Vincent Billé, Claire Gonsalvès, Agathe Lamarche-Vadel, Hélène Verdoux
{"title":"“It’s possible”: reducing the coercion in care for adults living with neurodevelopmental disorders: a mixed-methods study","authors":"Vincent Billé, Claire Gonsalvès, Agathe Lamarche-Vadel, Hélène Verdoux","doi":"10.3917/rsi.153.0040","DOIUrl":"10.3917/rsi.153.0040","url":null,"abstract":"<p><strong>Introduction: </strong>Adults living with a neurodevelopmental disorder may present episodes of aggression, which may lead to the use of seclusion or restraint. The aim of the study was to assess the effect of an intervention aimed at reducing the use of coercive measures in a long-term care unit for adults suffering from a neurodevelopmental disorder with or without psychiatric co-morbidities.</p><p><strong>Method: </strong>The single-center study used a sequential mixed-methods explanatory design. Retrospective data on periods of seclusion, with and without physical restraint, were collected for the ten-month pre-intervention and post-intervention periods. A qualitative survey was conducted at the end of the intervention period among the health professionals working in the unit to review the implementation and the efficiency of the approach.</p><p><strong>Results: </strong>A significant decrease was observed between the pre- and post-intervention period in the number of seclusion and restraint sequences, the number of patients experiencing seclusion and restraint, and the duration of seclusion and restraint sequences. The efficiency of the approach was confirmed by the health care professionals and was attributed to leadership focused on limiting coercive measures, better adherence to legal obligations, team cohesion, and the implementation of alternative tools and methods.</p><p><strong>Discussion: </strong>Reducing the use of coercive measures with adults with neurodevelopmental disorders is possible. Further studies are needed to confirm the effectiveness of alternative strategies to seclusion and restraint.</p>","PeriodicalId":94187,"journal":{"name":"Recherche en soins infirmiers","volume":"153 2","pages":"40-59"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479174","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}
Emmanuelle Cartron, Paul Quindroit, Sophie Bentz, Anne-Marie Mottaz, Didier Lecordier, Ljiljana Jovic
{"title":"For a better understanding of the profile of nurses working in France who hold or are working toward a Ph.D: A quantitative descriptive study","authors":"Emmanuelle Cartron, Paul Quindroit, Sophie Bentz, Anne-Marie Mottaz, Didier Lecordier, Ljiljana Jovic","doi":"10.3917/rsi.153.0060","DOIUrl":"10.3917/rsi.153.0060","url":null,"abstract":"<p><strong>Introduction: </strong>In 2009, the French Association de recherche en soins infirmiers (Nursing Research Association) counted fifty-four nurses holding a doctorate or working toward one. Recent developments in this area include the creation of section 92, for nursing sciences, in the National Council of Universities, making it possible for nurses in France to become professors with teaching and research responsibilities.</p><p><strong>Objectives: </strong>To update and complete the 2009 data by identifying the grades, fields of activity, and disciplines of nurses holding a doctorate or studying for one.</p><p><strong>Method: </strong>A quantitative descriptive study was carried out using an online questionnaire between December 1, 2021 and March 22, 2022.</p><p><strong>Results: </strong>the study involved 147 nurses working in France: seventy-five with a doctorate and 72 doctoral students. The majority of the respondents were women, held a supervisory position, and were working in the field of education. Among the doctorates obtained, education sciences accounted for the largest share. However, this disciple was less well represented among the doctoral candidates.</p><p><strong>Discussion: </strong>This study shows a change in the characteristics of nurses who are also doctoral candidates and in the disciplines in which they have obtained or are currently obtaining a doctorate, and an increase in the value of the degree, particularly in research, but little access to academic posts.</p>","PeriodicalId":94187,"journal":{"name":"Recherche en soins infirmiers","volume":"153 2","pages":"60-68"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479177","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":"Supporting nursing students with dyslexia: The situation in France in 2022 and outlook","authors":"Guillaume Macaire, Claire Marchand, Aurore Margat","doi":"10.3917/rsi.153.0007","DOIUrl":"10.3917/rsi.153.0007","url":null,"abstract":"<p><strong>Introduction: </strong>The number of students with disabilities in higher education is increasing. Dyslexia is the most common form of disability. Few reports on this subject focus on health-sector education in France.</p><p><strong>Objectives: </strong>The survey sought to characterize and understand the support provided in nursing training institutes with regard to dyslexia.</p><p><strong>Methods: </strong>A mixed survey was carried out in 2022, mainly involving disability referents in nursing institutes. A national questionnaire collected 113 responses from metropolitan and overseas France, then three focus groups brought together twenty-eight participants from ten different regions.</p><p><strong>Results: </strong>In 2022, the most frequent measures were related to assessments and institutional communication. However, they lacked structure. There were still gaps, especially in the area of work placement.</p><p><strong>Discussion: </strong>In addition to the disability referents, all stakeholders must be made aware of the needs of students with dyslexia. Greater visibility of disability could also change attitudes in the health care sector.</p><p><strong>Conclusion: </strong>Specific support for dyslexia has been introduced in nursing training institutes. Its development requires a change in the attitudes of the stakeholders. It could then be extended to other health training courses.</p>","PeriodicalId":94187,"journal":{"name":"Recherche en soins infirmiers","volume":"153 2","pages":"7-23"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479181","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":"The value of preventing constipation in patients treated with peritoneal dialysis: an advanced practice nursing study","authors":"Karine Cousin Saurel, Audrey Ringot, Élise Verot","doi":"10.3917/rsi.153.0069","DOIUrl":"10.3917/rsi.153.0069","url":null,"abstract":"<p><strong>Introduction: </strong>In 1989, experts developed the Rome criteria classification coupled with the use of the Bristol scale, to objectify the condition of functional constipation.Background Nowadays, little is documented in the literature about transit disorders in patients with End-Stage Chronic Renal Failure treated with peritoneal dialysis, even though this causes non-negligible complications on the patient’s morbidity, comfort and quality of life.</p><p><strong>Objective: </strong>The main objective of our study was to evaluate the prevalence of constipation in CKD patients.</p><p><strong>Material and method: </strong>We conducted a retrospective multicenter data-driven study.</p><p><strong>Results: </strong>74 patient records were analyzed. We found a prevalence of constipation of 58 % in patients with CKD.</p><p><strong>Discussion: </strong>Our results showed that the prevalence of constipation is frequent in patients with CKD. It leads to a significant discomfort for the patient, an additional cost in terms of care and technical procedures and a failure of the peritoneal dialysis technique.</p><p><strong>Conclusion: </strong>Thus, the prevention of constipation in CKD patients would be relevant to limit complications and ensure a better quality of life.</p>","PeriodicalId":94187,"journal":{"name":"Recherche en soins infirmiers","volume":"153 2","pages":"69-79"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479208","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":"[Recommendations to Nursing Practice with Sexual and Gender Diversity Older Adults : A Scoping Review]","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.\u0000Method : The scoping review method according to the framework of Peters et al. of the Joanna Briggs Institute has been adopted.\u0000Results : 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.\u0000Conclusion : 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":94187,"journal":{"name":"Recherche en soins infirmiers","volume":"140 1","pages":"29-56"},"PeriodicalIF":0.2,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070566","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":"[Scoping review on the concepts of touch and massage and their effects on agitation and stress in aged hospitalized patients suffering from dementia]","authors":"Corinne Schaub, Armin von Gunten, Diane Morin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This scoping review examines the effects of touch/massage on agitation and stress in aged hospitalized patients suffering from dementia. This intervention is multidimensional, at the edges of medical neurosciences, nursing sciences, and social sciences. This review is primarily supported by a biological model of social relations, describing the interconnection between cognition, affect, and endocrine aspects of attachment modes. It is also guided by nursing sciences conceptualizations which anchors touch/massage in the heart of nursing practice. The importance of touch/massage and its emotional regulation capacity is discussed in the light of these conceptualizations. The needs for that kind of contact in aged demented inpatients appears to be related to sensory loss and to a lack of emotional and social contacts. Evidence of the benefits of touch/massage is synthesized and indicate that this intervention is sometimes difficult to provide for agitated patients. Finally, proposals are made to develop a scientific agenda in clinical settings in order to continue the development of evidence and thus contribute to better inform nursing practice.</p>","PeriodicalId":94187,"journal":{"name":"Recherche en soins infirmiers","volume":" 126","pages":"7-23"},"PeriodicalIF":0.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070561","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":"[Agitation in people with dementia : Scoping review and putting the phenomenon into perspective using the comfort theory and the concept of attachment].","authors":"Corinne Schaub, Diane Morin, Armin von Gunten","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Agitation in hospitalized demented patients is troublesome and disruptive for both patients and caregivers. The literature indicates that agitation is strongly related to physical or psychological discomfort and its recent definition includes the additional relation to emotional distress. Hospitalization associated with major cognitive difficulties further activates the need for attachment and security to which caregivers must pay attention. This synthesis review first deals with the evidence related to agitation in people with dementia and its relationship with discomfort. A description of the difficulties with which caregivers must cope follows. The need to primarily use nonpharmacological approaches during agitation to meet the underlying needs causing discomfort is then developed. Recommended approaches generally involve a relational contact, even if facing the risk of mobilizing frequently unsecured and anxious attachment patterns in this population. A conceptual positioning supported by the Kolcaba comfort theory will position this knowledge. A particular point of this theory, based on previous experiences of patients, will be analyzed based on attachment characteristics of people with dementia.</p>","PeriodicalId":94187,"journal":{"name":"Recherche en soins infirmiers","volume":" 125","pages":"68-83"},"PeriodicalIF":0.2,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070551","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":"[Systematic review of the uptake and design of action research in published nursing research, 2000-2005].","authors":"Carol Munn-Giddings, Andrew McVicar, Lesley Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Action Research (AR) is promoted for health care development. A systematic review was undertaken to gain insight into the uptake and designs of practice-based AR. Empirical research papers from 2000 to 2005 were extracted from CINAHL, MEDLINE and British Nursing Index, and two specialist AR journals. The initial search identified 335 papers: 38% were AR (20% were phenomenology; 32% ethnography; 10% randomised-controlled trials). Further filtering produced 62 AR papers for detailed analysis. Eighty-seven percent of AR studies involved 'organisational/professional development', or 'educational' settings ; only 13 % were directly 'clinical'. Practitioners were the main participants in 90% of studies. Seventy-two percent of all participant groups were rated 'active' in the research process, yet 70% percent of first (lead) authors were from an academic institution. Patients/carers were generally passive in the research process and absent from authorship. Ninety per cent of studies used two or more methods, predominantly qualitative. Forty-four percent of articles identified external funding sources, relatively high for nursing research. Participatory AR has a strong identity in practice-based research, with a diversity of methods. The focus reflects that of nursing research generally. A high level of participation by practitioners is evident but with little enquiry in authorship. Service user/carer involvement should be given more prominence by researchers.</p>","PeriodicalId":94187,"journal":{"name":"Recherche en soins infirmiers","volume":" 100","pages":"124-33"},"PeriodicalIF":0.0,"publicationDate":"2010-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41180183","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}