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Finding the Sweet Spot: Exploring Nurse Practitioner Job Satisfaction, Burnout and Resilience. 寻找最佳点：探索护士从业人员的工作满意度，倦怠和弹性。
Nursing leadership (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/cjnl.2026.27821
Lori Harwood, Jacqueline Crandall, Wilma Koopman
{"title":"Finding the Sweet Spot: Exploring Nurse Practitioner Job Satisfaction, Burnout and Resilience.","authors":"Lori Harwood, Jacqueline Crandall, Wilma Koopman","doi":"10.12927/cjnl.2026.27821","DOIUrl":"10.12927/cjnl.2026.27821","url":null,"abstract":"<p><p>Nurse practitioners (NPs) report concerning levels of burnout that can negatively impact patient outcomes and job turnover. Little is known about how NPs effectively navigate their practice and mitigate worklife stressors. Using a constructivist grounded theory approach, this study explored this gap by investigating burnout, job satisfaction and resilience among 10 hospital-based NPs. Data analysis revealed three key themes: (1) making a difference … keeps me going; (2) finding the sweet spot; and (3) being the safety net. Promoting a healthy work environment requires a targeted plan that involves colleagues, educators and leaders who together address NPs' workplace tensions.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 4","pages":"92-109"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825872","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}
引用次数: 0
From the Editor-in-Chief. 来自总编辑。
Nursing leadership (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/cjnl.2026.27828
Ruth Martin-Misener
{"title":"From the Editor-in-Chief.","authors":"Ruth Martin-Misener","doi":"10.12927/cjnl.2026.27828","DOIUrl":"10.12927/cjnl.2026.27828","url":null,"abstract":"<p><p><b>Once again, we are being released</b> from the grip of a very cold and snowy winter and beginning to inch our way toward the season of growth, new life and hope - spring. This issue feels a little similar to that to me. In Canada, we are in the grip of some serious challenges to the safety and stability of many of the structures and systems we often take for granted, healthcare systems being one of them. And yet, as I read the articles in this issue, I feel hope. Why? Because within these pages, there are research articles, evidence reviews and commentaries authored by people who are tackling some very complex challenges with bold, innovative ideas and actions for change. Collaboration and partnership are essential to doing the work, along with a courageous generosity of spirit that takes my breath away.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825901","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}
引用次数: 0
Nurse Practitioners and Mental Health: A Call to Action for Nursing Leadership. 护士从业人员和心理健康：护理领导的行动呼吁。
Nursing leadership (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/cjnl.2026.27825
Sherry A Weiler, Gillian Strudwick
{"title":"Nurse Practitioners and Mental Health: A Call to Action for Nursing Leadership.","authors":"Sherry A Weiler, Gillian Strudwick","doi":"10.12927/cjnl.2026.27825","DOIUrl":"10.12927/cjnl.2026.27825","url":null,"abstract":"<p><p>Canadians living with mental illness experience poor access to care, worse health outcomes and premature mortality. Nurse practitioners (NPs) are uniquely positioned to address these inequities, yet their role in mental health remains underoptimized. This commentary highlights three evidence-informed priorities for nurse leaders: (1) removing systemic barriers to NP role integration, (2) strengthening NP education in mental health and (3) leveraging nursing leadership to drive policy and practice change. Drawing on recent evidence of the critical role of nurse leaders in integrating physical and mental healthcare, we stress the importance of nurse leader advocacy across policy, organizational and clinical domains, to champion the NP role and its contribution to comprehensive care. Doing so will improve mental healthcare delivery and reduce disparities. The time for action is now.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 4","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825810","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}
引用次数: 0
Global Nursing Workforce at a Crossroads: A Canadian Policy Lens on the 2026 International Workforce Forum. 站在十字路口的全球护理劳动力：2026年国际劳动力论坛上的加拿大政策镜头。
Nursing leadership (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/cjnl.2026.27845
Valerie Grdisa, Kimberly LeBlanc
{"title":"Global Nursing Workforce at a Crossroads: A Canadian Policy Lens on the 2026 International Workforce Forum.","authors":"Valerie Grdisa, Kimberly LeBlanc","doi":"10.12927/cjnl.2026.27845","DOIUrl":"10.12927/cjnl.2026.27845","url":null,"abstract":"<p><p>The 2026 International Workforce Forum highlighted a projected global shortage of 11 million health workers by 2030, more than half of whom are nurses. This paper examines the Forum's findings through a Canadian policy lens, drawing on the Canadian Nurses Association's <i>Policy Roadmap for 2025 and Beyond</i> and recent national workforce data. It identifies converging challenges, including workforce shortages, underutilization of nursing scope, barriers to mobility and declining workforce well-being. The analysis positions Canadian policy priorities as both aligned with and responsive to global imperatives, arguing that nursing leadership and strategic investment are essential to system transformation. This article establishes the foundation for focusing on the experience of internationally educated nurses and nurses' mental health and well-being.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 4","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825484","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}
引用次数: 0
Internationally Educated Nurses Supporting Internationally Educated Nurses: A Leadership Profile of the Integrated Filipino Canadian Nurses Association. 国际教育护士支持国际教育护士：综合菲律宾加拿大护士协会的领导简介。
Nursing leadership (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/cjnl.2026.27826
Austine Enriquez Gaqui, Mark Anthony Gravoso, Edward Cruz, Alyssa Indar
{"title":"Internationally Educated Nurses Supporting Internationally Educated Nurses: A Leadership Profile of the Integrated Filipino Canadian Nurses Association.","authors":"Austine Enriquez Gaqui, Mark Anthony Gravoso, Edward Cruz, Alyssa Indar","doi":"10.12927/cjnl.2026.27826","DOIUrl":"10.12927/cjnl.2026.27826","url":null,"abstract":"<p><p>The Integrated Filipino Canadian Nurses Association (IFCNA) represents a vital community-driven response to the challenges faced by internationally educated nurses in Canada. Founded in 2019, this federally registered non-profit organization primarily provides comprehensive support for Philippine-educated nurses navigating the complex Canadian healthcare system. This leadership profile presents insights from IFCNA's founding chair, Austine Gaqui, and immediate past president, Mark Anthony Gravoso, highlighting the organization's programs, challenges and advocacy efforts. Through mentorship, skills development and policy engagement, IFCNA embodies the Filipino cultural value of <i>bayanihan</i>, a strong sense of civic unity and co-operation traditionally practised by Filipinos, demonstrating how grassroots organizations can address systemic barriers while building a supportive professional community. This profile offers nurse leaders insights into how collaborative partnerships with organizations such as IFCNA can strengthen workforce integration and advance equity in nursing.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 4","pages":"27-36"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825488","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}
引用次数: 0
What Nurse Leaders Can Learn From the Pre-Pandemic Literature Regarding Occupational Stress in Hospital-Based Healthcare Workers. 护士领导可以从大流行前关于医院医护人员职业压力的文献中学到什么？
Nursing leadership (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/cjnl.2026.27822
Robert G Maunder, Gillian Strudwick, Natalie D Heeney, Andrea Lawson, Deanna Chaukos, Noah Margolese
{"title":"What Nurse Leaders Can Learn From the Pre-Pandemic Literature Regarding Occupational Stress in Hospital-Based Healthcare Workers.","authors":"Robert G Maunder, Gillian Strudwick, Natalie D Heeney, Andrea Lawson, Deanna Chaukos, Noah Margolese","doi":"10.12927/cjnl.2026.27822","DOIUrl":"10.12927/cjnl.2026.27822","url":null,"abstract":"<p><p>The purpose of this paper is to identify studies of hospital-based occupational stress prior to the COVID-19 pandemic that can offer lessons to nurse leaders in our current post-pandemic environment. A scoping review was conducted based on the Joanna Briggs Institute framework, including key phases and principles identified by Arksey and O'Malley. Evidence from different disciplines and settings has been relatively siloed. Nurses and doctors have tended to be studied separately using different constructs. Progress in developing more effective interventions to mitigate occupational stress in healthcare may require greater cross-disciplinary collaboration in which nurse leaders are well poised to lead.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 4","pages":"79-91"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825788","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}
引用次数: 0
Leading the Way to Successful Internationally Educated Nurse Integration - CARE Centre for Internationally Educated Nurses' Workplace Integration Program. 引领成功的国际教育护士整合之路-国际教育护士工作场所整合计划护理中心。
Nursing leadership (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/cjnl.2026.27827
Ruth Lee, Ruth Wojtiuk, Rola El Moubadder, Bessie Nasiopoulos
{"title":"Leading the Way to Successful Internationally Educated Nurse Integration - CARE Centre for Internationally Educated Nurses' Workplace Integration Program.","authors":"Ruth Lee, Ruth Wojtiuk, Rola El Moubadder, Bessie Nasiopoulos","doi":"10.12927/cjnl.2026.27827","DOIUrl":"10.12927/cjnl.2026.27827","url":null,"abstract":"<p><strong>Background: </strong>Integration and retention of internationally educated nurses (IENs) play a vital part in ensuring the sustainability of our healthcare systems. Historically, the focus of support has been placed on the IENs to adapt to the new country, failing to recognize the role of the receiving workplace. A one-time funding was provided by the Ontario government to develop a program preparing healthcare employers and IENs for integration into the Canadian healthcare workforce.</p><p><strong>Aim: </strong>To describe the finding of a workplace integration program (WIP) - based on a continuous evaluation of each program component that prepares employers, nursing leaders, members of the interprofessional team and IENs for the integration of IENs into the Canadian healthcare workforce.</p><p><strong>Strategy: </strong>Incorporating our lived experiences in supporting IENs and feedback from IENs, the CARE Centre for Internationally Educated Nurses (CARE Centre) invited employer partners to co-design the WIP and provide evaluation results to each participating healthcare organizations.</p><p><strong>Result: </strong>From January 2024 to the end of 2025, 22 organizations and close to 1,000 persons participated in the WIP. A mixed-methods approach was employed to evaluate the results of surveys completed by participants after each session of the WIP. Participating organization evaluation results revealed that over 90% of participants find the strategies provided by the program useful in strengthening their abilities in supporting IENs' integration into their interprofessional team, recruitment strategies of IENs and client- and family-centred care.</p><p><strong>Conclusion: </strong>The WIP provided concrete strategies for employers and the healthcare team for integrating and retaining IENs. Ongoing participating organization evaluations allow for continuous improvement and rapid changes to meet institutional needs.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 4","pages":"15-26"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825578","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}
引用次数: 0
Trauma-Informed Organizational and Leadership Practices to Support Workforce Mental Health: A Rapid Evidence Synthesis. 创伤知情的组织和领导实践支持劳动力心理健康：快速证据综合。
Nursing leadership (Toronto, Ont.) Pub Date : 2026-04-01 DOI: 10.12927/cjnl.2026.27823
Rosanra Yoon, Yemisi Onilude, Michael Butac
{"title":"Trauma-Informed Organizational and Leadership Practices to Support Workforce Mental Health: A Rapid Evidence Synthesis.","authors":"Rosanra Yoon, Yemisi Onilude, Michael Butac","doi":"10.12927/cjnl.2026.27823","DOIUrl":"10.12927/cjnl.2026.27823","url":null,"abstract":"<p><p>How to implement trauma-informed organizational cultures that advance psychological safety and processes within the larger leadership and organizational contexts was identified as a gap. This modified rapid review was guided by principles outlined by Tricco and the methodological framework by Arksey and O'Malley for scoping reviews. Results showed four thematic areas (leadership practices, organizational culture, training and education and policy) in which trauma-informed organizational and leadership practices can be implemented to support workers. In conclusion, trauma-informed leadership practices are best enabled within a broader, intentional organizational approach to supporting workplace psychological health and safety.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 4","pages":"60-78"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147825770","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}
引用次数: 0
Advancing Equity, Diversity and Inclusion in Nursing: Reflection on Over a Decade of Research. 促进护理的公平性、多样性和包容性：对十多年研究的反思。
Nursing leadership (Toronto, Ont.) Pub Date : 2026-01-01 DOI: 10.12927/cjnl.2026.27784
Matthew Idowu Olatubi, Emmanuel Akwasi Marfo, Bukola Salami
{"title":"Advancing Equity, Diversity and Inclusion in Nursing: Reflection on Over a Decade of Research.","authors":"Matthew Idowu Olatubi, Emmanuel Akwasi Marfo, Bukola Salami","doi":"10.12927/cjnl.2026.27784","DOIUrl":"10.12927/cjnl.2026.27784","url":null,"abstract":"<p><p>The contemporary debate on equity, diversity and inclusion (EDI) in nursing practice has been affected by numerous intersecting forces. In this commentary, we draw on insights from Bukola Salami's 15-year research program, which offers critical perspectives on how racism, migration status, labour precarity, social inequities and institutional structures influence the health and well-being of Black and immigrant populations across the life course. For researchers, practitioners and legislators dedicated to promoting EDI inside health systems and associated social institutions, her corpus of work offers useful evidence. Significant implications for clinical nursing practice, leadership and research are also outlined.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 3","pages":"91-99"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222686","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}
引用次数: 0
Reflections on the Evolving Purpose and Power of Nursing Associations in Canada. 对加拿大护理协会不断发展的目的和力量的反思。
Nursing leadership (Toronto, Ont.) Pub Date : 2026-01-01 DOI: 10.12927/cjnl.2026.27783
Valerie Grdisa
{"title":"Reflections on the Evolving Purpose and Power of Nursing Associations in Canada.","authors":"Valerie Grdisa","doi":"10.12927/cjnl.2026.27783","DOIUrl":"10.12927/cjnl.2026.27783","url":null,"abstract":"<p><p>The role and influence of nursing associations (NAs) are evolving, making their collective power more vital than ever. This reflective piece traces my professional journey from direct care to executive leadership, showing how active engagement in NAs shaped my career and deepened my understanding of their pivotal impact on the nursing profession and health policy across Canada. Readers are invited to consider a nursing leadership challenge and reflect on their own involvement with provincial/territorial NAs and the Canadian Nurses Association. Amid current system pressures, united and active participation in NAs is essential to strengthen nursing's voice and drive meaningful, lasting change.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 3","pages":"100-108"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222660","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}
引用次数: 0
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