Les grands enjeux actuels de la recherche infirmière / Current issues in nursing research

La profession infirmière est un exemple où la recherche a fait évoluer conjointement, la santé de la population et les pratiques professionnelles dans le monde. "Cette évolution a favorisé l’émergence et l’affirmation d’une culture scientifique au sein du groupe professionnel tout entier". Elle a ainsi fait progresser la pratique fondée sur les preuves et la qualité des soins, tout en prenant en compte l'expertise du patient. Cette démarche demande des compétences spécifiques que les cursus de formations initiales et continues doivent intégrer [leer más en el PDF].(AU)

[Body care in anorexia nervosa]. / Les soins du corps dans l'anorexie mentale.

Therapeutic touch body care in the management of eating disorders, particularly anorexia nervosa, aims to deepen the relationship of trust and the therapeutic alliance. Nursing research and the development of clinical nursing care, with nursing diagnoses as a support, have made it possible to provide new responses adapted to the patient's needs. This reassuring helping relationship favors the work around the patient's psychic and physical perceptions. The notion of the gender of the caregiver in the body approach care is a dimension to be taken into consideration.

[Federating a research culture by a bibliographical group]. / Fédérer une culture recherche par un groupe de bibliographie.

The advent of nurse-initiated research is increasingly impacting patient care management. However, this positive observation may seem far removed from the daily stressful lives of many carers. It is therefore interesting to look at initiatives that bring together the knowledge gained from research and the day-to-day practice of carers who are still too little aware of the issue. A team from Lyon recounts its experience, describes the initial objectives, the setting up and organisation of a bibliographical reading group for non-medical carers.

[The scope of nursing practice at the heart of modern nursing]. / Le rôle propre infirmier au cœur de la modernité soignante.

Advanced practice is now possible in nursing practice in France. It is starting to be taught at university. Significant changes to practices are taking place in the short term, for nurses. In this context, it is interesting to look back at the foundations of nursing autonomy rooted in the origins of the scope of nursing practice.

[Producing, transferring and using scientific knowledge for the benefit of patients]. / Produire, transférer et utiliser les savoirs scientifiques au bénéfice des patients.

By combining clinical reasoning and evidence-based practice, nurses can create a virtuous circle which can in turn increase the probability of obtaining satisfactory clinical results for patients. Nursing research must thereby benefit practice by producing scientific knowledge which can be used in day-to-day care.

[Paramedical research, a long path towards autonomy]. / Recherche paramédicale, un long chemin vers l'autonomie.

An integral part of the care project of Versailles general hospital, paramedical research is facilitated and promoted by nursing management. It is also strongly encouraged and supported by medical professionals. Beyond the scientific interest in terms of the benefits for the quality of care, it is considered as an innovative project which unites and motivates staff, thereby favouring employee retention.

[At-home nursing care, challenges and perspectives]. / Infirmière au domicile, une évolution des compétences.

Private practice nursing is evolving in line with the major mutations taking place within French society and the health system. These evolutions require nurses to adapt to significant changes. Their clinical, cultural and organisational skills, in particular, enable them to face up to these challenges and to anticipate in order to be able to provide the best possible care in future. Private practice nursing could thereby become a speciality in its own right based on the World Health Organization's model of a "family health nurse".

[Mixed approaches in nursing science]. / Les approches mixtes en sciences infirmières.

Mixed methods research uses methodologies from quantitative and qualitative approaches in a single project. Thanks to the integration of the results of the studies, complex phenomena can be explored. The designs are based on specific criteria of rigour. Strategies exist for the design of this type of research.

Fitting Square Pegs into round Holes: Doing Qualitative Nursing Research in a Quantitative World.

The authors, as doctoral candidates and registered nurses, took on a qualitative research project investigating nursing practice in a research-intensive organization. Their aims were to explore and describe how nurses in the ambulatory care setting assist patients and families, including how nursing practice was carried out, constraints to practice, and the influence of the interprofessional milieu. Their first finding, in part because of the qualitative research design used, concerned the potential impact of the organizational ethics review process on the project. The authors discuss how the language, definition of risk, and notion of informed consent articulated in the organizational review process influenced both the research timeline and (potentially) the study itself. While not dismissing the value of ethics review, they explore the tension of overlaying generic criteria for quantitative research, specifically randomized controlled trials, on nursing research from other traditions.

À titre de doctorantes et d'infirmières, les auteures ont entrepris un projet de recherche qualitative visant à examiner les pratiques infirmières au sein d'une organisation axée sur la recherche. Cette étude a pour objectif d'explorer et de décrire la façon dont les infirmières en soins ambulatoires œuvrent auprès des patients et des familles, y compris la prestation des soins infirmiers, les contraintes de la pratique et l'influence du milieu interprofessionnel. En raison du choix de la méthode de recherche qualitative utilisée, les premiers résultats de l'étude portent sur l'impact potentiel du processus d'examen déontologique organisationnel sur le projet. Les auteures se penchent sur l'influence qu'exercent le langage, la définition du risque et la notion de consentement éclairé établie dans le processus d'examen organisationnel sur l'échéancier de recherche et (potentiellement) sur l'étude même. Bien qu'elles ne minimisent aucunement la valeur de l'examen déontologique, elles explorent la tension qu'entraîne la superposition de critères génériques en recherche quantitative, particulièrement les essais cliniques randomisés, sur la recherche infirmière issue d'autres traditions.