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Values Are the Foundation of Leadership Strategies to Catalyze Change. 价值观是推动变革的领导战略的基础。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-07-01 DOI: 10.12927/cjnl.2025.27661
Ruth Martin-Misener
{"title":"Values Are the Foundation of Leadership Strategies to Catalyze Change.","authors":"Ruth Martin-Misener","doi":"10.12927/cjnl.2025.27661","DOIUrl":"10.12927/cjnl.2025.27661","url":null,"abstract":"<p><p>Values are at the heart of nursing leadership. They are what drive us to address the challenges in the healthcare systems of the 10 Canadian provinces and three territories, including equitable access to quality healthcare for all. As nurses, we know that the people in this country depend on us to be there for them and their families when they need our care, often at some of the most difficult and frightening times in their lives. To ensure that we can continue to fulfill this commitment, nursing leadership must remain vigilant in steering a path forward that enables bold new ideas that breathe life and vision into our changing workplaces in an increasingly complex world.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850318","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
The Critical Role of Nurse Leaders in Integrating Physical and Mental Healthcare: A Commentary. 护士领导在整合身心健康中的关键作用：评论。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-07-01 DOI: 10.12927/cjnl.2025.27659
Gillian Strudwick, Pam Hubley, Dionne Sinclair, Aideen Carroll, Sherida Chambers, Maria Nelson, Satinder Kaur
{"title":"The Critical Role of Nurse Leaders in Integrating Physical and Mental Healthcare: A Commentary.","authors":"Gillian Strudwick, Pam Hubley, Dionne Sinclair, Aideen Carroll, Sherida Chambers, Maria Nelson, Satinder Kaur","doi":"10.12927/cjnl.2025.27659","DOIUrl":"10.12927/cjnl.2025.27659","url":null,"abstract":"<p><p>Healthcare largely remains fragmented between physical and mental health services, resulting in poorer outcomes and inefficiencies. An aging population and increasing comorbidities among patients highlight the urgent need for integration. Barriers such as historical separation of physical and mental health services, workforce limitations and stigma persist, yet societal attitudes are shifting to be more aware and accepting of mental health conditions. Nurse leaders, with their holistic, patient-centred approach, are uniquely positioned to lead this transformation. This commentary will explore the critical role of nurse leaders in advancing the integration of physical and mental healthcare.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 1","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850317","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
Implementing the Nurse Practitioner Lead Role in Acute Care: Supporting Leaders and Optimizing Role Utilization. 实施护士在急症护理中的领导作用：支持领导和优化角色利用。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-07-01 DOI: 10.12927/cjnl.2025.27655
Margo DeVries-Rizzo, Lori Harwood, Lillian Mess
{"title":"Implementing the Nurse Practitioner Lead Role in Acute Care: Supporting Leaders and Optimizing Role Utilization.","authors":"Margo DeVries-Rizzo, Lori Harwood, Lillian Mess","doi":"10.12927/cjnl.2025.27655","DOIUrl":"10.12927/cjnl.2025.27655","url":null,"abstract":"<p><p>Nurse practitioners (NPs) are essential to Canada's healthcare system, yet role implementation in acute care is often inconsistent. Complex organizational structures and unclear reporting lines can hinder NP's role clarity and utilization. The NP lead role addresses these challenges by interpreting relevant legislation, advocating for NPs and supporting full-scope practice. This paper outlines the development and implementation of the NP lead role at a large tertiary acute care hospital in Canada, highlighting its positive impact on role clarity, NP utilization and work-life, ultimately supporting both NP practice and leadership within complex healthcare environments.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 1","pages":"65-77"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850315","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
Championing Specialty Nursing Certification: A Call to Action for Canadian Nurse Executives. 支持专业护理认证：加拿大护士主管的行动呼吁。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-07-01 DOI: 10.12927/cjnl.2025.27660
Valerie Grdisa
{"title":"Championing Specialty Nursing Certification: A Call to Action for Canadian Nurse Executives.","authors":"Valerie Grdisa","doi":"10.12927/cjnl.2025.27660","DOIUrl":"10.12927/cjnl.2025.27660","url":null,"abstract":"<p><p>As the Canadian healthcare system faces rising complexity, workforce shortages and growing demands for quality and efficiency, the role of nurses has become increasingly critical. Historically trained as generalists, today's nurses are often thrust into highly specialized roles without the formal training or recognition to match the complexity of their practice. The prevailing perception - \"a nurse is a nurse\" - undermines recognition of the diverse roles and competencies within the profession. Specialty nursing certification, while proven to improve outcomes, remains underutilized and undervalued in Canada. For the healthcare system to thrive, nurse executives across all sectors must become vocal champions of specialty nursing certification. Doing so is not only a professional imperative but also a strategic necessity for optimizing patient outcomes, ensuring workforce sustainability and achieving better value.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"38 1","pages":"7-14"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850313","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
Grounded in the Present and Anticipating the Future. 立足现在，展望未来。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-06-01 DOI: 10.12927/cjnl.2025.27505
Ruth Martin-Misener
{"title":"Grounded in the Present and Anticipating the Future.","authors":"Ruth Martin-Misener","doi":"10.12927/cjnl.2025.27505","DOIUrl":"10.12927/cjnl.2025.27505","url":null,"abstract":"<p><p><b>A new year is dawning</b> and along with it, the first issue of the <i>Canadian Journal of Nursing Leadership</i> (<i>CJNL</i>) for the year 2025. We begin the year with significant and persistent health and healthcare challenges. Recently released data from the Canadian Institute for Health Information indicate that 5.4 million Canadians aged 18 years and older (17%) report not having access to a regular healthcare provider (CIHI 2024a). Mental health concerns are on the rise and made worse by intersections with gender and other social determinants of health, with many people experiencing delays in care or not receiving it at all (CIHI 2024b). Emergency departments are overburdened as more and more Canadians seek care there for conditions that could have been managed in primary care (CIHI 2024a). The social determinants of health have worsened as the cost of living has skyrocketed (Park 2024) along with gender-based violence and structurally embedded and pervasive racism (Government of Canada 2024a, 2024b).</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 3","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044051","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
BSN Learning Pathways: A Leadership Collaboration to Prepare and Retain New Nurses in Specialized Practice Areas. BSN学习途径：在专业实践领域准备和留住新护士的领导合作。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-06-01 DOI: 10.12927/cjnl.2025.27510
Michelle House-Kokan, Kathryn Kennedy, Connie Clark
{"title":"BSN Learning Pathways: A Leadership Collaboration to Prepare and Retain New Nurses in Specialized Practice Areas.","authors":"Michelle House-Kokan, Kathryn Kennedy, Connie Clark","doi":"10.12927/cjnl.2025.27510","DOIUrl":"10.12927/cjnl.2025.27510","url":null,"abstract":"<p><p>Current nursing shortages, particularly in complex practice or specialty areas, coupled with high attrition rates of both seasoned and new graduate nurses, have required nursing leaders to consider creative approaches to recruit, prepare and retain nurses in specialty areas. This article describes a collaborative partnership between post-secondary institutions and health authorities in one province to address the need to prepare and retain nurses in high-priority specialized areas, such as the intensive care unit or the emergency department. This partnership allows for a proactive connection that leverages the strengths and resources of both healthcare and educational institutions. This model could be implemented by various institutions to meet educational and personnel resourcing needs in other areas and potentially other healthcare professions.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 3","pages":"67-75"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044048","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 Federal Policy to Bedside Care: A Canadian Perspective on Key Considerations for Nurse Executive Action for AI Adoption - A Commentary. 从联邦政策到床边护理：加拿大对人工智能采用护士行政行动的关键考虑因素的看法-评论。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-06-01 DOI: 10.12927/cjnl.2025.27509
Bren Cardiff, Cameron S S Irani, Tracie Risling, Richard G Booth, Gillian Strudwick, Jennifer Lounsbury, Debbie Pinter, Karen Martin, Alison Girouard, Judy Fleming, Rachel Howe
{"title":"From Federal Policy to Bedside Care: A Canadian Perspective on Key Considerations for Nurse Executive Action for AI Adoption - A Commentary.","authors":"Bren Cardiff, Cameron S S Irani, Tracie Risling, Richard G Booth, Gillian Strudwick, Jennifer Lounsbury, Debbie Pinter, Karen Martin, Alison Girouard, Judy Fleming, Rachel Howe","doi":"10.12927/cjnl.2025.27509","DOIUrl":"10.12927/cjnl.2025.27509","url":null,"abstract":"<p><p>The integration of artificial intelligence (AI) into healthcare represents a paradigm shift with the potential to enhance patient care and streamline clinical operations. This commentary explores the Canadian perspective on key organizational considerations for nurse executives, emphasizing the critical role they play in fostering the establishment of AI governance structures and advancing the front-line adoption of AI in nursing practice. The discussion delves into five domains of consideration, analyzing recent developments and implications for nursing executives. This commentary helps nurse leaders who are getting started in AI become familiar with necessary information and understand Canada's landscape.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 3","pages":"48-66"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044050","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
Commentary: Understanding and Disrupting Whiteness in Nursing. 评论：理解和破坏护理中的白色。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-06-01 DOI: 10.12927/cjnl.2025.27508
Rani Srivastava
{"title":"Commentary: Understanding and Disrupting Whiteness in Nursing.","authors":"Rani Srivastava","doi":"10.12927/cjnl.2025.27508","DOIUrl":"10.12927/cjnl.2025.27508","url":null,"abstract":"<p><p><b>Thank you</b> for the opportunity to provide a commentary on the article, How Whiteness Shapes Nursing in Canada - What Does the Literature Say? A Rapid Review (Walker et al. 2025). I want to begin by congratulating the authors on completing a rapid review on a very important topic. As the authors note, \"The profession of nursing has an obligation to carefully self-examine so it does not further contribute to systemic racism\" (Walker et al. 2025: 30). A key strength of the review is the naming and description of key concepts. I also appreciate the limitation noted by the authors in that the method could, in itself, be a limitation as it reflects a synthesis of a particular approach to knowledge and thus may restrict the overall understanding of this issue. It is in this spirit that I offer my perspective, recognizing that it is informed by my identity as a South Asian nurse and healthcare leader. Through this commentary, I want to make three key points that I hope will go beyond the awareness of problematization to deeper opportunities for action.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 3","pages":"45-47"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044049","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
Organizational Initiatives for the Recruitment, Retention and Advancement of Black Nurses: A Rapid Review. 招募、保留和提升黑人护士的组织举措：快速回顾。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-06-01 DOI: 10.12927/cjnl.2025.27506
Keisha Jefferies, Meaghan Sim, Andrea Carson, Leah Boulos, Alliyah John-DeGrace, Tara Sampalli, Gail Tomblin Murphy
{"title":"Organizational Initiatives for the Recruitment, Retention and Advancement of Black Nurses: A Rapid Review.","authors":"Keisha Jefferies, Meaghan Sim, Andrea Carson, Leah Boulos, Alliyah John-DeGrace, Tara Sampalli, Gail Tomblin Murphy","doi":"10.12927/cjnl.2025.27506","DOIUrl":"10.12927/cjnl.2025.27506","url":null,"abstract":"<p><strong>Introduction: </strong>Black nurses are under-represented in the Canadian nursing workforce. A legacy of discrimination and systemic barriers reinforce the under-representation of Black nurses in the nursing workforce throughout the health system.</p><p><strong>Objective: </strong>The objective of this study was to identify and describe organizational initiatives for the recruitment, retention and advancement of Black nurses in the healthcare system.</p><p><strong>Methods: </strong>We conducted a rapid review of peer-reviewed and grey literature regarding the recruitment, retention and advancement initiatives for Black nurses, in North America and the UK.</p><p><strong>Results: </strong>Thirty-eight sources were included in this review. Majority of the included sources focused on leadership initiatives that described a multi-pronged approach for recruitment, retention or advancement. Examples of useful initiatives included mentorship, dedicated leadership and advancement programs, as well as supportive institutional policies. In addition, several Black nurse-led organizations/initiatives were identified.</p><p><strong>Conclusion: </strong>These findings highlight the importance of multi-pronged approaches to enhance and support the Black nurse workforce. In addition, implementing and evaluating initiatives is critical to understanding how workforce representation and inclusion is strengthened.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 3","pages":"8-29"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044053","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
How Whiteness Shapes Nursing in Canada - What Does the Literature Say? A Rapid Review. 白人如何影响加拿大的护理-文献怎么说？快速回顾。
Nursing leadership (Toronto, Ont.) Pub Date : 2025-06-01 DOI: 10.12927/cjnl.2025.27507
Mandy Walker, Hannah Mahar-Klassen, Bernice Yanful, Carolina Jimenez, Claire Betker
{"title":"How Whiteness Shapes Nursing in Canada - What Does the Literature Say? A Rapid Review.","authors":"Mandy Walker, Hannah Mahar-Klassen, Bernice Yanful, Carolina Jimenez, Claire Betker","doi":"10.12927/cjnl.2025.27507","DOIUrl":"10.12927/cjnl.2025.27507","url":null,"abstract":"<p><p>Globally and nationally, there has been growing understanding and acknowledgment of systemic racism and its impact as a structural determinant of health. The profession of nursing has an obligation to carefully self-examine so it does not further contribute to systemic racism. Using the National Collaborating Centre for Methods and Tools' rapid review methodology, this rapid review of the literature seeks to understand how whiteness shapes the Canadian nursing profession. Findings from literature published between 2017 and 2023 reveal how policies, practices and perspectives uphold whiteness within the Canadian nursing profession. Implications from the literature were grouped into five interconnected themes that provide examples of how leaders within the nursing profession can disrupt whiteness: (1) accountability (through acknowledgment and commitment); (2) policy and procedures; (3) education; (4) leadership and mentorship; and (5) partnerships.</p>","PeriodicalId":520294,"journal":{"name":"Nursing leadership (Toronto, Ont.)","volume":"37 3","pages":"30-44"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143044052","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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