Impact of an educational intervention combining clinical obesity preceptorship with electronic networking tools on primary care professionals: a prospective study.

Background: Primary care providers' (PCPs) attitude toward obesity is often negative, and their confidence level for helping patients manage their weight is low. Continuing professional development (CPD) on the subject of obesity is often based on a single activity using a traditional passive approach such as lectures known to have little effect on performance or patient outcomes. The aim of this study was to evaluate the impact of an educational intervention for obesity management on PCPs' attitude, self-efficacy, practice changes and patient-related outcomes.

Factors influencing oral care in intubated intensive care patients.

Background: The practice of oral care in intensive care settings remains inconsistent among intubated patients, yet these patients are at high risk of developing ventilator-associated pneumonia. Therefore, it is important to adopt safe professional behaviour based on clinical practice guidelines. This study was based on Ajzen's (1985) theory of planned behavior, a conceptual framework that allows a better understanding of how internal and external factors influence behaviour adoption.

Filters in the coping process of people with schizophrenia: A constructivist grounded theory study.

WHAT IS KNOWN ON THE SUBJECT?: In the nursing perspective of Roy's adaptation model, to be adapted means to have positive interactions with one's environment. The ability to use effective coping strategies is an essential ingredient of mental health recovery. However, coping difficulties are often a problem for people with a diagnosis of schizophrenia spectrum disorder, especially those who have inadequate social support.

[Self disclosure among men living with schizophrenia].

Self-disclosure of patients with schizophrenia is crucial for the establishment of the therapeutic relationship and to provide safe and quality care. However, it is reasonable to think that these patients do not fully reveal. But if the disclosure is bound to need help and has the potential to reduce stigma, it also exposes the person to negative consequences.

Establishment of the Relationship Between Fathers and Premature Infants in Neonatal Units.

Background: Parents and their preterm infants (born between 32-37 weeks of gestation) are often overlooked by the healthcare system. And very little attention is given to the relationship parents develop with their infants in the neonatal unit (NNU). Specifically, very few studies focused on fathers and how they establish a relationship with their infants.

Erratum to: Impact of an integrated obesity management system on patient's care - research protocol.

[This corrects the article DOI: 10.1186/s40608-014-0019-z.].

Not feeling sick from breast cancer: A framework on health status perceptions transition process.

Purpose: In what state of health do women with breast cancer consider themselves to be? Health professionals classify them as cancer victims but few studies have examined women's perceptions of their own health following a breast cancer diagnosis. We looked at the transition in health status perceptions between before and after receiving the diagnosis.

Methods: A grounded theory design was chosen to develop a framework.

The Obesity-Fertility Protocol: a randomized controlled trial assessing clinical outcomes and costs of a transferable interdisciplinary lifestyle intervention, before and during pregnancy, in obese infertile women.

Background: Obesity in infertile women increases the costs of fertility treatments, reduces their effectiveness and increases significantly the risks of many complications of pregnancy and for the newborn. Studies suggest that even a modest loss of 5-10 % of body weight can restore ovulation. However, there are gaps in knowledge regarding the benefits and cost-effectiveness of a lifestyle modification program targeting obese infertile women and integrated into the fertility clinics.

[Determinants of collaborative practices in schools in promoting healthy eating and physical activity and role of the nurse in these practices].

Context: Overweight and obesity rates have more than doubled among 12 to 17 year-olds over the past 25 years. To date, few studies have documented collaborative practices in activities aimed at promoting healthy eating and physical activity in schools, although collaboration is a key element in health promotion.

Objectives: To identify the determinants that influence collaborative practices in secondary schools.

Recovery, as Experienced by Women with Borderline Personality Disorder.

Studies examining recovery through the service users' perspectives have mainly included persons with schizophrenia or bipolar disorder. Giving voice to those with borderline personality disorder (BPD) would enrich our understanding of recovery, as their specific experiences may bring new dimensions, obstacles and facilitators. The objective of this study was to qualitatively capture the experience of recovery in women with BPD.

[The role of families in the Quebec mental health system].

Purpose. This paper aims to summarize the current situation regarding the role of families of persons with mental disorders within the mental health system in Quebec.Methods.

Impact of an integrated obesity management system on patient's care - research protocol.

Background: The majority of obese subjects are treated by primary care physicians (PCPs) who often feel uncomfortable with the management of obesity. In a previous study, we successfully developed, implemented and evaluated an obesity management system based on training and coaching of health professionals of family medicine groups (FMGs) by a team of experts in obesity management. Using a pre/post design, this study suggested a positive impact on health professionals' perceptions and reported obesity care.

[Clinical reasoning in nursing, concept analysis].

Background: Nurses work in situations of complex care requiring great clinical reasoning abilities. In literature, clinical reasoning is often confused with other concepts and it has no consensual definition.

Aim: To conduct a concept analysis of a nurse's clinical reasoning in order to clarify, define and distinguish it from the other concepts as well as to better understand clinical reasoning.

Family physician enabling attitudes: a qualitative study of patient perceptions.

Background: Family physicians frequently interact with people affected by chronic diseases, placing them in a privileged position to enable patients to gain control over and improve their health. Soliciting patients' perceptions about how their family physician can help them in this process is an essential step to promoting enabling attitudes among these health professionals. In this study, we aimed to identify family physician enabling attitudes and behaviours from the perspective of patients with chronic diseases.

Enablement in health care context: a concept analysis.

Rationale, Aims And Objectives: The enablement process is defined as a professional intervention aiming to recognize, support and emphasize the patient's capacity to have control over her or his health and life. The purpose of this article was to study the enablement concept through a concept analysis in the health care context to identify: (1) its attributes and (2) its antecedents and consequents.

Method: A concept analysis was performed according to the method of Rodgers.

Assessing enablement in clinical practice: a systematic review of available instruments.

Rationale, Aims And Objectives: Enablement is an intervention by which the health care provider recognizes, promotes and enhances patients' ability to control their health and life. An abundant health literature suggests that enablement is associated with good outcomes. In this review, we aimed at identifying and comparing instruments that assess enablement in the health care context.

Nursing students' perceptions of their resources toward the development of competencies in nursing informatics.

Purpose: This article presents the findings of a doctoral study about the internal and external resources required to develop nursing informatics competencies in student nurses.

Background: Colleges and universities are responsible for training nursing students, including in the area of nursing informatics. Even though nursing informatics is a specialty recognized by the American Nursing Association (2001), it has received limited attention in Quebec, Canada.

Developing a model of recovery in mental health.

Background: The recovery process is characterized by the interaction of a set of individual, environmental and organizational conditions common to different people suffering with a mental health problem. The fact that most of the studies have been working with schizophrenic patients we cannot extend what has been learned about the process of recovery to other types of mental problem. In the meantime, the prevalence of anxiety, affective and borderline personality disorders continues to increase, imposing a significant socioeconomic burden on the Canadian healthcare system and on the patients, their family and significant other 1.

Meaning of quality of life for older adults: importance of human functioning components.

This study explored the perceptions and lived experience of community-dwelling older adults about their quality of life (QOL) in regards to personal factors, social participation and environment. A qualitative design was used to extend existing work on QOL focusing on human functioning components and advanced QOL conceptualization. Based on a semi-structured interview guide, two individual in-depth interviews were conducted with 18 participants (aged 63-92; 12 women) having various levels of ability and QOL.

Subjective Quality-of-Life Predictors for Older Adults with Physical Disabilities.

Objectives: To study changes in quality of life (QOL) and to explore predictors of QOL of community-dwelling older adults with physical disabilities.

Design: A 2-yr longitudinal study involved a convenience sample of 49 people with physical disabilities aged 60-94 yrs. QOL was estimated twice at a 2-yr interval with the Quality of Life Index, which includes four domains: health and functioning, socioeconomic, psychological/spiritual, and family.

Empowerment interventions, knowledge translation and exchange: perspectives of home care professionals, clients and caregivers.

Background: Few studies have examined empowerment interventions as they actually unfold in home care in the context of chronic health problems. This study aims to document the empowerment process as it plays out in interventions with adults receiving home care services.

Methods/design: The qualitative design chosen is a fourth generation evaluation combined with case studies.

[The factors facilitating and constraining the continuation of breastfeeding in women in Estrie (Quebec)].

Objective: To document breastfeeding rates from birth to six months as well as the factors facilitating and constraining the continuation of breastfeeding in women in the Eastern Townships of Quebec and to compare these to the results obtained in 1999.

Method: Postal questionnaire sent to 374 mothers who had breastfed and analysis of archival data.

Results: Breastfeeding rates were 86.