Nursing leadership (Toronto, Ont.)最新文献

Disrespect and burnout are long-standing systemic issues causing nurses to leave the profession at an alarming rate. Human-centred design offers a fresh approach to tackling this challenge and recognizes that the journey to discover what is important to nurses is just as meaningful as the destination. Leveraging "inside/outside" expertise and individuals with advanced training in creative problem solving, nurse leaders are empowered to adopt a beginner's mindset and openly explore the challenge. Leading with empathy and engaging with authenticity allows for a deeper understanding of the problem. This understanding opens a path to co-design solutions that enhance nurses' feelings of respect.

Genomics is having a profound impact on every aspect of healthcare. To support nurses to develop genomic literacy and integrate genomics into care, an engagement framework was created. The framework uses principles of nursing intraprofessional collaboration, the knowledge-to-action cycle and the diffusion of innovations theory. This framework was used to identify six key priorities for action and leadership strategies to accelerate and sustain the nurses' engagement with genomics. With leadership and genomic literacy, nurses can fully participate in the creation and implementation of new care pathways, deliver education, advance research linked to genomics and improve patient experience and health outcomes.

Lee and Wojtiuk (2021) initiated the discussion on integrating internationally educated nurses (IENs) into the Canadian nursing workforce in a commentary published in the Canadian Journal of Nursing Leadership (Volume 34, Issue 4, 2021). In this letter, we seek to further expand the discussion on bureaucratic barriers that delay or discourage IENs from transitioning into the Canadian nursing workforce.

Based around an interview with nurse-turned-mayor Gracia Kasoki Katahwa, the authors present a teaching case study of nurses' political agency. The experience of Mayor Katahwa within nursing and in politics allows the authors to bridge systemic issues with lived experience. The article offers unique insights into political agency and how it can be developed in nurses.

In this issue of the Canadian Journal of Nursing Leadership (CJNL), we are pleased to offer a range of articles and perspectives including a leadership profile, a letter to the editor, research-focused articles and invited commentaries. The unifying thread through all of them is the complex maze of challenges and opportunities facing the nursing workforce. This complexity is created by many factors in Canada and around the globe. To be sure, the COVID-19 pandemic is one of them but its effect has not been to create - but rather to accelerate and intensify the impacts of issues that have plagued nursing for decades. There are no easy solutions to what are longstanding challenges; however, that is not a justification for inaction. Improvements to the experiences of nurses in their workplaces is a responsibility we all need to own, beginning with how we treat one another.

Nursing is a global profession, and the COVID-19 pandemic has illustrated just how interconnected and interdependent nursing and health systems are across jurisdictions. The International Council of Nurses (ICN) is a federation of more than 130 national nursing associations and serves as a key policy voice at the global level. Every two years, their congress brings together thousands of nurses and stakeholders to share and disseminate knowledge. Although Canadian presence has historically been strong in these global fora, there is a lack of literature that focuses on discussing the implications of these global discussions on Canadian nurses' policy and advocacy engagement. In this article, we provide a framework of key policy themes as observed during the ICN's 2021 virtual congress. We discuss how these global policy themes align with Canadian nursing, health and public policy priorities and conclude with questions to guide nurses in embedding a global perspective into their research, policy, education and practice initiatives.

Current research demonstrates that nurses still feel disrespected, particularly in the context of such an abundance of policy work and dialogue, emphasizing the importance of respect and the need for change. As Almost and Mildon (2022) note, specific recommendations such as baccalaureate entry to practice, leadership training and the publication of best practice guidelines have been implemented in abundance, further solidifying a feeling of futility. Adding my own experiences as a registered nurse, a nurse practitioner and now a nursing leader continually insisting on recognition of my education, worth and value further proves that our collective work to date has unfortunately not been enough.

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. Based on nurses' voices, meaningful respect starts with nurse leaders and administrators recognizing nurses' education, knowledge, values and experience; seeking and listening to nurses' voices and input on decisions affecting nursing; and striving for quality practice environments with reasonable workloads, adequate supplies and resources. While long-term planning must take place to correct this, there is no easy fix and no single strategy to turn the situation around quickly. Short-term strategies to relieve nurses' feelings of disrespect are a good place to start to retain nurses and stop the bleeding. It is time to work with all the nurses to find ground-level strategies to assure a sustainable and healthy nursing workforce for today and tomorrow. In this paper, the authors provide an overview of the meaning of respect both generally and from the nurses' perspective using the literature from the past 20 years. The authors then outline several implications for nurse leaders and administrators that are relevant today.