Recherche en Soins Infirmiers最新文献

Introduction: The Child feeding questionnaire is a tool that measures parent’s perception, attitudes, and preoccupation in regards of their child’s weight.

Context: Even if this tool has been used for more than 20 years and has been translated in eight languages, there isn’t a known French version.

Objectif: The aim of this methodological research was to translate in French and to test its validity and reliability. Method: Reverse translation produced a French version of Child feeding questionnaire which was sent to 455 French speaking parents of children aged five to ten years old. Instrument validity and fidelity were tested using the following analysis: factor analysis, the internal consistency, the descriptive analysis, and the Pearson correlation.

Results: A total of 136 questionnaires were analysed. Factor analysis revealed nine major factors with a significant internal consistency.

Discussion: Like other research findings, results from this study showed that parents underestimate their children’s weight and have few concerns regarding their condition.

Conclusion: Results confirm the preliminary psychometric properties of the French translated Child feeding questionnaire.

Introduction : Sickle cell disease, while it is the most common genetic disease in France, is little known to caregivers and the general public.Context : Only a few studies have examined the daily lives of people suffering from this disease.Objectives : The purpose of this project was to describe the specific strategies helping adult patients to manage the symptoms of their disease.Method : To reach this objective, a qualitative study was conducted among eight homozygous (SS) people over 30 years old living in the Ile-de-France region of France. The semi-structured interviews took place at the patients' homes, selected from several regional competence centers and on social media. An inductive methodology and a thematic analysis were used to draw the conclusions of this research.Results : They show that pain and suffering are patients' main complaints. Patients suffering from sickle cell disease seek numerous effective self-care strategies to manage their long-term pain : preventive measures and drugs, as well as complementary and alternative medicine.Discussion : A sociological approach shows us the considerable work that patients undertake to manage symptoms daily.Conclusion : The findings support interventions that would increase the feeling of control over the disease through better self-awareness and appropriate physical activity.

Patient autonomy is an equivocal notion that refers to several intertwined figures. What is expected of young cystic fibrosis patients when speaking to actors (professionals and associations) involved with them ? In this sociological contribution, we show the limits of a medical model of autonomy that does not allow us to think about a whole series of micro-adjustments to the practices of people with cystic fibrosis. The analysis is based on publications by national associations fighting against cystic fibrosis, and on semi-structured interviews with professionals working with people living with this disease. It shows that autonomy is not only thought of by the professionals who support them in terms of an individual management model centered on the patient's medical skills and personal resources, but also as the result of environmental factors. It reveals an innovative characteristic of autonomy in the field of health care, largely supported by the specialized and reinforced medical support of coordinating nurses. This support allows the development of a detailed clinical knowledge of the situations experienced by their patients.

Introduction: The continuing professional development of nurses remains a key issue within the health context.

Context: The Questionnaire - Professional Development Nurses (Q-PDN) was developed to understand the opinions and beliefs of nurses regarding continuing professional development is essential to improving the quality of care and optimizing job satisfaction. With this in mind, researchers from the Netherlands developed the Questionnaire – Professional Development Nurses (Q-PDN).

Objectives: Adapt the Q-PDN to a French-Canadian context according to recognized guidelines.

Method: The six stages of the Beaton et al. (2000) cross-cultural adaptation process were followed to produce a tool adapted to the French-Canadian context.

Results and discussion: This study describes the different steps necessary for the cross-cultural adaptation of the Q-PDN tool to the French-Canadian context. Following the adaptation, minor content adjustments were made to the original version. General comments have highlighted the clarity and simplicity of the questionnaire.

Conclusion: This first step in the cross-cultural French-Canadian adaptation of Q-PDN has enabled the development of a tool to identify gaps and priorities for action to promote the continuing professional development (CPD) of nurses.

Introduction: The prevalence of chronic diseases is a major public health problem. Therapeutic education, self-efficacy, the caregiving posture, and the strength-based approach to care constitute the theoretical framework of this work.

Context: Physical activity is beneficial to the health of people living with chronic conditions, but its implementation and maintenance over time is difficult.

Objective: To explore the self-efficacy of physical activity in people who have received therapeutic education and the notion of the caregiving posture in therapeutic education.

Method: A mixed descriptive and exploratory research design was used. Questionnaires and interviews were carried out with carers and people who had received therapeutic education.

Results: The level of posture of the carers was high and homogeneous. The level of self-efficacy of people who had received therapeutic education was heterogeneous, with a greater disparity in scores.

Conclusion: The therapeutic education posture cannot compensate for all the personal and environmental factors influencing the practice of physical activity. Regular support for self-efficacy in physical activity is necessary for its implementation and maintenance over time.

Introduction: Pediatric patients are particularly vulnerable to pressure ulcers. Structured evaluation with a risk assessment tool is recommended in order to identify patients at risk. The Braden QD Scale integrates the risks of both immobility-related and medical device-related pressure ulcers in pediatric patients.

Objectives: To translate and pretest the Braden QD Scale into French (Swiss-French version), and to evaluate its consistency, convergent validity, feasibility, and clinical utility.

Method: Over five prevalence surveys, the Braden QD Scale was used on all hospitalized pediatric patients. Convergent validity and internal consistency were tested. A self-administered questionnaire on feasibility and clinical utility was completed by nurses.

Results: The translated version of the Braden QD Scale was pretested on 352 children. The prevalence surveys showed that 5.1% were at risk of developing pressure ulcers. Medical devices were present in 85.8% of cases. A Cronbach's alpha of 0.710 and a high convergent validity were measured. High scores of feasibility and clinical utility were found.

Discussion and conclusion: This study suggests that the Swiss-French version of the Braden QD Scale is reliable, valid, feasible, and has clinical utility.

Introduction : At least one preoperative shower is recommended to avoid surgical site infection. Caregivers must explain the showering technique, help the patient if necessary, and assess skin cleanliness after showering.Context : Showering may be more difficult for obese patients because of inadequate equipment and difficulties moving, as well as insufficient explanation regarding the showering technique and an insufficient skin cleanliness assessment from caregivers.Objective : to assess whether patients and/or caregivers report difficulties in the preoperative shower process that could be linked to patient obesity. Methods : pilot qualitative survey with semi-structured interviews conducted with 9 obese surgery patients and 11 surgery caregivers.Results : Patients did not report feelings of discrimination. They described no problem with equipment, but declared having received little explanation on the showering technique and no visual skin cleanliness assessment. Caregivers reported equipment as inadequate, they stated having delivered detailed information, but found the skin cleanliness assessment difficult.Discussion : The lack of skin cleanliness assessment by caregivers after preoperative showering is new information. Limits : preliminary study with a small number of interviews and no non-obese patients.Conclusion : the subject warrants additional work with both quantitative and qualitative surveys to better understand the difficulties with preoperative showering.

Introduction: Questioning the implementation of care in psychiatry requires a reflection on and around the moment when patients first arrive at an emergency unit. In other words, it is necessary to take a look at the contextual conditions of this first moment of care. Our objective is to study the ingredients that contribute to the development or maintenance of a welcoming attitude.

Methods: Grounded theory allowed us to better understand the complexity of the phenomenon by meeting people working in crisis and psychiatric emergency units.

Results: The results present three pathways associated with the welcoming process: (1) pathway to activate the process; (2) pathway to weaken the process; (3) pathway to counteract the weakening pathway and feed the activation pathway. Reintroducing time to think and “spaces to speak” remains a challenge in the welcoming of patients in psychiatric emergency units.

Discussion: A welcoming reception depends on a favorable context-societal, political, institutional and environmental-being fostered and maintained in the professional and personal world of professionals.

In the contemporary debate between advocates of nursing ethics and those who consider that nursing ethics is indistinguishable from medical ethics, virtue ethics allows us to identify elements that could be characterized as specific to nursing ethics. The aim of this study is to show that the specific ethical purpose of the nurse's relationship with the patient is the empowerment and strengthening of the patient's virtues. Nursing ethics draws its specificity not from the therapeutic or care relationship that the nurse - like other healthcare personnel - establishes with the patient, but from the helping relationship that the nurse maintains with the patient. This helping relationship involves professional virtues specific to nursing that are in correlation with the patient's virtues. Such a relationship is characterized by its discursiveness, with the aim of supporting and advising the patient, and includes an important pedagogical dimension.