Carl-Ardy Dubois's research while affiliated with Polytechnique Montréal and other places

Publications (61)

Article
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Background Care quality varies between organizations and even units within an organization. Inadequate care can have harmful financial and social consequences, e.g. nosocomial infection, lengthened hospital stays or death. Experts recommend the implementation of nursing performance improvement systems to assess team performance and monitor patient...
Article
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Introduction: The operationalization of nursing-sensitive performance measures has been highly variable. It results in measures that are sometimes suboptimal and difficult for managers and nurses to access. The objective is to propose a rigorous method for operationalizing nurse-sensitive performance measures based on routine data. Source of Inform...
Article
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Aims To describe the organization of nursing services (staffing, scope of practice, teamwork) and its association with medication errors and falls, in rehabilitation units. Background The healthcare system is greatly impacted by the ageing population and the complexity of care associated with chronic diseases. It is therefore necessary to have eno...
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Background: Nosocomial infections (NIs) are among the main preventable healthcare adverse events. Like all countries, Canada and its provinces are affected by NIs. In 2004, Ministry of Health and Social Services (MSSS) of Quebec instituted a mandatory surveillance NI program for the prevention and control (NIPC) in the hospitals of the province. On...
Article
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Background Nurse practitioners (NPs) have been added to primary healthcare teams to improve access to care. Team processes, including communication and decision-making, explicate how patients and families view team functioning. Yet, important gaps exist in our understanding of patient-reported experience and outcomes at the level of the healthcare...
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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...
Article
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Introduction : Le rôle de l’infirmière praticienne spécialisée en soins de première ligne (IPSPL) est relativement récent au Québec. Il y a peu de données sur le déploiement de ce rôle. Objectif : Cette étude vise à décrire le temps passé dans les activités de soins selon les différentes dimensions cliniques et non-cliniques du rôle des IPSPL. Méth...
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Aim Describe brief (less than half a day) interventions aimed at improving healthcare team functioning. Methods A systematic review on brief team interventions aimed at role clarification and team functioning (PROSPERO Registration Number: CRD42018088922). Experimental or quasi-experimental studies were included. Database searches included CINAHL,...
Article
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Purpose – Centralized waiting lists (CWLs) for patient attachment to a primary care provider have been implemented across Canada, including Quebec. Little is known about the implementation of CWLs and the factors that influence implementation outcomes of such primary care innovations. The purpose of this paper is to explain variations in the outcom...
Article
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Background: E-learning is rapidly growing as an alternative way of delivering education in nursing. Two contexts regarding the use of e-learning in nursing are discussed in the literature: (1) education among nursing students and (2) nurses' continuing education within a life-long learning perspective. A systematic review of systematic reviews on...
Article
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Background: Nursing care quality varies between hospitals, and even between departments within the same institution. Suboptimal care can have deleterious consequences for patients such as lengthened hospital stay, nosocomial infection, pressure ulcers or death. Experts recommend the implementation of nursing performance improvement systems to asse...
Article
Full-text available
Purpose Centralized waiting lists (CWLs) for patient attachment to a primary care provider have been implemented across Canada, including Quebec. Little is known about the implementation of CWLs and the factors that influence implementation outcomes of such primary care innovations. The purpose of this paper is to explain variations in the outcome...
Preprint
BACKGROUND e-Learning is rapidly growing as an alternative way of delivering education in nursing. Two contexts regarding the use of e-learning in nursing are discussed in the literature: 1) education among nursing students and 2) nurses’ continuing education in a life-long learning perspective. A previous systematic review of systematic reviews on...
Article
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Aims: To identify nurse staffing groups in acute care facilities. Design: This retrospective descriptive study used a configurational approach. Methods: Data from a two-month target period from January-March 2016 were collected for 40 facilities in four different hospitals in one of the largest regions of Quebec. Multiple factorial analysis an...
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Objective: To estimate national and geography-based variations in blood pressure and burden of hypertension in Cameroon, generally called 'miniature Africa'. Methods: PubMed, Medline, EMBASE, CINHAL, Web of Science, Popline, Scopus and BDSP were searched through November 2018, for hypertension studies among Cameroonians aged at least 18 years. H...
Article
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Background Nurses play a significant role in healthcare systems. Their workplace experience can have an impact not only on nurses themselves, but also on patients and organizations, particularly in terms of quality of care and performance. Despite the importance of this experience, it remains an ambiguous concept with varying interpretations. Curre...
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Background Access to primary healthcare is an important social determinant of health and having a regular general practitioner (GP) has been shown to improve access. In Canada, socio-economically disadvantaged patients are more likely to be unattached (i.e. not have a regular GP). In the province of Quebec, where over 30% of the population is unatt...
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Purpose: In response to more than 15% of Canadians not having a family physician, 7 provinces have implemented centralized waiting lists for unattached patients. The aim of this study is to analyze the association between family physicians' characteristics and their participation in centralized waiting lists. Methods: Cross-sectional observation...
Article
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Background: Prenatal education is a core component of perinatal care and services provided by health institutions. Whereas group prenatal education is the most common educational model, some health institutions have opted to implement online prenatal education to address accessibility issues as well as the evolving needs of future parents. Various...
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Background Care integration has been the focus of recent health system reforms. Given their functions at all levels of the care continuum, nurses have a substantial and primordial role to play in such integration processes. The aim of this study was to identify levers and strategies that organizations can use to support the development of a nursing...
Article
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Introduction Continuing education (CE) is imperative to the future of professional nursing. The use of e-learning by registered nurses for CE is spreading. A review of systematic reviews will be conducted to develop a broad picture of the effects of e-learning in a CE context on nursing care. Methods and analysis Systematic qualitative, quantitati...
Article
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...
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Background Hypertension holds a unique place in population health and health care because it is the leading cause of cardiovascular disease and the most common noncommunicable condition seen in primary care worldwide. Without effective prevention and control, raised blood pressure significantly increases the risk of stroke, myocardial infarction, c...
Article
Background Information and communication technologies (ICTs) are becoming an impetus for quality health care delivery by nurses. The use of ICTs by nurses can impact their practice, modifying the ways in which they plan, provide, document, and review clinical care. Objective An overview of systematic reviews was conducted to develop a broad pictur...
Article
Aims: To assess the economic burden of nurse-sensitive adverse events (NSAEs) in 22 acute care units in Quebec by estimating excess hospital-related costs and calculating resulting additional hospital days. Background: Recent changes in the worldwide economic and financial contexts have made the cost of patient safety a topical issue. Yet our kn...
Article
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Background With 4.6 million patients who do not have a regular family physician, Canada performs poorly compared to other OECD countries in terms of attachment to a family physician. To address this issue, several provinces have implemented centralized waiting lists to coordinate supply and demand for attachment to a family physician. Although sign...
Article
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A strong and effective primary care capacity has been demonstrated to be crucial for controlling costs, improving outcomes, and ultimately enhancing the performance and sustainability of healthcare systems. However, current challenges are such that the future of primary care is unlikely to be an extension of the current dominant model. Profound env...
Article
Despite the well-known advantages of information and communication technologies (ICTs), their overall impact on nursing care has not been synthesized. The objective of this overview of systematic reviews is to summarize the best evidence regarding the effects of ICTs on nursing care. We considered quantitative, qualitative and mixed-method reviews...
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Introduction: The overall aim of this project is to help develop knowledge about primary care delivery models likely to improve the accessibility, quality and efficiency of care. Operationally, this objective will be achieved through supporting and evaluating 8 primary care team pilot sites that rely on an expanded nursing role within a more inten...
Article
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The quality and safety of nursing care vary from one service to another. We have only very limited information on the quality and safety of nursing care in outpatient settings, an expanding area of practice. Our aim in this study was to make available, from the scientific literature, indicators potentially sensitive to nursing that can be used to e...
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Even though nurses are expected to play a key role in implementing integrated services networks, up to now their practice in this regard has received very little research attention. The aim of this study is to describe the extent to which the evolution of nursing practice in Quebec in recent years has converged with the requirements and efforts inv...
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Background: Integrating Nurse Practitioners into primary care teams is a process that involves significant challenges. To be successful, nurse practitioner integration into primary care teams requires, among other things, a redefinition of professional boundaries, in particular those of medicine and nursing, a coherent model of inter- and intra- pr...
Article
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Role clarity is a crucial issue for effective interprofessional collaboration. Poorly defined roles can become a source of conflict in clinical teams and reduce the effectiveness of care and services delivered to the population. Our objective in this paper is to outline processes for clarifying professional roles when a new role is introduced into...
Article
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To respond better to population needs, in recent years Quebec has invested in improving the integration of services and care pathways. Nurses are on the front lines of these transformation processes, which require them to adopt new clinical practices. This updating of practices can be a source of both satisfaction and stress. The aim of this study...
Article
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Background Most national and provincial commissions on healthcare services in Canada over the past decade have recommended that primary care services be strengthened in order to guarantee each citizen access to a family physician. Despite these recommendations, finding a family physician continues to be problematic. The issue of enrolment with a fa...
Article
Organizational climate in healthcare settings influences patient outcomes, but its effect on nursing care delivery remains poorly understood. In this mixed-methods study, nurse surveys (N = 292) were combined with a qualitative case study of 15 direct-care registered nurses (RNs), nursing personnel, and managers. Organizational climate explained 11...
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In recent years, successive work reorganization initiatives have been implemented in many healthcare settings. The failure of many of these change efforts has often been attributed in the prominent management discourse to change resistance. Few studies have paid attention to the temporal process of workers' resource depletion/accumulation over time...
Article
Ensuring the safety of hospitalized patients remains a major challenge for healthcare systems, and nursing services are at the center of hospital care. Yet our knowledge about safety of nursing care is quite limited. In fact, most earlier studies examined one, or at most two, indicators, thus presenting an incomplete picture of safety at an institu...
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Despite the critical role of nursing care in determining high-performing healthcare delivery, performance science in this area is still at an early stage of development and nursing's contribution most often remains invisible to policy-makers and managers. The objectives of this study were: 1) to develop a theoretically based framework to conceptual...
Article
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Objective: To examine the associations of four distinct nursing care organizational models with patient safety outcomes. Design: Cross-sectional correlational study. Using a standardized protocol, patients' records were screened retrospectively to detect occurrences of patient safety-related events. Binary logistic regression was used to assess...
Article
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Over the last decades, converging forces in hospital care, including cost-containment policies, rising healthcare demands and nursing shortages, have driven the search for new operational models of nursing care delivery that maximize the use of available nursing resources while ensuring safe, high-quality care. Little is known, however, about the d...
Article
: This project describes the development and testing of the actual scope of nursing practice questionnaire. : Underutilization of the skill sets of registered nurses (RNs) is a widespread concern. Cost-effective, safe, and efficient care requires support by management to facilitate the implementation of nursing practice at the full scope. : Literat...
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Throughout the world, countries are experiencing shortages of health care workers. Policy-makers and system managers have developed a range of methods and initiatives to optimise the available workforce and achieve the right number and mix of personnel needed to provide high-quality care. Our literature review found that such initiatives often focu...
Article
Drawing on a longitudinal study from the early years of implementation of health-care networks in Quebec, this article describes how public-sector managers deal with complex challenges when both organizational structures and organizational strategies are radically transformed simultaneously. The new organizations studied had to completely re-shuffl...
Article
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The main objective of the Regional Training Centres (RTCs) is to produce well qualified personnel within the fields of health services and nursing research. Through their collaborative efforts, each of the RTCs has created opportunities for conceptual and methodological competency, knowledge synthesis and knowledge translation and exchange for grad...
Article
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Les résultats de l'évaluation de l'implantation du programme d'intéressement au titre d'infirmière praticienne spécialisée (IPS) montrent une grande valorisation du rôle de l'IPS et une perception généralisée de la contribution significative de celle-ci au système de santé québécois. L'introduction de ce nouveau rôle a nécessité un engagement impor...

Citations

... A major change at the sector level has been implemented since this Delphi study was carried out, in that the UK government has reinstated the student bursary-a financial grant-for nursing students in England (Glasper, 2020). Although the immediate impact of this action is on nursing students and not the current qualified workforce, it has been identified as pivotal in attracting nursing students and has major implications for future staffing levels and working conditions (Royal College of Nursing, 2019b), with inadequate staffing levels associated with poorer working conditions and staff wellbeing outcomes (Aiken et al., 2002;Jomaa et al., 2021). It is clear that urgent action is needed to address the concerns raised in this study and a recognition is needed that, in most cases, more interventions are not required, but a more efficient execution of existing policies that take into account local contexts and needs. ...
... As no study of interprofessional team communication from the perspective of health care professionals and patients has been conducted to date, the question arises as to how health care professionals and patients assess the interprofessional team communication. Exploring interprofessional communication from the perspective of health care professionals and patients could further improve our understanding of health care professionals' communication (33). The main aim of this study was to determine interprofessional team communication and team participation in a Slovenian general hospital from the perspective of health care professionals and patients. ...
... Furthermore, to our knowledge, few studies have identified associations among healthcare teams' resilience, workplace wellbeing, and workplace behavior (Lejeune et al., 2019). Additionally, whereas Dubois et al. (2020) have proposed an analysis that considers similar variables and context, it does not appear to be informed by a comprehensive theoretical perspective nor, as suggested by Lejeune et al. (2020), propose the testing of an integrative model and inter-relationships among variables. Hence, the present study aims to implement and evaluate an intervention for multidisciplinary cancer care teams intended to foster psychological resources of resilience, which in turn will foster team resilience, enhance mental health status, and augment organizational outcomes (Figure 1). ...
... Typically, NPs can provide patient care that includes follow up and monitoring of minor acute conditions and chronic illness. NPs are integrated into primary care to improve organizational efficiency and quality of care (Heale et al., 2018) by improving patient access while controlling costs (Landry et al., 2020) and compensating for physician shortages (Cody et al., 2020). ...
... Associations among teamwork, quality of assistance, and patient safety are already widely proven in the literature. [1][2][3][4][5][6][7][8][9] Important medical organizations like the American Heart Association (AHA) and the International Liaison Committee on Resuscitation support an increase on teamwork emphasis and suggest this training for members of a resuscitation team. 10 The uniqueness of critical patient care, such as the need for fast decision-making, concurrently ongoing multiple complex processes, and an adverse environment enclosed by noise and disruption contribute to failures. ...
... Previous research suggests that centralized waiting lists are effective to increase attachment [44]. However, a number of challenges remain, including large regional variations [45], long wait times (over 500 days on average), physicians' preference for attaching healthy patients [44,46], and inequities in attachment for patients from disadvantaged areas or with complex needs [44,[47][48][49]. Finally, how attachment through centralized waiting lists influences access to and continuity of primary care has not been evaluated. ...
... Nurses should develop these skills and increase their self-efficacy to support parents with SPMI and their family members in the community. E-learning is rapidly gaining popularity as a means of continuing education for nurses, and their satisfaction with such programs is high [36]. The literature has noted considerable advantages of e-learning for nurses' skills, knowledge, attitude, and self-efficacy [36]. ...
... Conducted over a 6-month period, as a preliminary phase to a realist study conducted in a Swiss teaching hospital, this proposal meets the criteria for a rapid realist review [24]. Our protocol was previously published [25]. The PRISMA 2020 checklist is provided in Additional file 1 [26]. ...
... Adjustments to work schedules are a concern for major stakeholders-facilities, nurses and patients-because scheduling affects cost containment, work-life balance and the quality of care delivery (Kossek, Rosokha, & Leana, 2019;Thériault, Dubois, Borgès da Silva, & Prud'homme, 2019). Indeed, staffing issues are stressors for nurse managers globally (Fast & Rankin, 2018;Gantz et al., 2012). ...
... Moreover, the pathogenic relationship between hypertension and diabetes is bidirectional, their prevalence increases with increasing age [4,5], and adequate control of blood pressure significantly reduces the risk of diabetic macrovascular and microvascular complications [6]. The prevalence of hypertension and diabetes in Cameroon is estimated at 32.1% [7] and 5.8% [8], respectively. Hypertension and diabetes are long-term management diseases financially draining for patients and their families in Africa and Cameroon notably, given the inadequate or non-existence of a health insurance system [9,10]. ...