Mélanie Lavoie-Tremblay

Université de Montréal | UdeM · Faculty of nursing

Introduction: Numerous studies have revealed that a limited time is devoted to value-added care activities that are part of nurses’ professional role (Déry et al., 2022). This has an impact on the performance of healthcare systems in terms of overall costs. The COVID-19 pandemic has put more pressure on healthcare organizations, on its nurse manage...

Background: Virtual simulations (VS) are educational tools that can help overcome the limitations of in-person learning highlighted during the COVID-19 pandemic. Research has illustrated that VS can support learning, but little is known about the usability of VS as a distance learning tool. Research on students' emotions about VS is also scarce, d...

Background Centre hospitalier de l’Université de Montréal in Canada introduced accompanying patients (APs) into the breast cancer care trajectory. APs are patients who have been treated for breast cancer and have been integrated into the clinical team to expand the services offered to people affected by cancer. This study describes the profiles of...

Background: Acute care nurse practitioners (ACNPs) in postoperative cardiac surgery settings provide significant benefits to patients and organizations. Recent studies have suggested that ACNPs increase the level of adherence to best-practice guidelines by interprofessional teams. It is however, unknown whether interprofessional teams with ACNP ar...

Introduction: Since 2018, four establishments in Quebec, Canada, have decided to implement the PAROLE-Onco programme, which introduced accompanying patients (APs) in healthcare teams to improve the experience of cancer patients. APs are patient advisors who have had a cancer treatment experience and who conduct consultations to complement the serv...

Although multiple nursing competency frameworks have been proposed, the literature on their implementation to support nurses' professional development is sparser. If the complexity of practice creates a need for context-sensitive competency frameworks, their implementation may also be subject to local contingencies. This descriptive qualitative stu...

Rationale: Nurses are responsible for engaging in continuing professional development throughout their careers. This implies that they use tools such as competency frameworks to assess their level of development, identify their learning needs, and plan actions to achieve their learning goals. Although multiple competency frameworks and guidelines...

Nurses represent the highest proportion of healthcare workers globally and have played a vital role during the COVID-19 pandemic. The pandemic has shed light on multiple vulnerabilities that have impacted the nursing workforce including critical levels of staffing shortages in Canada. A review sponsored by the Royal Society of Canada investigated t...

Introduction Healthcare-associated infections are an important patient safety concern, especially in the context of the COVID-19 pandemic. Infection prevention and control implemented in healthcare settings are largely focused on the practices of healthcare professionals. Patient and family engagement is also recognised as an important patient safe...

Background: The COVID-19 crisis in long-term care (LTC) homes was devastating for residents and front-line workers. Recent reports have detailed what went wrong in LTC facilities, including equipment shortages, lack of preparedness, underestimation of COVID-19's virulence and bans on caregiver visits. Less is known about what went well in some fac...

Early in the pandemic, many long-term care (LTC) homes struggled to manage resources and care for vulnerable residents. Using an appreciative inquiry approach, we analyzed exemplar homes in Ontario that remained free of COVID-19 in wave one and interviewed executive directors, directors of care and staff. Findings demonstrate the importance of lead...

The COVID-19 pandemic has led to thousands of deaths; of these, a disproportionate number has occurred in long-term care settings. The papers presented here deal with a number of issues highlighted by this crisis in several jurisdictions, including Ontario, Quebec and the Netherlands. Analyzing these may give us some insight into what is necessary...

Issue: Prior to the COVID-19 pandemic, there was evidence of challenges surrounding the psychological well-being of health care professionals (HCPs). HCPs already frayed psychological ability to cope risks being further compromised by COVID-19- related stresses. Critical Theoretical Analysis: Most research on stress, psychological distress, and cop...

This article examines how governance mechanisms were put in place in three organizational transformation projects undertaken in university hospital centers. Our focus is guided by a theoretical discourse on the place of rational choices on organizational design versus the desire to imitate other organizations. The article presents two complementary...

Aim: To describe the state of health of Quebec nursing staff during the pandemic according to their exposure to COVID-19, work-related characteristics and sociodemographic factors (gender, generational age group). State of health was captured essentially by assessing psychological distress, depression symptoms and fatigue. Design and methods: A...

Background: Online educational programs for nurse preceptors have been created based on various theoretical frameworks; however, no programs using a Strengths-Based Nursing (SBN) approach could be located. Purpose: This qualitative descriptive study explored the nurse preceptors’ experiences in using a SBN approach to provide clinical teaching to n...

The authors applied and revised Wheaton and Montazer’s three-phase, five factor conceptual model of stress, distress, and coping to the literature on healthcare professionals (HCPs) to help HCPs, researchers, managers and policy-makers better understand and respond to the wellbeing crisis HCPs are facing—one that has only become more urgent to addr...

Objectives: The COVID-19 pandemic represents a major crisis for governments and populations. The public’s risk perceptions, knowledge, and behaviors are key factors that play a vital role in the transmission of infectious diseases. Our scoping review aims to map the early evidence on risk perceptions, knowledge, and behaviors of general and high-ri...

Background Although mental health difficulties are common among healthcare professionals (HCP), little research exists exploring the decision to disclose these difficulties in the healthcare context. Aims This rapid scoping review aims to explore HCP disclosure of mental health difficulties in the workplace. Methods The methodological framework w...

Aim This study aims at better understanding the relationships between nurses’ enacted scope of practice, work environment and work satisfaction, missed care, and organizational indicators of performance. Background The Enacted Scope of Practice model describes the determinants and consequences of the actual enactment of the nursing scope of practi...

Aim To examine, through the lens of the Job Demands-Resources model, the influence of caring for COVID-19 patients on nurse’s perception of chronic fatigue, quality of care, satisfaction at work and intention to leave their organization and the profession. Background Studies have examined how fear of COVID-19 contributes to the mental, physical an...

Objectives Due to the importance of developing leadership competencies during nursing education, it is critical to make evidence-based decisions regarding the transformation from face-to-face to online delivery of leadership and policy courses for nursing students in the wake of the COVID-19 pandemic. This rapid review aims to identify effective le...

Purpose: For the student nurse, peripheral venous cannulation is one of the most stressful skills to be learned. Although some healthcare employers/establishments offer courses on vascular access and infusion nursing as part of their onboarding programs, ultimately educational institutions should share the responsibility to ensure that graduating...

Background Empirical findings have shown significant and non-significant effects of advanced practice nursing roles within postoperative cardiac settings. The inconsistencies of the current literature preclude the identification of a significant effect of advanced practice nursing roles on patient and organizational outcomes. Objective 1) identify...

Background: Undergraduate nursing students experience high levels of stress during their programs. The literature on their stress is extensive, however, what is less well-known are the specific sources of stresses for students in different years of study. Purpose: The aim of this study is to understand nursing students' sources of stress and cop...

Introduction : During the COVID-19 pandemic, Quebec has been one of the most affected provinces in Canada. Rising fear of COVID-19 is inevitable among healthcare workers, and a new scale was developed to measure this type of fear, the Fear of COVID-19 Scale (FCV-19S). Aims: To translate the FCV-19S into French-Canadian and English-Canadian, and to...

Purpose: For the student nurse, peripheral venous cannulation is one of the most stressful skills to be learned. Although some healthcare employers/establishments offer courses on vascular access and infusion nursing as part of their onboarding programs, ultimately educational institutions should share the responsibility to ensure that graduating n...

Objective: The aim of this study was to review organizational factors influencing successful large-scale change (LSC) in healthcare. Background: LSC is necessary to achieve sustained and meaningful healthcare improvement. However, organizational readiness needs to be considered to promote successful LSC. Methods: Four databases were searched f...

Objective: Nursing workload has been shown to have negative impacts on job satisfaction, retention and turnover. The NAS is one of existing tools targeting nursing workload quantification. Although tested in multiple settings, few studies explored nurses’ perception of its representativeness of workload, and its impacts when used to readjust nurse/...

Increased stressful experiences are pervasive among healthcare providers (HCPs) during the COVID-19 pandemic. Identifying resources that help mitigate stress is critical to maintaining HCPs’ well-being. However, to our knowledge, no instrument has systematically examined how different levels of resources help HCPs cope with stress during COVID-19....

Objectives: Healthcare providers (HCPs) have experienced more stress and burnout during COVID-19 than before. We compared sources and levels of stress, distress, and approaches to coping between nurses and physicians, and examined whether coping strategies helped mitigate the negative impact of stress and intentions to quit. Methods: Using a cross-...

Background: The COVID-19 pandemic represents a major crisis for governments and populations around the globe. A large number of studies have been conducted worldwide to understand people’s awareness and behavioral response towards the disease. The public’s risk perceptions, knowledge, and behaviors are key factors that play a vital role in the tran...

An amendment to this paper has been published and can be accessed via the original article.

Objective: The general purpose of the study was to evaluate a specific prevention program and its effects on infection prevention practices as part of continuous improvements in patient safety. Infection prevention is a global priority aimed at reducing mortality and morbidity rates related to infections acquired while under care.Methods: A descrip...

Background Quebec is one of the Canadian provinces with the highest rates of cancer incidence and prevalence. A study by the Rossy Cancer Network (RCN) of McGill university assessed six aspects of the patient experience among cancer patients and found that emotional support is the aspect most lacking. To improve this support, trained patient adviso...

In this PowerPoint presentation I present findings from our review about return to work accommodations available to nurses following leaves for mental health issues.

Background Providing care to cancer patients is associated with a substantial psychological and emotional load on oncology workers. The purpose of this project is to co-construct, implement and assess multidimensional intervention continuums that contribute to developing the resilience of interdisciplinary cancer care teams and thereby reduce the b...

The many theoretical and empirical studies of work motivation to date have not fully clarified how it develops and evolves over time. We therefore investigated profiles of employees to identify their self-determination trajectories, and we examined differences among these profiles with respect to diverse predictors and outcomes. We gathered data (a...

Les problèmes de santé mentale en milieu de travail représentent un enjeu important pour les organismes publics, particulièrement pour les personnes travaillant dans le secteur de la santé, confrontées à de multiples changements suite à la récente réforme du système de santé québécois. Les gestionnaires doivent prendre en considération la santé men...

Perceptions, knowledge and attitudes of the adult populations towards COVID-19 are key factors in the community transmission of SARS-CoV-2. During outbreaks, populations play a key role in limiting the spread of infectious diseases by adopting preventive measures. In the context of COVID-19 pandemic, identifying the perceptions, knowledge and attit...

Background: The complexity of nursing practice increases the risk of nurses suffering from mental health issues, such as substance use disorders, anxiety, burnout, depression, and posttraumatic stress disorder (PTSD). These mental health issues can potentially lead to nurses taking leaves of absence and may require accommodations for their return...

Collaborative community-based organizations (CBOs) and academic partnerships are a prerequisite for the creation of quality learning environments for undergraduate nursing students. However, the explicit nature of the relationship between academic and CBO partners is not as well-defined as the one between hospitals and their clinical settings. The...

Major hospital transformations, hospital projects that combine construction and quality improvement dimensions, are booming around the globe. These costly endeavours have the potential to revolutionize healthcare, yet no known review explores this phenomenon, undermining accessibility of knowledge for healthcare leaders. In order to provide guidanc...

Mental health problems in the workplace represent an important issue for public organizations, particularly for people working in the health sector who have been confronted to multiple changes following the recent health system reform in Quebec. Managers need to take into consideration employee mental health within their organization in order to en...

Aim With the intent of providing insights for healthcare managers, this study explored pediatric intensive care unit nurses’ lived experience of professional identity in the context of organizational change. Background While professional identity improves retention of nurses and the provision of quality care, outcomes of importance for managers, o...

Interpretive phenomenology presents a unique methodology for inquiring into lived experience, yet few scholarly articles provide methodological guidelines for researchers, and many studies lack coherence with the methodology’s philosophical foundations. This article contributes to filling these gaps in qualitative research by examining the followin...

Aim: This longitudinal study examines the motivational factors that explain why and how fatigue acts on new nurses' affective (work engagement), attitudinal (intention to leave the occupation), and behavioral (sickness absence) work outcomes. Background: Growing nurse shortage makes it crucial to understand how and why fatigue can cut short the...

Aim: This study describes the impact of a university-based mentorship program that is designed to prepare nursing students for the transition to practice during their last year of classes. Background: Research shows that mentorship is an effective strategy for facilitating the transition to clinical practice. However, there is a lack of programm...

Background: Family-centred care is the dominant model for providing nursing care in paediatrics. Unit layout has been shown to impact nurses' ability to provide family-centred care. Little is known about the meanings and experiences of paediatric intensive care unit nurses concerning the care they provide to families within their unique physical s...

This study extends the research and theory on work motivation by examining temporal stability and change in employees’ self-determined work motivation profiles and their differential relations to various predictors and outcomes. We gathered data at two time points over a 24-month period from a sample of 438 newly registered public health care nurse...

The purpose of this article is to describe interprofessional relations in order to better understand their impact on nurse retention, while considering the operating room culture and its specific context. A focused ethnography was performed between September and October 2017 at a university hospital in an urban center in the province of Quebec, Can...

Background: The architectural design of a neonatal intensive care unit may affect the quality of the work environment for nurses, yet few studies have been conducted using reliable and valid measures. Recent studies have suggested some drawbacks of single-family rooms (SFRs) for both infants and parents. Research is needed to explore nurses' work...

Objective: This scoping review aims to identify the known impact of unit design on intensive care unit clinicians, and more specifically, to explore similarities and differences across critical care settings. Introduction: Construction and infrastructure renewal represent great opportunities for designing units that enhance patient care, as well...

Objective: Evaluation of a nursing faculty mentorship program available to every faculty member regardless of seniority.Methods: Design: The faculty mentorship program was developed and implemented in a university-affiliated nursing department in Montreal in 2018. Mentors and mentees evaluated the program using self-reported surveys one-year post-i...

Since 2003, a university healthcare centre in Quebec (Canada) has offered its nursing leaders access to a long-term professional development program focusing on skills in Reflective Practice (RP). This program is based on teaching nursing leaders to interpret and reframe difficult, emotionally-charged situations they encounter on a regular basis, s...

Despite the evidence of harmful effects of restrictive practices on patients and nurses, restrictive practices are still commonly used in the inpatient psychiatric settings. There has been a paradigm shift of a collaborative approach and implementation of patient engagement to reduce the use of restrictive practices. The purpose of this study was t...

Aim The present study aims to describe and evaluate a group mentorship programme for graduating nursing students following the first pilot testing. Background A mentoring relationship has been found to be beneficial in easing the challenging transition from nursing student to nurse. However, very few mentoring programmes have been formally develop...

Quality organizational structures and nursing practices are key to positive patient outcomes. Whereas structures have been largely studied over the past few decades, less is known of the nursing practices that account for patient outcomes, such as patient satisfaction. This is especially true in psychiatric, mental health care settings. The aim of...

Aims: The objectives of the study were to: (1) examine the relationships between three different qualitative perceptions of safety culture and the Canadian Patient Safety Climate Survey factors; (2) determine whether these perceptions are associated with different hand hygiene practices. Background: Healthcare-associated infections and safety cu...

Aim: To explore the characteristics that influence project management offices acceptance and adoption in healthcare sector. Background: The creation of project management offices has been suggested as a promising avenue to promote successful organisational change and facilitate evidence-based practice. However, little is known about the characte...

Health care organizations need project and change management support in order to achieve successful transformations. A project management office (PMO) helps support the organizations through their transformations along with increasing their capabilities in project and change management. The aim of the present study was to extend understanding of th...

Aim: To synthesize the evidence on the effectiveness of interventions aiming to promote or improve the mental health of primary care nurses. Background: Primary care nurses have been found to have high levels of emotional exhaustion and to be at increased risk of suffering from burnout, anxiety and depression. Given the increasingly critical rol...

Aims: A discussion of an optimal set of indicators that can be used on a priority basis to assess the performance of nursing care. Background: Recent advances in conceptualization of nursing care performance, exemplified by the Nursing Care Performance Framework, have revealed a broad universe of potentially nursing-sensitive indicators. Organiz...

This paper aims at positioning organizational design as an important phenomenon in the field of project management with a high potential of contributing to organizational theory. While organizational design has been neglected by scholars of management and organizational theory, it has been of great interest to those from the project management fiel...

Patient safety has become a worldwide concern in relation to infectious diseases (Ebola/severe acute respiratory syndrome/flu). During the pandemic, different sanitary responses were documented between Europe and North America in terms of vaccination and compliance with infection prevention and control measures. The purpose of this study was to exp...

Aim: The aim of this study was to describe the process of how nurse and physician managers in formalized dyads work together to address clinical management issues in the surgical division of one hospital setting. Background: Nurse and physician managers are uniquely positioned to co-lead and transform healthcare delivery. However, little is know...

Purpose: The purpose of the present systematic review is to identify the interventions that improve hand hygiene compliance (HHC) specifically among nurses. Methods: A systematic review was performed guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses to evaluate the short and long-term effects of interventions to pr...

This chapter looks at a specific activity undertaken within organizational project management: organizational design in the context of the Project Management Office (PMO). At the moment, this notion of organizational design has not yet entered the field of project management. However, this is exactly what decision-makers in organizations do when th...

The objective of the study was to document the impact of Transforming Care at the Bedside (TCAB) program on health care team's effectiveness, patient safety, and patient experience. A pretest and posttest (team effectiveness) and a time-series study design (patient experience and safety) were used. The intervention (the TCAB program) was implemente...

This article presents the experiences of patients engaged in co-designing care under a program entitled, “Transforming Care at the Bedside,” based at an academic health sciences center. This descriptive, qualitative study collected data through individual interviews. Participants included patients from 5 units in an academic health sciences center...

There is some research on the impact of open-ward unit design on the health of babies and the stress experienced by parents and nurses in neonatal intensive care units. However, few studies have explored the factors associated with nurse stress and work satisfaction among nurses practicing in open-ward neonatal intensive care units. The purpose of...

AimsTo investigate the impact of nurse managers exercising transformational vs. abusive leadership practices with novice nurses. Background In a nursing shortage context, it is important to understand better the factors that potentially influence the retention of nurses in the early stages of their career. A large body of research has found that tr...

This qualitative study explored the experience and the needs for support of pediatric nurses caring for children with a mental health disorder hospitalized in non-psychiatric units in a health organization in Canada. Semi-structured interviews were conducted with 17 nurses. Content analysis revealed two main themes: (a) nurses are challenged by the...