Publications by authors named "M Deschenes"

Background: Implementation strategies targeting individual healthcare professionals and teams, such as audit and feedback, educational meetings, opinion leaders, and reminders, have demonstrated potential in promoting evidence-based nursing practice. This systematic review examined the effects of the 19 Cochrane Effective Practice and Organization Care (EPOC) healthcare professional-level implementation strategies on nursing practice and patient outcomes.

Methods: A systematic review was conducted following the Cochrane Handbook, with six databases searched up to February 2023 for randomized studies and non-randomized controlled studies evaluating the effects of EPOC implementation strategies on nursing practice.

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Article Synopsis
  • - The study investigates how undergraduate nursing students’ clinical decision-making regarding post-procedural bleeding changes from their first year to their final year of education.
  • - Students were analyzed through their responses to scenarios involving patients with signs of bleeding, revealing a focus on bleeding and instability but less attention to other potential complications.
  • - Findings suggest that as students progress in their education, they develop improved assessment skills related to patient instability and change their preferred actions for managing bleeding scenarios.
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Article Synopsis
  • - The Learning-by-Concordance tool, designed by qualified educators, aims to enhance reasoning skills in uncertain contexts, but there's limited information on educators' experiences using it
  • - This study investigates the beliefs and experiences of educators involved in the tool's design through qualitative research, gathering insights from four dialogue groups of 14 participants
  • - Findings reveal that educators feel discomfort despite their expertise, highlighting themes of needing peer reassurance, feeling like impostors, and worries about the quality of instructional materials
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Questions persist regarding the evaluation of cognitive processes related to clinical reasoning when resolving situations in a learning by concordance tool. This Delphi technique study aimed to validate a clinical reasoning assessment rubric based on script theory. Seventeen experts participated in the study.

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This study explored the relationships between sexual health indicators (i.e., sexual satisfaction, distress, and function) and the DSM-5 Alternative Model for Personality Disorders, a promising dimensional framework for assessing personality pathology.

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