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2.
Int J Nurs Sci ; 9(4): 411-421, 2022 Oct.
Article in English | MEDLINE | ID: mdl-36285080

ABSTRACT

Objectives: To share a concept analysis of social movement aimed at advancing its application to evidence uptake and sustainability in health-care. Methods: We applied Walker and Avant method to clarify the concept of social movement in the context of knowledge uptake and sustainability. Peer-reviewed and grey literature databases were systematically searched for relevant reports that described how social movement action led to evidence-based practice changes in health and community settings. Titles, abstracts and full texts were reviewed independently and in duplicate, resulting in 38 included articles. Results: Social movement action for knowledge uptake and sustainability can be defined as individuals, groups, or organizations that, as voluntary and intrinsically motivated change agents, mobilize around a common cause to improve outcomes through knowledge uptake and sustainability. The 10 defining attributes, three antecedents and three consequences that we identified are dynamic and interrelated, often mutually reinforcing each other to fortify various aspects of the social movement. Examples of defining attributes include an urgent need for action, collective action and collective identity. The concept analysis resulted in the development of the Social Movement Action Framework. Conclusions: Social movement action can provide a lens through which we view implementation science. Collective action and collective identity - concepts less frequently canvassed in implementation science literature - can lend insight into grassroots approaches to uptake and sustainability. Findings can also inform providers and change leaders on the practicalities of harnessing social movement action for real-world change initiatives. By mobilizing individuals, groups, or organizations through social movement approaches, they can engage as powered change agents and teams that impact the individual, organizational and health systems levels to facilitate knowledge uptake and sustainability.

3.
Int J Nurs Stud Adv ; 2: 100011, 2020 Nov.
Article in English | MEDLINE | ID: mdl-33106797

ABSTRACT

BACKGROUND: Despite widespread recognition of the undeniable impact of nurses on patient safety, important barriers relating to the organization of health systems still hinder the full expansion of the role of these professionals. In Quebec (Canada), nurses work overtime and increased adverse events are preoccupying and point to a possible lack of contemporary tools for continuous professional development. Innovative training tools should foster a more reflective practice focused on a holistic view of the patient in order to support the full scope of nursing practice and ensure continuous improvement in the quality of care. Such tools would make it possible to better understand their practice, according to their own perception, as well as its applicability in the emergence of a professional conscience which is essential to lasting safety competencies. This study's overarching goal was to propose a model and a portfolio prototype to support nurses' training. METHOD: Based on a humanistic and reflective perspective on patient care and safety competencies, a design approach was used to develop a portfolio prototype. Ethnography was used to collect and analyse data using shadowing observations of 10 nurse/patient dyads, followed by interviews about their care experience. The research was conducted in acute and long-term care settings of the Quebec City area. The iteration process resulted in a first version of the prototype that was then presented to various stakeholders during a co-design workshop aimed at better understanding the clinical applicability of this prototype. FINDINGS: The INSÉPArable project is illustrated in two interrelated figures, which reflects a complete inductive representation supporting sustainable patient safety from nursing practice experience. First, nursing practice status has been depicted as an iceberg metaphor where the essence of care, the « art of nursing ¼ is hidden. Second, a sphere illustrates the direction to the full emergence of nursing practice that helps to enhance the hidden "art of nursing" by leading nurses towards optimal conditions conscience. DISCUSSION: INSÉPArable turned out to be more than an individual reflective tool as it also highlights the need for collective awareness among nurse managers regarding their responsibility in implementing and sustaining healthy work environments, in which optimal conditions are better supported. This also implies a renewed mode of governance and the implementation of more humanistic processes that redefine the contemporary professionalism of nurses, which are closely linked to patient safety.

6.
Educ Health (Abingdon) ; 28(1): 58-63, 2015.
Article in English | MEDLINE | ID: mdl-26261116

ABSTRACT

Interprofessional education (IPE) is increasingly recognized as a means to improve practice in health and social care. However, to secure interprofessional learning, it is important to create occasions in prelicensure health and social services curriculum so that students can learn with, from and about each other. This paper presents the process behind the development and implementation of an IPE curriculum in 10 health and social sciences programs by a team of professors from the faculties of medicine, nursing sciences and social sciences at Université Laval in the province of Québec, Canada. The pedagogical approach, description of primary objectives and issues related to its implementation in the curriculum programs are also described and discussed.


Subject(s)
Health Occupations/education , Interdisciplinary Studies/standards , Interprofessional Relations , Social Work/education , Curriculum/standards , Curriculum/trends , Faculty/organization & administration , Faculty/standards , Humans , Interdisciplinary Studies/trends , Quebec
7.
PM R ; 7(4): 407-16, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25305370

ABSTRACT

OBJECTIVE: To gain greater insight into the experience of support providers who assist and support individuals with spinal cord injury (SCI) for the performance of bowel care. DESIGN: Qualitative (phenomenological) interviews and analysis. SETTING: Community. PARTICIPANTS: Ten support providers of individuals with SCI. MAIN OUTCOME MEASUREMENTS: Themes related to supporting bowel care for individuals with SCI. RESULTS: Support providers identified concerns and challenges as well as sources of satisfaction related to the provision of bowel care to individuals with SCI. Traits and characteristics of effective support providers also emerged. CONCLUSIONS: Individuals with SCI often require emotional, logistical, and/or physical assistance to complete bowel care. Exploration of neurogenic bowel care from the perspective of support providers identified concerns and challenges, sources of satisfaction, and important traits and characteristics of support providers. This information can facilitate the identification of effective support providers and the provision of enhanced training and support. Interventions of this nature can improve the experience for individuals with SCI and their supports.


Subject(s)
Neurogenic Bowel/etiology , Neurogenic Bowel/rehabilitation , Professional-Patient Relations , Spinal Cord Injuries/complications , Adult , Aged , Caregivers , Family , Female , Humans , Male , Middle Aged , Social Support
8.
Arch Phys Med Rehabil ; 96(1): 49-55, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25172370

ABSTRACT

OBJECTIVE: To gain greater insight into the lived experience of individuals with spinal cord injury (SCI) and neurogenic bowel dysfunction (NBD). DESIGN: Qualitative (phenomenologic) interviews and analysis. SETTING: Community. PARTICIPANTS: Individuals with SCI and NBD (N=19) residing in the community. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Concerns related to living with NBD after SCI. RESULTS: Challenges related to living with SCI and NBD included costs and requirements, emotional impact, diet, education and employment, intimacy and interpersonal relations, social participation, spontaneity and daily schedule, travel, lack of appropriate and consistent assistance, loss of autonomy (independence, privacy), lack of predictability and fear of incontinence, medical complications, pain or discomfort, physical effort of the bowel routine, physical experience, and time requirements. CONCLUSIONS: Living with NBD presents many challenges. When categorized according to the International Classification of Functioning, Disability and Health, identified domains include body functions and structures, activity, participation, environmental factors, and personal factors. Identified issues have implications for improving clinical management and should be assessed when determining the impact and efficacy of interventions.


Subject(s)
Neurogenic Bowel/etiology , Neurogenic Bowel/psychology , Quality of Life , Spinal Cord Injuries/complications , Adult , Diet , Employment/psychology , Humans , Interpersonal Relations , Middle Aged , Pain/etiology , Social Participation
10.
Disabil Rehabil ; 33(21-22): 2105-13, 2011.
Article in English | MEDLINE | ID: mdl-21401337

ABSTRACT

In an effort to continuously improve the quality of the services provided to persons in rehabilitation and patient safety, this article presents a model for the development of a Caring-Disability Creation Process that combines two elements that, in the past, have often been separated: care in nursing and rehabilitation. This new model and its underlying concepts introduce to a comprehensive approach in the recognition of the added value of caring by the contribution of rehabilitation nurses making an optimal development of the individual's potential and achieving successful social participation.


Subject(s)
Disabled Persons/psychology , Disabled Persons/rehabilitation , Nurse-Patient Relations , Patient Safety , Rehabilitation Nursing/standards , Empathy , Humans , Models, Nursing , Nursing Process , Quality of Health Care
11.
Rech Soins Infirm ; (95): 57-69, 2008 Dec.
Article in French | MEDLINE | ID: mdl-19195345

ABSTRACT

The specific contribution of caring to patient safety has not been explicitly clarified in previous studies, particularly in rehabilitation. Considering the particular needs of patients in rehabilitation, it seems that a caring approach could have an important role in their safety. Inspired by the Quality-Caring Model of Duffy and Hoskins (2003), the objective of this study, realized with twenty nurses who work in rehabilitation setting, was to understand the way their caring approach could contribute to their patients' safety. The findings, obtained from the semi-structured interviews performed within this qualitative phenomenological study, revealed that a caring approach leads to a beneficial transformation process not only for patients, but also for nurses and for the health care system, due to a positive feedback. This transformational process notably constitutes the particular contribution of a caring approach to physical, psychological and psychosocial patients' safety.


Subject(s)
Rehabilitation Nursing/standards , Delivery of Health Care , Humans , Nurse-Patient Relations , Nursing Process , Safety
12.
Rech Soins Infirm ; (95): 70-8, 2008 Dec.
Article in French | MEDLINE | ID: mdl-19195346

ABSTRACT

The Disability Creation Process (DCP) model governs for several years rehabilitation setting in Quebec. In a perspective of humanization of care, the philosophy of Human Caring was recently implanted as a nursing model at a centre of rehabilitation of this province. Are these two models of practice compatible? Can we construct a common integrator model? In an aim of continuous improvement of the quality of the services of the persons in rehabilitation, the present article develops Caring-DCP model which could ally two perspectives which are been often separated, cares and rehabilitation.


Subject(s)
Disabled Persons/psychology , Disabled Persons/rehabilitation , Humans , Models, Nursing , Nurse-Patient Relations , Nursing Process , Rehabilitation Nursing
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