Organizational and Institutional Initiatives for the Recruitment, Retention, and Advancement of Black Nurses in the Canadian Healthcare System: A Rapid Review Protocol


  • Keisha Jefferies Research, Innovation & Discovery, Nova Scotia Health, Halifax, Nova Scotia, Canada
  • Andrea Carson Research, Innovation & Discovery, Nova Scotia Health, Halifax, Nova Scotia, Canada
  • Meaghan Sim Research, Innovation & Discovery, Nova Scotia Health, Halifax, Nova Scotia, Canada
  • Leah Boulos Research, Innovation & Discovery, Nova Scotia Health, Halifax, Nova Scotia, Canada
  • Tara Sampalli Research, Innovation & Discovery, Nova Scotia Health, Halifax, Nova Scotia, Canada
  • Gail Tomblin Murphy Research, Innovation & Discovery, Nova Scotia Health, Halifax, Nova Scotia, Canada



African Descent, Black, Canada, Nursing, Healthcare, Workforce


Introduction: In response to protests for racial justice, several organizations and institutions have made public declarations denouncing anti-Black racism. One prominent sector emphasizing their commitment to addressing anti-Black racism is health care—more specifically, nursing. To address anti-Black racism, many Canadian organizations and institutions have announced initiatives to recruit, retain, and support the advancement of Black nurses. Our team is interested in charting these initiatives to inform future policy and program decisions related to the recruitment, retention, and advancement of Black nurses. Objective: The objective of this review is to identify and chart evidence of organizational and institutional initiatives related to the recruitment, retention, and advancement of Black nurses in Canada. Inclusion criteria: This rapid review will include sources focused on Black nurses in Canada. Further, this review is focused on the organizational or institutional initiatives that support or facilitate aspects of recruitment, retention, or advancement of Black nurses in the workforce in Canada. Methods: A comprehensive search, developed in collaboration with a library scientist, will be used to locate peer-reviewed and grey literature from select databases and repositories. Databases will be searched from time of inception, and language will be restricted to English and French sources. Title and abstract screening as well as full-text review will each be completed by two independent reviewers. Sources will be included if they meet the inclusion criteria for the population, concept, and context. Data will be extracted by two reviewers using an extraction tool. Data will be reviewed and consolidated before being presented narratively and visually.

Protocol Registration: The protocol has been registered with Open Science Framework (OSF) on March 1st, 2023.


Almost, J. (2021, February). Regulated nursing in Canada: The landscape in 2021. Canadian Nurses Association. /2f975e7e-4a40-45ca-863c-5ebf0a138d5e/UploadedImages/documents/Regulated-Nursing-in-Canada_e_Copy.pdf

Ayiku, L., Levay, P., Hudson, T., Craven, J., Barrett, E., Finnegan, A., & Adams, R. (2017). The MEDLINE UK filter: Development and validation of a geographic search filter to retrieve research about the UK from OVID MEDLINE. Health Information and Libraries Journal, 34(3), 200–216.

Canadian Nurses Association. (2009, January). Sustaining the workforce by embracing diversity [Policy brief].

Cénat, J. M. (2022). Who is Black? The urgency of accurately defining the Black population when conducting health research in Canada. CMAJ, 194(27), E948–E949.

Cheung, A., Popoff, E., & Szabo, S. (2020). Using text-mining to develop a US-specific geographic search filter to facilitate systematic reviews in Ovid MEDLINE. Cochrane Database of Systematic Reviews, 2020(9, Suppl 1), 319. https://

Covell, C. L., & Rolle Sands, S. (2020). Does being a visible minority matter? Predictors of internationally educated nurses‘ workplace integration. Canadian Journal of Nursing Research, 53(4), 366–375. 10.1177/0844562120939795

Egbedeyi, O., El-Hadi, H., Madzima, T. R., Semalulu, T., Tunde-Byass, M., & Swaleh, R. (2022). Assessing the need for Black mentorship within residency training in Canada. CMAJ, 194(42), E1455–E1459.

Etowa, J. B., Sethi, S., & Thompson-Isherwood, R. (2009). The substantive theory of surviving on the margin of a profession. Nursing Science Quarterly, 22(2), 174–181. /0894318409332781

Flynn, K. (2011). Moving beyond borders: A history of Black Canadian and Caribbean women in the diaspora. University of Toronto Press.

Ganann, R., Ciliska, D, & Thomas, H. (2010). Expediting systematic reviews: Methods and implications of rapid reviews. Implementation Science, 5, Article 56.

Jefferies, K., Martin-Misener, R., Tomblin Murphy, G., Gahagan, J., & Thomas Bernard, W. (2022). African Nova Scotian nurses‘ perception and experiences of leadership: A qualitative study informed by Black feminist theory. CMAJ, 194(42), 1437–1447.

Jefferies, K., States, C., MacLennan, V., Helwig, M., Gahagan, J., Thomas Bernard, W., Macdonald, M., Tomblin Murphy, G., & Martin-Misener, R. (2022). Black nurses in the nursing profession in Canada: A scoping review. International Journal for Equity in Health, 21, Article 102.

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., ”¦ Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71.

Patrick, K. (2022). A focus on the health of Black people and anti-Black racism in health care in Canada. CMAJ, 194(41), E1420–E1421. /10.1503/cmaj.221501

Premji, S., & Etowa, J. B. (2014). Workforce utilization of visible and linguistic minorities in Canadian nursing. Journal of Nursing Management, 22(1), 80–88.

Salami, B., Idi, Y., Anyieth, Y., Cyuzuzo, L., Denga, B., Alaazi, D., & Okeke-Ihejirika, P. (2022). Factors that contribute to the mental health of Black youth. CMAJ, 194(41), E1404–E1410.

Tomblin Murphy, G., Birch, S., MacKenzie, A., Alder, R., Lethbridge, L., & Little, L. (2012). Eliminating the shortage of registered nurses in Canada: An exercise in applied needs-based planning. Health Policy, 105(2–3), 192–202. /j.healthpol.2011.11.009

Tomblin Murphy, G., Sampalli, T., Bourque Bearskin, L., Chasen, N., Cummings, G., Rose, A. E., Etowa, J., Grinspun, D., Jones, E. W., Lavoie-Tremblay, M., MacMillan, K., MacQuarrie, C., Martin-Misener, R., Oulton, J., Ricciardelli, R., Silas, L., Thorne, S., & Villeneuve, M. (2022, May). Investing in Canada‘s nursing workforce post-pandemic: A call to action [Policy brief]. Royal Society of Canada. /Nursing%20PB_EN.pdf

Tricco, A. C., Langlois, E. V., & Straus, S. E. (Eds.). (2017). Rapid reviews to strengthen health policy and systems: A practical guide. World Health Organization.

Williams, D. R., Lawrence, J. A., & Davis, B. A. (2019). Racism and health: Evidence and needed research. Annual Review of Public Health, 40, 105–125.