Nurses and allied professionals' engagement in clinical research-in-practice: a statement of the Association of Cardiovascular Nursing & Allied Professions of the European Society of Cardiology.

Many nurses and allied professionals (NAPs) lack the skills, knowledge and confidence to engage in conducting and implementing research. This statement describes the importance of NAPs' involvement in clinical research within the context of cardiovascular care. The existing gaps, barriers and enablers to NAPs involvement in research as a potential response to workforce issues in these professions as well as to contribute to excellence in patient care delivery and associated outcomes are identified.

Combining theory and usability testing to inform optimization and implementation of an online primary care depression management tool.

Background: The 'Ottawa Depression Algorithm' is an evidence-based online tool developed to support primary care professionals care for adults with depression. Uptake of such tools require provider behaviour change. Identifying issues which may impact use of an innovation in routine practice (i.

Impact of the Stigma of Mental Illness: A Descriptive Exploratory Study of Outpatients in a Public Mental Health Hospital in Ghana.

Despite ongoing efforts, persons with mental illness (PWMI) continue to experience stigma and discrimination and with profound negative outcomes. This study examined the psychological and social impact of the stigma attached to mental illness as experienced by out-patients at a public mental health facility. We applied a descriptive exploratory method using a semi-structured interview guide to elicit subjective responses from 12 Outpatient Department members.

Transnational Healthcare Practices Among Migrants: A Concept Analysis.

Aims: To present a conceptual definition of transnational healthcare in the context of migrant older adults.

Design: This article follows the Walker and Avant concept analysis framework to conduct an in-depth analysis of transnational healthcare.

Methods: Databases were searched for scholarly articles using keywords associated with transnational healthcare.

Exploring nurse educators' experiences and perceptions debriefing virtual simulations related to sexual orientation and gender identity: A qualitative study.

Background: Sexual orientation and gender identity (SOGI) impact health, yet healthcare providers often lack the necessary education to address the unique needs of the 2SLGBTQIA+ community. The SOGI Nursing Toolkit was developed to enhance cultural humility among healthcare providers using virtual simulation experiences.

Objective: The purpose of this study was to explore nurse educators' experiences with debriefing virtual simulations related to the SOGI nursing toolkit within nursing education.

A Systematic Review of Multimodal Analgesic Effectiveness on Acute Postoperative Pain After Adult Cardiac Surgery.

Aim: To synthesise the best available empirical evidence about the effectiveness of multimodal analgesics on pain after adult cardiac surgery.

Design: A systematic review with meta-analysis.

Methods: Indexed full-text papers or abstracts, in any language, of randomised controlled trials of adult patients undergoing cardiac surgery investigating multimodal postoperative analgesic regimen effect on mean level of patient-reported pain intensity at rest.

The implementation of infant pain practice change resource to improve infant procedural pain practices: a hybrid type 1 effectiveness-implementation study.

Implementation of infant pain practice change (ImPaC) is a multifaceted web-based resource to support pain practice change in neonatal intensive care unit (NICU). We evaluated the (1) intervention effectiveness and (2) implementation effectiveness of ImPaC using a hybrid type 1 effectiveness-implementation study (ie, cluster randomized controlled trial and longitudinal descriptive study). Eligible level 2 and 3 Canadian NICUs were randomized to intervention (INT) or waitlisted to usual care (UC) for 6 months.

Between cultures and traditions: a qualitative investigation of sexual and reproductive health experiences of immigrant adolescents in Canada.

Immigrant adolescents in Canada face challenges accessing accurate sexual and reproductive health (SRH) information and services. Many challenges stem from taboos associated with SRH, cultural and religious restrictions, and social beliefs regarding the unnecessity of SRH education for adolescents. We explored the SRH experiences of immigrant adolescents in the context of their cultural and religious perspectives.

Exploring the Experiences and Perspectives of new Graduate Nurses on the Push-Pull Factors of Nursing Workforce Crisis Post COVID-19.

Background: The aim of this study is to explore the practice experiences of new graduate nurses (NGNs) in publicly funded acute healthcare settings in the Greater Toronto Area, their perspectives on the determinants of their desire to stay or leave the nursing profession, and to identify action-oriented strategies to promote retention of NGNs.

Design: Qualitative, descriptive.

Methods: Fifteen NGNs participated in focus group sessions, where a semi-structured interview guide was created to generate discussion on NGNs' lived and professional experiences.

The Impact of the COVID-19 Pandemic on the Mental Health of African, Caribbean, and Black (ACB) People in Canada.

The COVID-19 pandemic disproportionately affected African, Caribbean, and Black (ACB) people in Canada. Despite higher SARS-CoV-2 exposure risks, likelihood of being quarantined, and risk of severe disease outcomes, little is known about the pandemic's effects on this community's mental health. This study aims to identify factors associated with changes in ACB Canadians' mental health during the pandemic and provide guidance for improved access to mental health resources.

Building resilience in nursing through strategic policy interventions.

In the context of a global nursing shortage, this paper explores the concept of resilience within the nursing profession, highlighting its implications for practice and policy on an international level. Although resilience is a vital concept for coping with stressors, we argue that placing the burden of resilience on individual nurses may obscure systemic issues that contribute to burnout and attrition. Resilience in nursing is a multifaceted concept that should be examined critically.

Who is helping students? A qualitative analysis of task-shifting and on-campus mental health services in China's university settings.

The mental health of university students is a major concern worldwide. Current literature has highlighted workforce shortage as one of the main barriers for delivering mental health care in China and elsewhere. A common strategy to tackle this shortage involves engaging non-specialist health workers and professionals from non-medical backgrounds in mental health promotion within university settings.

Reported roles of care partners in a specialized weaning centre-perspectives of patients, care partners, and health care providers.

Background: Care partners are individuals chosen by a person with an illness to support their care during hospitalization. Patients with persistent critical illness have longer than average critical care admission and often other conditions including dysphagia, communication vulnerability, severe physical deconditioning, the need for an artificial airway, and difficulty weaning from invasive mechanical ventilation. Family presence has been identified as important for patients experiencing persistent critical illness in specialized weaning centers.

An Evaluation of a Virtual Seminar Series for Doctor of Nursing Students to Promote Advanced Nursing Practice.

Advanced practice nurses (APNs) have been responding to worldwide changing patient comorbidities, inequalities within access to care, and a shortage of primary care physicians. The scope of practice for these nurses has been expanding internationally but varies across different jurisdictions. For a period of time during the COVID-19 pandemic, APN trainees' opportunities to work with international mentors in-person were limited.

Exploring the Life Experiences of Living with Cardiac Arrhythmia Developed During Pregnancy.

Approximately half of all women develop palpitations during pregnancy, with a quarter experiencing arrhythmias. While most presentations are benign, some cases can result in sudden cardiac death or serious symptom development. Considering such clinical presentation, healthcare providers must acquire knowledge in this area to provide comprehensive prenatal, perinatal, and postnatal care.

Emerging Through Adversity: Early Implementation Learnings of Leadership Capacity Supports to Bolster Team Resilience.

The COVID-19 pandemic challenged the health workforce to respond to rapidly changing circumstances that demanded agility and endurance. As we emerged from those early years of the pandemic, we saw the aftermath of fatigue and waning resilience. The support of leaders is fundamental to the success of teams, especially in times of adversity and recovery.

Imposter Syndrome: A Reflective Discourse into the Experiences of Canadian Black Nurses through Art.

Impostor syndrome is a common phenomenon experienced by individuals when entering new ranks in the workplace. Although women experience greater feelings of imposter syndrome than men, Black individuals report a prolonged experience of imposter syndrome when compared to their white counterparts, which negatively impacts their everyday experiences, health, and overall well-being. With growing studies showing the pervasive nature of anti-Black racism on the health of Black people, there remains a paucity of studies showing the connection between anti-Black racism and imposter syndrome.

AI-generated vs. student-crafted assignments and implications for evaluating student work in nursing: an exploratory reflection.

Objectives: Chat Generative Pre-Trained Transformer (ChatGPT) is an artificial intelligence-powered language model that can generate a unique outputs, in reponse to a user's textual request. This has raised concerns related to academic integrity in nursing education as students may use the platform to generate original assignment content. Subsequently, the objective of this quality improvement project were to explore and identify effective strategies that educators can use to discern AI-generated papers from student-written submissions.

Sociodemographic and Health Determinants of Loneliness in Older Immigrants in Canada: A Cross-Sectional Study.

The COVID pandemic brought to light the pressing issues of social isolation and loneliness for older adults. Immigrant older adults' experience of loneliness is even more exacerbated by factors, such as, language barriers, and the loss of cultural community. Key determinants of loneliness in older immigrants are not clear in the literature.

'A void in our community': exploring the complexities of delivering and implementing primary care services for transgender individuals in Northern Ontario.

Aim: To understand how the implementation of primary care services for transgender individuals is undertaken and delivered by practitioners in Northern Ontario.

Background: Northern Ontario, Canada, has a shortage of primary care health practitioners, and of these, there are a limited number providing transgender primary care. Transgender people in Northern Ontario must also negotiate a lack of allied and specialty services related to transgender health and travel over long distances to access those services that do exist.

Navigating Spaces of Belonging: Undergraduate Nursing Students' Experiences in Online Learning Environments.

Aim: The aim of the study was to explore undergraduate nursing students' experiences of belonging while studying online during the COVID-19 pandemic.

Background: The use of online learning platforms increased drastically during the pandemic. Limited research exists on nursing students' experiences of belonging while studying online.

Lung cancer survival by immigrant status: a population-based retrospective cohort study in Ontario, Canada.

Background: Lung cancer is one of the most common cancers and causes of cancer death in Canada. Some previous literature suggests that socioeconomic inequalities in lung cancer screening, treatment and survival may exist. The objective of this study was to compare overall survival for immigrants versus long-term residents of Ontario, Canada among patients diagnosed with lung cancer.

Reported impact and protective factors of the care partner role during persistent critical illness: a content analysis.

Background: Patients with persistent critical illness experience prolonged multi-system morbidity, functional impairments, and chronic conditions. As a result, these patients have prolonged intensive care unit admissions. If discharged, they return home with long-term medical dependencies.