Recherche en Soins Infirmiers最新文献

Older people living with a major neurocognitive disorder often have difficulty communicating. They may exhibit reactive behaviors, such as vocal or aggressive behaviors, which are manifestations of malaise. These behaviors have consequences for these older people, as well as for their relatives and formal caregivers. This article discusses the relationship-centered approach to improving the experience of each of these persons by stimulating a reflection on what unites us. Then, the principles of this relationship-centered approach are outlined, based on the unique needs of each person, the reciprocity of their relationship, and their common aspirations. The application of these principles to older people living with a neurocognitive disorder who exhibit reactive behaviors is reflected through the adoption of consistent language, the identification of the meanings of behaviors and personalized actions, and the establishment of a care partnership. An example of a process integrating this approach is presented, as well as its possible effects. The adoption of this approach may present several challenges in care settings. To meet these challenges, implementation strategies are described promoting the adoption of this approach and contributing to everyone’s well-being.

Introduction : Compliance with hygiene rules constitutes a central element of care practices in general and nursing training in particular. This study seeks to comprehend the behaviors associated with adherence to rules of hygiene based on the discourse of students in nursing training. The theoretical frame of reference is ethogenic and aims to explain the behaviors through the social conventions, culture and environment of care professionals.Method : 159 students in training were interviewed in focus groups to evoke the themes of violation of and adherence to hygiene rules.Results : The participants’ comments collected illustrate that behaviors depend upon the perception of the contexts of care, skills and recognition within an in-training professional care work group.Conclusion : The results emphasize the importance of developing rules-based education on hygiene, while avoiding the establishment of resistance associated with the application of rules of hygiene in the workplace.

In a global context where populations' mental health needs are growing rapidly, recruiting the next generation of nurses to work in these care settings is particularly problematic. Because of their negative views on mental health issues, nursing students reject such a career path. According to the literature, training programs, particularly clinical immersions, are the main way of mitigating the unpopularity of mental health care among this new generation of nurses. Through an interpretive phenomenological analysis of semi-structured interviews conducted with eleven undergraduate nursing students, this research studied their learning experience during a clinical immersion in mental health care. Anchored in Parse's humanbecoming theory, this study explores the meaning that students attribute to such an experience, the experiential negotiation processes of the practicum setting, and the participants' ability to project themselves beyond the learning experience itself. These results raise various issues related to mental health nursing education, such as the importance of having a nursing role model, as well as various influencing factors related to the rejection of a career in mental health care by the next generation, such as the perception that working in these care settings involves an increased risk of aggression.

Introduction: Nursing associations require that nurses develop the skills to integrate evidence into practice to support the quality of care.

Context: Lack of self-confidence in the operational steps of evidence-based practice was identified as a barrier to integrating evidence into nursing practice.

Objective: To assess the effect of a journal club (JC) on nursing students' self-efficacy (SE), expectations, and intentions to use evidence.

Method: Quasi-experimental, longitudinal approach with a non-randomized comparison group.

Results: The development of SE toward the use of evidence-based practices favored students who participated in the JC (n=48) compared to students who received a conventional educational modality (CEM) (n=50). However, there was no significant group x time interaction effect on expectations or intentions.

Discussion: The significant positive changes beyond the CEM may be explained by the fact that the JC incorporated modes of influence on SE.

Conclusion: The positive effect associated with the JC on SE is difficult to sustain without continued practice. It is important to maintain high outcome expectations within nursing training.

Within the framework of France's Health Service for Health Students (Service sanitaire des étudiants en santé, SEES) initiative, students in physiotherapy and nursing from the same region were brought together to take part in an experimental scheme. As the students from each sector were not used to working together (2), the trainers needed to adapt in order to create a favorable teaching environment. This contribution looks at "what happened" during the setting up of such a scheme. Semi-structured interviews were conducted with the Institute for Training in Physiotherapy Management team at the beginning of the 2019-2020 academic year, and with the physiotherapy and nursing trainers involved in two of the schemes at the end of the experiment. The data from the interviews was processed using a thematic analysis. Beyond the challenges of such a scheme, the results also take into account the trainers' subjective experience. Feedback on the experience reveals quite contrasting training cultures and self-identification. The study as a whole makes it possible to identify the drivers behind, obstacles to, and optimal conditions for setting up this type of cross-sectoral preventative action, as well as shedding light on new training issues to be explored.

Solicitude is a term used in everyday language, closely related to care and to concern. Paul Ricœur gave it a singular place in his "little ethics" and revealed its depth. According to Ricœur, solicitude is akin to care and yet is not its translation. Clarifying the specificity of Ricœur's solicitude allows us to better perceive what is at stake in order to rethink care. The specificity of Ricœur's solicitude allows us to better perceive what is at stake in order to rethink care. Here we shed light on Ricœur's notion of solicitude in order to rethink care.

Introduction: To cope with the increased number of patients with chronic diseases, the ASALEE scheme promotes cooperation between doctors and patient education (PE) nurses in a health center in Lorraine. They observe behaviors of absence, cancellation, and postponement of the first consultation among referred patients.

Objective: Our study explores the medical orientation practices for patients during their first PE consultation.

Method: Observation of these practices was combined with semi-structured interviews.

Results: Four doctors and 17 patients were observed and interviewed, following referral to the PE nurse for six of them and to a specialist doctor for the remaining 11. 27 criteria and 72 indicators were involved, concerning PE orientation practices. 15 of these also appeared in the 22 criteria for the medical specialist. These criteria open up new prospects for improving PE, such as "Quality of the doctor-patient relationship" and "Lack of knowledge and skills in PE".

Discussion and conclusion: The improvement of medical orientation practices in PE is enabled by professional practice analysis groups and by the social acceptability of patient empowerment and engagement.

Introduction: Falls among hospitalized frail elderly patients are a worrying, major daily phenomenon.

Context: Inadequate footwear, frequently observed in this population, is one of the main risk factors behind falls. Several hospitals use non-slip socks as a preventive measure. However, in the context of evidence-based medicine, it is important to verify the existence of strong evidence for their effectiveness.

Objective: The aim of this study is to determine the preventive effectiveness of non-slip socks.

Method: Five databases were investigated (PubMed, PEDro, Cochrane, ScienceDirect, and Google Scholar). Eligibility criteria were established (using the PICO method), for studies including elderly hospitalized patients.

Results: Seven studies were included. Non-slip socks showed a preventive effect in reducing the recurrence of falls (p=0.009) and the prevalence of falls related to urinary incontinence.

Discussion: Several studies conclude on the added value of non-slip socks compared to traditional socks or slippers. The limitations inherent in the selected studies are taken into account when drawing conclusions.

Conclusion: Footwear that is considered safe by therapists and secure by the patient is currently the most recommended option. However, more clinical studies are needed to support our findings.