The person-centered approach is increasingly recommended in long-term care facilities to increase quality of care. In Quebec, Canada,. caregivers were specifically trained in "relationship-based care. "This study analyzed caregivers' assessment of this approach's usefulness and their capacity, after training, to apply it to care practices. Questionnaires with open-ended questions were administered to caregivers (n= 392) one month after training. Caregivers' answers were categorized using a qualitative approach. Respondents perceive some features of this approach are beyond their reach or in opposition to their beliefs. They reported feeling pressure related to time constraints, their peers and the families of residents. These results indicate that training itself is insufficient to transform practice. Institutions wishing to implement such an approach must also act upon the beliefs of individuals, as well as upon work situations.

The positioning of ergonomics in design: an exemple in the supermarket sector Posicionar a la ergonomía en el diseño : ejemplo de la distribución masiva Aurélie Landry et Isabelle Feillou 1 Le but de cet article est double : d'une part, présenter comment les analyses de l'activité d'opérateurs travaillant dans un supermarché ont servi à la conception d'un outil de travail. Et, d'autre part, comment ces mêmes analyses ont été utilisées pour convaincre le directeur de magasin, le directeur régional et le responsable national flux de mettre en place une démarche de conduite de projet afin de tenir compte des situations réelles d'utilisations pour la décision (Martin et Etcheverry, 2007).

Une forme de gestion désincarnée de l'activité L'exemple d'une formation en santé et sécurité du travail destinée aux préposés aux bénéficiaires au Québec

Introduction. In long-term care (LTC), person-centred approaches are encouraged. One such approach, relationship-based care (RBC), aims among other things to reduce residents' agitated behaviours. RBC has been used in numerous Quebec LTC facilities over the past decade but it has never been studied. Objective. Explore correlations between use of RBC by trained caregivers and the frequency of agitated and positive behaviours of residents with cognitive impairments. Methods. Two independent raters observed fourteen caregiver/resident dyads in two LTC facilities during assistance with hygiene and dressing. Checklists were used to quantify caregivers' RBC use and residents' agitated and positive behaviours. Results. Scores for RBC use were high, suggesting good application of the approach by caregivers. Correlation analyses showed that offering residents realistic choices and talking to them during care were associated with both positive and agitated behaviours (P from 0.03 to 0.003). However, many other components of RBC were not associated with residents' behaviours during care. Conclusions. There were only a few quantitative links between the RBC checklist items and the frequency of agitated or positive behaviours. Other studies with a more rigorous research design are needed to better understand the impact of relationship-based care on residents' behaviours.

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