Opioid deprescribing in long-term care in Ontario: A comparison of resident and facility characteristics.

Residents of long-term care (LTC) homes have potentially painful conditions and are prescribed opioids to manage their pain, despite the risks associated with the use of these high-risk medications. Therefore, the overall aim of this study was to describe the associations between resident and facility characteristics of residents prescribed long-term opioid therapy and those who remained on opioids or had opioids deprescribed. We conducted a retrospective cohort study utilizing health administrative databases housed within ICES.

Understanding organ donation processes and structures in ontario: A social network analysis approach.

Background: Transplant rates in Ontario rose steeply in the decade prior to the COVID-19 pandemic. Reasons for that increase remain unclear, but the inter-organizational arrangement of organ donation programs may have contributed. However, there is a paucity of literature investigating these inter-organizational arrangements, with a limited understanding of how communication facilitates organ donation.

R-E-S-P-E-C-T: A Key to Nurse Retention.

In Canada, nurses have known about the chronic shortage of nurses for years; the pandemic has just opened the floodgates. For the authors, the current nursing crisis and the accompanying response have led to flashbacks of the early 2000s, when extensive advocacy work took place to prevent a looming nursing crisis. In the key reports reviewed in this paper, the statement "lack of respect for nursing" has echoed over and over and over again and continues to be heard today throughout social media.

New Nurses' Perceptions on Transition to Practice: A Thematic Analysis.

Background: New nurses' transition to the workforce is often described as challenging and stressful. Concerns over this transition to practice are well documented, with the hypothesis that transition experiences influence the retention of new nurses in the workforce and profession.

Methods: In a cross-sectional survey ( = 217) to assess new nurse transition in the province of Ontario, Canada, an open-ended item was included to solicit specific examples of the transition experience.

In Pursuit of a More Unified Nursing Voice.

While nursing is a profession built on collaborative relationships, a lack of unity and historically disparate power structures have become entrenched within the profession during our long history. We are still having many of the same conversations today about the state of the profession as we were 30 years ago. If we want nurses graduating today to enjoy vibrant careers that will see them holding different sorts of conversations about the profession in 2040, then a blueprint for action to optimize intraprofessional practice is required.

Measuring Scope of Practice Enactment Among Primary Care Registered Nurses.

Background: Scope of practice enactment is poorly understood in the primary care setting.

Purpose: The following research objectives were addressed: (1) to revise and adapt the Actual Scope of Practice (ASCOP) questionnaire for use in the primary care setting, and (2) to determine internal consistency, construct validity, and sensitivity of the modified instrument.

Methods: To address the first objective, a narrative literature review and synthesis and an expert panel review was conducted.

Introduction: Creating Effective Ways to Support Nurses' Mental Health during COVID-19.

Unprecedented is one of the words that has been most frequently heard during the COVID-19 pandemic. We read daily about the ongoing challenges nurses and nurse leaders face in ways that one could not have imagined 15 months ago. With each wave of rising COVID-19 cases, we are reminded of the toll that this pandemic is having on nurses.

Acknowledging the Hidden Tsunami.

It is time to acknowledge what has been hidden inside Canada's healthcare system for decades but has become more visible during the COVID-19 pandemic: widespread stress, mental health problems and burnout in the nursing workforce. For the past 20+ years, repeated concerns about the mental health of nurses in Canada have been raised within many national reports, yet the rates have continued to rise.

COVID-19-Related Occupational Burnout and Moral Distress among Nurses: A Rapid Scoping Review.

Background: The COVID-19 pandemic is placing unprecedented pressure on a nursing workforce that is already under considerable mental strain due to an overloaded system. Convergent evidence from the current and previous pandemics indicates that nurses experience the highest levels of psychological distress compared with other health professionals. Nurse leaders face particular challenges in mitigating risk and supporting nursing staff to negotiate moral distress and fatigue during large-scale, sustained crises.

Defining Quality Criteria for Success in Organ Donation Programs: A Scoping Review.

Background: Well-established performance measures for organ donation programs do not fully address the complexity and multifactorial nature of organ donation programs such as the influence of relationships and organizational attributes.

Objective: To synthesize the current evidence on key organizational attributes and processes of international organ donation programs associated with successful outcomes and to generate a framework to categorize those attributes.

Design: Scoping Review using a mixed methods approach for data extraction.

A longitudinal, narrative study of professional socialisation among health students.

Purpose: Interprofessional collaboration (IPC) among health professionals is well-recognised to enhance care delivery and patient outcomes. Emerging evidence suggests that the early socialisation of students in health professional programmes to teamwork may have a positive impact on their future as collaborative practitioners. With a purpose of contributing to growing evidence on the processes of professional identity construction, and to explore how early expectations and perceptions of IPC develop during professional socialisation and pre-licensure education, our study examined the early professional socialisation experiences among five groups of health professional students.

Burnout and compassion fatigue among organ and tissue donation coordinators: a scoping review.

Objectives: To collate and synthesise available literature on burnout and compassion fatigue (CF) among organ and tissue donation coordinators (OTDCs) and to respond to the research question: what is known about burnout and CF among OTDCs worldwide?

Design: Scoping review using Joanna Briggs Institute methodology for scoping reviews.

Data Sources: Medline, EMBASE, PsycINFO, CINAHL, LILACS, PTSpubs and grey literature (ResearchGate, OpenGrey, Organ Donation Organization (ODO) websites, open access theses and dissertations) up to April 2020.

Study Selection: Studies reporting aspects of burnout and CF among OTDCs, including risk and protective factors.

The Impact of COVID-19 within Academic Settings: A High-Speed Pivot.

In a high-speed pivot never seen before in post-secondary education in Canada, the COVID-19 pandemic upended every facet of academia. Almost overnight the system transitioned to remote teaching, empty campuses and research stoppages. Nursing school administrators were asked to make hundreds of decisions daily to ensure the safety of students, faculty and staff while maintaining education standards.

New Registered Nurse Transition to the Workforce and Intention to Leave: Testing a Theoretical Model.

Background: The transition of new nurses into practice has been identified as challenging, and new nurses report having intentions to leave (ITL) jobs. Concerns of ITL are worrisome for the nursing profession, especially when faced with the need to replace an aging nursing workforce and to maintain quality patient care.

Purpose: Guided by components of Meleis et al.

Burnout and compassion fatigue among organ donation coordinators: a scoping review protocol.

Objective: The objective of this review is to develop a comprehensive description of burnout and compassion fatigue, including risk/protective factors, among organ and tissue donation coordinators worldwide.

Introduction: Research on turnover rates among organ and tissue donation coordinators has shown that job tenure generally lasts less than three years, a possible consequence of burnout and compassion fatigue. Increased turnover rates of organ and tissue donation coordinators have significant impact on the ability of ODOs to optimize organ donation.

Building Research Capacity in Nursing Academia in 2020: Is the Road Less Perilous?

Background: Building research capacity in nursing academic units continues to be a challenge. There are a number of external contextual factors and internal factors that influence individual faculty as well as the collective to engage successfully in research.

Purpose: The overall aim of this opinion article is to provide an overview of the current external and internal, processes and structures, relevant to capacity of nursing faculty to engage in research.

The Role of Nursing Leadership in Ensuring a Healthy Workforce in Corrections.

In Canada, responsibility for corrections is divided between federal, provincial and territorial governments, with nurses being the largest group of healthcare professionals working in correctional institutions (penitentiaries, jails, prisons, correctional centres and secure correctional treatment centres) across the country. Correctional institutions are among the most challenging workplace settings for nurses, as they face competing tensions between the provision of quality care and strict security requirements for safety. They also experience unique workforce issues with high reports of burnout and emotional exhaustion.

Leading Indicators in Occupational Health and Safety Management Systems in Healthcare: A Quasi-Experimental Longitudinal Study.

Objective: To evaluate the feasibility of implementing interventions guided by six leading indicators, and the effectiveness of these interventions on improving employee's perception of their organization's health and safety climate.

Method: A quasi-experimental longitudinal design was used in two hospitals. Occupational health and safety management systems (OHSMS) were assessed using the Leading Indicator Assessment Tool.

Physiotherapy: an active, transformational, and authentic career choice.

: This paper arises from a larger study exploring early professional socialization across five professions: physiotherapy, nursing; dentistry; pharmacy; and medicine. : To explore the process of physiotherapy student professional identity development and the evolution of expectations and views of interprofessional practice in the first year of their program. : One-on-one interviews at three time points: after being accepted into the physiotherapy program and before classes began (T1; n = 12); after term one (T2; n=9) and on completion of year one (T3; n = 7).

The Acceptability and Feasibility of Implementing an Online Educational Intervention With Nurses in a Provincial Prison Context.

Background: Correctional nursing requires a strong knowledge base with access to continuing education (CE) to maintain and enhance competencies. Nurses working in provincial prisons have reported many challenges in accessing CE, with online learning being identified as a potential solution. Limited research was found, however, which examined the correctional context in the development and delivery of online learning for nurses.

Fostering positive spaces in public health using a cultural humility approach.

Culturally competent frameworks used within health care systems are contributing to the discrimination and marginalization of sexually and/or gender diverse persons. In this discursive paper, we argue that cultural humility ought to be implemented as the best practice approach for fostering sexually and gender diverse positive spaces in public health settings. A paradigm shift away from cultural competence frameworks toward cultural humility is necessary.

A study of leading indicators for occupational health and safety management systems in healthcare.

Background: In Ontario, Canada, approximately $2.5 billion is spent yearly on occupational injuries in the healthcare sector. The healthcare sector has been ranked second highest for lost-time injury rates among 16 Ontario sectors since 2009 with female healthcare workers ranked the highest among all occupations for lost-time claims.

Clinical interventions, implementation interventions, and the potential greyness in between -a discussion paper.

Background: There is increasing awareness that regardless of the proven value of clinical interventions, the use of effective strategies to implement such interventions into clinical practice is necessary to ensure that patients receive the benefits. However, there is often confusion between what is the clinical intervention and what is the implementation intervention. This may be caused by a lack of conceptual clarity between 'intervention' and 'implementation', yet at other times by ambiguity in application.

Medication Knowledge Among Older Adults Admitted to Home Care in Ontario During 2012-2013.

Background: Medication use among Canadian seniors is widespread and increases with the number of comorbidities. Limited evidence exists on medication knowledge among seniors, especially in home care.

Purpose: The purpose of this retrospective cohort study was to describe medication knowledge and ability to take medication among seniors admitted to home care in Ontario.