Canadian Journal of Nursing Research最新文献

{"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}

{"title":"Integrating Diverse Ways of Knowing and Challenging Epistemic Injustice: An Example of Emancipatory Curricula in Canadian Nursing Education.","authors":"Ashley McKeown, Britney Glasgow-Osment, Heather Campbell, Shokoufeh Modanloo","doi":"10.1177/08445621251367812","DOIUrl":"10.1177/08445621251367812","url":null,"abstract":"<p><p>PurposeColonial frameworks remain embedded within nursing education, mandating a critical and ethical response to the Truth and Reconciliation Commission's <i>Calls to Action</i> to integrate diverse knowledge systems into curricula and pedagogical practices. This paper aims to provide settler educators with a structured framework to decolonize educational practices and fostering culturally safe and reciprocal learning environments.MethodsThis framework integrates decolonial approaches from scholars and collectives, adapting them to local Indigenous contexts and institutional initiatives. The framework's five-phase process - (1) Grounding, (2) Interrogation, (3) New Learning, (4) Commitment, and (5) Rebuilding- was used to guide the critical examination and transformation of curriculum and pedagogy.<b>Major Findings:</b> Called to deepen their colonial consciousness, the authors engaged in learning and unlearning through intentional relationships with local Indigenous communities, being gifted knowledges from Elders and Indigenous scholars. The authors critically reflected on how nursing is taught and evaluated, focusing thier transformative change on their <i>Health in a Global Context</i> and <i>Enacting Social Justice</i> nursing courses. This process revealed the epistemic injustice and pervasive white-centring embedded in course design, assessments, and pedagogical approaches. Engaging in the decolonizing framework led to course redesign that prioritizes diverse ways of knowing in content, assessment, and pedagogy.ConclusionThis study highlights how engaging in a minor reform, can become a catalyst for broader decolonization efforts, but true transformation requires sustained commitment, critical self-reflection, and institutional accountability. Decolonizing nursing education is a collective responsibility, that involves dismantling colonial frameworks and actively prioritizing Indigenous knowledges within nursing pedagogy and practice.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"66-77"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402415","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":"Examining Nurse Practitioner Experiences in Delivering Virtual Care During the COVID-19 Pandemic: A Mixed-Method Study.","authors":"Marlene Burrows, Jessica Kromhoff, Laura M Housden, Katherine Scarborough, Jacqueline Per, Michael Tantongco, Edrene Jiang, Kara Dalton, Sarah Crowe","doi":"10.1177/08445621251380910","DOIUrl":"10.1177/08445621251380910","url":null,"abstract":"<p><p>BackgroundThe COVID-19 pandemic required Nurse Practitioners (NPs) in Fraser Health Authority (FHA) to rapidly pivot to virtual care health services. Most NPs had little to no education on providing virtual care and there is a paucity literature on how to best deliver this type of care.PurposeThe purpose of this study was to explore the experiences of NPs in FHA who were required to rapidly integrate virtual care into their practice due to the COVID-19 pandemic, while considering competencies and supports needed to integrate virtual care successfully into NP practice.MethodsThis mixed-methods study purposively sampled 41 NPs in FHA in urban British Columbia. Methods consisted of electronic surveys, and semi-structured interviews and focus groups. Data was analyzed using an interpretive description approach.ResultsThe study found a significant increase in the use of virtual care during the pandemic, with NPs reporting improved efficiency (68.3%) and comfort in virtual care delivery. However, challenges were identified in relational practice, confidence, and workflow, particularly in maintaining therapeutic relationships and conducting physical assessments. Themes from qualitative data highlighted the need for targeted education, standardized protocols, and improved technological infrastructure to support virtual care integration.ConclusionThe findings underscore the complexity of adapting to virtual care and emphasize the importance of training, policy development, and system-level supports to enhance its implementation. These results provide critical insights into the competencies required for virtual care and inform future strategies to improve its integration into NP practice in Canada and beyond.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"30-39"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379229","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":"Layered Injustices: Mapping Everyday Discrimination in Nursing Education through an Intersectional Lens.","authors":"Vanessa Van Bewer, Abreham Mekonnen, Marnie Kramer","doi":"10.1177/08445621251391418","DOIUrl":"10.1177/08445621251391418","url":null,"abstract":"<p><p>BackgroundDespite stated commitments to equity, nursing education environments remain sites of pervasive everyday discrimination, especially for students with intersecting marginalized identities.PurposeThis study aimed to examine patterns of everyday discrimination among undergraduate nursing students using an intersectional lens, with particular attention to how experiences vary across overlapping axes of social identity and structural vulnerability.MethodA cross-sectional survey of 260 undergraduate nursing students was conducted at a large Canadian university. Everyday discrimination was measured using the Everyday Discrimination Scale (EDS), alongside sociodemographic variables related to race, gender, disability, financial insecurity, and English language status. Data were analyzed using ANOVA and factorial interaction models, with QuantCrit principles informing variable construction, modeling, and interpretation.ResultsEveryday discrimination was commonly reported and significantly higher among students identifying as racialized, especially those born in Africa, financially insecure, or with a disability. Interaction effects revealed that students at the intersection of multiple marginalized identities, particularly women with disabilities or racialized students with financial insecurity-reported the highest levels of discrimination.ConclusionFindings reveal that discrimination is structurally patterned and intensifies at the intersections of race, class, gender, migration, and disability. Through our intersectional and QuantCrit lens, this study advances how inequities are reproduced in Canadian nursing programs and raises urgent questions about ethics, responsibility, and institutional accountability, particularly in relation to the recruitment and support of racialized, international, economically disadvantaged students.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"86-95"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12789254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496992","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":"Embedding Climate Literacy in Canadian Nursing Curricula and Research: Lessons from Wildfires and Heat Waves.","authors":"Areej Al-Hamad, Kateryna Metersky, Yasin M Yasin","doi":"10.1177/08445621251390291","DOIUrl":"10.1177/08445621251390291","url":null,"abstract":"<p><p>Climate change is one of the greatest global health challenges of the twenty-first century, with wildfires, heat waves, floods, and other extreme events posing profound threats to health systems, communities, and vulnerable populations. Nurses, as the largest segment of the healthcare workforce, are uniquely positioned to respond to these crises, yet climate literacy and climate-health research remain underdeveloped in nursing. While recent progress has been made in embedding environmental health into Canadian nursing curricula, implementation is inconsistent, and research examining the intersections of climate change, health outcomes, and nursing practice is limited. This editorial argues that advancing both nursing education and nursing research is essential to prepare the profession for the realities of a climate-altered world. Climate literacy must be integrated into all levels of nursing education, moving beyond elective or peripheral status to become a core competency. At the same time, nursing research must expand its scope to evaluate disaster nursing interventions, address inequities faced by Indigenous and racialized communities, explore community resilience strategies, and assess the long-term impacts of climate-focused education on workforce readiness. By embedding climate literacy in curricula and prioritizing nursing research, the discipline can generate evidence to inform practice, shape policy, and strengthen health system resilience. Nurses equipped with climate literacy competencies will be able to provide effective care during climate-related disasters, advocate for systemic reforms, and build equitable, sustainable communities. In doing so, nursing can take a leadership role in addressing the health impacts of climate change and advancing global health equity.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"3-5"},"PeriodicalIF":2.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349223","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":"RN and RPN Perceptions and Experiences of Prescribing Opioid Agonist Therapy to People with an Opioid Use Disorder in British Columbia.","authors":"Amanda Lavigne, Jane Karpa, Melissa White","doi":"10.1177/08445621251366562","DOIUrl":"10.1177/08445621251366562","url":null,"abstract":"<p><p>Study backgroundBritish Columbia (B.C.) has suffered a significant loss of life every day due to the unregulated drug poisoning crisis that has affected this province since 2016 (B.C. Coroners Service, 2023). In September 2020 the B.C. Provincial Medical Health Officer, issued a provincial health order to allow registered nurses (RNs) and registered psychiatric nurses (RPNs) to diagnose and prescribe pharmacological treatment for opioid use disorder (OUD) (Ministry of Health, 2020).PurposeTo understand how RNs and RPNs in B.C. experience their expanded role as nurse prescribers of opioid agonist therapy (OAT).MethodsUtilizing Sally Thorne's (2016) Interpretive Description method, a purposeful sample of RNs and RPNs across the province who actively prescribe OAT to people with an OUD were interviewed about their experience and perceptions.ResultsKey findings of this study include insights into the positive and challenging experiences of prescribing OAT in B.C.; operational implementation considerations for RNs and RPNs prescribing OAT; and the strengths and flexibility that RNs and RPNs can bring to OAT care.ConclusionsFindings within this research are relevant to other Canadian provinces considering implementing RN/RPN OAT prescribing as a strategy to increase access to pharmacological treatment for people with OUD.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"546-557"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875881","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":"Sexual and Reproductive Health Services and Help-seeking Behaviors: Experiences and Perspectives of Young 1.5-Generation Bangladeshi Women in Toronto.","authors":"Nahela Nowshin, Lydia Kapiriri, Colleen M Davison","doi":"10.1177/08445621251356734","DOIUrl":"10.1177/08445621251356734","url":null,"abstract":"<p><p>BackgroundThe \"1.5 generation\" refers to those who immigrated to a new country as children or adolescents. In the context of Canada, 1.5-generation Bangladeshis are underrepresented in the extant literature on sexual and reproductive health (SRH). Their cross-cultural positionality and ethnic background have implications for their SRH-related help-seeking behaviors and service utilization.PurposeThis paper explored the SRH related help-seeking behaviors and perspectives and experiences with accessing and utilizing SRH services among 1.5-generation Bangladeshi women in Toronto, Ontario.MethodsTen 1.5-generation Bangladeshi women, aged between 18 and 22, participated in this qualitative study. This study employed a narrative inquiry methodological approach and the Conceptual Framework of Access to Healthcare as a theoretical lens.ResultsKnowledge about routine SRH tests and utilization of these services were found to be low. Mothers, sisters, peers, the internet and mobile apps were identified as sources of informal help-seeking. The family doctor is the most significant source of formal help-seeking. The findings shed light on the demand- and supply-side dimensions of access to SRH care as well as the multiple barriers and facilitators to services. Individual-level social and cultural factors in SRH help- and care-seeking behaviors and attitudes were identified. Structural factors within the health system hindered effective service delivery.ConclusionThe findings highlight the need for SRH-focused educational and informational campaigns in residential neighborhoods concentrated by the Bangladeshi diaspora. Policymakers should address the structural barriers in the health system to improve the quality of SRH care. Further investigation is required to understand what culturally responsive SRH care entails for 1.5-generation patients from South Asian and Muslim backgrounds.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"530-545"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12589671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585245","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":"Unpacking the Mystery of the Ontario Healthcare System in Canada: Ukrainian Temporary Migrants and Healthcare System Navigation.","authors":"Kateryna Metersky, Margareth S Zanchetta, Areej Al-Hamad, Yasin M Yasin, Valerie Tan, Kristina Tsvygun, Tetiana Podobailo, Caitlin Cosgrove, Bohdan Onushko, Olesya Falenchuk, Tatiana Sunak","doi":"10.1177/08445621251374259","DOIUrl":"10.1177/08445621251374259","url":null,"abstract":"<p><p>BackgroundIn response to the full-scale Russian invasion of Ukraine, the Government of Canada welcomed thousands of temporary migrants under the Canada-Ukraine Authorization for Emergency Travel (CUAET) program. Ukrainian temporary migrants who are settled in Ontario experience acute, chronic, and complex health issues, creating additional demand upon the healthcare system. Despite a collective awareness of difficulty in accessing existing healthcare resources, little is known about how Ukrainian temporary migrants experience and utilise the Ontario healthcare system.PurposeTo explore the lived experiences of Ukrainian temporary migrants navigating the Ontario healthcare system, and to report on the results of a knowledge translation (KTr) workshop intervention delivered with this population to assist in the development of knowledge and skills related to healthcare system navigation.MethodsA KTr workshop was delivered with ten Ukrainian temporary migrants who have temporarily settled in Toronto, Canada. Inductive and deductive thematic analysis was used.ResultsFour themes emerged: 1) concerns regarding accessibility and wait times; 2) difficulties navigating the healthcare system; 3) transnational health practices; and 4) a desire for increased involvement in the care plan.ConclusionsThis project highlights barriers to services and the need for healthcare providers to explore equitable and accessible solutions to support temporary migrants.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"558-567"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12589660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013350","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":"Enhancing Trauma Resilience in Nurses and Personal Support Workers: A Feasibility Study of an 8-Week Supportive Trauma Exposure Preparation Intervention.","authors":"Aleksandra Lalovic, Molly Hyde, Yvonne Bergmans, Anna Kiriakidis, Nathania Ebegbare, Ashley Verduyn, Sakina J Rizvi","doi":"10.1177/08445621251354918","DOIUrl":"10.1177/08445621251354918","url":null,"abstract":"<p><p>BackgroundNurses and personal support workers (PSWs) frequently face trauma in their work without sufficient resources to manage the resulting emotional stress. This contributes to high rates of burnout, which have remained elevated since the COVID-19 pandemic.PurposeTo address the need for effective interventions that mitigate the impact of trauma exposure in the healthcare workplace, we developed the Supportive Trauma Exposure Preparation (STEP) program, an 8-week virtual psychotherapy intervention. The aim of this study was to evaluate the feasibility, acceptability, and preliminary effectiveness of the STEP program in reducing burnout and enhancing resilience.MethodsA pilot study was conducted with 35 nurses and PSWs in Ontario assessing the feasibility, acceptability, and preliminary effectiveness of the STEP program at three months follow-up. Participants attended 8 weekly psychotherapy sessions, provided feedback on their experiences, and completed measures of burnout, resilience, mood, anxiety, and work and life functioning.ResultsThe study demonstrated strong feasibility and acceptability, with high participant engagement and satisfaction with the STEP program. Improvements in burnout and work functioning were observed at the three-month follow-up.ConclusionsThe STEP program shows promise as a novel intervention addressing the critical unmet need for preventing and managing the detrimental effects of trauma exposure among nurses and PSWs in the healthcare workplace. <i>ClinicalTrials.gov Registration # NCT04682561 (URL:</i> https://clinicaltrials.gov/study/NCT04682561).</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"580-591"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530237","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":"Next Step, Adulthood: The Role of Nurse Navigators in Supporting the Transition of Neurodivergent Youth from Pediatric to Adult Health Services in Canada.","authors":"Dawn Balsdon","doi":"10.1177/08445621251365546","DOIUrl":"10.1177/08445621251365546","url":null,"abstract":"<p><p>In Canada, 7% of youth 15-24 identify as living with neurodevelopmental conditions or intellectual disabilities, such as autism spectrum disorder or attention deficit disorder. These youth face significant challenges when transitioning from pediatric to adult healthcare services. Fragmented systems, diminished support, and increased health vulnerabilities mark these transitions. Adult healthcare systems often lack the coordinated, family-centered approach of pediatric care, resulting in care gaps, mental health risks, and poor health outcomes. This commentary argues that nurse navigators offer a practical, evidence-informed, and ethically grounded solution to improve transitional care. Drawing on successful models in oncology care, the nurse navigator role can bridge service silos, advocate for inclusive care, and support youth and families during this critical life stage. Despite systemic barriers such as workforce shortages and inconsistent policy implementation, the integration of nurse navigators into Canadian healthcare frameworks represents a necessary step toward equitable, person-centered transitional care. This paper calls for national investment in a scalable navigation model tailored to the needs of neurodivergent youth and their families, which aligns with Canada's legislative commitments to accessibility, inclusion, and health equity.</p>","PeriodicalId":46661,"journal":{"name":"Canadian Journal of Nursing Research","volume":" ","pages":"475-477"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790354","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}