[Experiences of humor in pediatric nursing care]. / L'expérience de l'humour en soins infirmiers pédiatriques.

The results of qualitative research conducted in order to document the experience of nurses using humour with hospitalised children give us an insight into the social importance of humour. It helps to establish a relationship of trust between nurse and child, and also creates lasting bonds that persist well beyond the present.

[Humour in the nurse-patient relation: a review of the literature]. / L'humour dans la relation infirmière-patient: une revue de la littérature.

Humour holds an important and almost omni-present place in human communication. Research and reflection on humour have tried to define the scope of its causes, its effects, its mechanisms of action and production, its purposes and its uses. This article aims at drawing up a general description of scientific studies dealing with humour carried out in the context of the nurse-patient communication and at making an analysis of it from the fixed theory of Strauss and Corbin (2001) to derive the characteristics, conditions of use and consequences as much in the patient's as in the nurse's. The results obtained prove that humour in care is contextual, situational and spontaneous. There are conditions of use of humour which are connected with the nurse, with the patient, with their relation and with the situation. For the patient and in the nurse-patient relation, humour has psychological consequences. It can be or become a coping mechanism to face stress and improve the quality of communication.

One-on-one coaching to improve pain assessment and management practices of pediatric nurses.

Pain in children is infrequently assessed and managed by nurses. One-on-one coaching based on audit with feedback and the use of opinion leaders have been effective in changing professional health care practices. Coaching by an opinion leader for changing pediatric nurses' pain practices was tested in a clustered randomized trial in six Canadian pediatric hospitals. The rate of pain assessments, nurses' knowledge, and nonpharmacological interventions increased in the coaching group. However, there were significant site differences that could not be attributed to the coaching but to factors inherent in the sites. The context in which interventions are implemented will influence the effectiveness of individualized interventions.