Nursing

The Impact of the COVID-19 Pandemic on Black People in Toronto: Informing Public Health Nurses on What They Can Do: A Scoping Review by Fitzroy H. Thompson MScN, explores Black people in low-income neighbourhoods being at increased risk of COVID-19 infection and death due to longstanding health inequity. The research consisted of white and grey literature from Canada between March 2020 and November 2022 using the Social Determinants of Health (SDH) framework. Falk-Rafael's Critical Caring Theory (CCT) guides the critical review of the research collected from the systematic search (Butcher, 2022). The SDH plays a vital role in health outcomes for Black people's access to optimal health services. Community nursing practice can optimize COVID-19 research to advocate for structural interventions tailored to improve SDH access and develop solutions to address needs for policy evolution. The findings act as the foundation for a systematic review and a scholarly synthesis of the evidence on the research question, which would further contribute to the enhancement of nursing care for Black people in low-income neighbourhoods.

Author Keywords: Black people, COVID-19, public health, race, racism, social determinants of health

Nurses have a vital role in counselling their patients towards healthier living. However, nurses tend to have poor metabolic health that may be influenced by lifestyle. Whether this begins during their nursing education is poorly understood. Undergraduate nursing (n=42) and biology (n=15) students had their metabolic health assessed through body measurements, fasting blood glucose and lipids. Lifestyle factors of physical activity, nutrition, stress, and sleep were assessed using questionnaires, accelerometry, diet logs, and heart rate variability. At an individual level, 31.0% of nursing students are at-risk of poor metabolic health. Results suggest that nursing students are sedentary, obtaining poor sleep quality, consuming elevated amounts of saturated fat, and perceiving themselves to be under mild stress. The implementation of lifestyle interventions should be considered for this cohort. However, few differences were found between nursing and biology groups, indicating that the results are potentially generalizable to a larger group of undergraduate students.

Author Keywords: metabolic health, nursing students, nutrition, physical activity, psychological stress, sleep quality

The transition from student to newly graduated nurse (NGN) can be a period filled with significant stress and uncertainty as NGNs are required to develop and refine practical skills, learn to work with interdisciplinary team members, and adjust to their new professional identity. Clinical externships provide students an opportunity to work alongside nurses as unregulated healthcare workers in hospitals. This study explored how NGNs felt their participation in a clinical extern program influenced their transition from student to nurse. Interpretive description (ID) guided the research of this study and produced a qualitative description of the experiences from a sample of eight NGNs working in Ontario.Three main themes emerged from the data collection: developing self-efficacy, developing a professional identity, and being on the inside. Implications from this study address the need for research on how clinical externships influence transition to practice and the continuation and development of such programs.

Author Keywords: clinical extern, externships, newly graduated nurse, novice nurse, transition, transition to practice

The significance of nursing retention in today's healthcare system is more prominent than ever before. The purpose of this study was to answer the question: What do Registered Nurses understand about their intention to stay at Ontario rural hospitals? A qualitative descriptive phenomenological approach was used to conduct this study. Ten Registered Nurses from rural hospitals were interviewed regarding their experiences working in rural hospitals. Seven themes were developed including: Sense of Community, Pride and Identity, Weight of Responsibility, Feeling Alone, Questioning Commitment, Rural Reality, and Feeling Misunderstood. Participants shared that their nursing co-workers were the reason they continued to stay working in their rural hospitals, with the essence of the themes being we are there for each other. The findings of this study can be used to influence nursing practice, nursing education, healthcare leaders, and areas of future research.

Author Keywords: Nurses, Retention, Rural