Recherche en soins infirmiers
-
The scientific legitimacy of nursing research depends on its adherence to different scientific criteria. Despite the lack of consensus on predetermined criteria, reflexivity is widely discussed as a strategy to establish rigour in qualitative research. Unfortunately, with the exception of tools such as the reflexive journal, little is said about how reflexivity can be completed. ⋯ Autoethnography seems particularly adapted to the professional and academic context in which many nurses evolve. As a reflective tool, autoethnography can promote the development of the researcher's self-awareness, provide analytical tools to help better understand the influence of previous experiences on the relationship to research and report on the transition between different professional identities. In order to contribute to the debate on the use of autoethnography in qualitative research, central elements to this approach are discussed.
-
Patients with chronic diseases remain a challenge for patient centered care in terms of symptom management. In advancing the nursing profession in this respect, organizing and providing such care in a structured and systematic way benefits from being grounded in a sound theoretical framework. Since 1994, University of California in San Francisco's Symptom Management Theory (SMT) holds promise to provide such theoretical foundation. ⋯ The paper illustrates how different concepts of SMT interrelate for different symptoms or symptom clusters in light of the current state of knowledge. Furthermore, a selection of symptom assessment scales available in French are presented to inform practice, education and research. We believe that providing a French version of the SMT will foster a systematic and structured development of symptom management in nursing practice and research in francophone regions or countries.
-
Comparative Study
[Improvement in perception of nurse's competence in screening for delirium: a quasi-experimental study].
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. ⋯ This study suggests a significant improvement in perception of competence following an active training hopefully enhancing screening of delirium, thus the well-being of hospitalized elderly.
-
A study on rapid routine HIV screening was mainly performed by nurses in 29 Emergency departments (EDs) of Paris urban area. Individual and collective covariates of healthcare staff participation were analyzed, along with positioning regarding the nurse autonomy for this activity. International studies confirm the interest of nurse screening. 25 interviews with nurses, nurse supervisors and physicians were performed in 5 departments. ⋯ This collaboration addresses a classic work division for nurse supervisors and doctors. However, a systematic implementation of HIV screening in EDs seems not to be executable because of structural constraints. The autonomy for nurse-initiated HIV screening enlarged to prevention and public health activities is positively considered by nurses.
-
The purpose of this review is to critically appraise the pain assessment tools for non communicative persons in intensive care available in the literature and to determine their relevance for those with brain injury. Nursing and medical electronic databases were searched to identify pain tools, with a description of psychometric proprieties, in English and French. ⋯ Results indicate a number of well designed pain tools, but additional work is necessary to establish their accuracy and adequacy for the brain injured non communicative person in intensive care. Recommendations are made to choose the best tool for clinical practice and for research.