Serge Dumont

Serge Dumont
Laval University | ULAVAL · Institut universitaire de première ligne en santé et services sociaux - CIUSSS de la Capitale-Nationale

PhD

About

97
Publications
19,436
Reads
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1,712
Citations
Additional affiliations
June 1995 - August 2015
Laval University
Position
  • Professor (Full)

Publications

Publications (97)
Article
Objective: Inadequate deliberation processes about ethical problems occurring in palliative care settings may negatively impact both patients and healthcare professionals. Better knowledge of the palliative care professionals' practices regarding such processes could help identify specific education needs to improve the quality of palliative care...
Article
Objectives: Diagnosis of cancer is emotionally threatening not only for patients but also for their family caregivers (FC) who witness and share much of the illness experience. This study compares distress experienced by lung cancer patients and their FC during the year following the diagnosis. Methods: A prospective cohort study of 206 patients...
Article
Purpose: Collaboration between family physicians (FPs) and oncologists can be challenging. We present the results of a randomized clinical trial of an intervention designed to improve continuity of care and interprofessional collaboration, as perceived by patients with lung cancer and their FPs. Methods: The intervention included (1) supplying F...
Article
Objective: Family caregivers (FCs) of cancer patients often experience high distress. This randomized clinical trial assessed the feasibility and preliminary effects of an intervention to improve FC supportive care. Method: A pragmatic and minimal intervention to improve FC supportive care was developed and pretested with FCs, oncology team, and...
Article
Full-text available
Introduction: Emergency departments (EDs) in rural and remote areas face well-known challenges, calling for organizational innovations tailored to their context. The main objective of this study was to pilot the methodology to be used in a large-scale province-wide project that aims to mobilize multiple stakeholders to find applicable solutions to...
Article
Full-text available
Background Little is known about the decision-making experiences of seniors and informal caregivers facing decisions about seniors’ housing decisions when objective decision making measures are used. Objectives To report on seniors’ and caregivers’ experiences of housing decisions. Design A cross-sectional study with a quantitative approach suppl...
Data
Quantitative data for caregivers. (XLSX)
Data
Quantitative data for seniors. (XLSX)
Technical Report
Full-text available
The Continuum of Interprofessional Collaborative Practice in Health and Social Care developed by RCPI provides an overview of collaborative practice and makes connections between the various concepts related to this phenomenon. It draws on theoretical knowledge in the scientific literature and the experiential knowledge of stakeholders interested i...
Article
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Background Family caregivers (FC) often experience higher distress levels than their relative with cancer. Many cancer centers have implemented distress screening programs, but most of them concentrate their efforts on patients, with little attention to their FC. To fill this gap, a pragmatic intervention has been designed to improve supportive car...
Article
Objective The presence of a child afflicted with a life-threatening illness is a difficult situation for the child's siblings, especially when their own needs are left unmet. The present article describes the first three phases of research involved in the conceptualization, development, and content validation of an initial version of the Inventaire...
Article
Full-text available
Introduction The frail elderly in Canada face a tough decision when they start to lose autonomy: whether to stay at home or move to another location. This study seeks to scale up and evaluate the implementation of shared decision-making (SDM) in interprofessional (IP) home care teams caring for elderly clients or their caregivers facing a decision...
Article
Objective: Life-threatening illnesses in children have a significant impact on the lives of their brothers and sisters. Consequently, special attention must be paid to the specific needs of these siblings to help them cope with their situations. To address this issue, we developed an inventory of the needs of the adolescent siblings of severely il...
Article
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This article examines the effects of nonviolent communication (NVC) training on the interprofessional collaboration (IPC) of two health and social services sector care teams. The study was conducted in 2013 with two interprofessional teams (N = 9) using a mixed method research design to measure the effects of the training. Individual IPC competency...
Article
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One of the toughest decisions faced by elderly people is whether to stay at home or move to a care facility. This study seeks to evaluate the impact of training interprofessional home-care teams in shared decision making combined with a decision aid on the proportion of elderly people who report being active in the decision-making process regarding...
Article
Interprofessional education (IPE) is increasingly recognized as a means to improve practice in health and social care. However, to secure interprofessional learning, it is important to create occasions in prelicensure health and social services curriculum so that students can learn with, from and about each other. This paper presents the process be...
Article
Full-text available
Significant gaps in the evidence base on costs in rural communities in Canada and elsewhere are reported in the literature, particularly regarding costs to families. However, it remains unclear whether the costs related to all resources used by palliative care patients in rural areas differ to those resources used in urban areas. The study aimed to...
Article
Context In Canada, governments have increased spending on home care to promote better end-of-life care. In the province of Québec, Canada, home palliative care (PC) services (HPCS) are provided by Public Local Community-Based Health Care Service providers (Centres Locaux de Services Communautaires [CLSC]) with universal coverage. Accordingly, there...
Article
Few data are available on the costs occurring during the palliative phase of care and on the sharing of these costs in rural areas. This study aimed to evaluate the costs related to all resources used by rural palliative care patients and to examine how these costs were shared between the public healthcare system (PHCS), patients' families, and not...
Data
Purpose: Interprofessional collaboration (IPC) is a complex and multidimensional process in which different professionals work together to positively impact health care. In order to enhance the knowledge translation and improve rehabilitation practitioners' knowledge and skills toward IPC, it is essential to develop a comprehensive tool that illust...
Article
Objective: Previous literature has suggested that laws and regulations may impact the use of palliative sedation. Our present study compares the attitudes of French-speaking physicians practicing in the Quebec and Swiss environments, where different laws are in place regarding physician-assisted suicide. Method: Data were drawn from two prior st...
Article
Purpose: Interprofessional collaboration (IPC) is a complex and multidimensional process in which different professionals work together to positively impact health care. In order to enhance the knowledge translation and improve rehabilitation practitioners' knowledge and skills toward IPC, it is essential to develop a comprehensive tool that illus...
Article
Communication between cancer patients and healthcare providers is recognized as an important aspect of these patients' health-related quality of life (HRQOL). Nevertheless, no study has examined whether perceived communication between physicians and breast cancer patients is a determining factor in their HRQOL along the disease's trajectory. This l...
Article
Abstract The Interprofessional Psychosocial Oncology Distance Education (IPODE) project was designed as an approach to the problems of feasibility and accessibility in specialty health professional education, in this case, psychosocial oncology (PSO). In this article, we report the evaluation findings from the first three years of the project in re...
Article
Full-text available
Objective: Palliative sedation is a last resort medical act aimed at relieving intolerable suffering induced by intractable symptoms in patients at the end-of-life. This act is generally accepted as being medically indicated under certain circumstances. A controversy remains in the literature as to its ethical validity. There is a certain vaguenes...
Article
Cet article retrace l’historique d’un concept primordial dans les soins en oncologie, la communication entre soignant et soigné. Premièrement, un historique du concept de communication en oncologie est décrit. Deuxièmement, les caractéristiques reliées à ce concept, ainsi que les différentes approches pour évaluer la communication entre soignant et...
Book
Sharpen your social work in health care knowledge and skills Social Work, Health, and International Development: Compassion in Social Policy and Practice presents leading international experts from a range of disciplines providing the latest in research, theory, and practical solutions to advance social work in health care issues. Readers get a ref...
Article
Full-text available
In an interprofessional approach to shared decision-making (IP-SDM), an interprofessional team collaborates in identifying best options and helps patients determine their preferences, enabling them to take more control over the treatment plan. However, little is known about fostering IP-SDM in Canada's healthcare system. Therefore, we sought to eva...
Article
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The present study examined the support needs for urban and rural family caregivers of a palliative family member using a cross-sectional telephone survey in northeastern Ontario, Canada (n = 140; 70 urban, 70 rural). Support needs identified as most important by both the groups were informational. Rural caregivers reported greater unmet needs in ta...
Article
Cet article décrit l’évolution historique du concept de la qualité de vie (QV) et de sa mesure en oncologie. Ainsi, il présente les définitions associées au concept de QV suivi d’une section sur l’émergence et l’évolution de ce concept en oncologie et d’une autre qui expose les facteurs qui ont favorisé l’émergence du concept de QV. La dernière sec...
Article
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The objective of this exploratory study was to evaluate the impact of advanced parental cancer on adolescents' psychological status. A sample of 28 adolescents, having a parent with advanced cancer, was recruited and compared with a sample from the general population (N = 2,346). Late adolescents (age 15 to 18) experienced significantly more psycho...
Article
Our aim is to provide a unified measure of the economic burden faced by families during the palliative phase of care and to compare this measure to Statistics Canada's low-income cut-off. Samples of palliative care patients living at home and their main informal caregivers were recruited in five Canadian urban regions. Interviews were performed eve...
Article
Palliative care researchers face challenges recruiting and retaining study subjects. This article investigates selection, study site, and participation biases to assess generalizability of a cost analysis of palliative care program (PCP) clients receiving care at home. Study subjects' sociodemographic, geographic, survival, disease, and treatment c...
Article
Full-text available
Shared decision making (SDM) is fundamental to informed consent and client-centered care. So far, SDM frameworks have been limited to the client-physician dyad, even though care is increasingly delivered by interprofessional (IP) teams. IP collaboration is especially essential in home care, one of health care's most rapidly growing areas. This stud...
Article
An ethnographic study was undertaken in two rural areas of Quebec to conceptualize the good death. The findings reveal that a good quality of life for the dying person and his or her family and friends is essential for a good death. The resulting conceptual model emphasized four dimensions: physical, spiritual, social, and emotional/psychological....
Article
Objective: This study aimed to highlight the trajectory of palliative care costs over the last five months of life in five urban centres across Canada. Subjects: The study sample was comprised of 160 terminally ill patients and their main informal caregivers. Research design: A first interview took place in the patient's home, and subsequent f...
Article
The Laval University Faculty of Medicine, Faculty of Nursing, and School of Social Work, in partnership with the Vieille-Capitale Health and Social Services Centre in Quebec City, obtained funding from Health Canada to design, implement, and evaluate an integrated interprofessional education (IPE) program for family medicine, nursing, and social wo...
Article
To encourage communication and contribute to the palliative care movement's need for interdisciplinary care, this article offers to explore the stance of volunteers on two fundamental concepts, "health" and "illness," as well as their related understanding of "palliative care." Volunteers' understandings are then compared with the concepts put fort...
Article
Informal caregiving is a complex concept, and inconsistencies are found in the literature regarding how to measure it. The differences in tasks included in the definition of caregiving, as well as the different methods used to measure caregiving time may explain the huge variations in results found in the literature. The current paper aimed to lay...
Article
An ethnographic study was undertaken in two rural areas of Quebec to conceptualize the good death. The findings reveal that a good quality of life for the dying person and his or her family and friends is essential for a good death. The resulting conceptual model emphasized four dimensions: physical, spiritual, social, and emotiona/psychological. T...
Article
Volunteers traditionally play an essential role in palliative care. Without them, many community and institutional programs would not survive. Despite the significant number of volunteers involved in palliative care, the nature and scope of their actions remain ambiguous. The blurred boundaries of their contribution create tensions between professi...
Article
Full-text available
Interprofessional collaborative practices are increasingly recognized as an effective way to deal with complex health problems. However, health sciences students continue to be trained in specialized programs and have little occasion for learning in interdisciplinary contexts. PROGRAM DEVELOPMENT: The project's purpose was to develop content and an...
Article
Palliative care (PC) nurses experience several recurrent organizational, professional, and individual challenges. To address existential and emotional demands, the meaning-centered intervention was recently developed. The intervention applied didactic and process-oriented strategies, including guided reflections, experiential exercises, and educati...
Article
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This study aimed to evaluate prospectively the resource utilization and related costs during the palliative phase of care in five regions across Canada. A cohort of 248 patients registered in a palliative care program and their main informal caregivers were consecutively recruited. A prospective research design with repeated measures was adopted. I...
Article
The induction of sedation at the end of life is a much debated practice and not very documented. The goal of this study was to explore the practice from both a clinical and ethical point of view. Data were collected through semistructured interviews with 19 Quebec physicians working in palliative care. Doctors' first priority was their patients, no...
Article
Full-text available
While systemic shortcomings in meeting the needs of individuals with progressive chronic illnesses at the end of life have been well documented, there is growing interest in improving both care and quality of life for persons with advanced chronic obstructive pulmonary disease (COPD). For instance, the American Thoracic Society has issued an offici...
Article
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A significant challenge in virtually all caregiving studies is the measurement of burden, particularly within the specific context of palliative care. Existing tools in the caregiving field are not specifically designed for palliative care. A new tool, which specifically assesses family caregivers' (FC) burden within the palliative care context, wa...
Article
Family caregivers of a loved one with advanced cancer are at risk for developing bereavement complications following the loss of the person they cared for. However, little research has studied caregiving and bereavement experiences as an ongoing process. This study was conducted with the aim of identifying the main elements constitutive of the expe...
Article
This paper presents a review of the literature of articles that examined determinants of return to work, among persons who experience spinal cord injury. Results of the review highlight the low rate of employment among persons with spinal cord injury. A total of fourteen common factors that influence professional reintegration were identified. Thes...
Article
This article presents a review of the literature published from 1989 to 2005 for articles that examined the economic burden incurred by families as a result of caring for a child with disabilities. The review was performed according to a comprehensive economic conceptual model developed by the authors and to the guidelines set out by Canadian Coord...
Article
Full-text available
Serious problems in the continuity of medical care provided to cancer patients are a frequent occurrence; the source of these problems is not well understood. The purpose of this research is to determine how these problems arise and how they are perpetuated. Qualitative descriptive study based on Anthony Giddens's theory of structuration. Four teac...
Article
Full-text available
This article presents a review of the literature published from 1989 to 2005 for articles that examined the economic burden incurred by families as a result of caring for a child with disabilities. The review was performed according to a comprehensive economic conceptual model developed by the authors and to the guidelines set out by Canadian Coord...
Article
Full-text available
To assess the effect of an educational homecare program on pain relief in patients with advanced cancer. Quasi-experimental (pretest post-test, nonequivalent group). Four community-based primary care centers providing social and healthcare services in the Quebec City region of Canada. 80 homecare patients with advanced cancer who were free of cogni...