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Organ and Tissue Donation Coordinators (OTDCs) are healthcare professionals who manage deceased organ donation cases. This study investigated the experiences and perceptions of OTDCs, pertaining to compassion fatigue, burnout, and resilience as it relates to their daily work. A qualitative descriptive study was undertaken using semi-structured interviews conducted with a convenience sample of OTDCs. A Canadian Organ Donation Organization. Seven out of the ten OTDCs contacted participated in this study. Coordinators all agreed that they work in a high-pressure and demanding environment and the constant exposure to work-related stress and grief has resulted in the majority of them experiencing signs and symptoms of burnout and compassion fatigue occurring throughout their career. Participants described that the emotional toll of work-related stressors and difficult cases led them to use a variety of defence strategies to protect and support their well-being. They also recognised that more strategies to help mitigate work-related stressors and to prevent burnout and compassion fatigue are needed and that management and institutions should lead the development of such interventions. Our results describe how coordinators’ mental health is affected by their daily work. Further research is needed to comprehensively examine these work-related stressors and to generate additional data to support the development of interventions to mitigate burnout and compassion fatigue among OTDCs.

Highly Educated Internationally Educated Nurses (HE IENs) face unique challenges when transitioning into Canadian nursing practice. Despite their advanced qualifications, they often encounter systemic barriers, including credential recognition issues, licensing complexities, cultural adaptation, and discrimination. To explore the lived experiences of HE IENs transitioning to practice in Canada, identify key challenges and facilitators, and offer recommendations to support their integration and retention. HE IENs were recruited through purposive and snowball sampling. Data was collected via semi-structured narrative interviews and analyzed using Deductive Qualitative Analysis (DQA), which combines deductive and inductive coding. 14 participants shared that graduate education was both an asset and a barrier. While it enhanced confidence and academic preparedness, it was often undervalued by employers and regulatory bodies. Participants reported being labelled \"overqualified,\" facing opaque licensing processes, and experiencing racism and cultural exclusion. Many concealed their credentials to access employment or pursued Canadian degrees to gain legitimacy. Facilitators included peer networks, bridging programs, and personal resilience. Despite systemic challenges, participants remained committed to their profession and demonstrated adaptability and advocacy. HE IENs bring valuable expertise but face significant integration barriers in Canada. Their experiences highlight the need for inclusive, transparent systems that recognize international credentials and support equitable workforce participation. Tailored strategies-such as mentorship, centralized information platforms, credential recognition, and alternative registration pathways-are essential to improve HE IENs' integration and retention.

ObjectivesTo 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?DesignScoping review using Joanna Briggs Institute methodology for scoping reviews.Data sourcesMedline, 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 selectionStudies reporting aspects of burnout and CF among OTDCs, including risk and protective factors.Data extractionTwo reviewers independently screened the studies for eligibility and extracted data from chosen sources using a data extraction tool developed for this study; NVIVO was used to perform a qualitative directed content analysis.ResultsThe searches yielded 741 potentially relevant records, of which 29 met the inclusion criteria. The majority of articles were from the USA (n=7, 24%), Canada (n=6, 21%) and Brazil (n=6, 21%), published between 2013 and 2020 (n=13, 45%) in transplant journals (n=11, 38%) and used a qualitative design approach (n=12, 41%). In the thematic analysis, we classified the articles into five categories: (1) burnout characteristics, (2) CF characteristics, (3) coping strategies, (4) protective factors and (5) ambivalence.ConclusionWe identified aspects of burnout and CF among OTDCs, including defining characteristics, demographic predispositions, protective factors, coping strategies, precursors, consequences and personal ambivalences. Researchers described burnout and CF characteristics but did not use consistent terms when referring to CF and burnout, which may have hindered the identification of all relevant sources. This gap should be addressed by the application of consistent terminology, systematic approaches and appropriate research methods that combine quantitative and qualitative investigation to examine the underlying reasons for the development of burnout and CF among OTDCs.

Objetivo: evidenciar as populações-chave ao vírus da imunodeficiência humana abordadas em estudos científicos de enfermagem. Método: revisão integrativa da literatura realizada nas bibliotecas National Library of Medicine, National Institutes of Health, Scientific Electronic Library Online e Biblioteca Virtual de Saúde; nas bases de dados Embase, Cummulative Index to Nursing and Allied Health Literature, Scopus, Web of Science e Literatura Latino-Americana e do Caribe em Ciências da Saúde. Resultados: identificados 1.059 artigos, dos quais 18 foram incluídos. Os achados foram agrupados conforme as dimensões da vulnerabilidade (individual, social e programática). Conclusão: o papel da enfermagem diante das dimensões individuais, sociais e programáticas da vulnerabilidade, foi importante para identificar as especificidades dessas populações e para a compreensão dos aspectos que tornam estes indivíduos vulnerabilizados ao HIV/aids. Verifica-se a intervenção direta da enfermagem por meio de ações de promoção e prevenção de modo a contribuir para as boas práticas de cuidado.

Objetivo: Analisar as contribuições da sistematização da assistência de enfermagem (SAE) no cuidado prestado ao paciente com Insuficiência Renal Crônica, identificando os principais diagnósticos de enfermagem encontrados. Método: foi realizado uma revisão integrativa de literatura, nas bases/bibliotecas de dados MEDLINE, LILACS, SciELO e BDENF. Seguindo a metodologia composta por seis etapas, proposta por Lawrence H. Ganong. Resultados: obteve-se 15 artigos que compuseram na integra esta pesquisa. Os quais destacaram que a SAE é um instrumento de importância fundamentada nos estudos, que impacta de maneira direta na segurança do paciente. Trazendo ainda como principais diagnósticos de enfermagem: Risco de infecção, intolerância a atividade, risco de perfusão renal ineficaz e padrão de sono alterado. Conclusão:apesar da importância destacada da SAE, de maneira controvérsia, os trabalhadores não possuem conhecimento suficiente e não demandam de pessoal o suficiente para exercer a de maneira adequada nos serviços de nefrologia, devido à sobrecarga de trabalho

To map and characterize, systematically, the volume, scope and distribution of systematic review evidence on virtual clinical simulation in healthcare education, describing the educational outcomes assessed, the contexts and modalities where virtual simulations have been implemented and the main evidence gaps identified. Virtual clinical simulations are increasingly used to support healthcare education and training. However, existing evidence on their effectiveness remains fragmented, with variations in methodological quality and scope. Evidence and Gap Map (EGM) following Campbell Collaboration Guidance. A systematic search was conducted across nine databases and two gray literature sources. Eligible studies included systematic reviews examining healthcare professionals or students using virtual simulations. Data were extracted using the PICOS framework and reviewed independently by two researchers. Methodological quality was assessed using AMSTAR-2 and confidence in findings was appraised using CERQual. A total of 118 reviews met inclusion criteria: 91 systematic, 25 scoping and 2 umbrella reviews. Most were published within the past four years and originated from high-income countries. We identified seven categories across the results: (1) Learning and Knowledge Acquisition; (2) User Perception; (3) Development of Technical Skills; (4) Simulation Performance; (5) Development of Practical Skills; (6) Transfer to Real Clinical Practice; and (7) Program Effectiveness. More than half of the systematic reviews were rated as low or critically low quality, with only 10 % achieving high methodological rigour. Virtual clinical simulations demonstrate potential to enhance learning outcomes in healthcare education. However, evidence is limited by uneven methodological quality, concentration in high-income settings and a lack of research on emerging technologies and long-term educational impacts. Future high-quality, comparative studies are needed to strengthen the evidence base.

Virtual simulation (VS) is an innovative and engaging knowledge translation strategy that can improve healthcare providers' knowledge and skills; however, there is known literature published related to the use of simulation to improve cancer survivorship care. In this paper, we describe our experience of developing a VS to educate primary health care professionals about sexual health disturbances among breast cancer survivors. Based on literature in other contexts, this VS may help increase health professionals' knowledge and skills needed to assist breast cancer survivors with sexual health concerns. Our VS experience can be used to guide other researchers planning to develop similar interventions in the future.