Initiatives to support nursing workforce sustainability: a rapid umbrella review protocol.

Introduction: The COVID-19 pandemic has made long-standing nursing workforce challenges apparent on an international scale. Decision-makers must develop multi-pronged approaches to foster the development and maintenance of a strong nursing workforce to support health systems. These approaches require attendance to recruitment and retention initiatives that show promise for stabilising the nursing workforce now and into the future.

Values Are the Foundation of Leadership Strategies to Catalyze Change.

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.

Scope of practice of primary care nurses: a protocol for an umbrella review of international literature.

Introduction: Primary care nurses (PCNs) are the second largest workforce in primary care and play a critical role in facilitating access to coordinated care and reducing health disparities. There is renewed interest in team-based primary care as a solution for health workforce challenges. Some team models enable PCNs (ie, nurse practitioners, registered nurses, licensed/registered practical nurses) to leverage one another's expertise to work to optimal scope; the extent to which this happens depends on multiple context-dependent factors.

"You do it for the patient": a qualitative analysis of changes to primary care nurses' workplace demands and resources during the COVID-19 pandemic in Canada.

Introduction: Primary care in Canada was an essential component of the COVID-19 pandemic response, as well as continued provision of routine care. Yet, primary care settings were inadequately supported during the pandemic, leaving clinicians feeling vulnerable and overwhelmed. Existing pandemic research has focused on the health workforce broadly or those working in acute care settings.

Data, Advocacy and Policy: A Powerful Trio for Change.

This issue brings us face to face with the leadership challenges we must address to navigate a future that - in many ways - is already here. It begins with a special focus on nursing data standards with a paper focused on one of nursing's longstanding issues - our invisibility in data systems. For that data to matter and be usable for the purposes of organizing, informing and evaluating the nursing workforce and its processes and outcomes, it must be standardized.

Nurses Leading the Way: A Qualitative Study of Nursing Leadership, Innovation and Opportunity in Primary Care During a Public Health Crisis.

Introduction: Nurses in primary care play critical roles during public health crises; however, nursing leadership was underutilized during the COVID-19 response. This study explores nurses' leadership roles during the pandemic and their perspectives on the value of nursing leadership in primary care.

Methodology: We conducted qualitative interviews with 76 nurses across four Canadian regions.

Registered Nurses in Primary Care: Your Time Is Now.

the front door of the healthcare system (Kiran 2022). Defined more than 30 years ago, primary care is a model of healthcare that includes first-contact care, continuity of care, comprehensiveness and coordination (Starfield 1994). For a patient, it is their entry point to the rest of the healthcare system, and ideally, the place where they go to have most of their healthcare needs met by the same provider over time.

Changing primary care capacity in Canada: protocol for a cross-provincial mixed methods study.

Introduction: Despite having more family physicians (FPs) and nurse practitioners (NPs) per capita than ever before in Canada, there is a clear gap between population primary care needs and system capacity. Primary care needs may be shaped by population ageing, increasing clinical and social complexity and growing service intensity. System capacity may be shaped by falling practice volumes, increasing administrative workload, changing clinician demographics and new health system roles (eg, hospitalist and focused practices).

Examining experiences and system impacts of publicly funded episodic virtual care: protocol for a cross-provincial mixed methods study.

Introduction: Health systems are under pressure as one in five Canadians have no regular place for primary care, with many experiencing substantial travel times and delays in accessing care. In the context of these urgent needs, platforms for virtual care offer immediate access to care in 'walk-in' style format, with limited continuity for ongoing health needs or coordination with other health services. We refer to these services as episodic virtual care (EVC), to distinguish them from virtual services offered in longitudinal primary care.

Leveraging context-specific behavioral economic principles to enable patients to change their physical activity patterns.

This study explores how context-specific behavioral economic principles could be employed to tailor interventions to support patients' efforts to modify day-to-day routines. Using adapted geo-ethnography techniques, interviews collected in-depth descriptions about facilitators and barriers to physical activity (PA), and contexts influencing decisions about day-to-day activities. Data were analyzed using the COM-B model for behavior change and MINDSPACE behavioral economic principles as coding frameworks.

Institutions of Care: A Qualitative Study with Ancestral Black Nova Scotian Nurses in Healthcare.

BackgroundAncestral Black Nova Scotian (ABNS) nurses are a culturally distinct group yet, little is known about their experiences. Available literature suggests that ABNS nurses are underrepresented in nursing and that they encounter discrimination throughout the health system. Understanding the experiences of ABNS nurses facilitates addressing antiBlack racism in nursing and healthcare.

Grounded in the Present and Anticipating the Future.

and along with it, the first issue of the () 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.

Nurse Practitioner and Physician Collaboration in the Long-Term Care Setting: Secondary Analysis of a Scoping Review.

Objective: Over the past decade, the role of nurse practitioners (NPs) in long-term care home (LTCH) settings has significantly expanded. Despite this trend, gaps have been identified in the description of collaborative practices between NPs and physicians in the LTCH sector. This study aimed to characterize the elements of collaboration between NPs and physicians in LTCH settings by applying the "Structured Collaborative Practice Core Model.

Transforming community-based primary health care delivery through comprehensive performance measurement and reporting: examining the influence of context.

Background: Community-based primary health care represents various community-based health care (CBPHC) models that incorporate health promotion and community development to deliver first-contact health services. Learning health systems (LHSs) are essential for improving CBPHC in which feedback from relevant stakeholders is used to continuously improve health systems with the goal of achieving population health and health equity. Performance reporting is one way to present data to clinicians and decision makers to facilitate a process of reflection, participation, and collaboration among partners to improve CBPHC.

What Do Genomics, Float Pools and Cardiac Surgery Have in Common? Innovating Nurses.

is the time for new beginnings. This association is definitely related to my work in education and because city sidewalks and country roadsides are suddenly alive with children and their parents and/or guardians, most of them excited, laughing and eager to start a new school year. It is a time steeped in new beginnings and excitement about new possibilities and new innovations.

Nurse practitioner medication abortion providers in Canada: results from a national survey.

Background: In 2017, nurse practitioners (NPs) became the first non-physician healthcare providers authorised to independently provide medication abortion (MA) in Canada. We aimed to report on demographic and clinical characteristics of NPs providing mifepristone/misoprostol MA in Canada and to identify context-specific barriers and enablers to NP provision of mifepristone/misoprostol MA in Canada among MA providers and non-providers.

Methods: From August 2020 to February 2021, we invited Canadian NPs to complete a national, web-based, bilingual (English/French) survey.

Time-Use Sequences: A Mixed-Methods Study Exploring How, When, and Where Spatiotemporal Patterns of Everyday Routines Can Strengthen Public Health Interventions.

Background: Behavior change interventions are critical for the secondary prevention of cardiovascular disease and for reducing the risk of a repeat event or mortality. However, the effectiveness of behavior change interventions is challenged by a lack of spatiotemporal contexts, limiting our understanding of factors that influence the timing and location in which day-to-day activities occur and the maintenance of behavior change. This study explored how behavior change interventions could incorporate spatiotemporal contexts of patient activities for modifying behaviors.

A Qualitative Analysis of the Functions of Primary Care Nurses in COVID-19 Vaccination.

Aim: To describe vaccination roles of primary care nurses during the COVID-19 pandemic in Canada.

Design: This analysis was part of a larger mixed-methods case study.

Methods: We conducted semi-structured qualitative interviews from May 2022 to January 2023 with primary care nurses across four provinces: British Columbia, Ontario, Newfoundland and Labrador, and Nova Scotia.

Parenting pain away: Quasi-experimental study of an eHealth learning platform to evaluate acceptability, feasibility, and utilisation of parent-led pain management.

Aim: To evaluate the impact of an eHealth educational resource about infant procedural pain management, given during the prenatal period, on feasibility, acceptability, knowledge, self-efficacy, and involvement.

Background: Routine health care requires newborns to have painful procedures (e.g.

Factors influencing nurse practitioner panel size in team-based primary care: a qualitative case study.

Background: Lack of access to health care is a worldwide public health crisis. In primary care it has led to increases in the implementation of nurse practitioners and heightened interest in their patient panel capacity. The aim of this study was to examine factors influencing nurse practitioner patient panel size in team-based primary care in Ontario, Canada.

Supporting Nurses to Stay and Find Joy in Boldly Leading Healthcare Improvements.

stretched and overburdened healthcare system continue to widen, the downstream pressures on nurses, nurse practitioners (NPs) and other healthcare providers continue to rise. It is stressful and painful for nurses to witness how the weaknesses in our system impact the lives of patients, families and communities. Nurses are there amid the anger, uncertainty, weariness and fear - providing care around the clock.

What Do We Know About Nurse Practitioner/Physician Care Models in Long-Term Care: Results of a Scoping Review.

Objectives: Due to the rise of the nurse practitioner (NP) role in long-term care settings, it is important to understand the underlying structures and processes that influence NP and physician care models. This scoping review aims to answer the question, "What are the structures, processes, and outcomes of care models involving NPs and physicians in long-term care (LTC) homes?" A secondary aim was to describe the structural enablers and barriers across care models.

Research Design And Methods: Seven databases were searched.

Long-term care home residents' experiences with socially assistive technologies and the effectiveness of these technologies: a mixed methods systematic review.

Objective: The objectives of this review were to determine the effectiveness of socially assistive technologies for improving depression, loneliness, and social interaction among residents of long-term care (LTC) homes, and to explore the experiences of residents of LTC homes with socially assistive technologies.

Introduction: Globally, the number of older adults (≥ 65 years) and the demand for LTC services are expected to increase over the next 30 years. Individuals within this population are at increased risk of experiencing depression, loneliness, and social isolation.