Acceptability of a computer-tailored and pedometer-based socio-cognitive intervention in a secondary coronary heart disease prevention program: A qualitative study.

When developing an innovative intervention, its acceptability to patients, health care professionals and managers must be considered to ensure the implementation into practice. This study aims to identify factors influencing the acceptability of a computer-tailored and pedometer-based socio-cognitive intervention for patients with heart disease. Focus group interviews were conducted in two outlying regions of the province of Quebec (Canada).

The Actual Use of an Electronic Medical Record (EMR) by Acute Care Nurses: Examining a Multidimensional Measure at Different Adoption Stages.

An EMR should support the informational needs of nursing practice. However, a multidimensional measure of the actual use of an EMR in hospitals ranked at different adoption stages revealed significant results that should be addressed to enable nurses to bring their full contribution to their patients and to the healthcare team.

Which priority indicators to use to evaluate nursing care performance? A discussion paper.

Aims: A discussion of an optimal set of indicators that can be used on a priority basis to assess the performance of nursing care.

Background: Recent advances in conceptualization of nursing care performance, exemplified by the Nursing Care Performance Framework, have revealed a broad universe of potentially nursing-sensitive indicators. Organizations now face the challenge of selecting, from this universe, a realistic subset of indicators that can form a balanced and common scorecard.

Design and application of a tool for structuring, capitalizing and making more accessible information and lessons learned from accidents involving machinery.

Accident reports are published in order to communicate the information and lessons learned from accidents. An efficient accident recording and analysis system is a necessary step towards improvement of safety. However, currently there is a shortage of efficient tools to support such recording and analysis.

Integrated Primary Care Teams (IPCT) pilot project in Quebec: a protocol paper.

Introduction: The overall aim of this project is to help develop knowledge about primary care delivery models likely to improve the accessibility, quality and efficiency of care. Operationally, this objective will be achieved through supporting and evaluating 8 primary care team pilot sites that rely on an expanded nursing role within a more intensive team-based, interdisciplinary setting.

Methods And Analysis: The first research component is aimed at supporting the development and implementation of the pilot projects, and is divided into 2 parts.

Mixed method exploration of the medical, service-related, and emotional reasons for emergency room visits of older cancer patients.

Purpose: When dealing with health issues, older cancer patients are likely to visit emergency rooms (ER), which are known to expose these patients to the risk of adverse outcomes. Little is known about the profile and reasons for such visits. The aim of this study is (1) to describe the profile of elderly cancer patients aged 70 years and older who visited the ER of a regional hospital in Québec, Canada, and (2) to explain the medical reasons and factors determining such visits from the patients' perspective.

An exploration of factors associated with post-traumatic stress in ER nurses.

Background: Emergency room (ER) nurses are frequently exposed to traumatic events (TE) at work. These events can lead to symptoms of post-traumatic stress disorder (PTSD).

Aim: The goal of the present study was to describe the factors associated with PTSD symptoms.

Modeling factors explaining the acceptance, actual use and satisfaction of nurses using an Electronic Patient Record in acute care settings: an extension of the UTAUT.

Background And Purpose: End-user acceptance and satisfaction are considered critical factors for successful implementation of an Electronic Patient Record (EPR). The aim of this study was to explain the acceptance and actual use of an EPR and nurses' satisfaction by testing a theoretical model adapted from the Unified Theory of Acceptance and Use of Technology (UTAUT).

Methods: A multicenter cross-sectional study was conducted in the medical-surgical wards of four hospitals ranked at different EPR adoption stages.

Development of integrated care pathways: toward a care management system to meet the needs of frail and disabled community-dwelling older people.

Introduction: The home care and services provided to older adults with the same needs are often inadequate and highly varied. Integrated care pathways (ICPs) can resolve these issues. The aim of this study was to develop the content of ICPs to follow-up frail and disabled community-dwelling older people.

[Good palliative care in the intensive care unit].

Unlabelled: The aging population, the complexity and irreversibility of certain conditions lead to the deaths of 20% of patients admitted to intensive care units (ICU). However, in Quebec, as elsewhere in America, few of them currently receive palliative care.

Method: inspired by a conceptual model considering nursing as a moral practice, this phenomenological study was conducted in four phases: focus groups (n = 6) observation sessions (n = 6) followed by individual interviews and group validation activities (n = 5).

Users' perspectives of key factors to implementing electronic health records in Canada: a Delphi study.

Background: Interoperable electronic health record (EHR) solutions are currently being implemented in Canada, as in many other countries. Understanding EHR users' perspectives is key to the success of EHR implementation projects. This Delphi study aimed to assess in the Canadian context the applicability, the importance, and the priority of pre-identified factors from a previous mixed-methods systematic review of international literature.

[Good palliative care in the intensive care unit: for nurses, a way to prospect].

Caring for dying patients is part of daily practice for the nurses working in intensive care unit (ICU). Few studies have documented what nurses consider to be "good palliative care" in this context. This phenomenological study was conducted in four phases and was designed to understand how the provision of "good palliative care" is expressed according to nurses' perspectives.

Comparison of user groups' perspectives of barriers and facilitators to implementing electronic health records: a systematic review.

Background: Electronic health record (EHR) implementation is currently underway in Canada, as in many other countries. These ambitious projects involve many stakeholders with unique perceptions of the implementation process. EHR users have an important role to play as they must integrate the EHR system into their work environments and use it in their everyday activities.

Post-traumatic stress disorder symptoms among emergency nurses: their perspective and a 'tailor-made' solution.

Aim: The goal of this study was to identify support activities for emergency room nurses who have been exposed to traumatic events, in order to prevent post-traumatic stress disorder.

Background: Emergency room nurses experience stress during traumatic events, for which they need support. It turns out that such support is insufficient, ineffective or non-existent.

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.

Users' perspectives of barriers and facilitators to implementing EHR in Canada: a study protocol.

Background: In Canada, federal, provincial, and territorial governments are developing an ambitious project to implement an interoperable electronic health record (EHR). Benefits for patients, healthcare professionals, organizations, and the public in general are expected. However, adoption of an interoperable EHR remains an important issue because many previous EHR projects have failed due to the lack of integration into practices and organizations.

Chronic Brucella infection of the humerus diagnosed after a spontaneous fracture.

Brucellosis is uncommon in humans and only rarely manifests as osteomyelitis. We report the case of a 57-year-old patient with chronic Brucella osteomyelitis of both humeri. The diagnosis was established upon evaluation of a spontaneous fracture of the right humerus.

C-reactive protein predicts tumor necrosis factor-alpha blocker retention rate in axial ankylosing spondylitis.

Objective: In ankylosing spondylitis (AS), tumor necrosis factor (TNF) blockers are recommended for patients with high symptomatic disease activity. Few data are available about objective signs of inflammation such as increased C-reactive protein (CRP). We assessed the retention rate of TNF blockers in patients with axial AS, according to baseline CRP and other potentially predictive measures.

Pregnancy-related hip diseases: incidence and diagnoses.

Background: Pregnancy-related hip diseases epidemiology has been poorly evaluated. We report our experience of gestational and postpartum hip diseases and evaluate their incidence.

Methods: (1) Prospective survey: all pregnant or early postpartum women suspected to have hip involvement during their follow-up in an Obstetric unit were referred to a rheumatologist.