti-Black medical gaslighting manifests in Black women's healthcare encounters to create differential access to treatment and care.ConclusionsAnti-Black medical gaslighting contributes to differential access to treatment and care. Improving equitable access to treatment and care must involve addressing structural and epistemic biases in healthcare and fostering a culture of listening to humanize the experience of illness.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"59-68"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870044","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":"Research with Black Communities to Inform Co-Development of a Framework for Anti-Racist Health and Community Programming.","authors":"Jaimeson Canie, Selma Tobah, Anne-Marie Sanchez, C Nadine Wathen","doi":"10.1177/08445621241254883","DOIUrl":"10.1177/08445621241254883","url":null,"abstract":"<p><p>Study BackgroundThe effects of systemic racism were exacerbated and amplified throughout the COVID-19 pandemic. The resurgence of the \"Black Lives Matter\" movement in North America brought awareness to the public, especially white people, of the impacts of systemic racism in society and the urgent need for large-scale and institutional anti-racism work.PurposeIn collaboration with a local Community Health Centre, this research focused on identifying priority areas for tailored and co-developed anti-Black racism interventions in health services and community programming, as well as examining how purposeful relationships can be created with African, Caribbean, and Black (ACB) communities in London, Ontario.MethodsSemi-structured interviews were conducted in either French or English with nine formal or informal leaders from London's ACB communities. Interpretive description methodology guided analysis and interpretation.ResultsParticipants indicated that anti-Black racism is ever-present in the community and in their lives, with systemic racism causing the most harm. Racism should be addressed by creating ACB-specific services, and education for non-Black communities; increased representation, inclusion, and engagement of ACB people within organizations, especially in leadership roles, are essential. A framework based on study findings to guide how organizations can develop authentic and purposeful relationships with ACB communities is presented.ConclusionsOrganizations will continue to perpetuate systemic racism unless they actively seek to be anti-racist and implement strategies and policies to this end. The proposed framework can guide partnerships between health and community organizations and ACB communities, and support co-development of strategies to address anti-Black racism.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"82-93"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945961","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":"Institutions of Care: A Qualitative Study with Ancestral Black Nova Scotian Nurses in Healthcare.","authors":"Keisha Jefferies, Ruth Martin-Misener, Gail Tomblin Murphy, Jacqueline Gahagan, Wanda Thomas Bernard","doi":"10.1177/08445621241313421","DOIUrl":"10.1177/08445621241313421","url":null,"abstract":"<p><p>BackgroundAncestral Black Nova Scotian (ABNS) nurses are a culturally distinct group yet, little is known about their experiences. Available literature suggests that ABNS nurses are underrepresented in nursing and that they encounter discrimination throughout the health system. Understanding the experiences of ABNS nurses facilitates addressing antiBlack racism in nursing and healthcare.PurposeThis study sought to critically examine the leadership experiences of ABNS nurses in healthcare.MethodsThis qualitative study was guided by Black feminist theory and involved one-on-one semi-structured telephone interviews with eighteen ABNS nurses. Critical Discourse Analysis was applied in the reading of interview transcripts to examine words used by participants in relation to nursing and healthcare. The findings are presented in two conceptual themes.ResultsBlack Tax in Nursing captures the added physical, mental, and spiritual strain experienced by ABNS nurses navigating nursing and healthcare. Black Tax encompassed everyday microaggressions and systemic processes, including intra-profession tensions. Integrating into nursing was made increasingly difficult by a reinforcing network of gatekeepers, policies, and structural design. Nova Scotia Healthcare as an Archaic Institution depicts an antiquated \"broken\" paternalistic system that did not empower patients nor promote health. Additionally, nursing education was accused of reinforcing negative stereotypes, competency gaps, and mistrust with patients.ConclusionsInstitution of Care show how ABNS nurses challenge institutional standards and norms in their approach to nursing. ABNS nurses navigate nursing and the health system by maintaining a community-oriented approach to health. Addressing anti-Black racism in nursing and healthcare requires attention to multi-level processes within institutions.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"69-81"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053926","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":"Investigating the Prevalence and Predictors of Apathy among the Canadian Long-Term Care Residents: A Secondary Data Analysis.","authors":"Aderonke Agboji, Shannon Freeman, Davina Banner, Joshua Armstrong, Melinda Martin-Khan","doi":"10.1177/08445621241276613","DOIUrl":"10.1177/08445621241276613","url":null,"abstract":"<p><strong>Background: </strong>In long-term care facilities (LTCF), apathy is a prevalent issue, leading to cognitive decline, functional impairment, and increased mortality risk. Despite its significance, apathy often remains underrecognized and undermanaged in these settings. Recognizing and addressing the predictors of apathy is critical for early intervention and improved care outcomes.</p><p><strong>Purpose: </strong>This study aims to assess the prevalence of apathy and identify its associated risk factors among newly admitted residents in the Canadian LTCF, using the InterRAI Minimum Data Set (MDS 2.0).</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis of MDS 2.0 admission assessment data between 2015 and 2019, covering 157,596 residents across six Canadian provinces and one territory. Apathy was measured using the Apathy Index of the MDS 2.0, with the biopsychosocial model guiding the analysis.</p><p><strong>Results: </strong>The prevalence of apathy was 12.5% (19,758 individuals). The most significant predictors include cognitive impairments, specific age groups, hearing impairments, vision impairments, facility size and location.</p><p><strong>Conclusions: </strong>The findings of this study underscore the need for tailored strategies in LTCF to address apathy, considering individual, institutional, and regional variations. Emphasis on environmental and personal factors is crucial in the management and prevention of apathy in these settings.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"468-482"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082221","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":"Psycho-social Stressors Experienced by Young war Refugees in Developed Countries: A Scoping Review.","authors":"Kateryna Metersky, Adam Jordan, Areej Al-Hamad, Maher El-Masri","doi":"10.1177/08445621241263459","DOIUrl":"10.1177/08445621241263459","url":null,"abstract":"<p><strong>Background: </strong>Refugees escaping political unrest and war are an especially vulnerable group. Arrival in high-income countries (HICs) is associated with a 'new type of war', as war refugees experience elevated rates of psycho-social and daily stressors.</p><p><strong>Purpose: </strong>The purpose of this scoping review is to examine literature on psycho-social stressors amongst young war refugees in HICs and impact of stressors on intergenerational transmission of trauma within parent-child dyads. The secondary objectives are to identify the pre-migration versus post-migration stressors and provide a basis to inform future research projects that aim to lessen the burden of stress and inform evidence-based improvements in this population.</p><p><strong>Methods: </strong>Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review Extension (PRISMA-ScR) guided the reporting of this review that was performed using a prescribed scoping review method. Extracted from five databases, 23 manuscripts published in 2010 or later met the inclusion criteria.</p><p><strong>Results: </strong>Three themes emerged: pre-migration stressors, migration journey stressors and uncertainty, and post-migration stressors. While post-migration environments can mitigate the health and well-being of war refugees, socio-cultural barriers that refugees often experience at the host country prevent or worsen their psycho-social recovery.</p><p><strong>Conclusion: </strong>To assist the success of war refugees in HICs, therapeutic interventions must follow an intersectional approach and there needs to be a wider application of trauma informed models of care. Findings of this review may help inform future intervention studies aiming to improve the psycho-social health of this population.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"350-362"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735271","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":"Factors Influencing Novice and Beginner Nurses' Intention to Report Medication Errors and Near Misses.","authors":"Raouaa Braiki, Frédéric Douville, Marie-Pierre Gagnon","doi":"10.1177/08445621241263438","DOIUrl":"10.1177/08445621241263438","url":null,"abstract":"<p><strong>Introduction: </strong>Novice and beginner nurses make more medical errors than senior nurses. However, there is significant underreporting of medication errors and near misses among novice and beginner nurses.</p><p><strong>Objective: </strong>To identify the factors that influence the intention of novice and beginner nurses to report medication errors and near misses<b>.</b></p><p><strong>Methods: </strong>A cross-sectional exploratory study was carried out among third-year nursing students in a Quebec university (n = 143). Data was collected through a self-reported questionnaire based on the adapted Theory of Planned Behavior. Simple descriptive analyses and a series of contingency analyses were performed using Chi-2 or Fisher exact tests. Correction of multiple tests was done using Bonferroni test.</p><p><strong>Results: </strong>All theoretical constructs were significantly associated with intention. Sociodemographic factors (age, sex, experience and education program) were also associated with intention.</p><p><strong>Discussion and conclusion: </strong>Further studies are needed to identify the determinants of intention to report medication errors and near misses among novice and beginner nurses. More attention is required in nursing practice and education to act on these factors, thus encouraging novice and beginner nurses to report medication errors and near misses.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"448-456"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761618","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":"A 2-Day Postpartum CBT-Based Training for Nurses.","authors":"Madisyn Campbell, Erika Haber-Evans, Amanda Hicks, Ryan J Van Lieshout","doi":"10.1177/08445621241276238","DOIUrl":"10.1177/08445621241276238","url":null,"abstract":"<p><strong>Background: </strong>Public health nurses (PHNs) are often a first point of contact for postpartum individuals seeking mental health support, but report limited training related to mental health.</p><p><strong>Purpose: </strong>To determine whether a two-day cognitive behavioral therapy (CBT)-based training program focused on postpartum maternal mental health can improve PHN perceptions of their ability to deliver CBT techniques, their confidence working with distressed clients, and with managing client resistance to treatment recommendations.</p><p><strong>Methods: </strong>A convenience sample of 45 PHNs working in the Family Health Division of Niagara Region Public Health in Ontario, Canada were assessed before and after they received a two-day CBT-based training program. Before attending training, PHNs reported their current professional position, years of experience working in public health, and any previous mental health training. Their confidence in delivering CBT techniques, working with distressed clients, and with managing client resistance to treatment recommendations was assessed pre- and post-training. Participants also rated their satisfaction with the training.</p><p><strong>Results: </strong>Statistically significant improvements were seen in confidence using CBT techniques, and in supporting and managing distressed or resistant clients. The two-day training was highly rated overall by participants. Medium to large effect sizes were found for changes in confidence-related questions.</p><p><strong>Conclusions: </strong>Providing PHNs with brief CBT-based mental health-related training can increase their confidence in this aspect of their practice, and could potentially improve the quality of care they provide.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"442-447"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156313","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":"Facilitators and Barriers to Developing a Research Program: A Focused Ethnography of New Tenure-Track PhD-Prepared Nursing Faculty.","authors":"Winnifred Savard, Christy Raymond, Solina Richter, Joanne K Olson, Pauline Paul","doi":"10.1177/08445621241256702","DOIUrl":"10.1177/08445621241256702","url":null,"abstract":"<p><strong>Background: </strong>Creating a research program is a critical requirement for new PhD-prepared tenure-track nursing faculty in Canada.</p><p><strong>Purpose: </strong>The purpose of this article is to present key findings of new faculty members focusing on facilitators and barriers to development of their research program.</p><p><strong>Method: </strong>We conducted focused ethnography research examining the experience of 17 new faculty members from across Canada.</p><p><strong>Results: </strong>The following themes were identified: teaching release, preparation from PhD program, intense feelings, supports and processes, mentoring, obtaining grants, and effects of the COVID-19 pandemic.</p><p><strong>Conclusions: </strong>Implications for practice include identifying ways to facilitate faculty retention as they develop their research program. This research will be of interest to deans of nursing and new faculty members.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"388-395"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261759","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}