Catherine Busnel, Catherine Ludwig, Maria Goreti Da Rocha Rodrigues
{"title":"La complexité dans la pratique infirmière : vers un nouveau cadre conceptuel dans les soins infirmiers.","authors":"Catherine Busnel, Catherine Ludwig, Maria Goreti Da Rocha Rodrigues","doi":"10.3917/rsi.140.0007","DOIUrl":"https://doi.org/10.3917/rsi.140.0007","url":null,"abstract":"<p><p>While complexity theory has gradually influenced the field of health and social sciences, it has also had an impact on nursing care by introducing a wealth of terminology into the field. The terms \"complex patient,\" \"complex case,\" \"complex care,\" \"complex practice,\" and \"complex needs\" have been proposed to describe different aspects of complexity in nursing care. As these qualifiers reflect, nurses become actors in multidefined care and must integrate complexity into their reflective practice. By way of a narrative literature review, this article aims to offer a new perspective on nursing by explaining the different terms used in the discipline, using a multi-level approach. At the end of this review, the authors propose a new integrative conceptual framework for complexity in nursing practice.</p>","PeriodicalId":44071,"journal":{"name":"Recherche en Soins Infirmiers","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40071370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vécu des aidants familiaux prodiguant des soins à leurs parents atteints d’un accident vasculaire cérébral au Cameroun : analyse interprétative phénoménologique.","authors":"Emilie Clarisse Tchokote","doi":"10.3917/rsi.140.0097","DOIUrl":"https://doi.org/10.3917/rsi.140.0097","url":null,"abstract":"<p><p>Introduction : The brutal occurrence of a stroke upsets the life of a parent, within his or her family and circle of friends.Context : The lack of medical-social interventions and support from a health professional for parents who have suffered a stroke forces family caregivers to provide care for their parents.The aim of this study is to describe and understand the subjective lived experience of family caregivers of stroke patients in such a context.Method : Using a clinical method and interpretative phenomenological analysis, eight clinical interviews were conducted at home with four family caregivers (two interviews per caregiver) from two separate families (two caregivers per family), recruited at the neurology unit in the internal medicine department at Yaoundé military hospital.Results : Throughout the whole care process, family caregivers have a difficult experience, with painful affects and psychological fatigue. They are forced into subjugation by unconscious alliances through the quality of the bond they have with the parent who has had the stroke. The strengthening of this bond enables them to avoid the risk of psychological and relational collapse.</p>","PeriodicalId":44071,"journal":{"name":"Recherche en Soins Infirmiers","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40071372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L’émergence des garde-malades dans le marché de la santé à Paris au XVIII<sup>ème</sup> siècle.","authors":"Isabelle Coquillard","doi":"10.3917/rsi.139.0012","DOIUrl":"https://doi.org/10.3917/rsi.139.0012","url":null,"abstract":"<p><p>At the end of the seventeenth century, the lexicographer Antoine Furetière limited the definition of nurses to those who cared for new mothers. However, in the private sphere, they cared for patients with all sorts of illnesses. It was only in 1816 that Doctor Marc proposed a precise definition of their activity. This paper examines the shift from nurses being considered as domestic healthcare workers to them being seen as skilled professionals whose role involved administering paramedical care.Because they were not part of a particular occupational community, nurses escaped the traditional categories of analysis of urban work. While the studies on health in the eighteenth century considered them to be like relations or friends of the patients, or to practice in hospitals, in the expenses lists recorded for post-mortem procedures they appear as new actors offering specific services.Nurses played a part in spreading a \"culture of dependency,\" which was reflected in some medical texts and in some private writings by patients, making it possible to define the expectations and risks of the profession. The absence of testimonies from nurses themselves is revealing of their dependence on physicians.</p>","PeriodicalId":44071,"journal":{"name":"Recherche en Soins Infirmiers","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40071220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mieux saisir les difficultés d’adaptation des personnes âgées insuffisantes cardiaques en transition de l’hôpital vers le domicile à partir des expériences vécues et d’un éclairage théorique.","authors":"Marie-Soleil Hardy, Clémence Dallaire","doi":"10.3917/rsi.141.0038","DOIUrl":"https://doi.org/10.3917/rsi.141.0038","url":null,"abstract":"<p><p>Heart failure is one of the most common reasons for hospitalization in older people, and the hospital-to-home transition can be unsuccessful for these patients. Existing care programs focus primarily on the physiological aspects of the disease and are rarely based on theory. Using Roy's adaptation model (1), the aim of this study was to develop a thorough understanding of the adaptation difficulties and factors that influence how well elderly patients with chronic heart failure cope with the hospital-to-home transition, in order to develop a nursing interventions program. Based on the process proposed by Sidani and Braden (2011), this qualitative descriptive study adopted a deductive approach, with the use of intermediary theories and empirical data, as well as an inductive approach, where older people with chronic heart failure (n=7), caregivers (n=6), and healthcare professionals (n=14) participated in semi-structured individual interviews. The triangulation of data highlights the difficulties and factors influencing adaptation at the physical, psychological, and social levels. Gaining a better understanding of the experience of older people with heart failure when it comes to their transition from hospital to home, and doing so with a holistic vision, provides information for interventions that can contribute to better management of chronic disease and a better quality of life for these elderly patients.</p>","PeriodicalId":44071,"journal":{"name":"Recherche en Soins Infirmiers","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40071375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samy Taha, Amélie Blanchet Garneau, Laurence Bernard
{"title":"Une revue de la portée sur la pratique infirmière auprès des personnes âgées issues de la diversité sexuelle et de genre.","authors":"Samy Taha, Amélie Blanchet Garneau, Laurence Bernard","doi":"10.3917/rsi.140.0029","DOIUrl":"https://doi.org/10.3917/rsi.140.0029","url":null,"abstract":"<p><p>Context : The elder population is growing up and sexual and gender diversity older adults (SGDOA) live discrimination from healthcare professionals. In this context, this scoping review sought to describe the extent of knowledge about nursing practice among SGDOA and to synthesize the implications for clinical nursing practice.Method : The scoping review method according to the framework of Peters et al. of the Joanna Briggs Institute has been adopted.Results : The recommendations were grouped into five axes : raising awareness of the existence of SGDOA, their historical context and their health problems ; refrain from heterocissexist and heterocisnormative assumptions by adopting an inclusive language and an open attitude ; support SGDOA and their caregivers or their family of choice ; create a safe and confidential environment ; and promote the inclusion of SGDOA in the health care system.Conclusion : The results could be used by nurses and other health professionals to optimize the quality of care for SGDOA and to promote their inclusion.</p>","PeriodicalId":44071,"journal":{"name":"Recherche en Soins Infirmiers","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40073050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Freins, difficultés et facilitateurs dans la mise en place d’une recherche financée par le Programme hospitalier de recherche infirmière et paramédicale (PHRIP) : retour d’expérience d’un projet de recherche en santé mentale.","authors":"Mickaël Mastracci, Bilitys Simon, Ludovic Serna, Pierrette Estingoy, Annick Perrin-Niquet, Jacques Bagur, Annick Bechet","doi":"10.3917/rsi.140.0069","DOIUrl":"https://doi.org/10.3917/rsi.140.0069","url":null,"abstract":"<p><p>Nursing research continues to grow and become self-sustaining. It was in this context that we received funding from the Hospital Program for Nursing and Paramedical Research for our research project on schizophrenia. Schizophrenia is a mental disorder that affects 1% of the general population, and is a crippling disease both cognitively and socially. Cognitive remediation and therapeutic education are nursing practices deemed suitable for the psychosocial rehabilitation of schizophrenia patients. We hypothesized that a therapeutic education program placed upstream of cognitive remediation would have beneficial effects. We planned to include eighty patients aged eighteen to sixty, randomized into two groups, one combining cognitive remediation and therapeutic education, the second using just cognitive remediation. Each patient was assessed using a range of neuropsychological scales. Due to difficulties encountered in including and following up with participants, our statistical results could not be used. We therefore turned our focus to the factors that facilitate and hinder the setting up of a nursing research project. We organized these factors into three areas : those related to the nurse ; those related to the care facility and the organization ; and those related to the research. The results were consistent with the literature and show how important it is to encourage nurses to be more involved in a scientific approach.</p>","PeriodicalId":44071,"journal":{"name":"Recherche en Soins Infirmiers","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40073052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Les sciences infirmières : savoir, enseignement et soin.","authors":"Emmanuelle Cartron, Didier Lecordier, Isabelle Eyland, Anne-Marie Mottaz, Ljiljana Jovic","doi":"10.3917/rsi.140.0077","DOIUrl":"https://doi.org/10.3917/rsi.140.0077","url":null,"abstract":"<p><p>In recent years, professional skills and the nursing profession in France have undergone major transformations. These have included the recognition of advanced nursing practice and its implementation in 2018, and the creation by the National Council of Universities in 2019 of a \"Nursing\" section (n° 92), which has paved the way for the development of research and teaching in nursing in an academic environment in France.To support these transformations, the Association de recherche en soins infirmiers (Arsi) (Nursing Research Association) has for several years been organizing seminars and symposia. The seminar \"The discipline of nursing : Knowledge, teaching, and care,\" held on November 16, 2019 in Paris, was a continuation of those organized in 2014 and 2016.This seminar focused on the acquisition of nursing knowledge, in particular through the analysis of clinical situations using two middle-range theories : comfort and symptom management.The first part of this article describes the objectives and the working methodology of the seminar. The second part provides a recap of the theoretical foundations, while the third and final part presents the results of what the workshops participants produced.</p>","PeriodicalId":44071,"journal":{"name":"Recherche en Soins Infirmiers","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40071371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L’enseignement adapté à la personne âgée : une analyse évolutionniste de concept.","authors":"Xavier Giroux, Édith Ellefsen, Didier Mailhot-Bisson","doi":"10.3917/rsi.140.0017","DOIUrl":"https://doi.org/10.3917/rsi.140.0017","url":null,"abstract":"<p><p>Many health programs provide \"counseling\" services that aim to support clients in their self-care. Although the concept of adapted education for the elderly is important for nursing practice, there is currently no consensus of its definition. An analysis of \"adapted education for the elderly\" following the six steps of Rodgers' evolutionary approach was conducted in order to identify the essential characteristics of the concept and to define its use in nursing. A literature review drawing upon several databases (Abstract in Social Gerontology, AgeLine, CINAHL, ERIC, and PsycINFO) identified twenty-six papers on this subject published between 1988 and 2016. After analysis, four key characteristics were identified to describe the concept: the uniqueness of the older learner, the presence of a competent and aware educator, the four-step process of the session, and the use of adapted teaching strategies for the older learner. Finally, the use of this concept in nursing remains erratic. To facilitate its operationalization, more studies and theories must be developed on the subject.</p>","PeriodicalId":44071,"journal":{"name":"Recherche en Soins Infirmiers","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40073049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Les infirmières psychiatriques témoins d’un mouvement d’humanisation au cours des premières et deuxièmes vagues de la désinstitutionnalisation au Québec (1960-1990).","authors":"Marie-Claude Thifault, Laurie Kirouac","doi":"10.3917/rsi.139.0099","DOIUrl":"https://doi.org/10.3917/rsi.139.0099","url":null,"abstract":"<p><p>Introduction : This study examines the humanization movement at the Saint-Jean-de-Dieu psychiatric hospital between the 1960s and the 1990s.Context : Conducting a historiography of psychiatric deinstitutionalization in Quebec during the twentieth century shows that the institution was a place of social control and, above all else, a place where psychiatric patients were neglected and dehumanized.Objective : While the historiography since the 1960s has focused on a largely one-dimensional and critical reading of the way in which deinstitutionalization took place in Quebec, I have instead chosen to focus on the changes that took place within the Quebec hospital's walls.Method : In addition to the medical records of the patients who were interned in 1961, I conducted interviews to examine the experiences and emotions of nurses who worked in the psychiatric hospital between the 1960s and 1990s.Results : The examination of medical records revealed patients' reluctance and resistance to reintegrate into society. The interviews with nurses revealed that they often felt close to their patients.Discussion : The words and memories of nurses enrich and deepen the complexity of the history of psychiatric nursing practices, extend the existing historiography, and open new avenues for research in the field.Conclusion : The deinstitutionalization movement promoted mental health policies that transformed the old psychiatric hospital. This new analytical approach contributed to renewing the history of psychiatric nursing practices.</p>","PeriodicalId":44071,"journal":{"name":"Recherche en Soins Infirmiers","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40070572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Profession et discipline : un destin commun pour les infirmiers.","authors":"Didier Lecordier, Emmanuelle Cartron, Ljiljana Jovic","doi":"10.3917/rsi.141.0005","DOIUrl":"https://doi.org/10.3917/rsi.141.0005","url":null,"abstract":"","PeriodicalId":44071,"journal":{"name":"Recherche en Soins Infirmiers","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40071377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}