Canadian Journal of Nursing Research最新文献

{"title":"Perspectives and Beliefs Surrounding Postpartum Care and Physical Activity of South Asian Immigrant Women in Canada.","authors":"Iris Lesser, Corliss Bean, Harleen Sangha, Bushra Mahmood, Scott Lear","doi":"10.1177/08445621251395348","DOIUrl":"10.1177/08445621251395348","url":null,"abstract":"<p><p>IntroductionBeginning or returning to physical activity is an important element of postpartum care due to its associated mental and physical health benefits. South Asian immigrant women often report a lack of confidence in physical activity engagement and may face cultural barriers to engagement. The purpose of this study was to explore South Asian immigrant women's perspectives and beliefs surrounding postpartum care and physical activity in Canada.MethodEleven South Asian immigrant women (<i>M_age</i> = 31) who had given birth in Canada within the last 12 months and were able to understand and speak English or Punjabi, participated in the study. A semi-structured interview was used to explore participants' birth and postpartum healthcare experiences, as well as their physical activity engagement. Audio-recorded interviews were directly translated and transcribed from Punjabi to English and a reflexive thematic analysis approach was applied.ResultsThrough our analysis, we developed four themes: (a) conflicting traditional and modernized beliefs around postpartum care; (b) physical activity was important to care for one's child and the home, but perceptions of what constituted physical activity varied; (c) lack of time, lack of knowledge, a physically weak body, and exhaustion were barriers to physical activity engagement; and (d) social support was crucial in improving well-being and reducing feelings of isolation, particularly for those with live-in family.ConclusionGiven the high appreciation for community programming which support South Asian mothers, it is essential that culturally relevant physical activity be incorporated into healthcare education postpartum to increase knowledge around health benefits of physical activity. In addition, South Asian immigrant women may require community engagement (including programming) and informational support from healthcare providers.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"129-140"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709827","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 Explaining Nurses' Satisfaction with the Performance of Their Duties in Canada.","authors":"Paul Jacob, Rein Lepnurm, Ata Ur Rehman Quraishi, Joanne Whitty-Rogers, Roy Dobson","doi":"10.1177/08445621261418069","DOIUrl":"10.1177/08445621261418069","url":null,"abstract":"<p><p>Shortages of registered nurses are frequently experienced in the provincial health care systems of Canada. The work environment needs attention to improve Nurses' Satisfaction with the Performance of their Duties (NSPD). A hypothesized model was developed to find the factors associated with NSPD. A cross-sectional study covering two similar-sized health regions in Canada was used to test the model developed. A self-reported survey was conducted for a sample of nurses (<i>n</i> = 230) consisting of Registered Nurses (<i>n</i> = 196) and Licensed Practical Nurses (<i>n</i> = 34) working in the cardiology or stroke units in the health regions of Halifax and Saskatoon. A regression model was built to test the hypothesized model. The final model specified significant predictors of NSPD with Years in Practice as a control variable. Significant predictors explaining the variance were: Hassles (21.0%, <i>β</i> = -0.098, <i>p</i> = 0.022); Positive Attitude (21.2%, <i>β</i> = 0.108, <i>p</i> = 0.011); Unit Organization (14.4%, <i>β</i> = 0.162, <i>p</i> = 0.003); Leader Actions (3.1%, <i>β</i> = 0.133, <i>p</i> = 0.007); Objective Culture (1.5%, <i>β</i> = 0.167, <i>p</i> = 0.003); Fulfillment (7.2%, <i>β</i> = 0.251, <i>p</i> < 0.000); and Recognition (4.2%, <i>β</i> = 0.295, <i>p</i> < 0.000). The final model explained 72.6% of the variation in SPD. The evidence from this study provides insight into factors associated with NSPD. Application of leadership, motivation, and organizational culture theories to manage the work environment of hospitals to improve NSPD has the potential to alleviate current and projected nursing shortages, thus securing an experienced and satisfied nursing workforce in hospitals.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"207-220"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150938","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":"Towards Global Knowledge Co-Creation Through Research Internationalization and Mentorship.","authors":"Kateryna Metersky, Alicia Kogan, Areej Al-Hamad, Kristina Kokorelias, Yasin M Yasin","doi":"10.1177/08445621251409549","DOIUrl":"10.1177/08445621251409549","url":null,"abstract":"<p><p>In an increasingly interconnected academic landscape, research is expanding beyond local and institutional boundaries, creating new opportunities for global collaboration among students, highly qualified personnel (HQPs), and faculty across career stages. While traditional mentorship models rooted in local faculty and student relationships remain valuable, they can restrict the broader relevance and innovation potential of research. Internationalization offers a compelling response by linking scholars across disciplines, cultures, and regions, enriching methodological diversity, cultural perspectives, and global visibility of scholarly work. For faculty, international collaboration strengthens research networks and enhances global impact. For HQPs, such engagement fosters globally minded researchers, builds institutional research capacity, and deepens international academic connections. Programs such as the Mitacs Globalink Research Internship, Academics Without Borders, and Global Affairs Canada mobility initiatives exemplify structured pathways that support cross border research, skill development, and collaborative knowledge creation. Although benefits are substantial, international research and mentorship present challenges, including visa complexities, language barriers, and variations in research training. These obstacles, however, can be mitigated through intentional mentorship strategies such as clear communication, structured orientations, peer pairing, and the use of translation technologies, turning challenges into opportunities for mutual learning and skill development. Ethical mentorship further requires equitable recognition of international scholars' contributions, ensuring reciprocal and respectful collaboration. To realize the full potential of research internationalization, institutions and mentors must intentionally cultivate inclusive environments that value diverse perspectives. By embracing equitable, and globally engaged mentorship, academia can advance research that transcends borders and contributes to a shared pursuit of global knowledge.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"99-100"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967433","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":"Pretesting Parenting Instruments with Indigenous Fathers and Two-Spirit Parents: A Qualitative Study.","authors":"Era Mae Ferron, Michelle L Butt, Nicole Goodfellow, Jessy Dame, Stephanie D George, Rachel VanEvery, Amy L Wright","doi":"10.1177/08445621261418730","DOIUrl":"10.1177/08445621261418730","url":null,"abstract":"<p><p>Background and PurposeThis qualitative study is part of a larger Indigenous community-led project in Southern Ontario, Canada, to support Indigenous fathers and Two-Spirit parents through the development of a culturally relevant parenting program. Conducted during Phase 2, this study pretested six well-established instruments to assess their clarity, comprehension, and cultural safety for use in evaluating the parenting program in Phase 3.Methods and ProceduresSix participants, all of whom were First Nations or Métis, either expecting a baby or parenting a child under the age of three, completed five instruments, specifically the Parenting Sense of Competence Scale (PSOC), Edinburgh Postnatal Depression Scale (EPDS), Relationship Assessment Scale (RAS), General Self-Efficacy Scale (GSES), and either the Paternal Antenatal Attachment Scale (PAAS) or Paternal Postnatal Attachment Scale (PPAS). Semi-structured interviews were conducted to gather insights on the instruments' instructions, terminology, response scales, and cultural relevance. Data were analyzed using conventional content analysis.ResultsParticipants identified barriers to understanding and accurately completing the instruments, including challenging terminology, ambiguous response scales, and cultural safety concerns. Recommendations included simplifying language, clarifying scale anchors, adding culturally relevant questions, and establishing culturally safe support pathways for participants disclosing distress.ConclusionEuro-Western developed instruments require refinement to ensure accessibility, cultural relevance, and safety for Indigenous fathers and Two-Spirit parents. This includes adapting tools to reflect Indigenous literacy frameworks and holistic wellness perspectives. This study underscores the ethical imperative for researchers to ensure cultural appropriateness and safety when engaging Indigenous communities in research.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"183-198"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120642","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":"Validation of the French-Canadian Version of FAME, a Family Engagement Measurement Tool for the Intensive Care Unit.","authors":"Julia Duong, Jillian Kifell, Céline Gélinas, Shreya Udupa, Sarah A Beydoun, Amelia Stephenson, Michael Goldfarb","doi":"10.1177/08445621251385620","DOIUrl":"10.1177/08445621251385620","url":null,"abstract":"<p><p>BackgroundA growing body of evidence supports the benefits of family engagement in patient care in intensive care units (ICUs). The English version of the FAMily Engagement (FAME) tool has been validated to measure ICU family engagement. This study aimed to validate the French-Canadian version of FAME.MethodsParticipant-level data from two prospective observational validation studies of the FAME tool, involving family members of patients from eight Canadian ICUs between May 2022 and July 2024, were included. Family members completed FAME in English or French-Canadian. Following discharge, family members completed questionnaires measuring care satisfaction and mental health (anxiety and depression). Reliability was assessed by internal consistency, and convergent and predictive validity by correlation between FAME and related outcome measures. A comparison of French and English scores was also conducted.ResultsA total of 104 family members completed the French-Canadian FAME questionnaire (age 57.0 ± 15.2 years; 62% women; 8% non-White; 53% spouse/partner). This version demonstrated internal consistency (Cronbach's alpha = 0.84) and convergent and predictive validity. FAME was associated with care satisfaction, but not anxiety or depression scores. There were no significant differences in overall FAME, care satisfaction, or anxiety and depression scores between the French and English cohorts (p > 0.05).ConclusionThe French-Canadian version of the FAME tool demonstrated reliability and convergent and predictive validity in French-Canadian speakers, supporting the inclusion of French-speaking family members in future studies utilizing the FAME tool to measure family involvement in ICU patient care.This study includes data from Measuring Family Engagement in Care (The FAME Study), ClinicalTrials.gov (NCT05659485): https://clinicaltrials.gov/study/NCT05659485.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"78-85"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304008","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":"Optimizing Academic-Practice Partnerships to Promote Transition to Nursing Practice.","authors":"Kathryn L Halverson, Michelle Lalonde, Judy Duchscher, Shabneez Xin, Caroline Currie, Andrea Raynak","doi":"10.1177/08445621251366583","DOIUrl":"10.1177/08445621251366583","url":null,"abstract":"<p><p>BackgroundAn academic-practice partnership was implemented in Northwestern Ontario with the goals of enhancing cross- sector collaboration, co-creating research knowledge related to transition to practice, engaging and recruiting nurses, and mobilizing knowledge to improve the transition experience. There is a growing nursing shortage requiring novel solutions to support retention, particularly for rural and remote populations. Academic-practice partnerships can be leveraged to improve working conditions and consequently job satisfaction (Padilla & Kreider, 2020; Rogers et al., 2020).MethodUsing qualitative methodology, semi-structured virtual interviews were conducted with nine Registered Nurse participants ranging in experience from three to seven months employed at the same hospital in Northwestern Ontario.The interview guide was developed collaboratively by an advisory board comprised of the researcher, hospital staff and input from two student ambassadors from the graduating class. Thematic analysis was completed and broad categories were established with data then expanded into five overarching themes.ResultsFive themes representing impactful sentiments shared by the new graduate nurses were identified: \"I couldn't be the nurse I know I could be\"; \"I'm with you right now\"; \"You have to catch up\"; \"Do you want to learn it with me?\"; and \"I feel thrown in and unprepared\".ConclusionNew graduate nurses experience a dissonance between expectations and reality influenced by their interactions with preceptors and colleagues. Academic-practice partnerships can create supportive learning environments, allowing new nurses to transition to independent practitioners while establishing stronger professional identity, which is a positive indicator for retention.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"6-17"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973915","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":"Understanding the Residency Experience of Nurse Practitioners in Fraser Health: A Qualitative Study.","authors":"Sarah Crowe, Maridel de Sequera","doi":"10.1177/08445621251395352","DOIUrl":"10.1177/08445621251395352","url":null,"abstract":"<p><p>BackgroundThe transition from student to full-scope Nurse Practitioner (NP) is a phase marked by challenges such as patient complexity, expanding scopes of practice, and role ambiguity. NPs expanding presence in healthcare environments, especially those involving complex patient care, necessitates the development of skills, competence, and confidence to practice at their full scope.PurposeThis study evaluated the experiences of NPs participating in the residency program within Fraser Health (FH), British Columbia, to gain insights into how the program impacted their transition to independent practice.MethodsA phenomenological qualitative approach was employed, involving semi-structured one-on-one interviews with fifteen NPs who completed the residency program. Data were analyzed using inductive thematic analysis to identify patterns and themes associated with various clinical phenomena.FindingsThree themes emerged from the analysis: recruitment, transition to practice, and areas for improvement. The residency program significantly influenced NPs' decisions to join FH, offering structured mentorship and professional development opportunities that attracted NPs from diverse backgrounds. Participants valued the exposure to various specialties and clinical environments, which enhanced their clinical skills and confidence. The program facilitated the building of professional networks, providing support and interprofessional collaboration. Despite the benefits, participants identified areas for improvement.ConclusionThe study highlighted the importance of structured residency programs in supporting new-graduate NPs during their transition to independent practice. Enhancing standardization and incorporating formal competency assessments could further improve residency outcomes. Investing in structured transition programs is essential to ensure new NPs are well-prepared to provide high-quality, independent care.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"58-65"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496984","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":"\"Rolling the Boulder Up the Hill\": A Qualitative Study of Parents' Experiences Providing Ongoing Care at Home for Their Child with Complex Medical Needs.","authors":"Joanne Tay, Adam Rapoport, Jamie Crawley, Joanne Ta, Jessica C Kichler","doi":"10.1177/08445621251380909","DOIUrl":"10.1177/08445621251380909","url":null,"abstract":"<p><p>Background & PurposeParents of children with medical complexity (CMC) provide continuous, intensive care that encompasses a range of technical tasks, emotional support, advocacy, and coordination within fragmented healthcare systems. Existing research often treats caregiving as a discrete phenomenon, overlooking how parents make meaning of their roles amid uncertainty and moral distress. This study aimed to explore the lived experiences of parents caring for children with medical complexity at home, examining how caregiving is experienced, sustained, and made meaningful in everyday life.Methods & ProceduresAn exploratory qualitative design was used to conduct in-depth, semi-structured interviews with 15 parents (13 mothers, two fathers) of CMC receiving home care in Ontario, Canada. Purposive sampling was used to recruit parents. Data were analyzed using Braun and Clarke's thematic analysis approach.ResultsTwo overarching themes emerged from parents' accounts: (1) The Layered and Relentless Nature of Caregiving; and (2) The Transformation of Self Through Caregiving, with effects spanning social life, identity loss, mental and physical health decline, and financial strain. Parents reported role overload, identity loss, chronic fatigue, emotional isolation, and ongoing pressure to advocate within unresponsive systems. The lack of consistent and reliable home care and financial support intensified challenges.ConclusionCaring for a CMC impacts parental well-being and reshapes their identity. Sustainable caregiving requires policies and services that support more than just childcare. Integrated mental health services, equitable access to respite, income protections, and caregiver-informed systems are needed to relieve families of unsupported responsibilities and ensure the long-term sustainability of home-based complex care.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"18-29"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789259/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309518","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 Experiences of Service Providers Who Care for Homeless Pregnant or Early Parenting Women.","authors":"Kimberly Jarvis, Solina Richter, Vera Caine","doi":"10.1177/08445621251383062","DOIUrl":"10.1177/08445621251383062","url":null,"abstract":"<p><p>BackgroundHomelessness among women and children is a growing concern, shaped by intersecting structural inequities. Service providers working with women who are homeless, particularly those who are pregnant and/or parenting young children, navigate complex responsibilities that span legal, medical, housing, child welfare, and psychosocial domains. These responsibilities are often carried out in under-resourced environments and in response to trauma rooted in systemic injustice. A feminist pragmatist perspective recognizes the relational, embodied, and context-specific nature of this work, and values the insights of direct care providers as essential to shaping equitable and responsive care.PurposeOur study purpose is to deepen our understanding of the ethical tensions and emotional and embodied labor inherent in the work of service providers who work with pregnant and/or parenting women who are homeless, while advocating for structural reforms that support both client outcomes and provider well-beingMethodsThis study is part of a larger community-based research initiative. This article draws on a subset of data from 22 semi-structured interviews and two focus groups with service providers, including social workers, nurses, nurse practitioners, psychologists, corrections staff, outreach workers, and health administrators. Data were analyzed thematically, guided by feminist pragmatist principles that center experience, reflexivity, and practical action.ResultsFindings reveal persistent systemic barriers to care, including inadequate housing, fragmented services, and institutionalized discrimination. Despite these challenges, service providers expressed a deep sense of purpose and fulfillment in their work, rooted in relational engagement, advocacy, and bearing witness to the resilience of the women they support.ConclusionAwareness of the human condition and a commitment to relational, justice-oriented care are central to effective service delivery. Health systems must prioritize equity and justice, ensuring that nurses and service providers are empowered and supported as advocates for pregnant and/or parenting women who are homeless.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"40-47"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379202","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":"Nurses' and Patients' Perspectives on Care Coordination Across Health Care and Social Services Sectors: A Qualitative Study.","authors":"Marlène Karam, Maud-Christine Chouinard, Meghry Kevork, Rona Fleming, Duhoux Arnaud","doi":"10.1177/08445621251395347","DOIUrl":"10.1177/08445621251395347","url":null,"abstract":"<p><p>BackgroundNurse care coordinators strive to build connections between different organizations to assist patients with complex needs in navigating the healthcare system. However, they often lack adequate support in their roles and encounter challenges related to the tasks themselves and to organizational and systemic factors.PurposeThis study aims to evaluate a care coordination program in Quebec from the perspectives of both providers and beneficiaries.MethodsWe used a qualitative research design following an experience-based co-design approach.19 semi-structured interviews were held, ten with nurse care coordinators and nine with older adults and informal caregivers. An interview guide based on Valentijn et al. framework was used. Data were analysed using both deductive and inductive approaches.ResultsFactors influencing care coordination practice and the experience of older adults were identified. These include growing complexity of needs, patient-centered care, trusting relationships, interprofessional collaboration, communication tools, role clarity, shared values and objectives, the merger of health and social care institutions, and governmental guidelines and standards.ConclusionMany integrated care objectives are effectively implemented. Despite nurses' efforts, older adults have expressed a need for more presence from care coordinators and better communication. This stems from the increasing complexity of patients' needs and situations, as well as the nursing shortage. The study provides a systemic perspective on the challenges of a care coordination program at various levels. As such, it offers valuable insights for care providers, staff managers, and policymakers in integrated healthcare systems, enabling targeted improvements and offering guidance for broader application.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"48-57"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490789","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}