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L’implication des familles dont un enfant a d’une déficience motrice cérébrale dans la gestion du développement de leur enfant et des services dont il a besoin a connu une évolution notable. Elle a permis entre autres aux professionnels de reconnaître les savoirs parentaux comme étant des savoirs crédibles. Elle a aussi forcé ces professionnels à instaurer et donc favoriser l’acquisition de nouvelles relations par une nouvelle forme de rétroaction constante avec les familles, avec de nouvelles compétences parentales, facilitant notamment une meilleure prise en charge des enfants. Cet article présente une étude phénoménologique rétrospective ayant pour but d’étudier l’établissement du partenariat entre les différents professionnels et les familles dont un enfant prématuré est atteint d’une déficience motrice cérébrale. Il présente l’analyse du processus de la continuité de services offerts. Dans le cadre de cette étude, les parents et les professionnels ont été rencontrés en entrevue individuelle. Du point de vue des parents, les résultats obtenus à partir des entrevues individuelles avec des parents et des professionnels identifient les objets des savoirs acquis, les lieux de transmission des savoirs, les éléments qui en facilitent l’accès, ainsi que la nature des besoins nécessitant des dispositifs d’apprentissage., The integration of parents in service development management has evolved considerably. It has allowed professionals to recognize parental knowledge as credible knowledge and has also forced professionals to put special emphasis on the acquisition of new parental skills, facilitating better care for the children. The article presents a retrospective phenomenological study, the goal of which is to study the establishment of partnerships between the various professionals and the families of premature children with cerebral palsy. It presents an analysis of the process and the continuity of services offered. In the framework of this study, parents and professionals were interviewed individually. The results obtained from these interviews identify knowledge that was acquired, where it was acquired, elements that facilitated access to knowledge and the kind of needs that require learning systems, promoting continuity of services., La integración de los padres de familia en la gestión del desarrollo de los servicios ha conocido una notable evolución. Dicha integración ha permitido a los profesionistas valorizar las habilidades parentales en tanto que habilidades dignas de confianza. También ha forzado a los profesionistas a insistir en la importancia de la adquisición de nuevas competencias parentales, facilitando así un mejor cuidado de los niños. Este artículo presenta un estudio fenomenológico retrospectivo cuyo objetivo es estudiar el establecimiento de la cooperación entre los diferentes profesionistas y las familias con un hijo prematuro que sufre de una deficiencia cerebro-motriz. Presenta el análisis de los procesos y de la continuidad de los servicios que se ofrecen. En el marco de este estudio, se han entrevistado a los padres de familia y los profesionistas. Los resultados obtenidos muestran que los objetos de los conocimientos adquiridos, los sitios de transmisión de esos conocimientos, los elementos que facilitan el acceso y la naturaleza de las necesidades requieren dispositivos de aprendizaje que promueven la continuidad de los servicios.

Aim The aim of the study was to describe and compare feeling of competence regarding humanistic caring in Registered Nurses (RN) and nursing students (NS). Design A quantitative comparative cross‐sectional research design was used. Methods A convenience sample of 196 RN and 47 NS in a teaching hospital in Belgium completed a self‐administered questionnaire composed of a sociodemographic survey and the Caring Nurse‐Patient Interactions Scale (CNPI‐23) developed by Cossette et al. Results The four dimensions of the CNPI‐23 were compared using the Skillings–Mack test. Both groups scored higher on “humanistic” and “comforting” than on “clinical” and “relational” care and both scored lowest on this last dimension. Linear regressions showed that none of the variables had a statistically significant influence on the CNPI‐23 scores, except for NS “state of health,” which influenced their feeling of competence regarding “relational care.”

Le traumatisme craniocérébral est une expérience déchirante pour les familles, mais aussi pour les professionnels de la santé qui vivent de l’impuissance face à la souffrance de la personne ayant le traumatisme craniocérébral et de ses proches. Le processus de deuil de la personne telle qu’elle était avant le traumatisme crânien et celui de leur vie antérieure est certes souffrant, mais s’accompagne d’un potentiel d’apprentissage et de croissance, tant pour les familles que les professionnels de la santé impliqués auprès d’elles. Une relation reposant sur le partage réciproque des savoirs et des expertises dans un rapport égalitaire est garante d’une relation satisfaisante, malgré une atmosphère chargée d’émotions. Le partenariat constitue en effet une stratégie intéressante qui permet de faire de ce moment de souffrance une expérience positive pour les familles et les professionnels de la santé., Craniocerebral trauma is a devastating experience for families; it is equally so for the health professionals confronted with their own impotence in the face of the suffering of both the individual affected by the craniocerebral trauma and those close to that person. The mourning process of the state of being before the accident, their life before the accident is without a doubt difficult, and yet it also comes with the potential to learn and grow, as much for the families as the health professionals closely implicated with them. A relationship built on mutual sharing of knowledge and expertise in the spirit of true equality is the hallmark of a healthy relationship though it is highly charged with emotion. Partnership emerges as an ideal strategy to transform this situation of suffering into a positive experience for both members of the family and the involved health professionals.

SCOPUS: ed.j, info:eu-repo/semantics/published

Highly valued by seniors, community integration has beneficial effects on their biopsychosocial health. However, not all of them have the same opportunities to engage in social participation activi...

A literature review was undertaken to describe the experience of people with cancer with regard to the different transitions of their care pathway. It enables all these transitions to be identified, documented and mapped out. The aim is to improve the quality of the care provided to this vulnerable population, all along the pathway.

While being integrated into a public health policy which is extending their role, advanced practice nurses should operate within a discipline-specific approach, which takes account of their professional identity and ensures their added value for the health care system. Conceptual models of nursing care and other nursing theories are there to guide their practice and enable them to stay focused on their specific discipline.

While being integrated into a public health policy which is extending their role, advanced practice nurses should operate within a discipline-specific approach, which takes account of their professional identity and ensures their added value for the health care system. Conceptual models of nursing care and other nursing theories are there to guide their practice and enable them to stay focused on their specific discipline., SCOPUS: ar.j, info:eu-repo/semantics/published

Un projet de recherche a réuni des patients partenaires, des leaders en soins infirmiers de six milieux cliniques du Québec ainsi que des chercheurs en vue de développer et tester un outil web, le Portail d’échange des savoirs (PES), afin d’améliorer les pratiques de planification des congés et les transitions au cours des soins oncologiques. Le projet a débouché sur la création d’un PES axé sur l’oncologie ouvert à toute la francophonie. Il en a aussi émergé une stratégie novatrice de transfert des connaissances (TC) prenant appui sur le PES et alimentée par le travail collaboratif des différents partenaires, parmi lesquels les patients ont tenu un rôle essentiel. Les résultats ont mis en lumière l’importance, pour la recherche en santé, de donner la parole à des patients partenaires dans le cadre d’une étroite collaboration avec des cliniciens et des chercheurs, pour que les pratiques cliniques soient mieux adaptées aux besoins réels des patients et de leurs proches., A research project brought together patient partners, nurse leaders from six clinical settings in Quebec and researchers to develop and test a web technology, the Forum for Knowledge Exchange (FKE), in order to improve discharge planning practices and oncological care transitions. The project led to the creation of a FKE accessible to the oncology sector of the Francophonie. It revealed an innovative strategy of knowledge transfer (KT) based on the FKE and was fed by collaborative work among partners, where the patient partners played a vital role. The results highlighted the importance, for health research, of giving a voice to patient partners in close collaboration with clinicians and researchers so that clinical practices are better adapted to the actual needs of patients and of their relatives., info:eu-repo/semantics/published

La mobilisation d’une conception infirmiere dans le champ de la gestion par les cadres infirmiers presente des benefices directs et indirects pour le patient comme pour les professionnels. Selon le modele de soins infirmiers (MSI) retenu, les concepts de personne, de sante, de soins et d’environnement sont tres variables et teintent la pratique differemment. Nous avons cherche a savoir si les chefs de departement infirmier (CDI) hospitaliers des hopitaux belges francophones et bilingues integrent une conception infirmiere dans la politique de leur departement. Nous avons opte pour une recherche quantitative a visee descriptive et correlationnelle a laquelle 97,5 % des CDI (78/80) ont participe. Il ressort qu’un modele de soins infirmiers sous-tend l’action du departement infirmier dans seulement 38 % des cas (30/78). La ou un MSI est utilise, il est generalement communique explicitement au personnel (26/30). Parmi les modeles utilises, celui de Virginia Henderson domine (26/30). L’anciennete du CDI dans sa fonction ainsi que des variables liees au parcours d’enseignement et au milieu clinique semblent influencer les resultats. Les modeles relevant du paradigme de la transformation restent rares. Il convient a present de poursuivre les recherches en vue de comprendre l’experience des chefs de departement infirmier par rapport aux modeles de soins infirmiers.

Aim To examine whether age contributes to functional recovery and resilience after moderate-to-severe traumatic brain injury. Background The ability to recover may change across the lifespan, but the influence of age on brain injury outcome is understudied. Design Mixed methods study. Methods All adults of working-age (18-64 years), discharged from a Level I trauma center between 2010-2013 after sustaining a moderate-to-severe traumatic brain injury were considered. Functional recovery was assessed during a telephone interview with the Glasgow Outcome Scale-Extended 12-36 months post-injury. A subgroup completed the Connor-Davidson Resilience Scale and a face-to-face interview about resilience. Results Ninety-seven young (mean age: 27 years; 75% male) and 47 middle-aged brain trauma survivors (mean age: 53 years; 75% male) completed the telephone interview. Eight young and five middle-aged adults were also assessed for resilience. Overall, young participants experienced more severe head injuries. Yet, they achieved slightly higher levels of functional recovery compared with middle-aged ones as per the Glasgow Outcome Scale-Extended. Controlling for CT scan findings and post-traumatic amnesia duration, age was not found to be associated to functional recovery in adults of working age. Although both groups showed similar levels of resilience, young participants discussed the challenges related to “having more time on their hands” and “being a changed person”, two elements perceived positively by middle-aged ones. Conclusion While age does not appear to interfere with functional recovery in adults of working-age, younger brain trauma survivors could benefit from nursing interventions to strengthen their resilience process related to re-employment orientation and identity. This article is protected by copyright. All rights reserved.

Background: The multiple sequelae caused by traumatic brain injuries (TBIs) can considerably reduce the ability of seniors to resume their activities of daily living and their leisure activities, and to return to meaningful relationships so they can participate in the life of their community.

Resume Objectif L’etude des formes pediatriques de lupus erythemateux systemique (LES) a permis recemment l’identification de formes monogeniques de LES. L’objectif principal de cette etude est de decrire les premiers patients inclus dans l’etude GENIAL/LUMUGENE et les comparer aux donnees de la litterature. L’objectif secondaire est d’identifier les patients a plus forte composante genetique sur une base clinico-biologique. Methodes L’etude GENIAL/LUMUGENE est une etude nationale clinique, immunologique et genetique des lupus a debut pediatrique ( clinical trial : NCT01992666 ). Les 64 premiers patients âges de moins de 18 ans inclus dans ce premier volet de l’etude ont fait l’objet d’un recueil retrospectif des donnees clinico-biologiques. Les sous-groupes ont ete determines a priori et definissent : (1) les lupus syndromiques ( n = 10), (2) les lupus familiaux ( n = 12) et (3) les autres formes de lupus precoces ( n = 42). Resultats La constitution de groupes de patients, a priori, sur la base des connaissances des signes cliniques ou epidemiologiques des lupus monogeniques identifie d’une part un âge au debut plus precoce dans les formes syndromiques ( p Conclusions Cette etude ne permet pas, sur la base des donnees cliniques et epidemiologiques seules, de determiner un sous-groupe de patient partageant une presentation ou une evolution commune. Cette observation peut etre liee au faible effectif ou temoigner de la grande heterogeneite des lupus juveniles. L’analyse de ces patients par les nouvelles techniques de sequencage pourrait identifier des elements de l’heredite responsable de cette variabilite importante.

Mene par le CRIR et ses partenaires, le projet Laboratoire Vivant de Readaptation, RehabMaLL, collabore a la creation d’un environnement facilitant la participation et l’inclusion des personnes de tous âges, particulierement de celles vivant avec des incapacites physiques, dans un centre commercial du centre-ville de Montreal. Hormis le partenaire principal, FPI COMINAR, proprietaire du centre commercial, le projet inclut des milieux communautaires et associatifs, cliniques, le prive, ainsi que des chercheurs et des industriels locaux, nationaux et internationaux. Cette initiative decoule de l’engagement actif et de la synergie entre des chercheurs et des partenaires qui se sont donne pour but de faire disparaitre les obstacles crees par des environnements physiques et sociaux discriminants. Cette transformation se realise au travers de solutions innovantes et de strategies visant la reduction des inegalites et la promotion de l’accessibilite, du bien-etre et, par consequent, de la sante des Quebecois.

Although public environments provide opportunities for participation and social inclusion, they are not always inclusive spaces and may not accommodate the wide diversity of people. The Rehabilitation Living Lab in the Mall is a unique, interdisciplinary, and multi-sectoral research project with an aim to transform a shopping complex in Montreal, Canada, into an inclusive environment optimizing the participation and social inclusion of all people.The PRECEDE-PROCEDE Model (PPM), a community-oriented and participatory planning model, was applied as a framework. The PPM is comprised of nine steps divided between planning, implementation, and evaluation.The PPM is well suited as a framework for the development of an inclusive mall. Its ecological approach considers the environment, as well as the social and individual factors relating to mall users' needs and expectations. Transforming a mall to be more inclusive is a complex process involving many stakeholders. The PPM allows the synthesis of several sources of information, as well as the identification and prioritization of key issues to address. The PPM also helps to frame and drive the implementation and evaluate the components of the project.This knowledge can help others interested in using the PPM to create similar enabling and inclusive environments world-wide. Implication for rehabilitation While public environments provide opportunities for participation and social inclusion, they are not always inclusive spaces and may not accommodate the wide diversity of people. The PRECEDE PROCEDE Model (PPM) is well suited as a framework for the development, implementation, and evaluation of an inclusive mall. Environmental barriers can negatively impact the rehabilitation process by impeding the restoration and augmentation of function. Removing barriers to social participation and independent living by improving inclusivity in the mall and other environments positively impacts the lives of people with disabilities.

Background In the context of an ageing population and an increase in the appearance of chronic diseases, the commitment of caregivers makes it possible for people confronted with disease to remain at home. Over time, they need support to overcome their difficulties. They also show a need for recognition for their participation in the economic maintenance of the health system. To promote this support, so-called “win/win” partnerships are envisaged. Research is needed to identify the building blocks of an innovative intervention. Methods A cross-sectional descriptive study was carried out with health institutions in the canton of Geneva to identify the proportion of institutions with a positive opinion on partnership with caregivers. It has also identified potential partnerships with caregivers of people facing dementia and possible compensation in exchange for the provision of their skills. Descriptive statistics are presented according to their frequencies and relative percentages (categorical variables), as well as by their mean, standard deviation and median (continuous variables). Logistic regression models were used to assess the factors associated with a favorable opinion towards win/win partnerships. Results The proportion of executives of health-related institutions with a positive opinion of partnership with caregivers is high: 74.7% (95% CI: 64.8–83.1%). Several types of potential partnerships have been identified between health institutions and caregivers. Areas in which certain activities have been identified as being able to be carried out by caregivers include governance, care, provision of services, accompaniment and support, training and research. Types of compensation for caregivers have also been highlighted. Conclusion This study shows that some areas activities of health facilities in the canton of Geneva could be the subject of win-win partnerships with caregivers of people with dementia. Positive view of health executives on partnership with caregivers is encouraging. In the future, innovative projects can emerge to meet the needs of each party. Electronic supplementary material The online version of this article (10.1186/s12889-019-7014-8) contains supplementary material, which is available to authorized users.

A research project brought together patient partners, nurse leaders from six clinical settings in Quebec and researchers to develop and test a web technology, the Forum for Knowledge Exchange (FKE), in order to improve discharge planning practices and oncological care transitions. The project led to the creation of a FKE accessible to the oncology sector of the Francophonie. It revealed an innovative strategy of knowledge transfer (KT) based on the FKE and was fed by collaborative work among partners, where the patient partners played a vital role. The results highlighted the importance, for health research, of giving a voice to patient partners in close collaboration with clinicians and researchers so that clinical practices are better adapted to the actual needs of patients and of their relatives.

Today's patients wish to establish a dialogue with the health professional and aspire to become partners in their care. A dedicated tool can help patients with cancer create such a partnership. Cooperative research to improve transitions in cancer care focused on this question.

Les patients souhaitent aujourd’hui s’investir dans un dialogue avec le professionnel de santé, et aspirent à devenir des acteurs de leurs soins. Un accompagnement partenarial des patients atteints de cancer peut prendre appui sur un outil dédié pour les aider en ce sens. Une recherche coopérative pour améliorer les transitions de soins oncologiques s’est intéressée à cette question., SCOPUS: sh.j, info:eu-repo/semantics/published

A literature review was undertaken to describe the experience of people with cancer with regard to the different transitions of their care pathway. It enables all these transitions to be identified, documented and mapped out. The aim is to improve the quality of the care provided to this vulnerable population, all along the pathway.

Background The APIC (Citizen Accompaniment Project for Community Integration) is an innovative program that seeks to increase the community integration of people with a traumatic brain injury (TBI) by offering the support of an accompanying citizen (AC) in the accomplishment of significant life activities. Objective This article aims to better define the AC's role in this process, by underlining the mental health risks they face, the strategies they use, and the impacts the role has on their own lives. Methods This qualitative study is based on the analysis of interviews conducted with the AC following the first year of implementation. The data is part of a larger project aimed at the implementation and evaluation of APIC program. The data were analysed according to the rules of thematic content analysis, which encourages grouping main ideas into categories. This is an iterative process allowing for the constant emergence of new categories during the analysis. Results Accompaniment is full of joys and positive moments for the AC and participants. However, some difficult situations are encountered and the AC are constantly faced with challenges and constraints. The emerging study themes are as follows: the environment, the characteristics of the person accompanied, the AC's personal limits, and the ambiguities in the accompanier-accompanied relationship. Conclusions Five principles drawn from the results will help oversee this practice more efficiently and limit the mental health risks of accompaniers. These findings may permit further development of this type of program for people living with disabilities.

Comme a bien des endroits dans le monde, le Quebec n’echappe pas aux reformes de son systeme de la sante, lesquelles peuvent malheureusement entrainer des obstacles a la qualite des soins, de meme qu’une certaine deshumanisation, et ce, tant au regard des soins a la clientele, qu’au niveau organisationnel, pour les professionnels de la sante. C’est ainsi que le « Modele humaniste des soins infirmiers - UdeM » (MHSI-UdeM) souhaite offrir une perspective novatrice visant l’amelioration de la qualite et de la securite des soins, de la satisfaction et du bien-etre de la clientele ainsi que celui des infirmieres. Tout en respectant leurs influences theoriques, les auteurs presentent leur vision des concepts centraux de la discipline de meme que des concepts cles du Modele, cherchant ainsi a les rendre plus comprehensibles, accessibles et applicables dans la pratique quotidienne des infirmieres. Cet article vise a faire connaitre le Modele a la communaute infirmiere, a promouvoir son implantation dans toutes les spheres d’activites de la profession infirmiere en plus d’en montrer son applicabilite et ses retombees en recherche infirmiere. Il apparait que ce modele s’avere prometteur dans l’actualisation et le developpement d’interventions de soins humanistes aupres de la clientele.

This pilot project aims to test and see the relevance of the direct observation method to collect data on the barriers and facilitators to attending public places by seniors with TBI. The study is based on the conceptual framework VADA WHO which focuses on the development of friendly built and technological environments for seniors. Three elderly people participated in the study, recruited from an ongoing project, The Citizen Intervention in Community Living (APIC), in the presence of their personalized attendant. The study shows the feasibility of the method in terms of its acceptability and resources mobilized. It shows its relevance to access additional data that would have been difficult to obtain using others methods (e.g., semi-structured interview), such as the identification of the strategies used by the participants to address the obstacles encountered (avoidance, travel planning, use of physical and preventative support of the personalized attendant).

Background Social participation, a determinant of health in older adults, requires innovative interventions. The personalised citizen assistance for social participation (APIC) involves weekly three-hour personalised stimulation sessions targeting significant social and leisure activities difficult to accomplish. Recently adapted for older adults, the APIC’s impact on this population is unknown. Objective This study explored the impact of APIC on older adults with disabilities. Methods A mixed-method design including a pre-experimental component was used with 16 participants (11 women) aged 66–91 (79.4 ± 8.7) with disabilities, living at home. They completed functional autonomy, social participation, leisure and quality of life questionnaires, and semi-structured interviews. Results APIC increased older adults’ functional autonomy (p = 0.02), accomplishment (p

Resume Malgre de nombreuses initiatives quebecoises pour ameliorer la gestion des planifications de sortie et des transitions de soins offerts aux patients atteints d’un cancer, plusieurs defis persistent a ce jour notamment sur le plan des transferts de soins, des suivis, du soutien et de la communication entre professionnels de sante. Cet article presente le protocole d’une recherche visant a repondre a ces enjeux par l’implantation et l’evaluation d’une innovation clinique utilisant la fine pointe de la technologie, le portail d’echange des savoirs (PES). Le PES reunit, dans un nouvel espace interactif, des chercheurs, infirmieres et autres professionnels et patients partenaires, pour partager leurs savoirs (tacites, scientifiques) et ameliorer le continuum de soins en oncologie. Cette etude adopte une approche participative et se deroule dans six milieux cliniques couvrant le continuum de soins, de la prevention aux soins palliatifs. Elle vise a contribuer a l’amelioration de la planification de sorties et transitions de soins par l’utilisation des connaissances et le renouvellement des pratiques cliniques.

Introduction La prise en charge du polytraumatisé au service d’urgence est cruciale afin d’optimiser les soins et d’éviter un décès prématuré. Plusieurs études ont souligné d’importantes lacunes dans la collaboration entre les professionnels de l’équipe de traumatologie, ce qui affecte négativement la qualité des soins prodigués. Objectifs de l’étude Cette étude qualitative descriptive de type exploratoire a pour but d’examiner l’expérience de la collaboration interprofessionnelle (CIP) lors de la prise en charge d’un polytraumatisé dans un service d’urgence au Canada. Elle vise à connaître l’avis des professionnels de la santé sur la CIP ainsi que les facteurs favorisant et compromettant celle-ci. Méthode Sept professionnels de la santé ont participé à l’étude par le biais d’entrevues individuelles, de deux observations directes et d’un groupe de discussion focalisé. Principaux résultats Les résultats permettent de mieux comprendre la réalité qu’ils affrontent durant la prise en charge d’un polytraumatisé., Introduction The management of polytrauma patients in the emergency department is crucial to optimize care and prevent premature deaths. Unfortunately, many studies have highlighted important gaps in collaboration between the different professionals on the trauma team, which poses major quality of care challenges. Objective of the study This qualitative descriptive exploratory study aims to explore the experience of interprofessional collaboration (IPC) in the management of a polytrauma patient in the emergency department. More specifically, it aims to know the description that health professionals make of the IPC, as well as the identification of the facilitating and constraining factors. Method One-on-one interviews, two direct observations and a focus group were conducted with 7 health professionals. Main results The results provide a better understanding of the reality experienced by health professionals when treating a polytrauma patient.

Asthma remains a major public health problem, with 300 million people affected worldwide and a low rate of adherence to treatment.Few authors have considered one of the determinants of asthmatic patients' adherence to treatment : the accompaniment offered by health care professionals.To describe the expectations and needs of people living with chronic asthma regarding their accompaniment.A descriptive qualitative approach with reasoned sampling. Eight individual semi-structured interviews were conducted among chronic asthmatic adult patients and analyzed by an inductive approach. This was submitted to participants for validation.Needs and expectations are branched out into six main themes : the wish to establish a trusting relationship, the need to perceive professional competence, the importance of the professional's availability, the wish to be more involved in one's life with the disease, the desire for the professional to adopt a humanist posture and to take into account patient singularity.A better understanding of non-met expectations would help the adherence to treatment rate to improve. This qualitative research opens various avenues for reflection that are worth thinking about and provides the breeding ground for other studies.

Introduction :l’asthme constitue un problème majeur de Santé Publique avec 300.000.000 de personnes touchées au niveau mondial et un faible taux d’adhésion au traitement. Contexte :peu d’auteurs se sont penchés sur un des déterminants de cette adhésion :l’accompagnement proposé par les professionnels de la santé. Objectifs :décrire les besoins et les attentes des personnes vivant avec un asthme chronique quant à cet accompagnement. Méthode :approche qualitative à visée descriptive avec échantillonnage raisonné. Huit entretiens individuels semi-directifs ont été réalisés avec des patients adultes asthmatiques chroniques puis ont fait l’objet d’une analyse de contenu inductive, soumise à validation par les participants. Résultats :les besoins et attentes se répartissent en six grands thèmes :le souhait que s’installe une relation de confiance, la nécessité de percevoir la compétence professionnelle, l’importance de la disponibilité du professionnel, la volonté d’être davantage acteur de sa vie avec la maladie, le désir que le professionnel adopte une posture humaniste et prenne en compte la singularité du patient. Conclusion :une meilleure compréhension des attentes non rencontrées contribuerait à l’amélioration de l’adhésion au traitement. Cette recherche qualitative ouvre diverses pistes de réflexion et peut constituer le terreau d’autres études., Introduction: Asthma remains a major public health problem, with 300 million people affected worldwide and a low rate of adherence to treatment. Context :Few authors have considered one of the determinants of asthmatic patients’ adherence to treatment :the accompaniment offered by health care professionals. Aim :To describe the expectations and needs of people living with chronic asthma regarding their accompaniment. Methods :A descriptive qualitative approach with reasoned sampling. Eight individual semi-structured interviews were conducted among chronic asthmatic adult patients and analyzed by an inductive approach. This was submitted to participants for validation.Results: Needs and expectations are branched out into six main themes :the wish to establish a trusting relationship, the need to perceive professional competence, the importance of the professional’s availability, the wish to be more involved in one’s life with the disease, the desire for the professional to adopt a humanist posture and to take into account patient singularity. Conclusion :A better understanding of non-met expectations would help the adherence to treatment rate to improve. This qualitative research opens various avenues for reflection that are worth thinking about and provides the breeding ground for other studies., info:eu-repo/semantics/published

IntroductionThe challenges of global ageing and the growing burden of chronic diseases require innovative interventions acting on health determinants like social participation. Many older adults do not have equitable opportunities to achieve full social participation, and interventions might underempower their personal and environmental resources and only reach a minority. To optimise current practices, theAccompagnement-citoyen Personnalisé d’Intégration Communautaire(APIC), an intervention demonstrated as being feasible and having positive impacts, needs further evaluation.Methods and analysisA pragmatic multicentre, prospective, two-armed, randomised controlled trial will evaluate: (1) the short-term and long-term effects of the APIC on older adults’ health, social participation, life satisfaction and healthcare services utilisation and (2) its cost-effectiveness. A total of 376 participants restricted in at least one instrumental activity of daily living and living in three large cities in the province of Quebec, Canada, will be randomly assigned to the experimental or control group using a centralised computer-generated random number sequence procedure. The experimental group will receive weekly 3-hour personalised stimulation sessions given by a trained volunteer over the first 12 months. Sessions will encourage empowerment, gradual mobilisation of personal and environmental resources and community integration. The control group will receive the publicly funded universal healthcare services available to all Quebecers. Over 2 years (baseline and 12, 18 and 24 months later), self-administered questionnaires will assess physical and mental health (primary outcome; version 2 of the 36-item Short-Form Health Survey, converted to SF-6D utility scores for quality-adjusted life years), social participation (Social Participation Scale) and life satisfaction (Life Satisfaction Index-Z). Healthcare services utilisation will be recorded and costs of each intervention calculated.Ethics and disseminationThe Research Ethics Committee of theCIUSSS Estrie – CHUShas approved the study (MP-31-2018-2424). An informed consent form will be read and signed by all study participants. Findings will be published and presented at conferences.Trial registration numberNCT03161860; Pre-results.

For several decades, hospitals have been faced with the voluntary departures of nurses. In parallel to this external mobility, internal mobility is also on the rise and is not always initiated by the nurse. This new mode of management has repercussions for professionals, patients as well as for the quality of care.

Resume But de l’etude La constipation est un probleme recurrent chez les patients hospitalises. Aussi, une echelle d’evaluation du risque de constipation du patient hospitalise (ERCoPH) est en developpement. Cette recherche anticipe sa strategie d’implantation dans la pratique infirmiere. Methode La methode est qualitative et privilegie une approche collaborative afin d’optimiser l’impact dans les milieux cliniques. L’analyse en groupe (5 infirmieres) permet de definir la strategie. Une etude de cas multiples avant/apres evalue son impact dans les milieux cliniques : observations d’entretiens d’accueil de patients completees d’un questionnaire centre sur la categorisation du risque pour les patients. Principaux resultats La strategie d’implantation definie met l’accent sur le role du management, les competences des referents, les aspects pedagogiques et organisationnels. L’impact sur la pratique n’a pas ete demontre et des hypotheses interpretatives sont posees. Au total, l’approche collaborative permet de co-construire une strategie d’implantation d’une echelle dans la pratique clinique.

Background: Education is one of the most important drivers for helping people in developing countries lift themselves out of poverty. However, even when schooling is available absenteeism rates can be high. Recently, focus is being given on whether or not WASH interventions can help reduce absenteeism in developing countries. However, none has focused exclusively on the role of drinking water provision. We report a study on the association between absenteeism and provision of treated water in containers maintained in schools. Methods and Findings: We undertook a quasi-experimental longitudinal study of absenteeism rates in 8 schools, 4 of which received one 20 l container of treated drinking water per day. The water had been treated by filtration and ultraviolet disinfection. Weekly absenteeism rates were compared across all schools using the negative binomial model in generalized estimating equations. There was a strong association between the provision of free water and reduced absenteeism (Incidence rate ratio = 0.39 (95% confidence intervals 0.27-0.56)). However, there was also a strong association with season (wet versus dry) and a significant interaction between receiving free water and season. In one of the intervention schools, it was discovered that the water supplier was not fulfilling his contract and was not delivering sufficient water each week. In this school, we showed a significant association between the number of water containers delivered each week and absenteeism (IRR = 0.98 95% CI 0.96-1.00). Conclusion: There appears to be a strong association between providing free and safe drinking water and reduced absenteeism, although only in the dry season. The mechanism for this association is not clear but may be in part due to improved hydration leading to improved school experience for the children.

The use of a Nursing Model (NM) for nursing administration offers direct and indirect benefits for patients as for nurses. Depending the chosen NM, the concepts of person, health, nursing and environment are very different. Each NM has its special vision of the practice of nursing. The study investigated whether the Chief Nursing Officers (CNO) of the bilingual and French speaking Belgian hospitals integrate Nursing Models in the politics of their department. A quantitative descriptive and correlational survey was conducted. 97.5 % of the concerned CNO (78/80) participated to the research. It appears that a Nursing Model underlies the action of the nursing department in only 38 % of the departments (30/78). Where a Nursing Model is used, it is explicitly communicated to staff (26/30). Among the Models used, that of Virginia Henderson dominates (26/30). The seniority of the CNO in its function as well as variables related to educational courses and clinical context appear to influence the results. The Nursing Models of the paradigm of transformation remain rarely used. A qualitative research would be relevant to deepen the understanding of the experience of CNO related to Nursing Models.

interprofessional collaboration (IPC) in the context of trauma remains a challenge for health care professionals who must react quickly and prioritize interventions according to trauma practice standards.a review of the literature was conducted by exploring the CINAHL, Scopus, Web of Science and Pubmed databases in relation to trauma and IPC in order to report on IPC knowledge in the context of traumatology.a significant number of articles related to traumatology (n = 14), to IPC (n = 38) and then related to these two themes (n = 15) were identified and analyzed.few studies have addressed IPC in the context of trauma. The authors did seem to pay particular attention to the role of the trauma team leader and to the leadership competence, while others are more interested in communication and perceptions of the different health professional roles. In addition, these papers mainly demonstrate that many gaps remain within interprofessional trauma teams, such as communication, coordination of care and role clarification.