Cécile Michaud

Cécile Michaud
Laval University | ULAVAL · Faculty of Theology and Religious Studies

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74
Publications
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544
Citations

Publications

Publications (74)
Article
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Purpose Although family caregivers (FCs) of older adults with cancer (OACs) provide invaluable assistance by fulfilling multiple tasks along the cancer trajectory, evidence suggests that their needs are poorly assessed, and there is a scarcity of supportive interventions that influence their well-being. Viewing these issues as opportunities for imp...
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Introduction: Vocal behaviours (VB) are frequent in long-term care facilities (LTCF) and have many negative consequences. Interventions to decrease VB have limited clinical impact. Objective: This pilot study aimed to provide preliminary evidence on the effects of an intervention approach based on the meanings of VB in older people living with a ne...
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De plus en plus d’adolescents à risque de suicide se tournent vers les technologies de l’information et de la communication (TIC) pour chercher de l’aide. Or, à ce jour, aucune étude n’a exploré le processus de recherche d’aide par les TIC chez des adolescents à risque de suicide. Afin de pallier cette situation, une étude par théorisation ancrée a...
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The use of Information and Communication Technologies (ICT) for help-seeking is becoming more and more common for adolescents at risk of suicide. Objectives The aim of this current study was to better understand the help-seeking process of adolescents at risk for suicide. Methods A grounded theory methodology was used to describe the experience of...
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Qualitative research should strive for knowledge translation toward the goal of closing the gap between knowledge and practice. However, it is often a challenge in nursing to identify knowledge translation strategies able to illustrate the usefulness of qualitative results in any given context. This article defines storytelling and uses pragmatism...
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Few studies have been conducted on strategies to promote the implementation of complex interventions in nursing homes (NHs). This article presents a pilot study intended to assess the strategies that would enable the optimal implementation of a complex intervention approach in NHs based on the meanings of screams of older people living with Alzheim...
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Background To provide effective pain management, nurses must have sufficient knowledge and adequate beliefs about pain management. In Quebec, however, nurses seem to be generally uninvolved in pain management, and there is little significant evidence shedding light on nurses’ pain management knowledge and beliefs in postoperative settings. To perfo...
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Résumé Cet article explore les facteurs qui influencent la recherche d’aide des adolescents concernant les idées suicidaires. D’une part, certaines caractéristiques personnelles influencent la recherche d’aide, dont le sexe, l’âge, le groupe ethnique, ainsi que la présence de problèmes de santé mentale. D’autre part, il existe de nombreux obstacles...
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Aim: To identify the theories used to explain learning in simulation and to examine how these theories guided the assessment of learning outcomes related to core competencies in undergraduate nursing students. Background: Nurse educators face the challenge of making explicit the outcomes of competency-based education, especially when competencie...
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Patients with advanced chronic kidney disease (CKD) face many choices regarding future dialysis modalities. Decision-making is difficult for patients. The objective of this study was to describe the decision-making needs from the perspectives of patients with advanced CKD, professionals, and others involved in the decision. Guided by a shared decis...
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Background Despite considerable collective improvement efforts and clinical initiatives to integrate palliative and end-of-life care the intensive care unit (ICU), few patients are currently receiving palliative care in this particular setting as promoted by the World health organisation (WHO). Aim Our first study showed that three conditions promo...
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The burden of chronic disease requires a new organization of medical care and services. Enhancing collaboration among front-line care givers facilitates access to care and optimizes follow-up. As a result, a new organizational structure has been gradually deployed in Quebec since 2003. Family Medicine Groups (FMGs) use a new type of standing order,...
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Although many intensive care unit patients experience significant pain, very few studies explored massage to maximize their pain relief. This study aimed to evaluate the preliminary effects of hand massage on pain after cardiac surgery in the adult intensive care unit. A pilot randomized controlled trial was used for this study. The study was condu...
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The help-seeking concept is largely used in the healthcare system and seems relatively well understood by healthcare professionals even though no consensus on this concept has yet been reached. More specifically, the Internet help-seeking concept by adolescents with suicidal thoughts has yet to be explored. To clarify this concept and eventually de...
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Looking for help on the Internet by adolescents with suicidal thoughts: a concept analysis The help-seeking concept is largely used in the healthcare system and seems relatively well understood by healthcare professionals even though no consensus on this concept has yet been reached. More specifically, the Internet help-seeking concept by adolescen...
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BACKGROUND:Seven chronic disease prevention and management programs were implemented across Quebec with funding support from a provincial-private industry funding initiative. Given the complexity of implementing integrated primary care chronic disease management programs, a knowledge transfer meeting was held to share experiences across programs an...
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Objective The purpose was to evaluate the acceptability and feasibility of hand massage therapy in the intensive care unit (ICU). Background Clinical guidelines suggest the use of non-pharmacological interventions for pain management in ICU adults. The results presented are secondary to a pilot RCT evaluating the preliminary effectiveness of hand...
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Background Performing routine pain assessments with all intensive care unit (ICU) patients is strongly recommended in clinical practice guidelines. As many ICU patients are unable to self-report, the Critical-Care Pain Observation Tool (CPOT) is one of the two behavioural pain scales suggested for clinical use. Still, no study has described the eva...
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Introduction: Although the ultimate goal of the intensive care unit (ICU) is to save and prolong human life, the integration of palliative care approach in this fast-paced highly technologic environment is increasingly recognized as a means of restoring the global nature of care and enhances the integrity of the person. In this perspective, a recen...
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Pain is a major stressor for critically ill patients. To maximize pain relief, non-pharmacological interventions are an interesting avenue to explore. The study aim was to describe the perspectives of patients/family members and nurses about the usefulness, relevance and feasibility of non-pharmacological interventions for pain management in the in...
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Unlabelled: The aging population, the complexity and irreversibility of certain conditions lead to the deaths of 20% of patients admitted to intensive care units (ICU). However, in Quebec, as elsewhere in America, few of them currently receive palliative care. Method: inspired by a conceptual model considering nursing as a moral practice, this p...
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Conditions to facilitate palliative « good care » in intensive care unit by nurse’s perspective The aging population, the complexity and irreversibility of certain conditions lead to the deaths of 20 % of patients admitted to intensive care units (ICU). However, in Quebec, as elsewhere in America, few of them currently receive palliative care. Meth...
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Unlabelled: The End-Stage Renal Disease population is aging. Considering that hemodialysis is a treatment that maintains and prolongs life, this descriptive-comparative study looks at the perceptions of patients according to age group -< 65 years, n = 121 and ≥ 65 years, n = 123, as it pertains to dialysis treatment cessation and life-sustaining t...
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Up to 60% of elderly will develop delirium during the course of their hospitalization. Less than 50% of nurses can screen for delirium, although it is a medical emergency and that the evaluation of mental state constitutes one of their responsibilities. Evaluate the effect of a training program on screening for delirium on the competence perception...
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This study seeks to evaluate the predictive validity of the French version of the Dynamic Appraisal of Situational Aggression (DASAfr) and psychiatric nurses' perceptions of the clinical usefulness of the scale. The study was conducted in a 12-bed psychiatric intensive care unit in a large adult general psychiatric hospital. We found that the total...
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Though the cultural factors that may contribute to the diabetes epidemic in First Nations are frequently discussed, little is known about the factors that may help prevent it. In this ethnonursing study, we explore the cultural factors that help maintain health behaviours in Algonquin women who had received a diagnosis of gestational diabetes 2 to...
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Introduction Les facteurs culturels qui pourraient contribuer à l'épidémie de diabète chez les Premières nations ont souvent été présentés, mais les facteurs qui pourraient participer à sa prévention demeurent peu connus. La présente étude ethnoinfirmière explore les facteurs culturels qui favorisent le maintien des comportements de santé chez des...
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Improvement in perception of nurse’s competence in screening for delirium : a quasi-experimental study Introduction : Up to 60 % of elderly will develop delirium during the course of their hospitalization. Less than 50 % of nurses can screen for delirium, although it is a medical emergency and that the evaluation of mental state constitutes one of...
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Predialysis nurses have an important role in supporting patients who must make decisions when renal replacement therapy is needed. However, no effective interventions have been established for nurses who provide this decision support. The Ottawa Decision Support Framework provides a structure to develop such interventions, which include a patient d...
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Caring for dying patients is part of daily practice for the nurses working in intensive care unit (ICU). Few studies have documented what nurses consider to be "good palliative care" in this context. This phenomenological study was conducted in four phases and was designed to understand how the provision of "good palliative care" is expressed accor...
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Despite the recognition by nurses of the importance of supporting their experiential knowledge on scientific data, evidence-based nursing research is seldom integrated in their practice. An important limitation is the nurses' general lack of basic abilities to use research to better inform their clinical decision making. The objective of this pilot...
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The Critical-Care Pain Observation Tool (CPOT) is one of the few behavioural pain scales which have been developed and validated for the purpose of detecting pain in nonverbal critically ill adults. This study aimed to complete a pre and post evaluation of the implementation of the CPOT on pain assessment/management nursing practices in the Intensi...
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The Eastern Townships (ETR) is a region in Québec (Canada) where the soil is naturally rich in arsenic (As). About a third of the people in the ETR obtain their water from a private well. A quasi-experimental design was used to compare two campaigns designed to promote As screening in well water: a mass-media campaign (MMC) followed or not by a com...
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The purpose of this hermeneutic phenomenological study (Benner, 1994) was to understand the meaning of the experience of clinical assessment of surgery nurses in a context of implementation of best practices guidelines. The study was held in an affiliated university hospital (Québec, Canada) with nine registered nurses. Data were collected through...
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The nursing practice informed by research : leader training in health organizations, a promising path Problem. Despite the recognition by nurses of the importance of supporting their experiential knowledge on scientific data, evidence-based nursing research is seldom integrated in their practice. An important limitation is the nurses’ general lack...
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Good palliative care in intensive care unit : for nurses, a way to prospect Caring for dying patients is part of daily practice for the nurses working in intensive care unit (ICU). Few studies have documented what nurses consider to be « good palliative care » in this context. This phenomenological study was conducted in four phases and was designe...
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The experience of clinical assessment as lived by surgical nurses in the context of best practice guidelines’ implementation The purpose of this hermeneutic phenomenological study (Benner, 1994) was to understand the meaning of the experience of clinical assessment of surgery nurses in a context of implementation of best practices guidelines. The s...
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The use of a mixed method research design raises many questions, especially regarding the paradigmatic position. With this paradigm, we may consider the mixed method design as the best way of answering a research question and the latter orients to one of the different subtypes of mixed method design. To illustrate the use of this kind of design, we...
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The mixed design in nursing sciences or when a question of research calls for qualitative and quantitative strategies The use of a mixed method research design raises many questions, especially regarding the paradigmatic position. With this paradigm, we may consider the mixed method design as the best way of answering a research question and the la...
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Avec l’essor que connaît la pratique basée sur des résultats probants, un meilleur recours aux connaissances scientifiques constitue un atout dans le renouveau des pratiques infirmières. Toutefois, des barrières perdurent dans ce domaine. Or, malgré le foisonnement d’études sur ce sujet, aucune n’émane du Québec. Le but de la présente étude explora...
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Résumé La maladie chronique fait partie de la vie de nombreux Canadiens. Ceux-ci doivent composer avec les exigences que comporte la gestion de leurs problèmes de santé tout en pratiquant leurs activités de la vie quotidienne. Plus particulièrement, la personne qui souffre d’insuffisance rénale terminale doit s’astreindre à un régime thérapeutique...
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Résumé Cet article présente dans un premier temps, le contexte dans lequel se situent les orientations ministérielles en matière de mesures de contrôle en psychiatrie telles la contention et l’isolement. Les auteurs exposent les connaissances concernant l’utilisation et la réduction des mesures et proposent trois perspectives pour en guider la rédu...
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This article first presents the context in which are situated governmental orientations regarding measures of control in psychiatric settings such as restraint and seclusion. The authors expose the knowledge concerning the use and the reduction of measures of control and propose three perspectives to guide their reduction and their elimination. The...
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This author attempted to understand the potential impact of using closed-circuit TV as an educational strategy to meet the learning needs of patients and their families. To do so, she gathered data from two hospitals that offered this avenue for health teaching. Of the 70 patients who participated in the research study, 32 were maternity patients a...

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