Evidence map›Paper›PMID 42820484›Full record

ArticleJournal of nursing management2026

A Complexity-Informed Phenomenologic Study of Canadian Academic Nursing Leadership: Leading Through the Pandemic With Lessons Learned for Managing Future Crises.

Lillie Lum, Liza L S Choi

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Lillie LumSchool of Nursing, York University, Toronto, Ontario, M3J 1P3, Canada, yorku.ca.ORCID https://orcid.org/0009-0001-5860-5104
Liza L S ChoiSchool of Nursing, Mount Royal University, Calgary, Alberta, T3E 6K6, Canada, mtroyal.ca.ORCID https://orcid.org/0000-0002-9954-1362

Funding

Mount Royal UniversityYork University
6 · The paper itself

Abstract

backgroundThe leadership challenges in the Canadian healthcare system became more complex during the global pandemic. Major disruptions in nursing education programs occurred simultaneously, creating an acute adaptive crisis. Academic nursing leaders were required to respond to rapidly changing public health directives and institutional policies while ensuring the safety and continuity of their nursing program.

aimThe purpose of this qualitative study was to explore higher education nursing leadership experiences, including leader styles, interactions, risk management, decision-making, changes to education programs, daily operations, and team dynamics.

methodsThe study used an interpretative phenomenologically informed design, which was informed by complexity leadership theory. Semistructured, in-depth interviews were conducted with 20 academic nursing leaders across Canada. Recruitment and data collection occurred from spring 2023 to fall 2024 during the final phases of the COVID pandemic. Interviews were recorded, transcribed, and analyzed following the principles of content analysis.

resultsContent analysis of the 20 interviews revealed three main themes: maintaining quality nursing education programs; administrative decision challenges; and communication during a crisis.

conclusionsStudy findings provide insights into the often invisible work of academic nursing leaders navigating the intersection of educational continuity, regulatory requirements, student progression, faculty workload, clinical placement disruption, institutional policy, and public health directives. Ensuring effective organizational adaptation was the major focus of complexity nursing leadership. In preparation for potential future crises, succession planning and preparation of future leaders are a priority.

Indexed as

COVID-19LeadershipNurse AdministratorsAcademiaCanadaHumansPandemicsQualitative Researchcomplexity nursing leadershipCOVID-19 pandemiccrisis managementuniversity nursing education

Identifiers

PMID42820484
PMCPMC13629293

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.