Recherche en soins infirmiers

Publisher: Association de recherche en soins infirmiers (France)

Description

  • Impact factor
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  • 5-year impact
    0.00
  • Cited half-life
    0.00
  • Immediacy index
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  • Eigenfactor
    0.00
  • Article influence
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  • Website
    Recherche en Soins Infirmiers website
  • Other titles
    Recherche en soins infirmiers, Spécial méthodologie
  • ISSN
    0297-2964
  • OCLC
    299603922
  • Material type
    Periodical, Internet resource
  • Document type
    Journal / Magazine / Newspaper, Internet Resource

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: Accompanying loved ones suffering from a mental health problem on a daily basis is an experience that profoundly transforms the identity of families. Such families must often cope with feelings such as guilt and helplessness. The psychiatric hospitalisation of a family member suffering from mental illness hardly improves the situation. In this context, existing literature recognises the benefits of including family members involved in care, as much for the afflicted person as for family and the professionals involved. However, these families inevitably feel excluded from care and unrecognised in their role, leading to important consequences. This critical review of literature was meant to analyse the obstacles to practicing a family-oriented approach by nurses working in mental health units, in order to propose recommendations aiming at the transformation of present clinical practices in this regard. A systematic study of literature was carried out on the databases CINHAL, Psychlnfo and PubMed and the analysis of literature was realised based on the Theory of Change proposed by Collerette. The results demonstrate that confidentiality, lack of abilities and expertise in addition to certain organisational problems constitute the principal barriers to the practice of nursing interventions for families on a daily basis.
    Recherche en soins infirmiers 06/2014;
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    ABSTRACT: The training reference leading to the state nursing diploma places the learning of clinical reasoning at the center of the training. We have been wondering about the possibilities of making visible the student nurse's mental processes when they provide nursing care in order to identify their strategies and reasoning difficulties. It turns out that concept mapping is a research tool capable of showing these two aspects.
    Recherche en soins infirmiers 06/2014;
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    ABSTRACT: Breastfeeding contributes to the health of the child and the mother. Given the lack of studies done in France, it is relevant to examine, besides the sociodemographic factors, the psychosocial and the relational factors. The objectives of the study are: to describe the proportion of mothers who breastfeed up to six months, to identify the sociodemographic, psychosocial and relational factors. This is a prospective, observational, single-center cohort study. The instruments used are the socio-demographic and clinical data questionnaire, the Maternel Sensitivity Scale, the Social Behavioral Inventory and the Situational Anxiety Inventory. Of the 247 mothers who participed in the study, 134 responded at six months and 55 mothers reported breastfeeding at six months. Multivariate analysis revealed the significant factors associated with the continuation of breastfeeding up to six months: the determination of mothers to breastfeed (OR (95% CI): 3.99 (1.04 to 15.31)), high maternal sensitivity at 48h (OR (95% CI): 0.16 (0.03 to 0.84)) and the presence of maternal anxiety at 48 h (OR (95% CI): 1.18 (1.06 to 1.32)). The conjunction of the interactionist approach and of maternal sensitivity is a promising avenue for the support of breastfeeding. Psychosocial and relational factors are fields that need to be explored. Knowledge of these factors can strengthen the strategies to inform and support breastfeeding mothers.
    Recherche en soins infirmiers 06/2014;
  • [Show abstract] [Hide abstract]
    ABSTRACT: During their careers, nurses in all fields of the health care systems are likely to experience a period of moral distress at some point during their career. Moral distress has both short and long-terms consequences for the health care system, for the nurses' health as well as for the quality and safety of patient care. The actions to prevent moral distress are still poorly documented. The aim of this article circumscribes the concept of moral distress amongst nurses and proposes interventions that can contribute to its prevention. The psychodynamic of work theoretical framework was chosen to analyze and structure the literature in terms of: the source of suffering at work and the defensives strategies developed by nurses in response to such suffering. Through a review of the literature, this article identifies factors influencing moral distress amongst nurses and the consequences it can have. The interventions identified and interventions proposed represent important recommendations for health organizations and managers seeking to reduce, or even prevent moral distress amongst nurses.
    Recherche en soins infirmiers 06/2014;
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    ABSTRACT: Preventive mouth care is essential for the well-being of palliative care patients, though it is not performed enough outside units devoted to these patients. Our study aimed at getting a better knowledge of carers' attitudes and knowledge regarding this basic care. A validated questionnaire was sent anonymously to nurses and nursing aides working in the medical units of ten hospitals in Brittany. Of the 2,467 questionnaires sent, 54% were validated for use. The years of experience have little influence on nursing staff's answers. One in twenty does not think that preventive mouth care is part of his/her duties. This care is considered unpleasant, and difficult, by 11% and 22% of nurses, and 13.5% and 20.5% of nursing aides, respectively. A lack of knowledge is openly expressed with regards to oral diseases and dental prostheses. More than one in four cannot say if he/she knows the functions of the mouth, or he/she can identify a healthy mouth. These results show the scope for improvement as well as the priorities. They will be used as baseline for our future program assessment.
    Recherche en soins infirmiers 06/2014;
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    ABSTRACT: The word "psychosis", designing a group of worse psychical pathologies, has been progressively substituted, since 1850, to the word "madness" in the psychiatric literature. Without any consensus on a precise etiology of all kinds of psychosis, there is a large convergence on a clinical diagnostic with one main symptom: the loss of a sens of reality. This loss is supposed to derive from an alteration of the body diagram of the subject. This alteration implies the non-separation between the subject and the word, and then, a blockage of any authentic communication with the Other. Being so blocked, the temporal perception impeaches the fulfilling of the subjectivity's usual goals. The loss of reality could also induce a delirium, which tries to rebuild another kind of relation with the world. The issue about psychosis brings us to that ultimate question, so what we need to root the psychical distortion in the ordinary perceptive life, because our life is frequently inhabited by dreams, phantasms, and moreover hallucinations. Therefore, we need to examine and to question the meaning and the legitimacy of the strict boarder currently established beetween reason and insanity.
    Recherche en soins infirmiers 06/2014;
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    ABSTRACT: The use of simulation as an educational tool is becoming more widespread in healthcare. Such training gathers doctors and nurses together, which is a rare opportunity in such a sector. The present research focuses on the contribution of inter-professional training to the development of collaborative skills when managing an emergency situation in the context of anesthesia or intensive care. From direct observations of post-simulation debriefing sessions and interviews held with learners in post graduate or in-service training, either in single or multi-professional groups, this study shows that these sessions, based on experiential learning and reflective practice, help to build a shared vision of the problem and of common operative patterns, supporting better communication and the "ability to work in a team".
    Recherche en soins infirmiers 06/2014;
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    ABSTRACT: At the national level, the process which integrates nurse education curriculum to university studies, as well as the creation of a program of nursing and paramedical research in the hospital are contributing to the promoting of these professions inside the scientific community. The research introduction is now a teaching unit, which emphasizes professionalizing and training through research and opens the question of the visibility and the development in France, of a discipline in nursing. To establish an inventory of the implementation of the teaching units concerning introduction to research. A survey was sent to 305 educational institutions through an online questionnaire. it emerges some obstacles to the development of research including a low expertise in paradigms and research methods, the need for training of trainers, a low use of research articles and a gap between the teachings of the program and teachings made. The results highlight the difficulties in the implementation of the research initiation and the heterogeneity in the implementation of the teaching unit that could affect the process of professionalization of the student.
    Recherche en soins infirmiers 03/2014;
  • [Show abstract] [Hide abstract]
    ABSTRACT: For several years, many nursing education institutions have implemented the recommendations made in 2003 by the Institute of Medicine. Some have conducted a redesign of the structure of their program to integrate competency-based approach. What is a competence in this context? The purpose of this concept analysis is to clarify the meaning of the concept of competence from its recent use in nursing education. Rodgers' method of concept analysis was selected as it is relevant to explore this concept. A literature review in nursing was conducted from the CINAHL database. After analyzing the results, although no consensus appears in the literature, it seems that a competence could be defined as a formal action of systemic skills, contextualized and which is continuously developing. This definition differs from the behaviorist one sometimes used, where competences are synonymous with technical skills. To continue the development of this concept, it would be interesting to explore how it has evolved in other disciplines, such as education sciences or medicine.
    Recherche en soins infirmiers 03/2014;
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    ABSTRACT: In recent years with the strengthening of the discourse surrounding the biological risk of bioterrorist nature, the concept of biosafety emerged gradually. A dimensional analysis was used to contextualize the concept. Initially, biosafety was essentially a technical term related to the risks of contamination in laboratories or food industry and then be used to protect biodiversity against the spread of genetically modified organisms (GMOs) into the environment. Now, it is increasingly used in reference to the prevention and infections control, even though its use remains marginal. However, biosecurity may be defined as the security of life and therefore affect the safety devices participating in the government of bodies and power over life. A more critical approach including social and political dimensions within a Foucauldian perspective is needed to expand the scope of the biosecurity concept up to biological hazards constructs.
    Recherche en soins infirmiers 03/2014;
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    ABSTRACT: The article combines two objectives: understand the genesis and development of the sociology of Bourdieu in connection with his social and intellectual positioning. The sociology of Bourdieu is a theory of Action which reconciles the double requirement of objectification and taking account of the practical logic bound by social agents. From the character both objective and subjective of social space, he analyzes how different institutions (firstly School) are doing that mental structures match the objective structures of society. By making acceptable reality and registering it in the body, these instances contribute to reproduce social divisions and participate in the work of domination. Gradually, Bourdieu develops a general theory about Power, which leads to a sociology of State. But he refuses any sociological fatalism. Because he perceived homologies between the sociologist and the artist facing the social order, each in their own way, he devoted two researches to Flaubert and Manet, seized in the same enterprise of aesthetic subversion he described as a 'symbolic revolution'. In many aspects, the sociology of Bourdieu opens ways of looking for an objectification of caregivers and their practices.
    Recherche en soins infirmiers 03/2014;
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    ABSTRACT: The written agree on the importance of nursing research as a means to improve the quality effectiveness and efficiency of care and contribute to advance in the nursing discipline. Studies from different countries have attempted to describe the barriers and facilitating the use of researcher by staff nurse, however, no original studies have been conducted in Tunisia. PURPOSE AND FRAMEWORK: According to the theory of innovation of Rogers, this study aims to identify factors facilitating and contraining the use of research as an innovation from the point of view of Tunisian nurses. A mixed descriptive design allowed to raise perceptions of 5 manager nurses and 37 clinicians nurses in 2 care units of the university hospital of Sousse in Tunisia. Three methods of data collection were used either semistructured interviews (n = 5), a self-reported questionnaire including the scale of measurement of Funk and al., on the barriers of using the research (n = 37) and an observation grid units of participating care (n = 2). A triangulation of data revealed that they are organizational factors that seem to be the main determinants of using the research. In fact, the average of score calculated for the four factors of the scale of Funk showed that for the interviewed nurses, the characteristic of the organization present the highest average (3,01), followed by those with relation to the characteristic of the nurse (2,86) of the research (2,73) and of the diffusion (2,55). The qualitative analysis support these results. The recommendations for the value of using the results of research in Tunisia were formulated followed by limitations of the study.
    Recherche en soins infirmiers 03/2014;
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    ABSTRACT: Research results demonstrate a decrease in cigarette smoking when preventive professional interventions are routinely carried out. Literature reports that 30% of hospital nurses assess their patient smoking habits. The objective of the present study is to compare, on medical and surgical units, the effectiveness of three strategies (interactive educational session, recall, and both together) to a control group, on the number of nursing interventions pertaining to cessation of cigarette smoking. Research design is experimental with group randomisation. Pre and post strategy multi-measurements (at 1 and 3 months) are sought from nursing staff (69), patients and patient charts (351). Results show that nursing staff assesses cigarette smoking habits for only 35.7% of the patients, and their intent to stop smoking only of the time. Results show that the educational strategy increases the number of nursing interventions during a short period (1 month), and decreases perception of barriers to tobacco counselling. Impact of recall could not be assessed as it was not introduced as planned. Considering modest results from the strategies, the interactive educational sessions shows a short- term effect on the nursing staff's interventions.
    Recherche en soins infirmiers 03/2014;
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    ABSTRACT: The success of nursing students in clinical settings is significantly influenced by the nurse's preparation level of the preceptor's role. It is therefore essential to create and make available training activities that prepares and support the development of these skills in clinical settings. Among the significant benefits to participate in preceptorship training activities, the satisfaction of feeling better prepared and to share experiences with colleagues is well recognized. Thus, the online environment allows the creation of programs that encourage exchanges and discussions in addition to promote a social learning space. This article presents the implementation of an online training activity to support the development of preceptors skills in clinical settings with nursing students. The results of this clinical experience revealed several constraints to the involvement of nurses in this activity and enhanced the importance of an organizational partnership between the institution and the clinical environment to overcome these constraints.
    Recherche en soins infirmiers 12/2013;
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    ABSTRACT: The ethic of care formulated in 1982 by C. Gilligan states that men and women do not have the same moral concerns. This work had as main objective to determine moral concerns of men who choose to be pediatric nurse, a female occupation (in France, 1,3% of men reported in 2010 among nurses specialized in pediatric care). population was composed of a non-representative sample of male pediatric nurses recruited from the next. Methodology consisted in a qualitative survey in the form of face-to-face interviews by a single female investigator. I I men were interviewed between January and Mai 2013. Analysis of the interviews showed that, although they announce classical nursing and masculine values, moral concerns that characterize the ethic of care were present in almost of them ( 10 out of 11). the main feature of this work was that the investigator met happy health professionals. It is therefore suggested that it is explained by the fact that this group of men combine, in an apparently harmonious way, moral concerns traditionally assigned to men and women.
    Recherche en soins infirmiers 12/2013;
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    ABSTRACT: New management styles imposed on hospital institutions in recent years, have fundamentally changed the organization of the latter. Many texts discuss the consequences, specifically on the field of communication. The aim of this study was to understand the real impact of new management methods on communication by managers in hospital, but also on care teams in termes of satisfaction and/or stress. This two-year study was conducted among 900 executives in hospitals in Western Switzerland using a mixed methodology. A first phase of questionnaires highlighted the problematic areas, while a second phase in the form of organized group interviews in each hospital, had the objective of achieving a better understanding of the relationship between management and communication. The latter proved to be particularly significant in terms of results, and this is the one we focused on in this article.These results indeed show that a crucial role is given to communication by carers, and, at the same time a lessening of the time devoted to relationships, both among peers and with patients. Frustration then arises, which is not without consequences both for the management of patients and the institutions themselves. It is by means of these results that awareness is raised of the omnipresence of communication at all levels and the major advantages that positive dynamic supports. And, on the contrary, of the serious problems which may arise from management practice that do not give due importance to the dimension of communication, present in all sectors of the hospital.
    Recherche en soins infirmiers 12/2013;

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