Lucie Moret

University of Fribourg · Département de pédagogie spécialisée

Aim. We investigated the impact of empowering leadership on both perceived stress and salivary cortisol, a commonly utilized biological indicator for stress assessment. Background. Empowering leadership is gaining increasing interest in companies. However, the impact of empowering leadership on stress is still insufficiently explored, with conflict...

Introduction Patient partnership is a key component of patient-centred care. One form of partnership is individual peer support, which can improve patients’ quality of life and adherence to treatment. Patient with multiple sclerosis could benefit from this type of support, but such an intervention has not been explored in the literature. We propose...

Purpose Research on structural empowerment has typically adopted a variable‐centered perspective, which is not ideal to study the combined effects of structural empowerment components. This person‐centered investigation aims to enhance our knowledge about the configurations, or profiles, of healthcare employees' perceptions of the structural empowe...

Background: Few studies have investigated interruptions to the work of professionals practicing in inpatient hospitals, and even fewer take account of the functions that make up the system. Safety of care can be improved by considering avoidable interruptions during interactions between managerial and care delivery functions. The present study des...

Background Deprescribing benzodiazepines and related drugs (BZDR) is a challenge due to a lack of time on physicians’ part, a lack of involvement of other health professionals, and the need for adapted tools. This study is based on primary care collaboration, by evaluating the effectiveness of a joint intervention between general practitioners and...

This research relies on bifactor models to help improve our understanding of the dimensionality of the psychological empowerment construct. We also examined the configurations, or profiles, taken by psychological empowerment dimensions, and documented their stability over time as well as the associations between these profiles and theoretically-rel...

Aims: To assess the effect of a systemic intervention on the evolution of empowering leadership and emotional exhaustion in a university hospital sub-center compared to a control sub-center, both being part of a large French university hospital complex. Background: Empowering leadership is a promising strategy for developing hospital team engage...

Introduction The health benefits of physical activity are now widely accepted and proven. However, the physical activity of individuals has decreased over the last decades, in favor of sedentary behaviors, mainly due to changes in working patterns. Promoting physical activity in the workplace is therefore of major public health interest, but is lim...

Introduction: Empowering leadership (EL), and more generally leadership styles that promote employee autonomy, are gaining increasing interest in organizations. However, the effect of EL on health is still understudied, and the literature on this subject is contradictory. While some studies indicate that EL decreases perceived stress by promoting r...

Introduction : Le risque zoonotique est un enjeu majeur de santé publique, qui devrait inciter à une collaboration étroite entre vétérinaires et médecins pour y faire face. Pourtant les quelques études disponibles pointent l’absence de collaboration entre ces professionnels, et avancent comme facteurs explicatifs des contraintes organisationnelles...

Background: French nursing homes (NHs) are in the early stages of implementing their risk management approach. The latter includes the development of a safety culture (SC) among professionals. A training package to support NHs in implementing a risk management strategy has been designed by QualiREL Santé, a regional body that provides support in q...

Abstract:In a context marked by negative health indicators that make structural aspects more salient,this paper aimed at understanding and explaining the processes and determinants at work that positively and negatively interfere with the professionals’ health in the French public nursing home environment. To this purpose, the qualitative approach...

Purpose of research: This study, conducted at the initiative of the French academic college of public health, aimed to describe, from the point of view of public health physicians, the outlines and organization of public health activities within French university hospitals. In the first half of 2018, a survey was sent to physicians in charge of pub...

Objectives To describe and analyse studies aiming at quantitatively assessing the impact of interventions on patient-reported burden of treatment as an outcome (primary or secondary). Methods The aim of the search strategy was to identify all publications describing a medical intervention intended to reduce patient-reported burden of treatment in...

Q fever, a zoonotic disease caused by Coxiella burnetii, is endemic among cattle in Western France. However, studies assessing the risk of human infection in such areas are lacking to date, while they may provide information about key specific preventive actions which could be advised to the human populations living with or close to cattle. Therefo...

Objectives The prevalence of ESBL-producing Escherichia coli (ESBL-E. coli) in community-acquired urinary tract infections (UTI) has been increasing worldwide since 2000, but with large geographical variations. The aim of this study was to determine whether the ESBL-E. coli rate in urine samples from individuals with community-acquired UTI was asso...

Problématique L’empowerment des travailleurs hospitalier est un facteur clef de performance et de santé au travail. Néanmoins, favoriser l’empowerment demeure un véritable challenge. À l’instar de nombreuses organisations, les hôpitaux publics français fonctionnent selon un modèle bureaucratique, défini par une culture managériale de contrôle et un...

Knowledge in France on the subject of care-related adverse events in the nursing home sector is sparse. An observational descriptive study was conducted in 25 nursing homes over a period of 2 weeks over periods of two weeks between 2016 and 2017. It aimed to describe the types of care-related adverse event, and to assess their seriousness, frequenc...

Knowledge of care-related adverse events in nursing homes in France is limited. An observational descriptive study was conducted in 25 nursing homes over a period of two weeks between 2016 and 2017. This study aimed to describe types of care-related adverse events and to assess their severity, the frequency with which they occurred, and their criti...

Background: The present challenge for patient involvement is the improvement of healthcare efficiency through a deeper consideration of the patient experience. In hospitals, numerous interventions promoting patient involvement are informally implemented by healthcare workers (HCWs). The first aim of this study was to conduct an overview of hospita...

Most studies on workers’ health are based on non-specific models of occupational stress, thereby limiting the understanding and research on efficient interventions. This qualitative approach aimed to explore the structure of resources and constraints in the working environment of nurses in a deliberately open approach. Semi-structured interviews we...

Background: Empowerment of hospital workers is known as a key factor of organizational performance and occupational health. Nevertheless, empowering workers remains a real challenge. As in many traditional organizations, hospitals follow a bureaucratic model defined by a managerial culture of control and a stratified organization, which at once we...

BACKGROUND Early detection in the prevention of addictive behaviours remains a complex question in practice for most first-line health professionals, despite its importance in terms of public health. Several prevention measures have successfully included a screening stage followed by a brief intervention in case of risk-related use or referral to a...

Background Early detection in the prevention of addictive behaviors remains a complex question in practice for most first-line health care workers (HCWs). Several prevention measures have successfully included a screening stage followed by a brief intervention in case of risk-related use or referral to an addiction center for problematic use. Where...

Background: The Nursing Home Survey on Patient Safety Culture (NHSOPS) questionnaire was developed by the Agency for Healthcare Research and Quality (AHRQ), particularly as an intervention to raise staff awareness about patient safety issues. The main objective of the present study was to provide a validated French-language measure of the safety c...

Abstract Background Implementing a patient safety curriculum for medical students requires to identify their needs and current awareness of the topic. Several tools have been developed to measure patient safety culture, but none of them have been developed in the French context. Our objective was to adapt and refine the psychometric properties of t...

Background Inappropriate staff behaviour during surgical procedures may disrupt the surgical performance and compromise patient safety. We developed an innovative monitoring and feedback system combined with an adaptive approach to optimise staff behaviour intraoperatively and prevent post-operative complications (POC) in orthopaedic surgery. Meth...

A rise in the number of dependent elderly people has made nursing homes an important part of the French health system. Through the struggle against adverse events associated with treatments, the question of the residents' safety and wellbeing has been paramount. To get an estimation of the highest incidence rates of adverse events in nursing homes,...

Background: Adherence to topical corticosteroids (TCS) is essential for the effective treatment of atopic dermatitis but can be limited by concerns about their use. This study examined the feasibility of applying the validated TOPICOP score for assessing TCS phobia across different countries. Methods: This was a prospective multicenter feasibili...

Introduction La corticophobie est un phénomène fréquent, ayant pour conséquence une faible adhésion thérapeutique dans la dermatite atopique (DA). Le score TOPICOP (TOPIcal COrticosteroid Phobia) est composé de 12 questions relatives aux croyances, craintes et comportements concernant l’usage des dermocorticoïdes. L’objectif principal de cette étud...

Background: The concept of shared decision making (SDM) has been developing in many countries since the 1990s. The main challenge of SDM, based on the principles of respect for the person's autonomy, is to improve patients' participation, should they so wish, in decisions concerning their personal health. To our knowledge, there is only one SDM ev...

Background The study analyzes health care workers’ (HCWs) occupational risk perception and compares exposure to occupational risk factors in Moroccan and French hospitals. Method Across nine public hospitals from three Moroccan regions (north, center and south), a 49 item French questionnaire, based on the Job Content Questionnaire, and 4 occupati...

The French National Authority for Health has made serious adverse event disclosure one of its priority areas of work. The objective of the study was to explore clinicians' perceived practices of disclosing such events. Between June and July 2012, a structured questionnaire was emailed to all clinicians and residents working at the Nantes Teaching H...

Introduction: The efficacy of Topical Corticosteroids (TCs) for Atopic dermatitis (AD) has been well established. Nevertheless, fears associated with the use of TCs are likely to impact negatively on adherence to medical recommendations. Objectives: To explore patients' fear of using TCs in the treatment of AD and to examine if healthcare providers...

International studies on occupational risks in public hospitals are infrequent and only few researchers have focused on psychosocial stress in Moroccan Health Care Workers (HCWs). The aim of this study was to present and analyze Moroccan HCWs occupational risk perception. Across nine public hospitals from three Moroccan regions (northern, central a...

The patient population staying in nursing homes is increasingly vulnerable and dependent and should benefit from a direct access to an acute care geriatric unit. Nevertheless, the easy access by a simple phone call from the general practitioner to the geriatrician, as well as the lack of orientation of these patients by emergency units, might lead...

Evaluation of the organization of operating feedback reviews and mortality and morbidity reviews in healthcare facilities in the QualiSanté network Purpose. This evaluation assessed the level of maturity of the organization of adverse event reviews that bring together Operating Feedback Reviews (CREX) and Mortality and Morbidity Reviews (MMR) in he...

Purpose: New patient reported outcome (PRO) measures are regularly developed to assess various aspects of the patients' perspective on their disease and treatment. For these instruments to be useful in clinical research, they must undergo a proper psychometric validation, including demonstration of cross-sectional and longitudinal measurement prop...

Objectif Étudier les relations entre la perception par les cadres de santé des services d’oncohématologie d’une organisation du travail en lien avec une démarche participative et la satisfaction perçue des patients hospitalisés. Matériel et méthodes Etude transversale dans 47 services du Cancéropôle Grand Ouest en France. Les cadres de santé ont re...

Background: Work addiction (WA), often called 'workaholism', is a relatively recent concept that has not yet been clearly defined. Ongoing studies have found prevalence rates that are highly variable due to the diversity of the models used and the populations studied. Aims: To assess the characteristics of WA among hospital medical staff. Metho...

Interprofessional collaboration is essential in creating a safer patient environment. It includes the need to develop communication and coordination between professionals, implying a better sharing of medical information. Several questionnaires exist in the literature, but none of them have been developed in the French context. The objective was to...

To explore the influence of staff absenteeism on patient satisfaction using the indicators available in management reports. Among factors explaining patient satisfaction, human resource indicators have been studied widely in terms of burnout or job satisfaction, but there have not been many studies related to absenteeism indicators. A multilevel an...

The fear of using topical corticosteroids, usually called topical corticophobia, is a frequent concern for atopic dermatitis patients and/or their parents. Assessing patients' atopic dermatitis and their parents' topical corticosteroid phobia is an essential step to improving adherence to treatment. Because topical corticophobia appears to be a com...

La mise en œuvre des programmes d’éducation thérapeutique en France suscite chez les soignants des tensions. Ces tensions résultent du décalage perçu entre la réalité des pratiques d’éducation thérapeutique et les représentations qu’ils en ont. Cette étude descriptive qualitative vise à caractériser la nature de ces tensions. En 2009, 27 entretiens...

Objective: Patient-centered care is a concept recently implemented in French hospitals. No tools have been developing to measure patient-centeredness perceived by professional. The aim of the project was to develop and to validate a self-measure scale for healthcare providers. Methods: The project has been conducting from June 2010 to June 2011....

The purposes of this study were to develop a pain management model using traditional medicine (TM) vodou healing methods; to survey a sample of French dentists to rate components of conventional and proposed TM vodou-based pain management model; and to assess the possibility of conventional, allopathic providers to integrate TM or complementary and...

Initiatives of clinical practices improvement have been gradually developing in France for 20 years. Nevertheless, effective implementation of change is still difficult for numerous reasons. The use of clinical practices guidelines is one of the different ways of improvement. It is however necessary to adapt these national guidelines to the specifi...

Initiatives of clinical practices improvement have been gradually developing in France for 20 years. Nevertheless, effective implementation of change is still difficult for numerous reasons. The use of clinical practices guidelines is one of the different ways of improvement. It is however necessary to adapt these national guidelines to the specifi...

Objective In the setting of a formative assessment, the relevance of parenteral nutrition (PN) prescriptions was retrospectively studied in a French University Hospital during a 2-month period in 2008.Methods One hundred patients (60 men, mean age: 56.7 ± 15.5 years, mean body mass index [BMI]: 22.4 ± 4.3) were randomly selected from 22 care units...

To develop and validate a list of criteria to assess the causes of inappropriate hospital days for patients admitted to rehabilitation centres and sub-acute care units. The tool was developed by a multidisciplinary panel of 33 experts, using a formalized consensus method. It collects both the needs of patients (distinguishing healthcare needs (9 cr...

Introduction: Afin de répondre à la volonté des autorités de santé de développer des indicateurs de qualité et de sécurité des soins hospitaliers, les Hospices Civils de Lyon, le Comité de Coordination de l'Evaluation Clinique et de la Qualité en Aquitaine (CCECQA) et le CHU de Nantes ont constitué le Consortium Loire-Atlantique Aquitaine Rhône-Alp...

Objectives The frequency and the severity of drug-related visits in emergency department (ED) make the improvement of adverse drug event (ADE) recognition a crucial issue. As part of a research project aiming to improve the diagnosis and the management of ADEs in ED, the authors conducted a pilot study whose primary objective was to assess ADE reco...

Indicators describing results of care are widely explored in term of patient satisfaction (PS). Among factors explaining PS, human resources indicators have been studied in terms of burnout or job satisfaction among healthcare professionals. No research work has set out to explore the effect of absenteeism on PS scores. The objective of this study...

Objectif À la différence des pays anglo-saxons, le taux de réadmissions évitables n’est pas un indicateur de qualité utilisé en France. Dans le cadre du projet de recherche européen Performance Assessment Tool for improvement quality in Hospitals (PATH), cette étude pilote propose un outil destiné aux professionnels de santé pour repérer plus facil...

Objective. - In the setting of a formative assessment, the relevance of parenteral nutrition (PN) prescriptions was retrospectively studied in a French University Hospital during a 2-month period in 2008. Methods. - One hundred patients (60 men, mean age: 56.7 +/- 15.5 years, mean body mass index [BMI]: 22.4 +/- 4.3) were randomly selected from 22...

Unlike Anglo-Saxon countries, the rate of preventable readmissions is not a national quality indicator in France. In the context of the European research project Performance Assessment Tool for quality improvement in Hospitals (PATH), this pilot study provides a tool for health professionals to more easily identify preventable readmissions in order...

Topical corticosteroids remain the mainstay of atopic dermatitis therapy. Many atopic dermatitis therapeutic failures appear to be attributable to poor adherence to treatment due to topical corticosteroid phobia. To assess the facets, origins and frequency of fear of topical corticosteroid use among patients with atopic dermatitis. A questionnaire...

Inappropriate prescribing in elderly is considered as common (40% of subjects from community from the 3CStudy in France had a inappropriate prescription, using Beer's criteria), and can lead to severe issues. Few studies have assessed inappropriate prescribing for elderly inpatients in acute care, with multiple tools. Our study was designed to asse...

Résumé La revue de pertinence des soins, appliquée aux prescriptions médicamenteuses, est une méthode d’Évaluation des Pratiques Professionnelles en plein essor, dans un contexte simultané de maîtrise des dépenses et d’amélioration du bon usage des médicaments. Une synthèse de la littérature essentiellement française réalisée dans ce domaine sur le...

To assess whether comparison of quality of hip fracture care among three teams located in different hospitals is associated with improvement in process and outcomes. A baseline assessment was performed using quality indicators selected by professionals. were discussed among the three teams followed by a post-comparison assessment of the same indica...

To develop and validate a list of objective criteria to assess the appropriateness of hospital days for patients admitted to rehabilitation centres and sub-acute care units. Sixteen appropriateness criteria were defined by a multidisciplinary panel of 33 experts using a formalized consensus method. A single ticked criterion classifies the hospital...

To assess the rate of inappropriate hospital days at Nantes University Hospital, to compare Internal Medicine and General Medicine departments to other hospital departments and to describe the main reasons for inappropriateness. A cross-sectional study was conducted during spring 2006, on a given day that differed in the 11 participating medical an...

Background: Most Western countries have developed in the past decades clinical guidelines for surgical antimicrobial prophylaxis (SAP) nevertheless studies assessing practices throughout the world show difficulties for compliance. The PATH study objective was to assess the adherence to national guidelines, and explore reasons for non-adherence. Met...