Publications by authors named "Johanne Gagnon"

Nurses in Lebanon are poorly prepared to provide palliative care (PC), and practice in this area is poorly documented. This qualitative descriptive study aimed to understand the reality of nursing practice in PC, with terminally ill cancer patients, within an interdisciplinary team. A simple case study was conducted with eleven nurses, three families, an interdisciplinary team, and national experts in PC.

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Nurses in Lebanon are poorly prepared to provide palliative care (PC), and practice in this area is poorly documented. This qualitative descriptive study aimed to understand the reality of nursing practice in PC, with terminally ill cancer patients, within an interdisciplinary team. A simple case study was conducted with eleven nurses, three families, an interdisciplinary team, and national experts in PC.

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In nursing, surveillance is generally presented as an essential element to ensure patient safety. In order to better understand how clinical surveillance is put into practice by expert nurses, a study in nursing was conducted in 2016. This article aims to present the results of this research with a clinical vignette to make concrete the links that exist between theory and practice.

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Background: Nursing Science presents surveillance as an indispensable component of patient safety. Although the literature defines surveillance fully, its implementation is not well understood.

Aim: This research aims to formulate a theoretical explanation of the surveillance process that expert nurses employ in critical care.

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Background: in this era of globalisation and international academic training, many nursing programs offer the possibility of intercultural placement to their students in their initial training. The rise of this phenomena is ubiquitous throughout all Canadian universities, leading to increased student mobility at the international level with increased placements being organised at the international level, on several continents.

Purpose: this exploratory study aims at better understanding the processes of knowledge transfer and appropriation during international and intercultural placements in nursing in African countries.

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Objectives: We sought to evaluate patient involvement (consultation and direct participation) in the assessment of alternative measures to restraint and seclusion among adults in short-term hospital wards (in psychiatry) and long-term care facilities for the elderly.

Methods: We conducted individual semi-structured interviews with thirteen stakeholders: caregivers, healthcare managers, patient representatives, health technology assessment (HTA) unit members, researchers, and members of the local HTA scientific committee. Data were collected until saturation.

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Healthcare professionals need to update their knowledge and acquire skills to continually inform their practice based on scientific evidence. This study was designed to evaluate online self-learning modules on critical appraisal skills to promote the use of research in clinical practice among nurses from Quebec (Canada) and the Basque Country (Spain). The teaching material was developed in Quebec and adapted to the Basque Country as part of an international collaboration project.

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Objectives: The aim of this study was to explore stakeholders' points of views regarding the applicability and relevance of a framework for user involvement in health technology assessment (HTA) at the local level. We tested this framework in the context of the assessment of alternative measures to restraint and seclusion among hospitalized adults and those living in long-term-care facilities.

Methods: Twenty stakeholders (health managers, user representatives, and clinicians) from seven regions of Quebec participated in a semi-structured interview.

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Aim: To explore the perceptions of members of a working group of caregivers, health technology assessment (HTA) units members, healthcare facilities managers and patients representatives regarding the participation of the latter in the assessment of alternatives to restraint and seclusion among adults in short-term psychiatric wards and in long-term care facilities for the elderly, in Quebec.

Methods: A descriptive design was used for this research based on fifteen semi-structured interviews with caregivers, healthcare managers, patient representatives and HTA unit members. The direct observation of two meetings of the working group and informal discussions with participants at these meetings was also performed.

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Background: The choice of vascular access (VA) for hemodialysis (HD) in end-stage renal disease (ESRD) is arteriovenous fistula (AVF) or central venous catheter (CVC). Whereas clinical practice guidelines suggest AVF to preserve the vascular bed, pediatric nephrologists tend to favor CVC for shorter-term dialysis. Our objective was to determine whether pediatric priority allocation policies for deceased-donor kidneys affect VA planning.

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Background: Public and patient involvement in the different stages of the health technology assessment (HTA) process is increasingly encouraged. The selection of topics for assessment, which includes identifying and prioritizing HTA questions, is a constant challenge for HTA agencies because the number of technologies requiring an assessment exceeds the resources available. Public and patient involvement in these early stages of HTA could make assessments more relevant and acceptable to them.

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Background: The written agree on the importance of nursing research as a means to improve the quality effectiveness and efficiency of care and contribute to advance in the nursing discipline. Studies from different countries have attempted to describe the barriers and facilitating the use of researcher by staff nurse, however, no original studies have been conducted in Tunisia. PURPOSE AND FRAMEWORK: According to the theory of innovation of Rogers, this study aims to identify factors facilitating and contraining the use of research as an innovation from the point of view of Tunisian nurses.

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Aim: This study aimed to assess the effectiveness of a blended-teaching intervention using Internet-based tutorials coupled with traditional lectures in an introduction to research undergraduate nursing course. Effects of the intervention were compared with conventional, face-to-face classroom teaching on three outcomes: knowledge, satisfaction, and self-learning readiness.

Method: A two-group, randomized, controlled design was used, involving 112 participants.

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Background: There is growing interest in involving patients in decisions regarding healthcare technologies. This research project was conducted in collaboration with decision makers and health technology assessment agents in order to involve healthcare service users (and their loved ones) in the assessment of alternatives to seclusion and restraint in short-term psychiatric wards and long-term care facilities for the elderly.

Objective: This paper explores the viewpoints and suggestions of service users and service users' families about alternatives to restraint and seclusion, as well as conditions under which they could be used among adults in short-term psychiatric care and residents in long-term care facilities.

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Background: The recent establishment of health technology assessment (HTA) units in University hospitals in the Province of Quebec (Canada) provides a unique opportunity to foster increased participation of patients in decisions regarding health technologies and interventions at the local level. However, little is known about factors that influence whether the patient's perspective is taken into consideration when such decisions are made.

Objective: To explore the practices, perceptions and views of the various HTA stakeholders concerning patient involvement in HTA at the local level.

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Background: The literature recognizes a need for greater patient involvement in health technology assessment (HTA), but few studies have been reported, especially at the local level. Following the decentralisation of HTA in Quebec, Canada, the last few years have seen the creation of HTA units in many Quebec university hospital centres. These units represent a unique opportunity for increased patient involvement in HTA at the local level.

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Article Synopsis
  • A study investigates factors influencing nurses' intention to use research evidence in clinical decision-making, emphasizing the importance of evidence-based practice for patient care quality.
  • Despite the availability of high-quality research, there's a persistent gap between research and nursing practice.
  • Key predictors for integrating research findings include moral norm (most significant), normative beliefs, perceived behavioral control, and past behavior, with the model explaining 70% of the variance in intentions.
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Faced with the abundance of available literature, clinicians must follow a method in order to carry out a critical reading of scientific articles. This enables them to decide how relevant the selected article is to the issues specific to their area of work and to choose whether to undertake a basic critical reading or to embark on an active reading.

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Aim: This discussion article focuses on the theoretical development of a shared theory in the field of palliative care nursing through a process of comparison between Bandura's social cognitive theory and Orem's conceptual model.

Background: In many countries, nurses are little prepared to provide care to patients with life-limiting illness. Bandura's theory provides an appropriate framework for evaluating the impact of training programmes aimed at improving nursing competence in palliative care.

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Innovation combined with the rapid obsolescence of knowledge means nurses constantly have to update the scientific knowledge needed for their decision-making. Assessing current knowledge on a subject requires not only an efficient strategy for searching for documents but also the ability to recognize the value of the content of the selected references.

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Problem: Despite the recognition by nurses of the importance of supporting their experiential knowledge on scientific data, evidence-based nursing research is seldom integrated in their practice. An important limitation is the nurses' general lack of basic abilities to use research to better inform their clinical decision making. The objective of this pilot study was to evaluate a leader training intervention on research results integration in nursing practice.

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In the literature, few studies have examined the development of critical care nursing competence. Given that nursing practice is different in these units and that the nursing workforce is less and less experienced, the goal of this study is to describe the factors facilitating and restricting the development of critical care nursing competence. A semi-supervised interview conducted in the spirit of Chinn and Kramer (2008) was used to collect data from 10 nurses, categorized according to Benner's (1995) levels of competency.

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