Publisher: Quebec Network on Nursing Intervention Research (RRISIQ) (Total: 1 journals)   [Sort by number of followers]

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Science of Nursing and Health Practices / Science Infirmière et Pratiques en Santé     Open Access  
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  • Le monde de la communication scientifique à la croisée des
           chemins

    • Abstract: Sylvie Cossette
       
  • Recherche et mobilisation des connaissances en sciences infirmières dans
           un monde en turbulence : un constat critique, mais des innovations
           possibles

    • Abstract: Renée Descôteaux and Nathalie Folch
       
  • Croyances associées à la participation à une activité de dépistage
           des infections transmissibles sexuellement et par le sang chez des
           élèves de 4e et 5e secondaire

    • Abstract: Carol-Ann Lavoie and François Boudreau
      Introduction: In Quebec, in recent years, a steady rise in cases of chlamydia and a rapid grow of cases of gonorrhoea among young people aged 15 to 24 years have been observed. Asymptomatic screening for sexually transmitted and blood-borne infections (STBBI) is one way to prevent their spread. However, despite the accessibility of STBBI screening services, including in school settings, the participation rate of young people aged 15 to 24 remains modest. Objective: Using the Theory of Planned Behavior, identify beliefs that predict the intention of secondary 4 and 5 students to consult with the school nurse to participate in STBBI screening. Method: 294 students in Secondary 4 and 5 completed a self-administered questionnaire that included the constructs of the Theory of Planned Behavior, in addition to the moral norm and the anticipated regret. Results: The results of the multiple regression analyses show that 5 beliefs are more related to the intention of youth to participate in an STBBI screening activity: "being reassured (if I don't have an STBBI)", "wasting my time", "the support of people important to me", "fear of having an STBBI" and "being shy". Discussion and conclusion: The results suggest that a communication strategy targeting 5 specific beliefs could increase the intention of the secondary 4 and 5 youth to participate in an STBBI screening activity.
       
  • Implementation Intention Strategy to Reduce Salt Intake among Heart
           Failure Patients: A Randomized Controlled Trial

    • Abstract: Andressa Teoli Nunciaroni, Rúbia de Freitas Agondi, Henrique Ceretta Oliveira, Rafaela Batista dos Santos Pedrosa, Roberta Cunha Matheus Rodrigues and Maria Cecília Gallani
      Introduction: An Implementation Intention strategy might be effective in transforming a positive intention to reduce salt intake into effective action among heart-failure patients. Objective: To assess the potential efficacy of an Implementation Intention intervention to reduce salt intake among heart-failure patients. Methods: Randomized controlled trial. The 60 heart-failure patients recruited were first randomized into 2 groups: an experimental group (EG) and a control group (CG). The study population was further broken down into 4 groups depending on whether the individuals prepared their own meals: 2 individual groups (EG-Individual and CG-Individual); and 2 collaborative groups, involving the patient and a social referent (EG-Collaborative and CG- Collaborative). The experimental groups developed action and coping plans based on the Implementation Intention. Total salt intake was calculated through discretionary salt, sodium-food frequency questionnaires, and 24-hour recall, obtained at the baseline (T0) and at the 2-month follow-up (T3). Results: 56 patients ended the follow-up. A reduction in the total salt intake was observed in the EGs (Individual and Collaborative) compared to baseline (5.04g/day vs. 12.21g/day for the EG-Individual (p≤0.001); 4.79g/day vs. 11.43g/day for the EG-Collaborative; p≤0.001). The multivariate analysis showed that the 2 EGs had lower salt intake at T3 than the 2 CGs (95% CI 4.19-9.29 for individual groups vs. 95% CI 4.84-10.22 for collaborative groups). There were no differences between the 2 EGs (95% CI –2.77 to 2.41). The total variance explained (R2) by these comparisons was 0.70. Discussion and conclusion: This study suggests that Implementation Intention might be effective in reducing salt intake among heart-failure patients, either individually or collaboratively. Further research testing mediator and moderator effects of the psychosocial variables are recommended.
       
  • What are the Needs of People Living in Remote Areas About the Essential
           Components of a Cardiac Rehabilitation Program'

    • Abstract: Jessica Bernier, Melissa Lavoie and Marie-Eve Poitras
      Introduction: Cardiac rehabilitation (CR) is an effective intervention to support patients in achieving their health objectives and in decreasing their risk of suffering from another myocardial infarction (MI). However, in several remote areas, no cardiac rehabilitation program (CRP) exists to support patients having experienced an MI. Before the creation of an intervention CRP adapted to patients living in these areas, it is essential to describe patients and healthcare professionals' needs regarding cardiac rehabilitation care. Objective: This study describes the needs of remote patients and healthcare professionals for the essential components in a CR program following myocardial infarction and percutaneous transluminal coronary angioplasty. Methods: A qualitative formative research study was conducted involving 10 men, 6 women, and 4 family physicians. Data were collected through in-depth individual interviews and one focus group. Results: Results show that patients who have suffered an MI have multiple unmet needs. This gap may be due to the variability in follow-ups by healthcare professionals. In the absence of a cardiac rehabilitation program, these patients must adapt quickly to their new health condition. Discussion and conclusion: It is critical that the needs of patients living in remote areas are better addressed in cardiac rehabilitation. To do this, it is essential to create a CRP that is tailored to the needs of both patients and professionals, thus providing patient-centered care.
       
  • Violence Prevention Climate Scale: Translation, Adaptation, and
           Psychometric Assessment of the French Canadian Version

    • Abstract: Marie-Hélène Goulet, Michèle Desmarais, Pierre Pariseau-Legault, Caroline Larue, Francelyne Jean-Baptiste, Jean-Sébastien Turcotte and Anne G. Crocker
      Introduction: Violence in psychiatric settings has negative consequences on patients, staff, and the institution alike. Efforts to prevent violence cannot currently be assessed due to a lack of suitable indicators. The Violence Prevention Climate Scale (VPC-14) is a validated tool that can be filled out by both staff and patients to assess the violence prevention climate in mental health care units. Objective: This study aimed to conduct the translation and adaptation of the VPC-14 to a French Canadian context, and to assess its psychometric properties in general and forensic psychiatric settings. Methods: This study followed a transcultural approach for validating measuring instruments. Psychometric properties were assessed in 308 patients and staff from 4 mental health and forensic hospitals in Quebec (Canada). Content validity was assessed using a bilingual participant approach. Internal validity was examined through exploratory factor analysis and internal consistency for each care setting using Cronbach’s alpha coefficient analysis. Results: The Échelle modifiée du climat de prévention de la violence [Modified Violence Prevention Climate Scale] (VPC-M-FR) consists of 23 items with a 3-factor structure: 1) staff action, 2) patient action, and 3) the therapeutic environment. Cronbach’s alphas ranging from 0.69 to 0.89 were obtained for the internal consistency of the scale. Discussion and conclusion: The VPC-M-FR has satisfactory psychometric properties for measuring the violence prevention climate in mental health and forensic settings. By measuring the violence prevention climate from the standpoint of patients and staff, targeted preventive measures can be implemented to improve safety for all.
       
  • Interrater Reliability of a Tool Measuring the Quality of Nursing Triage
           in the Emergency Department

    • Abstract: Simon Ouellet, Guy Bélanger and Mélanie Bérubé
      Introduction: Triage plays an essential role in the Emergency Department (ED), helping maintain a safe patient flow. Although assessing the quality of the triage process is crucial, to date, there has been no metrological testing of a tool measuring the quality of nursing triage. Objective: This study aimed to assess the interrater reliability of the Audit Triage Tool (ATT) in Quebec, Canada. Methods: This retrospective cohort study took place in a regional ED. Fifty triages were selected using a systematic random sampling technique with quotas of 10 triages grouped under 5 chief complaints: chest pain, abdominal pain, neurological problems, major blunt trauma and fever. A total of 4 auditors individually applied the 49 criteria of the ATT to 50 triages. The interrater reliability was measured with the intraclass correlation coefficient (ICC), percentage of unanimity (PU) and percentage of agreement (PA). Results: Based on the ICC, 33/49 criteria showed fair (ICC 0.60, comparatively to only 2/26 implicit criteria. Discussion and conclusion: Findings showed that a quarter of the ATT criteria had poor interrater reliability according to various statistical tests. Solutions to improve the reliability of the ATT, mostly regarding the implicit criteria, are needed. Finally, future methodological research on triage quality assessment should focus on a thorough validation of the ATT.
       
  • Examining the Concept of Healthcare Trajectories in Older Adults With
           Major Neurocognitive Disorder Using the ‘6W’ Multidimensional Model of
           Care Trajectories: A Mixed Methods Systematic Review Protocol

    • Abstract: Isabelle Dufour, Clara Bolster-Foucault, Isabelle Vedel and Amélie Quesnel-Vallée
      Introduction: The use of healthcare services by older adults with major neurocognitive disorder (MNCD) varies significantly throughout the disease process. The evaluation of healthcare trajectories, defined as the pattern of care use over time, allows for a better understanding of how people move through the healthcare system and facilitates the identification of potentially modifiable risk factors for suboptimal care trajectories. Objectives: The objectives of the review are to: 1) critically appraise and synthesize evidence on how healthcare trajectories of older adults with MNCD are measured and defined, using the ‘6W’ multidimensional model of care trajectories, and 2) examine how socioeconomic factors are considered in studies reporting on healthcare trajectories. Inclusion criteria: This review will consider community-dwelling older adults diagnosed with MNCD. The quantitative component will include studies reporting on healthcare trajectories, including at least 2 different care services and at least 3 time-points. The qualitative component will include studies reporting on healthcare trajectories from the perspective of patients or their informal caregivers. Methods: This review will follow the Joanna Briggs Institute mixed methods review approach. We will search EMBASE, MEDLINE, CINAHL, PsycINFO, and the Web of Science Core Collection for English or French articles. Independent reviewers will identify articles for inclusion, extract data, and assess quality. A convergent integrated approach to synthesis and integration will be used. Discussion and conclusion: The results will help anticipate patients’ needs, improve patient care, service planning and coordination, and understand inequities in MNCD care.
       
 
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