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Recherche en soins infirmiers [keywords]
- [Supporting preceptor skills development with a forum discussion]. [English Abstract, Journal Article]
- Rech Soins Infirm 2013 Dec; (115):124-31.
The success of nursing students in clinical settings is significantly influenced by the nurse's preparation level of the preceptor's role. It is therefore essential to create and make available training activities that prepares and support the development of these skills in clinical settings. Among the significant benefits to participate in preceptorship training activities, the satisfaction of feeling better prepared and to share experiences with colleagues is well recognized. Thus, the online environment allows the creation of programs that encourage exchanges and discussions in addition to promote a social learning space. This article presents the implementation of an online training activity to support the development of preceptors skills in clinical settings with nursing students. The results of this clinical experience revealed several constraints to the involvement of nurses in this activity and enhanced the importance of an organizational partnership between the institution and the clinical environment to overcome these constraints.
- [The Citizen Accompaniment Project for Community Integration for people with traumatic brain injury: a step towards resilience?]. [English Abstract, Journal Article]
- Rech Soins Infirm 2013 Dec; (115):107-23.
most people with a traumatic brain injury (TBI) live with physical, sensory, or psychological sequelae that affect their day-to-day functioning and prevent them from performing their regular activities.a Citizen Accompaniment for Community Integration project (APIC) was implemented for people with TBI to fulfill the lack of access to resources and gives them support to redefine their life projects.this study's aim is to evaluate the APIC's impacts on the participants' wellbeing and their ability to participate in recreational and day-to-day living activities.it uses a mixed research design of multiple case studies supported by a participative and collaborative research approach. Qualitative and quantitative datas were collected from 9 participants with TBI in 2 stages, at the beginning of the APIC after 6 months and at the end, after 12 months, using semi-structured interviews.this study shows the APIC's positive impacts in the development of the participant's autonomy and satisfaction with their social participation.it tends to reveal that the APIC is a safe space for experimentation, founded on a reciprocal relationship between accompanied and accompanier, and promoting the commitment to the resilience process.
- [Practices surrounding developmental care: exploration of barriers and remedy strategies suggested by the experts]. [English Abstract, Journal Article]
- Rech Soins Infirm 2013 Dec; (115):92-106.
Developmental care represents a new approach in care promoting a harmonious development of the premature baby. Although this approach is increasingly common,the recommended behaviors for these cares are not sufficiently adopted by the neonatal nurses.This research aims to explore the barriers the neonatal nurses encounter when adopting the practices surrounding developmental care and the strategies that need to be implemented in order to overcome these barriers. In order to achieve this, semi-directed interviews based on open questions have been held with experts in the field, and were analyzed with a qualitative approach.This results in multiple barriers (mainly difficulties to redefine the role of the nurse) and a large amount of strategies to overcome these barriers with individual, organizational and institutional levers.To reach a larger individualization of the care for the premature infant, it is ultimately important to invest every level by suggesting an individual and a collective reflexive practice but also by raising awareness of each tier for developmental care.
- [Ethics of care and masculinity: the case of men who choose the nursing profession]. [English Abstract, Journal Article]
- Rech Soins Infirm 2013 Dec; (115):85-91.
The ethic of care formulated in 1982 by C. Gilligan states that men and women do not have the same moral concerns. This work had as main objective to determine moral concerns of men who choose to be pediatric nurse, a female occupation (in France, 1,3% of men reported in 2010 among nurses specialized in pediatric care).population was composed of a non-representative sample of male pediatric nurses recruited from the next. Methodology consisted in a qualitative survey in the form of face-to-face interviews by a single female investigator.I I men were interviewed between January and Mai 2013. Analysis of the interviews showed that, although they announce classical nursing and masculine values, moral concerns that characterize the ethic of care were present in almost of them ( 10 out of 11).the main feature of this work was that the investigator met happy health professionals. It is therefore suggested that it is explained by the fact that this group of men combine, in an apparently harmonious way, moral concerns traditionally assigned to men and women.
- [The "sandwich generation" in Switzerland : a better understanding of factors linked with perceived health for health promotion]. [English Abstract, Journal Article]
- Rech Soins Infirm 2013 Dec; (115):68-84.
The so-called < Sandwich Generation > (SG) is characterized by concurrent and competing professional, familial, and informal caregiving workloads. These stressors pose potential health risks. However, the current knowledge about SG characteristics and perceived state of health are insufficient to allow occupational health nurses to develop evidence-based interventions designed for health promotion. We aimed to describe this population and examine the relationships between these coexisting workloads and their perceived health. This study is based on a descriptive, correlational design. Employees of a Swiss public administration completed an electronic questionnaire. Of 844 respondents, 23 % are SG members. Ages of frailed parents or parents-in-law, co-residence with the latters, children still living at home predict that employees could be members of the SG. Perceived physical health status of SG members is rated better than mental health status. The heterogeneity of SG is reflected in three clusters. Finally, physical health score is the only that differs from the other health scores adjusting for clusters and sex. This study provides a foundation for developing preventive interventions targeting the SG.
- [Urinary incontinence in hospitalized geriatric patients : is it really a priority for nurses?]. [English Abstract, Journal Article]
- Rech Soins Infirm 2013 Dec; (115):59-67.
urinary incontinence (UI) is a phenomenon with high prevalence in hospitalized elderly patients, effecting up to 70% of patients requiring long term care. However, despite the discomfort it causes and its association with functional decline, it seems to be given insufficient attention by nurses in geriatric care.to assess the prevalence of urinary incontinence in geriatric patients at admission and the level of nurse involvement as characterized by the explicit documentation of UI diagnosis in the patient's record, prescription of nursing intervention, or nursing actions related to UI.cross-sectional retrospective chart review. One hundred cases were randomly selected from those patients 65 years or older admitted to the geriatric ward of a university hospital. The variables examined included: total and continence scores on the Measure of Functional Independence (MIF), socio-demographic variables, presence of a nursing diagnosis in the medical record, prescription of or documentation of a nursing intervention related to UI.the prevalence of urinary incontinence was 72 % and UI was positively correlated with a low MIF score, age and status of awaiting placement. Of the examined cases, nursing diagnosis of UI was only documented in 1.4 % of cases, nursing interventions were prescribed in 54 % of cases, and at least one nursing intervention was performed in 72 % of cases. The vast majority of the interventions were palliative.the results on the prevalence of IU are similar to those reported in several other studies. This is also the case in relation to nursing interventions. In this study, people with UI were given the same care regardless of their MIF score MIF, age or gender. One limitation of this study is that it is retrospective and therefore dependent on the quality of the nursing documentation.this study is novel because it examines UI in relation to nursing interventions. It demonstrates that despite a high prevalence of UI, the general level of concern for nurses remains relatively low. Individualized care is desirable and clinical innovations must be developed for primary and secondary prevention of UI during hospitalization.
- [Advanced nursing practice: vision in Switzerland]. [English Abstract, Journal Article]
- Rech Soins Infirm 2013 Dec; (115):49-58.
To meet the challenges related to the development of health problems taking into account the development of knowledge, several innovations in care are being implemented. Among these, advanced nursing roles and increased interprofessional collaboration are considered as important features in Switzerland. Although the international literature provides benchmarks for advanced roles, it was considered essential to contextualize these in order to promote their application value in Switzerland. Thus, from 79 statements drawn from the literature, 172 participants involved in a two-sequential phases study only kept 29 statements because they considered they were relevant, important and applicable in daily practice. However, it is important to point out that statements which have not been selected at this stage to describe advanced practice cannot be considered irrelevant permanently. Indeed, given the emergence of advanced practice in western Switzerland, it is possible that a statement judged not so relevant at this moment of the development of advanced practice, will be considered as such later on. The master's program in nursing embedded at the University of Lausanne and the University of Applied Sciences Western Switzerland was also examined in the light of these statements. It was concluded that all the objectives of the program are aligned with the competencies statements that were kept.
- [Prolonged pain in neonates: retrospective analysis]. [English Abstract, Journal Article]
- Rech Soins Infirm 2013 Dec; (115):36-48.
infants hospitalised in neonatology are inevitably exposed to pain repeatedly. Premature infants are particularly vulnerable, because they are hypersensitive to pain and demonstrate diminished behavioural responses to pain. They are therefore at risk of developing short and long-term complications if pain remains untreated.compared to acute pain, there is limited evidence in the literature on prolonged pain in infants. However, the prevalence is reported between 20 and 40 %. OBJECTIVE : this single case study aimed to identify the bio-contextual characteristics of neonates who experienced prolonged pain. METHODS : this study was carried out in the neonatal unit of a tertiary referral centre in Western Switzerland. A retrospective data analysis of seven infants' profile, who experienced prolonged pain ,was performed using five different data sources. RESULTS : the mean gestational age of the seven infants was 32weeks. The main diagnosis included prematurity and respiratory distress syndrome. The total observations (N=55) showed that the participants had in average 21.8 (SD 6.9) painful procedures that were estimated to be of moderate to severe intensity each day. Out of the 164 recorded pain scores (2.9 pain assessment/day/infant), 14.6 % confirmed acute pain. Out of those experiencing acute pain, analgesia was given in 16.6 % of them and 79.1 % received no analgesia.this study highlighted the difficulty in managing pain in neonates who are exposed to numerous painful procedures. Pain in this population remains underevaluated and as a result undertreated.Results of this study showed that nursing documentation related to pain assessment is not systematic.Regular assessment and documentation of acute and prolonged pain are recommended. This could be achieved with clear guidelines on the Assessment Intervention Reassessment (AIR) cyclewith validated measures adapted to neonates. The adequacy of pain assessment is a pre-requisite for appropriate pain relief in neonates.
- [The role of spirituality in nursing care: a literature review]. [English Abstract, Journal Article, Review]
- Rech Soins Infirm 2013 Dec; (115):19-35.
Spirituality addresses the need to give meaning to life events and is characterized by the relationship with oneself, others and the universe. This article aims to provide an overview of the empirical knowledge, and the prevailing thoughts about spirituality in nursing and suggest perspectives for future directions. The literature review was conducted using the main databases; 36 articles, published between 2008-2013, were selected. The themes covered include the definitions of the spirituality, the spiritual care and the spiritual well-being. Spirituality differs from, yet is not opposed to religion and takes different forms in multicultural and secular societies. Cancer incites existential questions and impacts quality of life, and spiritual well-being is recognized as a good indicator of quality of life for people living with cancer. Professional caregivers are concerned about the needs and spiritual well-being of their patients and often consider interventions to address them. This article reflects the depth of thought and research in nursing and touches on both discipline-specific and interdisciplinary issues.
- [Communication among hospital leaders]. [English Abstract, Journal Article]
- Rech Soins Infirm 2013 Dec; (115):8-18.
New management styles imposed on hospital institutions in recent years, have fundamentally changed the organization of the latter. Many texts discuss the consequences, specifically on the field of communication. The aim of this study was to understand the real impact of new management methods on communication by managers in hospital, but also on care teams in termes of satisfaction and/or stress. This two-year study was conducted among 900 executives in hospitals in Western Switzerland using a mixed methodology. A first phase of questionnaires highlighted the problematic areas, while a second phase in the form of organized group interviews in each hospital, had the objective of achieving a better understanding of the relationship between management and communication. The latter proved to be particularly significant in terms of results, and this is the one we focused on in this article.These results indeed show that a crucial role is given to communication by carers, and, at the same time a lessening of the time devoted to relationships, both among peers and with patients. Frustration then arises, which is not without consequences both for the management of patients and the institutions themselves. It is by means of these results that awareness is raised of the omnipresence of communication at all levels and the major advantages that positive dynamic supports. And, on the contrary, of the serious problems which may arise from management practice that do not give due importance to the dimension of communication, present in all sectors of the hospital.