Recherche en soins infirmiers
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Through a descriptive research, we wished to investigate the perception by the patients who underwent a cholecysectomy and by the caregivers, of the post-operative pain in its sociological dimension. The question of the research is as follows: How far is the post-operative pain perceived as stigmata by the patients who underwent a cholecysectomy and by the nurses? The reference framework is built up on the basis of a theoretical approach of cholecystectomy and of the notions of pain and stigmata. We carried out interviews with ten patients and ten nurses. ⋯ It contributes to disturbing the flow of interactions between the patients and the nurses. When the nurses do not meet the expectations of the patients, they are no longer considered as "initiate" but as "normal". The affectivity arising in the relationship caregiver-patient, seems to have an influence in the management of post-operative pain.
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In conformity with legislation and the present recommendations of public health, fight against pain must be a steady concern for the nurses. The authors focus on the pain of the children hospitalized in pediatric surgery. ⋯ The results highlight the fact that pain care remains within the medical area. Few assessment tools are used by the nurses who do not objective the concept of pain.
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This study was designed to examine the level of burnout and to identify stressor among nurses in a teaching hospital. Based on a sample of 625 nurses, results show that burnout levels are moderate (M. = 24.3, SD = 9.3) and comparable to those observed in physicians (M. = 26.6, SD = 9.8) and in the administrative staff of the same hospital (M. = 25.1, SD = 11.9). Multiple regression analyses selected 11 predictors significantly associated with burnout. ⋯ Managers should invest in prevention programs, since burnout is as deleterious to individuals as to the organization. A limitation of this study is its focus on emotional exhaustion which is known to be the first step of the burnout process. Future research should examine whether the predictors identified here would also be relevant for explaining further stages of the burnout process, such as depersonalization and reduced personal accomplishment.
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A new instrument, l'Inventaire des conduites parentales, was validated by the main author during her doctoral studies. The purpose of her research was to measure the effect of an educational intervention on parent's behaviors. This instrument, based on an educational theoretical framework, was composed of 16 behaviors divided into 3 categories: verbal information, cognitive strategies and attitudes. ⋯ The interrater agreement was of 94.3%. The factor analysis showed that 14 of the 16 items were closely related to 4 clusters of variables. Following the factor analysis results, and the utilization of this instrument by research assistants, it was revised and is now described in this article.
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The subject of the study consisted in identifying the spiritual needs of the terminally ill patients, so as to investigate and specify the implementation field of the diagnosis of "spiritual distress" by the French nurses relative to the values and beliefs. The key moments, when the spiritual needs can express themselves also had to be spotted, in order to investigate the possible role of the nurse faced with the spiritual needs of the patients. The study was carried out on a population of 27 AIDS and cancer patients, hospitalized in two units of palliative cares of the Paris region and on a population of 20 nurses of these same units. ⋯ This nursing diagnosis does not seem to be adapted to our western culture. Its lack of discriminatory power and of flexibility does not make it very useful for the caretaker who needs to clarify beforehand the concepts of spiritual needs and of religious needs. As for the actions, the appeal to the religion representatives or to the psychologist is not always what the patients want even though the ill being appears mainly when the patients feel lonely ... we therefore resort to actions of relation of help with an active listening and help to the rereading of life for which the nurse is in a rather good position, according to the patients.