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Recherche en soins infirmiers [keywords]
- Narrative-based educational nursing intervention for managing hospitalized older adults at risk for delirium: Field testing and qualitative evaluation. [JOURNAL ARTICLE]
- Geriatr Nurs 2014 Nov 20.
Though delirium is a common complication among hospitalized older adults and the nursing care required in these situations is complex, the subject has received little attention in the literature on continuing nursing education. A study was undertaken to field test and qualitatively evaluate a narrative-based educational intervention for nurses in hospital units with a high incidence of delirium. Triangulated data collection allowed carrying out a qualitative evaluation of the intervention process and outcomes. Process evaluation showed that the intervention was facilitated by the participants' attitudes and diversity of experience, as well as by the use of real care situations, which allowed integrating theory and practice. Outcome evaluation brought to light numerous elements of empirical, ethical and esthetic knowledge expressed by the participants. Study results evidence the applicability of such interventions as part of continuing nursing education and their contribution to knowledge development.
- [Exploratory study of clinical reasoning in nursing students with concept mapping]. [English Abstract, Journal Article]
- Rech Soins Infirm 2014 Jun; (117):85-112.
The training reference leading to the state nursing diploma places the learning of clinical reasoning at the center of the training. We have been wondering about the possibilities of making visible the student nurse's mental processes when they provide nursing care in order to identify their strategies and reasoning difficulties. It turns out that concept mapping is a research tool capable of showing these two aspects.The aim of this study is to verify a concept mapping made during an interview and built from the speech of a nursing student when analyzing a simulated clinical situation, is able to make visible its strategies clinical reasoning and reasoning difficulties. In a second phase of it, is to explore how the concept map once elaborated allows students to identify their own intellectual reasoning.12 nursing second year students have participated in the study. Concept maps were constructed by the trainer/researcher as the students analyzed aloud a simulated clinical situation written. Concept maps were analyzed from a reference grid. Interviews were conducted following the elaboration of concept maps and student's comments were analyzed.Students reasoning strategies were either mixed inductive dominant (5/12) or hypothetical-deductive dominant (5/12). Reasoning difficulties identified are related to the lack of identification of important information, the lack of analysis of data, lack of connection or the existence of faulty links. Analysis of the comments highlights that concept mapping contributed to the development of metacognitive skills.The concept mapping has shown benefits in contributing to a diagnostic assessment of clinical reasoning learning. It is an additional resource tool to facilitate the development of metacognitive skills for students. This tool can be useful to implement support learning strategies in clinical reasoning.
- [Nursing staff's knowledge and attitudes concerning preventive oral hygiene in palliative care]. [English Abstract, Journal Article]
- Rech Soins Infirm 2014 Jun; (117):75-84.
Preventive mouth care is essential for the well-being of palliative care patients, though it is not performed enough outside units devoted to these patients. Our study aimed at getting a better knowledge of carers' attitudes and knowledge regarding this basic care. A validated questionnaire was sent anonymously to nurses and nursing aides working in the medical units of ten hospitals in Brittany. Of the 2,467 questionnaires sent, 54% were validated for use. The years of experience have little influence on nursing staff's answers. One in twenty does not think that preventive mouth care is part of his/her duties. This care is considered unpleasant, and difficult, by 11% and 22% of nurses, and 13.5% and 20.5% of nursing aides, respectively. A lack of knowledge is openly expressed with regards to oral diseases and dental prostheses. More than one in four cannot say if he/she knows the functions of the mouth, or he/she can identify a healthy mouth. These results show the scope for improvement as well as the priorities. They will be used as baseline for our future program assessment.
- [Moral distress of nurses: literature review]. [English Abstract, Journal Article, Review]
- Rech Soins Infirm 2014 Jun; (117):65-74.
During their careers, nurses in all fields of the health care systems are likely to experience a period of moral distress at some point during their career. Moral distress has both short and long-terms consequences for the health care system, for the nurses' health as well as for the quality and safety of patient care. The actions to prevent moral distress are still poorly documented. The aim of this article circumscribes the concept of moral distress amongst nurses and proposes interventions that can contribute to its prevention. The psychodynamic of work theoretical framework was chosen to analyze and structure the literature in terms of: the source of suffering at work and the defensives strategies developed by nurses in response to such suffering. Through a review of the literature, this article identifies factors influencing moral distress amongst nurses and the consequences it can have. The interventions identified and interventions proposed represent important recommendations for health organizations and managers seeking to reduce, or even prevent moral distress amongst nurses.
- [Factors associated with continued breastfeeding until 6 months among lactating mothers in a Paris maternity hospital]. [English Abstract, Journal Article, Observational Study]
- Rech Soins Infirm 2014 Jun; (117):50-64.
Breastfeeding contributes to the health of the child and the mother. Given the lack of studies done in France, it is relevant to examine, besides the sociodemographic factors, the psychosocial and the relational factors. The objectives of the study are: to describe the proportion of mothers who breastfeed up to six months, to identify the sociodemographic, psychosocial and relational factors. This is a prospective, observational, single-center cohort study. The instruments used are the socio-demographic and clinical data questionnaire, the Maternel Sensitivity Scale, the Social Behavioral Inventory and the Situational Anxiety Inventory. Of the 247 mothers who participed in the study, 134 responded at six months and 55 mothers reported breastfeeding at six months. Multivariate analysis revealed the significant factors associated with the continuation of breastfeeding up to six months: the determination of mothers to breastfeed (OR (95% CI): 3.99 (1.04 to 15.31)), high maternal sensitivity at 48h (OR (95% CI): 0.16 (0.03 to 0.84)) and the presence of maternal anxiety at 48 h (OR (95% CI): 1.18 (1.06 to 1.32)). The conjunction of the interactionist approach and of maternal sensitivity is a promising avenue for the support of breastfeeding. Psychosocial and relational factors are fields that need to be explored. Knowledge of these factors can strengthen the strategies to inform and support breastfeeding mothers.
- [Learning together for working together: interprofessionalism in simulation training for collaborative skills development]. [English Abstract, Journal Article, Observational Study]
- Rech Soins Infirm 2014 Jun; (117):33-49.
The use of simulation as an educational tool is becoming more widespread in healthcare. Such training gathers doctors and nurses together, which is a rare opportunity in such a sector. The present research focuses on the contribution of inter-professional training to the development of collaborative skills when managing an emergency situation in the context of anesthesia or intensive care. From direct observations of post-simulation debriefing sessions and interviews held with learners in post graduate or in-service training, either in single or multi-professional groups, this study shows that these sessions, based on experiential learning and reflective practice, help to build a shared vision of the problem and of common operative patterns, supporting better communication and the "ability to work in a team".
- [Analysis of barriers to nursing intervention for families in mental health units, in light of Collerette's change model]. [English Abstract, Journal Article, Review]
- Rech Soins Infirm 2014 Jun; (117):21-32.
Accompanying loved ones suffering from a mental health problem on a daily basis is an experience that profoundly transforms the identity of families. Such families must often cope with feelings such as guilt and helplessness. The psychiatric hospitalisation of a family member suffering from mental illness hardly improves the situation. In this context, existing literature recognises the benefits of including family members involved in care, as much for the afflicted person as for family and the professionals involved. However, these families inevitably feel excluded from care and unrecognised in their role, leading to important consequences. This critical review of literature was meant to analyse the obstacles to practicing a family-oriented approach by nurses working in mental health units, in order to propose recommendations aiming at the transformation of present clinical practices in this regard. A systematic study of literature was carried out on the databases CINHAL, Psychlnfo and PubMed and the analysis of literature was realised based on the Theory of Change proposed by Collerette. The results demonstrate that confidentiality, lack of abilities and expertise in addition to certain organisational problems constitute the principal barriers to the practice of nursing interventions for families on a daily basis.
- [Psychosis and the borders of madness]. [English Abstract, Historical Article, Journal Article]
- Rech Soins Infirm 2014 Jun; (117):8-20.
The word "psychosis", designing a group of worse psychical pathologies, has been progressively substituted, since 1850, to the word "madness" in the psychiatric literature. Without any consensus on a precise etiology of all kinds of psychosis, there is a large convergence on a clinical diagnostic with one main symptom: the loss of a sens of reality. This loss is supposed to derive from an alteration of the body diagram of the subject. This alteration implies the non-separation between the subject and the word, and then, a blockage of any authentic communication with the Other. Being so blocked, the temporal perception impeaches the fulfilling of the subjectivity's usual goals. The loss of reality could also induce a delirium, which tries to rebuild another kind of relation with the world. The issue about psychosis brings us to that ultimate question, so what we need to root the psychical distortion in the ordinary perceptive life, because our life is frequently inhabited by dreams, phantasms, and moreover hallucinations. Therefore, we need to examine and to question the meaning and the legitimacy of the strict boarder currently established beetween reason and insanity.
- [Is the research carried out by nurses during professional training and/or university useful?]. [Editorial]
- Rech Soins Infirm 2014 Jun; (117):6-7.
- [Pierre Bourdieu: sociology as a "symbolic revolution"]. [Biography, English Abstract, Historical Article, Journal Article]
- Rech Soins Infirm 2014 Mar; (116):81-94.
The article combines two objectives: understand the genesis and development of the sociology of Bourdieu in connection with his social and intellectual positioning. The sociology of Bourdieu is a theory of Action which reconciles the double requirement of objectification and taking account of the practical logic bound by social agents. From the character both objective and subjective of social space, he analyzes how different institutions (firstly School) are doing that mental structures match the objective structures of society. By making acceptable reality and registering it in the body, these instances contribute to reproduce social divisions and participate in the work of domination. Gradually, Bourdieu develops a general theory about Power, which leads to a sociology of State. But he refuses any sociological fatalism. Because he perceived homologies between the sociologist and the artist facing the social order, each in their own way, he devoted two researches to Flaubert and Manet, seized in the same enterprise of aesthetic subversion he described as a 'symbolic revolution'. In many aspects, the sociology of Bourdieu opens ways of looking for an objectification of caregivers and their practices.