Cross-cultural adaptation of a tool for measuring nurses' opinions and beliefs with regard to continuing professional development: French-Canadian version of Q-PDN / Adaptation transculturelle d'un outil de mesure des opinions et croyances des infirmières en regard du développement professionnel continu : version canadienne-française du Q-PDN

Introduction: The continuing professional development of nurses remains a key issue within the health context. Context: The Questionnaire - Professional Development Nurses (Q-PDN) was developed to understand the opinions and beliefs of nurses regarding continuing professional development is essential to improving the quality of care and optimizing job satisfaction. With this in mind, researchers from the Netherlands developed the Questionnaire ­ Professional Development Nurses (Q-PDN). Objectives: Adapt the Q-PDN to a French-Canadian context according to recognized guidelines. Method: The six stages of the Beaton et al. (2000) cross-cultural adaptation process were followed to produce a tool adapted to the French-Canadian context. Results and discussion: This study describes the different steps necessary for the cross-cultural adaptation of the Q-PDN tool to the French-Canadian context. Following the adaptation, minor content adjustments were made to the original version. General comments have highlighted the clarity and simplicity of the questionnaire. Conclusion: This first step in the cross-cultural French-Canadian adaptation of Q-PDN has enabled the development of a tool to identify gaps and priorities for action to promote the continuing professional development (CPD) of nurses.

Introduction: Le développement professionnel continu du personnel infirmier est un enjeu d'actualité. Contexte: Le Questionnaire-Professional Development Nurses (Q-PDN) a été conçu dans l'optique de comprendre les opinions et les croyances du personnel infirmier face au développement professionnel continu, afin d'améliorer la qualité des soins et d'optimiser la satisfaction en emploi. Objectifs: Adapter le Q-PDN au contexte canadien-français selon les lignes directrices reconnues. Méthode: Les étapes du processus d'adaptation transculturelle de Beaton et al. (2000) ont été suivies afin de produire un outil adapté au contexte canadien-français. Résultats et discussion: Cette étude fait état des différentes étapes nécessaires pour l'adaptation transculturelle de l'outil Q-PDN au contexte canadien-français. À la suite de l'adaptation, des ajustements mineurs ont été apportés. Quelques commentaires généraux ont souligné la clarté et la simplicité du questionnaire. Conclusion: Cette première étape de l'adaptation transculturelle canadienne-française du Q-PDN a permis le développement d'un outil permettant d'identifier les lacunes et les priorités d'action pour favoriser le Développement professionnel continu des infirmières.

Chronic pain patients' willingness to share personal identifiers on the web for the linkage of medico-administrative claims and patient-reported data: The chronic pain treatment cohort.

PURPOSE: The linkage between patient-reported data and medico-administrative claims is of great interest for epidemiologic research. The goal of this study was to assess the willingness of people living with chronic pain to share personal identifiers on the web for the linkage of medico-administrative and patient-reported data. METHODS: This methodological investigation was achieved in the context of the implementation of the chronic pain treatment (COPE) cohort. A web-based recruitment initiative targeting adults living with chronic pain was conducted in the province of Quebec (Canada). RESULTS: A total of 1935 participants completed the questionnaire (mean age: 49.86 ± 13.27; females: 83.69%), 921 (47.60%) of which agreed to data linkage and shared their personal identifiers (name, date of birth, health insurance number online). The most common reasons for refusal were: (1) concerns regarding data security/privacy (25.71%) and (2) the belief that the requested data were too personal/intrusive (13.52%). Some participants did not understand the relevance of data linkage (11.81%). Participants from the COPE cohort and those from the subsample who agreed to data linkage were comparable to other random samples of chronic pain individuals in terms of age and pain characteristics. CONCLUSIONS: Although approximately half of the participants refused data linkage, our approach allowed for the implementation of a data platform that contains a diverse and substantial sample. This investigation has also led to the formulation of recommendations for web-based data linkage, including placing items designed to assess willingness to share personal identifiers at the end of the questionnaire, adding explanatory videos, and using a mixed-mode questionnaire.

Assessment of Continuing Education Needs Among Critical Care Nurses in Remote Québec, Canada.

BACKGROUND: This study analyzed the needs of critical care nurses in remote regions of Québec regarding continuing education (CE). METHOD: A web-based cross-sectional survey was conducted between May and June 2018. RESULTS: A total of 78 nurses completed the survey and reported their CE needs were not being met. Only 21.9% of participants reported a satisfaction level ≥ 6 on a scale of 1 to 10 regarding the offering of CE activities in their region. The most common factors identified as barriers to participation in CE activities were working hours (68.2%), distance and travel time (68.2%), released time to attend CE activities (65.2%), costs of CE activities (57.6%), and financial support (51.5%). CONCLUSION: This study provides insights into CE needs among critical care nurses. Shortcomings could be addressed by increasing CE activities in remote regions as well as the proportion of critical care-specific CE activities. Moreover, time and expense coverage should be offered by employers. [J Contin Educ Nurs. 2020;51(7):322-330.].

Local heterozygosity-fitness correlations with global positive effects on fitness in threespine stickleback.

The complex interactions between genetic diversity and evolution have important implications in many biological areas including conservation, speciation, and mate choice. A common way to study these interactions is to look at heterozygosity-fitness correlations (HFCs). Until recently, HFCs based on noncoding markers were believed to result primarily from global inbreeding effects. However, accumulating theoretical and empirical evidence shows that HFCs may often result from genes being linked to the markers used (local effect). Moreover, local effect HFCs could differ from global inbreeding effects in their direction and occurrence. Consequently, the investigation of the structure and consequences of local HFCs is emerging as a new important goal in evolutionary biology. In this study of a wild threespine stickleback (Gasterosteus aculeatus) population, we first tested the presence of significant positive or negative local effects of heterozygosity at 30 microsatellites loci on five fitness components: survival, mating success, territoriality, length, and body condition. Then, we evaluated the direction and shape of total impact of local HFCs, and estimated the magnitude of the impacts on fitness using regression coefficients and selection differentials. We found that multilocus heterozygosity was not a reliable estimator of individual inbreeding coefficient, which supported the relevance of single-locus based analyses. Highly significant and temporally stable local HFCs were observed. These were mainly positive, but negative effects of heterozygosity were also found. Strong and opposite effects of heterozygosity are probably present in many populations, but may be blurred in HFC analyses looking for global effects only. In this population, both negative and positive HFCs are apparently driving mate preference by females, which is likely to contribute to the maintenance of both additive and nonadditive genetic variance.