{"title":"(Re)positionner la recherche infirmière : un appel à l'action pour la décennie 2020","authors":"Hélène Salette","doi":"10.31770/2561-7516.1086","DOIUrl":"https://doi.org/10.31770/2561-7516.1086","url":null,"abstract":"","PeriodicalId":184801,"journal":{"name":"Science of Nursing and Health Practices - Science infirmière et pratiques en santé","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116731486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marie-Eve Poitras, Isabelle Godbout, V. T. Vaillancourt, Béatrice Débarges, Annie Poirier, K. Prevost, Claude Spence
Recommended Citation Poitras, Marie-Eve; Godbout, Isabelle; T Vaillancourt, Vanessa; Débarges, Béatrice; Poirier, Annie; Prévost, Karina; and Spence, Claude (2020) "Step-by-step Strategies for an Integrated Patient-Oriented Research: Lessons Learned from a Multicentered Study," Science of Nursing and Health Practices Science infirmière et pratiques en santé: Vol. 3 : Iss. 2 , Article 3. Available at: https://doi.org/10.31770/2561-7516.1068
{"title":"Step-by-step Strategies for an Integrated Patient-Oriented Research: Lessons Learned from a Multicentered Study","authors":"Marie-Eve Poitras, Isabelle Godbout, V. T. Vaillancourt, Béatrice Débarges, Annie Poirier, K. Prevost, Claude Spence","doi":"10.31770/2561-7516.1068","DOIUrl":"https://doi.org/10.31770/2561-7516.1068","url":null,"abstract":"Recommended Citation Poitras, Marie-Eve; Godbout, Isabelle; T Vaillancourt, Vanessa; Débarges, Béatrice; Poirier, Annie; Prévost, Karina; and Spence, Claude (2020) \"Step-by-step Strategies for an Integrated Patient-Oriented Research: Lessons Learned from a Multicentered Study,\" Science of Nursing and Health Practices Science infirmière et pratiques en santé: Vol. 3 : Iss. 2 , Article 3. Available at: https://doi.org/10.31770/2561-7516.1068","PeriodicalId":184801,"journal":{"name":"Science of Nursing and Health Practices - Science infirmière et pratiques en santé","volume":"49 17","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120967640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction : Physical activity (PA) is recommended to improve physical health in people with psychosis, however, most of them are inactive. Objectives : The objectives of the study were to assess the feasibility of a four-week brief theory-based intervention to improve PA in men with psychosis and obesity. Methods : A Quasi- experimental pre- post design evaluating the feasibility, the participation, and the intervention drop-out rate was conducted. PA, sedentary time, motivational processes of change, and anthropometric measures were evaluated. Results : A total of 38 men with psychotic disorders were approached and 32% participated (n = 12). Among these 12 participants, 75% had schizophrenia, their mean age was 33.2 ± 10.2, and mean Body Mass Index: 35.8 ± 7.7 kg/m 2 . Besides, all 12 participants (100%) completed the intervention. Participants reported a high satisfaction rate in the intervention. Following the intervention, PA level was increased with a moderate effect size. Similarly, an increase in behavioral processes of change was observed with a moderate effect size. Discussion and conclusion : Hence, the brief theory-based intervention was feasible and could probably improve the PA level in men with psychosis and obesity.
{"title":"Brief Theory-based Intervention to Improve Physical Activity in Men with Psychosis and Obesity: A Feasibility Study","authors":"A. Romain, R. Cadet, A. Baillot","doi":"10.31770/2561-7516.1084","DOIUrl":"https://doi.org/10.31770/2561-7516.1084","url":null,"abstract":"Introduction : Physical activity (PA) is recommended to improve physical health in people with psychosis, however, most of them are inactive. Objectives : The objectives of the study were to assess the feasibility of a four-week brief theory-based intervention to improve PA in men with psychosis and obesity. Methods : A Quasi- experimental pre- post design evaluating the feasibility, the participation, and the intervention drop-out rate was conducted. PA, sedentary time, motivational processes of change, and anthropometric measures were evaluated. Results : A total of 38 men with psychotic disorders were approached and 32% participated (n = 12). Among these 12 participants, 75% had schizophrenia, their mean age was 33.2 ± 10.2, and mean Body Mass Index: 35.8 ± 7.7 kg/m 2 . Besides, all 12 participants (100%) completed the intervention. Participants reported a high satisfaction rate in the intervention. Following the intervention, PA level was increased with a moderate effect size. Similarly, an increase in behavioral processes of change was observed with a moderate effect size. Discussion and conclusion : Hence, the brief theory-based intervention was feasible and could probably improve the PA level in men with psychosis and obesity.","PeriodicalId":184801,"journal":{"name":"Science of Nursing and Health Practices - Science infirmière et pratiques en santé","volume":"163 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131116207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chantal Verdon, Sabrina Zeghiche, Francine deMontigny, C. Gervais, I. Côté
Introduction : One in five pregnancies does not make it to term in Canada and this type of loss is a painful experience for most parents. Research that has focused on the experiences of these bereaved families describes interventions that should be favored, but generalizes them to all populations affected by this phenomenon. As a result, their needs are unknown and support and care interventions for them are not well developed and personalized. Objectives : The objective of this study is to describe, throughout their care path, the experience of immigrant parents who have gone through a perinatal death. The second objective is to describe their needs. Method : A descriptive and qualitative research using semi-structured interviews was conducted with 18 immigrant parents who had experienced a perinatal death in the last 5 years and who were living in 3 different regions of Quebec (Canada). Results : The experience of immigrant parents with perinatal death reveals 3 themes: a lack of knowledge of the health care system, the importance of personalized care and isolation that is affected by their migrant experience. Discussion and conclusion : The experience of having suffered a perinatal death involves specific characteristics unique to the immigrant community. The parents from this community experience greater challenges considering the immigration context. Simple clinical recommendations could recognize their particular life experience as an immigrant parent. It is essential to adapt the treatments offered to them accordingly.
{"title":"L’expérience des parents immigrants suivant un décès périnatal","authors":"Chantal Verdon, Sabrina Zeghiche, Francine deMontigny, C. Gervais, I. Côté","doi":"10.31770/2561-7516.1080","DOIUrl":"https://doi.org/10.31770/2561-7516.1080","url":null,"abstract":"Introduction : One in five pregnancies does not make it to term in Canada and this type of loss is a painful experience for most parents. Research that has focused on the experiences of these bereaved families describes interventions that should be favored, but generalizes them to all populations affected by this phenomenon. As a result, their needs are unknown and support and care interventions for them are not well developed and personalized. Objectives : The objective of this study is to describe, throughout their care path, the experience of immigrant parents who have gone through a perinatal death. The second objective is to describe their needs. Method : A descriptive and qualitative research using semi-structured interviews was conducted with 18 immigrant parents who had experienced a perinatal death in the last 5 years and who were living in 3 different regions of Quebec (Canada). Results : The experience of immigrant parents with perinatal death reveals 3 themes: a lack of knowledge of the health care system, the importance of personalized care and isolation that is affected by their migrant experience. Discussion and conclusion : The experience of having suffered a perinatal death involves specific characteristics unique to the immigrant community. The parents from this community experience greater challenges considering the immigration context. Simple clinical recommendations could recognize their particular life experience as an immigrant parent. It is essential to adapt the treatments offered to them accordingly.","PeriodicalId":184801,"journal":{"name":"Science of Nursing and Health Practices - Science infirmière et pratiques en santé","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121859144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction : With the emphasis on patient-centeredness, the interest in examining people’s perceptions of health interventions has resurged. Mounting evidence suggests that people’s perceptions play an important role in their pursuit and use of interventions in the practice and research contexts. In research, participants’ perceptions of the treatments under evaluation affect their behaviors reflected in enrollment, attrition, and treatment implementation (i.e., engagement and enactment by participants), all of which contribute to outcomes. Objectives : The objectives of this review are to generate a common understanding of treatment perceptions and to increase awareness of their role in intervention evaluation trials. Method : A literature review was conducted of conceptual and empirical articles that examined the contribution of participants’ perceptions of treatment to enrollment, attrition, as well as treatment implementation and outcome achievement in intervention evaluation studies. Results : In this paper, we clarify the conceptualization and operationalization of four types of perceptions: acceptability, preferences, credibility and expectancy. We also describe the way in which these perceptions influence participants’ behaviors (i.e., mechanism of action), and we summarize relevant empirical evidence. Implications and conclusion : Researchers are encouraged to account for participants’ perceptions in making inferences about interventions’ effectiveness or lack thereof.
{"title":"The Role of Treatment Perceptions in Intervention Evaluation: A Review","authors":"S. Sidani, Mary T. Fox","doi":"10.31770/2561-7516.1079","DOIUrl":"https://doi.org/10.31770/2561-7516.1079","url":null,"abstract":"Introduction : With the emphasis on patient-centeredness, the interest in examining people’s perceptions of health interventions has resurged. Mounting evidence suggests that people’s perceptions play an important role in their pursuit and use of interventions in the practice and research contexts. In research, participants’ perceptions of the treatments under evaluation affect their behaviors reflected in enrollment, attrition, and treatment implementation (i.e., engagement and enactment by participants), all of which contribute to outcomes. Objectives : The objectives of this review are to generate a common understanding of treatment perceptions and to increase awareness of their role in intervention evaluation trials. Method : A literature review was conducted of conceptual and empirical articles that examined the contribution of participants’ perceptions of treatment to enrollment, attrition, as well as treatment implementation and outcome achievement in intervention evaluation studies. Results : In this paper, we clarify the conceptualization and operationalization of four types of perceptions: acceptability, preferences, credibility and expectancy. We also describe the way in which these perceptions influence participants’ behaviors (i.e., mechanism of action), and we summarize relevant empirical evidence. Implications and conclusion : Researchers are encouraged to account for participants’ perceptions in making inferences about interventions’ effectiveness or lack thereof.","PeriodicalId":184801,"journal":{"name":"Science of Nursing and Health Practices - Science infirmière et pratiques en santé","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131027170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andréanne Bernier, Manon Champagne, M. Lacroix, Marie-Eve Poitras
Introduction : Family practice nurses (FPNs) have been integrated into family medicine groups (FMGs) to improve access to primary care and services. However, FPN workforce development was operationalized without a clear definition of its scope of practice, leading to misunderstandings regarding the achievement of an optimal interdisciplinary teamwork. Objective : To describe the perceptions of the expected role of FPNs by FMG nurses and head physicians in order to better understand the influence of such perceptions on the enacted and desired role of FPNs in FMGs. Methods : Using a descriptive interpretive qualitative approach (Thorne, 2016), 8 registered nurses and 4 head physicians in FMGs were interviewed individually between December 2018 and February 2019. Data were analyzed using the Miles, Huberman and Saldaña's (2014) method. Results : Both groups believe that the expected role of FPNs is to facilitate access to care, as FMGs are one of the entry points into the healthcare system. While several nurses and head physicians perceive that they work collaboratively, hierarchical organizational relationships still continue to shape the enacted role of nurses. Task delegation and subordination activities are more prevalent than integrated collaboration and complementary activities within the interprofessional team. Both groups express different strategies to promote a more effective interdisciplinary teamwork. Discussion and conclusion : All stakeholders must support an optimal interdisciplinary teamwork and maximize the contribution of FPNs to increase patient access to primary care and services.
{"title":"The expected, enacted and desired role of family practice nurses in family medicine groups as perceived by nurses and family physicians","authors":"Andréanne Bernier, Manon Champagne, M. Lacroix, Marie-Eve Poitras","doi":"10.31770/2561-7516.1072","DOIUrl":"https://doi.org/10.31770/2561-7516.1072","url":null,"abstract":"Introduction : Family practice nurses (FPNs) have been integrated into family medicine groups (FMGs) to improve access to primary care and services. However, FPN workforce development was operationalized without a clear definition of its scope of practice, leading to misunderstandings regarding the achievement of an optimal interdisciplinary teamwork. Objective : To describe the perceptions of the expected role of FPNs by FMG nurses and head physicians in order to better understand the influence of such perceptions on the enacted and desired role of FPNs in FMGs. Methods : Using a descriptive interpretive qualitative approach (Thorne, 2016), 8 registered nurses and 4 head physicians in FMGs were interviewed individually between December 2018 and February 2019. Data were analyzed using the Miles, Huberman and Saldaña's (2014) method. Results : Both groups believe that the expected role of FPNs is to facilitate access to care, as FMGs are one of the entry points into the healthcare system. While several nurses and head physicians perceive that they work collaboratively, hierarchical organizational relationships still continue to shape the enacted role of nurses. Task delegation and subordination activities are more prevalent than integrated collaboration and complementary activities within the interprofessional team. Both groups express different strategies to promote a more effective interdisciplinary teamwork. Discussion and conclusion : All stakeholders must support an optimal interdisciplinary teamwork and maximize the contribution of FPNs to increase patient access to primary care and services.","PeriodicalId":184801,"journal":{"name":"Science of Nursing and Health Practices - Science infirmière et pratiques en santé","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130514364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Miscarriage is common, occurring in nearly 20% of pregnancies. Most women experiencing symptoms such as bleeding or abdominal pain in early pregnancy consult emergency services, the front line of care. While research has shown the psychological and physical effects of miscarriage on women, less is known about how emergency services are organized to manage their care. Objective: To describe and analyze the organization of emergency services for women experiencing miscarriage. Methods: A multiple case study was conducted in four emergency rooms in Quebec, Canada, between 2014 and 2015. A reference framework setting out an organized system of action in care adapted to emergency services was used to analyze 198 medical records of women who experienced miscarriage and were treated in these emergency rooms. Results: From the analysis, observations were made regarding the accessibility, responsiveness, and productivity of emergency services, as well as deficiencies in care continuity. While medical treatments generally corresponded to standards, system responsiveness was poor, with long waits that may have added to women’s psychological distress. Gaps were observed in care continuity, effectiveness, and quality, including missing notes in charts, high readmission rates, and lack of referrals to relevant psychosocial and other support services. Discussion and conclusion: Recommendations include developing clinical guidelines, care trajectories, and checklists for nurses’ clinical assessments. As well, early pregnancy assessment clinics are an innovative care delivery model that has proven effective in reducing admissions, shortening hospitalizations, and providing comprehensive support services. Abstract Introduction : Miscarriage is common, occurring in nearly 20% of pregnancies. Most women experiencing symptoms such as bleeding or abdominal pain in early pregnancy consult emergency services, the front line of care. While research has shown the psychological and physical effects of miscarriage on women, less is known about how emergency services are organized to manage their care. Objective : To describe and analyze the organization of emergency services for women experiencing miscarriage. Methods : A multiple case study was conducted in four emergency rooms in Quebec, Canada, between 2014 and 2015. A reference framework setting out an organized system of action in care adapted to emergency services was used to analyze 198 medical records of women who experienced miscarriage and were treated in these emergency rooms. Results : From the analysis, observations were made regarding the accessibility, responsiveness, and productivity of emergency services, as well as deficiencies in care continuity. While medical treatments generally corresponded to standards, system responsiveness was poor, with long waits that may have added to women’s psychological distress. Gaps were observed in care continuity, effectiveness, and quality, including missing
{"title":"Gaps in the Organization of Emergency Room Care and Services for Women Experiencing Miscarriage: A Multiple Case Study of Four ERs in Quebec","authors":"Francine deMontigny, Chantal Verdon, Emmanuelle Dennie-Filion, Serge Gauvreau","doi":"10.31770/2561-7516.1050","DOIUrl":"https://doi.org/10.31770/2561-7516.1050","url":null,"abstract":"Introduction: Miscarriage is common, occurring in nearly 20% of pregnancies. Most women experiencing symptoms such as bleeding or abdominal pain in early pregnancy consult emergency services, the front line of care. While research has shown the psychological and physical effects of miscarriage on women, less is known about how emergency services are organized to manage their care. Objective: To describe and analyze the organization of emergency services for women experiencing miscarriage. Methods: A multiple case study was conducted in four emergency rooms in Quebec, Canada, between 2014 and 2015. A reference framework setting out an organized system of action in care adapted to emergency services was used to analyze 198 medical records of women who experienced miscarriage and were treated in these emergency rooms. Results: From the analysis, observations were made regarding the accessibility, responsiveness, and productivity of emergency services, as well as deficiencies in care continuity. While medical treatments generally corresponded to standards, system responsiveness was poor, with long waits that may have added to women’s psychological distress. Gaps were observed in care continuity, effectiveness, and quality, including missing notes in charts, high readmission rates, and lack of referrals to relevant psychosocial and other support services. Discussion and conclusion: Recommendations include developing clinical guidelines, care trajectories, and checklists for nurses’ clinical assessments. As well, early pregnancy assessment clinics are an innovative care delivery model that has proven effective in reducing admissions, shortening hospitalizations, and providing comprehensive support services. Abstract Introduction : Miscarriage is common, occurring in nearly 20% of pregnancies. Most women experiencing symptoms such as bleeding or abdominal pain in early pregnancy consult emergency services, the front line of care. While research has shown the psychological and physical effects of miscarriage on women, less is known about how emergency services are organized to manage their care. Objective : To describe and analyze the organization of emergency services for women experiencing miscarriage. Methods : A multiple case study was conducted in four emergency rooms in Quebec, Canada, between 2014 and 2015. A reference framework setting out an organized system of action in care adapted to emergency services was used to analyze 198 medical records of women who experienced miscarriage and were treated in these emergency rooms. Results : From the analysis, observations were made regarding the accessibility, responsiveness, and productivity of emergency services, as well as deficiencies in care continuity. While medical treatments generally corresponded to standards, system responsiveness was poor, with long waits that may have added to women’s psychological distress. Gaps were observed in care continuity, effectiveness, and quality, including missing","PeriodicalId":184801,"journal":{"name":"Science of Nursing and Health Practices - Science infirmière et pratiques en santé","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124836614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Véronique Landry, Kelley Kilpatrick, Lysane Paquette, Mira Jabbour, M. Beaulieu, C. Dubois, Eric Tchouaket, N. Gauthier
Introduction : The primary healthcare nurse practitioner (PHCNP) role is relatively new in Quebec. Few studies have examined the implementation of this role. Objective : To describe the time spent in care activities according to the clinical and non-clinical dimensions of the PHCNP role. Methods : A time and motion study (399 hours and 34 minutes (min)) was carried out in 6 settings including ambulatory care, long-term care and home care with 12 PHCNPs. Results : The clinical dimension is the most important dimension making up 72 % to 83 % of work time. The average consultation time is influenced by the setting and varies from 13 min and 32 seconds (sec) to 26 minutes and 25 sec. In home care, consultation times (travel time and care coordination activities) are the longest. Documentation is the most time-consuming activity taking up 9% to 20%. The duration of telephone calls varies on average from 4 min to 8 min and 39 sec depending on the setting. Discussion and conclusion : The clinical dimension occupies the largest portion of the PHCNPs’ work time. Telephone consultations allow PHCNPs to answer patients’ questions. They should be included in the assessment of the PHCNP’s workload since they occur frequently. A better understanding of the PHCNPs’ role could support PHCNP workforce planning to better meet patient care needs.
{"title":"L’étendue du rôle de l’infirmière praticienne spécialisée en soins de première ligne dans différents milieux de pratique au Québec : une étude de temps et mouvements","authors":"Véronique Landry, Kelley Kilpatrick, Lysane Paquette, Mira Jabbour, M. Beaulieu, C. Dubois, Eric Tchouaket, N. Gauthier","doi":"10.31770/2561-7516.1069","DOIUrl":"https://doi.org/10.31770/2561-7516.1069","url":null,"abstract":"Introduction : The primary healthcare nurse practitioner (PHCNP) role is relatively new in Quebec. Few studies have examined the implementation of this role. Objective : To describe the time spent in care activities according to the clinical and non-clinical dimensions of the PHCNP role. Methods : A time and motion study (399 hours and 34 minutes (min)) was carried out in 6 settings including ambulatory care, long-term care and home care with 12 PHCNPs. Results : The clinical dimension is the most important dimension making up 72 % to 83 % of work time. The average consultation time is influenced by the setting and varies from 13 min and 32 seconds (sec) to 26 minutes and 25 sec. In home care, consultation times (travel time and care coordination activities) are the longest. Documentation is the most time-consuming activity taking up 9% to 20%. The duration of telephone calls varies on average from 4 min to 8 min and 39 sec depending on the setting. Discussion and conclusion : The clinical dimension occupies the largest portion of the PHCNPs’ work time. Telephone consultations allow PHCNPs to answer patients’ questions. They should be included in the assessment of the PHCNP’s workload since they occur frequently. A better understanding of the PHCNPs’ role could support PHCNP workforce planning to better meet patient care needs.","PeriodicalId":184801,"journal":{"name":"Science of Nursing and Health Practices - Science infirmière et pratiques en santé","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127983042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Valeur prédictive de l’échelle de Braden pour les lésions de pression nosocomiales et l’association avec les interventions de prévention","authors":"S. Pouzols, Cédric Mabire","doi":"10.31770/2561-7516.1060","DOIUrl":"https://doi.org/10.31770/2561-7516.1060","url":null,"abstract":"","PeriodicalId":184801,"journal":{"name":"Science of Nursing and Health Practices - Science infirmière et pratiques en santé","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116136037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Véronique de Goumoëns, C. Grandjean, D. Joye, Yann-Olivier Bettex, P. Ryvlin, A. Ramelet
Introduction: Acquired brain injuries (ABI) are among the leading causes of disability in adults. Supporting the families of patients with ABI is part of good practice, but this is not systematic in Switzerland. Preceding the implementation of a new intervention, an analysis of the contextual factors was carried out. Objectives: The objectives of this study were to describe the perspectives of interdisciplinary management teams concerning the support of these families and to explore the contextual resources and obstacles of the intervention. Methods: A descriptive qualitative research was conducted in a clinical neurosciences department of a tertiary reference hospital. Semi-structured interviews were conducted with a targeted sample of 8 care managers, following an interview guide based on the Calgary Models of Family Assessment and Intervention. Data were analyzed using the inductive and deductive content analysis method. Results: Four main categories of interrelated systems (family system, care system, environment and collaboration) and 15 subcategories emerged from the analysis. Interprofessional collaboration and characteristics of the work environment were two key aspects for participants. Discussion and conclusion: Participants felt that current care does not adequately consider families nor integrate them sufficiently. Concrete perspectives for improvement such as the systematic and structured integration of families from the acute phase of hospitalization, as well as the development of interprofessional collaboration are recommended to support families of individuals with ABI. Abstract Introduction : Acquired brain injuries (ABI) are among the leading causes of disability in adults. Supporting the families of patients with ABI is part of good practice, but this is not systematic in Switzerland. Preceding the implementation of a new intervention, an analysis of the contextual factors was carried out. Objectives : The objectives of this study were to describe the perspectives of interdisciplinary management teams concerning the support of these families and to explore the contextual resources and obstacles of the intervention. Methods : A descriptive qualitative research was conducted in a clinical neurosciences department of a tertiary reference hospital. Semi-structured interviews were conducted with a targeted sample of 8 care managers, following an interview guide based on the Calgary Models of Family Assessment and Intervention. Data were analyzed using the inductive and deductive content analysis method. Results : Four main categories of interrelated systems (family system, care system, environment and collaboration) and 15 subcategories emerged from the analysis. Interprofessional collaboration and characteristics of the work environment were two key aspects for participants. Discussion and conclusion : Participants felt that current care does not adequately consider families nor integrate them sufficiently. Concrete perspectives fo
{"title":"Analyse du contexte clinique dans le développement et l’implantation d’une intervention de soutien pour les familles de patients atteints de lésions cérébrales acquises : une étude qualitative","authors":"Véronique de Goumoëns, C. Grandjean, D. Joye, Yann-Olivier Bettex, P. Ryvlin, A. Ramelet","doi":"10.31770/2561-7516.1062","DOIUrl":"https://doi.org/10.31770/2561-7516.1062","url":null,"abstract":"Introduction: Acquired brain injuries (ABI) are among the leading causes of disability in adults. Supporting the families of patients with ABI is part of good practice, but this is not systematic in Switzerland. Preceding the implementation of a new intervention, an analysis of the contextual factors was carried out. Objectives: The objectives of this study were to describe the perspectives of interdisciplinary management teams concerning the support of these families and to explore the contextual resources and obstacles of the intervention. Methods: A descriptive qualitative research was conducted in a clinical neurosciences department of a tertiary reference hospital. Semi-structured interviews were conducted with a targeted sample of 8 care managers, following an interview guide based on the Calgary Models of Family Assessment and Intervention. Data were analyzed using the inductive and deductive content analysis method. Results: Four main categories of interrelated systems (family system, care system, environment and collaboration) and 15 subcategories emerged from the analysis. Interprofessional collaboration and characteristics of the work environment were two key aspects for participants. Discussion and conclusion: Participants felt that current care does not adequately consider families nor integrate them sufficiently. Concrete perspectives for improvement such as the systematic and structured integration of families from the acute phase of hospitalization, as well as the development of interprofessional collaboration are recommended to support families of individuals with ABI. Abstract Introduction : Acquired brain injuries (ABI) are among the leading causes of disability in adults. Supporting the families of patients with ABI is part of good practice, but this is not systematic in Switzerland. Preceding the implementation of a new intervention, an analysis of the contextual factors was carried out. Objectives : The objectives of this study were to describe the perspectives of interdisciplinary management teams concerning the support of these families and to explore the contextual resources and obstacles of the intervention. Methods : A descriptive qualitative research was conducted in a clinical neurosciences department of a tertiary reference hospital. Semi-structured interviews were conducted with a targeted sample of 8 care managers, following an interview guide based on the Calgary Models of Family Assessment and Intervention. Data were analyzed using the inductive and deductive content analysis method. Results : Four main categories of interrelated systems (family system, care system, environment and collaboration) and 15 subcategories emerged from the analysis. Interprofessional collaboration and characteristics of the work environment were two key aspects for participants. Discussion and conclusion : Participants felt that current care does not adequately consider families nor integrate them sufficiently. Concrete perspectives fo","PeriodicalId":184801,"journal":{"name":"Science of Nursing and Health Practices - Science infirmière et pratiques en santé","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130705156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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