Recherche en Soins Infirmiers最新文献

In forensic psychiatry environments, nurses are regularly confronted with the use of restrictive measures such as chemical restraints and are forced to constantly navigate between care and social control. The debate over the ethics of coercion and the use of control measures for violence in psychiatric settings is far from resolved. The objective of this study is to understand the ethical experience of nurses in a Canadian forensic psychiatry environment when administering PRN (when required) medication against the patient's will. The experiences of 14 nurses are analyzed from a critical ethical perspective through interpretive phenomenological analysis. Across the three main categories-certainties, paradoxes, and learning-the results show that nurses must simultaneously commit their allegiance to the patient, to the justice system, and to the culture of the "total" institution. These multiple allegiances generate paradoxes that affect the way nurses actualize their professional role.

Introduction: Language and communication are pivotal to the safe care and management of people with mental health disorders, particularly when these patients are linguistic minorities.

Objectives/method: To explore these experiences within linguistic minority populations by completing a literature review and qualitative interviews. Interviews were conducted in Ottawa, Canada, with francophone patients. The studies included in the review represented the international literature on linguistic minorities in general.

Results: Overall, the experiences described in the published articles were similar to the participants' own experiences, suggesting that barriers to care exist even in settings mandated to provide services in both official languages.

Discussion/conclusion: There are many barriers to the provision of mental health care services, regardless of the dominant language. However, we identified an internalized sense of responsibility felt by linguistic minority patients, who feel compelled to compensate for or fill in the language gaps of providers.

Context : Nurses are regularly confronted with suicidal people. Their involvement is essential in the detection and prevention of suicide risk.Objectives : Through a literature review, we wanted to highlight the role of the advanced practice nurse by conducting specific training to improve nursing skills in the management of people with suicidal thoughts.Method : Our literature review was carried out according to the PRISMA recommendation criteria from several databases.Results : The review showed an improvement in confidence, attitudes, and nursing skills in assessing suicide risk. However, no long-term change in practice was demonstrated.Discussion : In France, a national training program on suicide risk prevention is implemented at the regional level by the Regional Health Agencies. At the same time, since 2019, Psychiatry and Mental Health has been part of the training program for advanced practice nurses.Conclusion : The advanced practice nurse is a central player in supporting teams in increasing their skills, particularly when conducting specific training.

Introduction: The social representations (SRs) of nurses on HIV/AIDS and the care provided to people living with HIV are diverse and different depending on the context. This study aims to understand the SRs of nurses on the disease and on the care provided.

Method: A qualitative study conducted in 2018 with 50 nurses practicing in 11 specialized departments, belonging to seven Moroccan university hospitals.

Results: The SRs of nurses recalled the beginnings of the emergence of HIV/AIDS with certain positions taken on the clinical conception of the disease. Prescribed care has been at the heart of professional representations, with an interest nevertheless little applied to relational care. Various behaviors and emotions were also represented around the caregiver-patient relationship.

Discussion: In the health care setting, SRs of HIV/AIDS and the care provided give rise to models of care and relationships that go beyond technical knowledge and skills.

Conclusion: Actions of individual commitment relating to professional and multidisciplinary meetings can change these representations and support nurses in the integration of sensitivity care, relating to positive affects toward these patients.

Since its discovery, the concept of vaccination has continued to improve in order to offer better efficacy and tolerance. Local or even diffuse reactions are often reported, but no study reports results on the injection side. We carried out a prospective observational study on the COVID-19 vaccination centers of the Landes regional hospital consortium (GHT) over three weeks. A questionnaire was given after the second injection, and assessed patients’ feelings about the first injection. During this period, 2797 patients received their second injection and 2487 responded to the questionnaire, of which 2301 are usable. 81% of vaccinations were performed on the weak arm and 19% on the dominant arm. Local pain/discomfort was reported by 47% of patients on both arms, occurring the same day as the vaccination took place for half of the patients and the next day for the other half, with an average intensity of 3.3. Extensive pain/discomfort was present in 19% of patients, regardless of which arm was injected. The choice of the injected arm does not seem to have influence on pain.

Context: The initial training of healthcare professionals can be used to develop health democracy if patients are sufficiently involved.

Objectives: To describe the level of patient engagement in some nurse training institutes and to understand what motivates and hinders this engagement.

Method: Exploratory study based on interviews with five patient trainers and eight nurse training institute trainers. The analysis of patient engagement levels was based in part on the Carman scale and the Montreal model.

Results: Two trends emerged from this first study: consultation-style patient involvement, and partnershipstyle involvement, where the patient is involved in the pedagogical co-construction of a few teaching units and not of the entire training course. Elements facilitating patient involvement were linked to the participants’ motivation, patient support, and patient recruitment methods. Conversely, a lack of institutional motivation, overly demanding recruitment, the absence of remuneration, and inaccessibility could be barriers to patient engagement.

Conclusion: Patient engagement in preliminary healthcare training should be considered across the entire curriculum and formalized.

Introduction: At the beginning of 2020, a state of health emergency was declared in France following the emergence of the COVID-19 pandemic.

Context: Entrepreneurial management of health institutions requires internal nursing mobility to compensate for unexpected absenteeism.Reference framework: Based on the clinic of activity, the aim of this study was to analyze the reality of early-career health managers' work in order to understand how, in a constrained environment, they are able to manage this mobility when not chosen by the substitute caregiver.

Method: An indirect qualitative method—"instructions to the double"—combined two successive co-analysis sessions with four junior health managers: an individual session with the researcher and a collective session with the peers who participated in the study.

Results: Data triangulation revealed three axes: the issues at stake for these managers; their compromises made to transform compulsory nursing mobility into voluntary mobility; the development of their power to act.

Discussion: These results raise various issues related to the psychological and social resources of the occupational health of junior health managers as well as to the organization of work.

Introduction: Advanced practice nursing has recently been introduced into the French health care system, eliciting a wide range of reactions from health care professionals. Many studies have focused on the benefits of advanced practice nursing (APN) and the steps to be taken to promote its implementation. Very few, however, have explored the feelings of general practitioners (GPs). The objective of this study was to explore the representations, feelings and expectations of GPs in a territorial professional health community (CPTS) with regard to the APN in ambulatory care.

Method: A qualitative study with an approach inspired by grounded theory was conducted, based on individual or focus group semi-directive interviews with GPs of a CPTS.

Results: 12 GPs were interviewed. The axial analysis allowed the construction and characterisation of two categories: "Being two" and "Defining the job".

Discussion: The properties located at the intersection of these two categories related in particular to the question of "medical power".

Context: Some publications have suggested that students might have difficulties identifying the outlines of plagiarism, as well as a possible high frequency of such scientific misconduct. However, little data exists for health care students in France.

Objectives: To describe the prevalence of professionals having experienced plagiarism over the past two years, and the practices associated with plagiarism within our institutes.

Methods: Using an online self-questionnaire, we surveyed all professionals who had been on a dissertation defense panel in 2019 in at least one of the six training institutes of a French university hospital (n = 152).

Results: 15 out of 62 participants reported at least one situation of plagiarism over the past two years. All parts of the dissertation have been plagiarized at least once. The reported sanctions varied from none to definitive exclusion from the training institute. The main strategy for detecting plagiarism reported by participants was the search for variations in the writing style (85%).

Conclusion: Training institutes should set up effective prevention measures against plagiarism and help panelists by defining clear strategies for detection, orientation, and sanction in situations of plagiarism.