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La pratique infirmière de promotion de la santé et de prévention en CSSS, mission CLSC

Source: OAI

ABSTRACT La série "Rapport synthèse" met en relief les faits saillants des principales études, recherches, projets d'intervention ou promotion réalisés dans les différents domaines de la santé publique. Ce rapport synthèse présente les résultats d'une étude réalisée en étroite collaboration par des chercheurs de la Direction de santé publique de l'Agence de la santé et des services sociaux de Montréal (DSP,de l'Université de Montréal et de quatre centres de santé et de services sociaux de Montréal(CSSS).Cette démarche participative s'inscrit dans une volonté d'ajuster la recherche aux réalités des CSSS, dans le but de formuler des recommandations et d'entreprendre des actions afin de favoriser une actualisation accrue de la pratique infirmière de promotion de la santé et de prévention dans une perspective populationnelle.

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    ABSTRACT: This paper aims to identify organizational readiness for change towards adoption of a redefined role of the school nurse as a strategic option in the context of a health promoting school approach. This new role is consistent with planned change directed at life habits and life conditions. A questionnaire based on a modified version of the organizational readiness for change (ORC) framework was e-mailed to 122 top and middle managers (response rate of 74 percent) in 42 local health organizations in the Province of Quebec, Canada, during the fall of 2009. In total, 90 percent of participants perceived the proposed role as a solution to fulfil their school health program needs, especially to plan and integrate health promotion projects. The lack of resources and nursing support emerged as factors hampering the capacity of school nurses to play such a role. Additional implications of the ORC framework are needed in order to better address organizational readiness for complex changes in specific health-related settings. Access to information technology and the development of computer skills would help enhance this encompassing role in health promotion. Findings have the potential to better inform health authorities regarding the new role of the school nurse as a strategic option in health promotion. This study also provides an application of the theoretical framework showing the need for additional empirical tests.
    Journal of Health Organisation and Management 01/2012; 26(4-5):444-66.