Étude descriptive des facilitateurs et des obstacles dans le transfert des connaissances en soins de plaies chez des infirmiers et des infirmières nouvellement diplômées travaillant au Québec

Gagnon, Julie; Lalonde, Michelle; Beaumier, Maryse; Polomeno, Viola; Tourigny, Jocelyne

doi:10.1016/j.refiri.2022.100267

Cited by 3 publications

(3 citation statements)

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“…This view was shared by Jun et al (2016), who concluded that the use of a mobile application developed by experts could guide newly graduated nurses in their assessment and development of an adapted care plan. Wound care can be challenging for newly graduated nurses, as they undergo a demanding transition period (Gagnon et al, 2022;Murray et al, 2018). Developing competency in wound care is complex, and it can take months or even years for nurses to become comfortable with autonomous management of clinical cases.…”

Section: Potential For the Next Generation Of Nursesmentioning

confidence: 99%

Self‐supporting wound care mobile applications for nurses: A scoping review

Gagnon,

Probst,

Chartrand

et al. 2024

Journal of Advanced Nursing

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AimThis study provides an overview of the literature to identify and map the types of available evidence on self‐supporting mobile applications used by nurses in wound care regarding their development, evaluation and outcomes for patients, nurses and the healthcare system.DesignScoping review.Review MethodJoanna Briggs Institute scoping review methodology was used.Data SourcesA search was performed using MEDLINE, Embase, CINAHL (via EBSCO), Web of Science, LiSSa (Littérature Scientifique en Santé), Cochrane Wounds, Érudit and grey literature, between April and October 2022, updated in April 2023, to identify literature published in English and French.ResultsEleven studies from 14 publications met the inclusion criteria. Mostly descriptive, the included studies presented mobile applications that nurses used, among other things, to assess wounds and support clinical decision‐making. The results described how nurses were iteratively involved in the process of developing and evaluating mobile applications using various methods such as pilot tests. The three outcomes most frequently reported by nurses were as follows: facilitating care, documentation on file and access to evidence‐based data.ConclusionThe potential of mobile applications in wound care is within reach. Nurses are an indispensable player in the successful development of these tools.Implications for the Profession and Patient CareIf properly developed and evaluated, mobile applications for wound care could enhance nursing practices and improve patient care. The development of ethical digital competence must be ensured during initial training and continued throughout the professional journey.ImpactWe identified a dearth of studies investigating applications that work without Internet access. More research is needed on the development of mobile applications in wound care and their possible impact on nursing practice in rural areas and the next generation of nurses.Reporting MethodThe Preferred Reporting Items for Systematic Reviews and Meta‐analysis Extension for Scoping Review guidelines were used.Patient or Public ContributionNo patient or public contribution.

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Section: Potential For the Next Generation Of Nursesmentioning

confidence: 99%

Self‐supporting wound care mobile applications for nurses: A scoping review

Gagnon,

Probst,

Chartrand

et al. 2024

Journal of Advanced Nursing

Self Cite

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“…Problems arise in tasks such as analyzing and organizing data, as well as prioritizing care [12][13][14], all of which are essential elements in wound care. Therefore, newly graduated nurses face difficulties in categorizing and treating pressure injuries, choosing the appropriate dressing, and adequately preparing the wound bed [15][16][17]. The gap they face in wound care is exacerbated by multiple barriers, such as inadequate level of knowledge, limited access to specialized resources and lack of adapted tools [15,18,19].…”

Section: Introductionmentioning

confidence: 99%

Content of a wound care mobile application for newly graduated nurses: an e-Delphi study

Gagnon,

Chartrand,

Probst

et al. 2024

BMC Nurs

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Background Wound care represents a considerable challenge, especially for newly graduated nurses. The development of a mobile application is envisioned to improve knowledge transfer and facilitate evidence-based practice. The aim of this study was to establish expert consensus on the initial content of the algorithm for a wound care mobile application for newly graduated nurses. Methods Experts participated in online surveys conducted in three rounds. Twenty-nine expert wound care nurses participated in the first round, and 25 participated in the two subsequent rounds. The first round, which was qualitative, included a mandatory open-ended question solicitating suggestions for items to be included in the mobile application. The responses underwent content analysis. The subsequent two rounds were quantitative, with experts being asked to rate their level of agreement on a 5-point Likert scale. These rounds were carried out iteratively, allowing experts to review their responses and see anonymized results from the previous round. We calculated the weighted kappa to determine the individual stability of responses within-subjects between the quantitative rounds. A consensus threshold of 80% was predetermined. Results In total, 80 items were divided into 6 categories based on the results of the first round. Of these, 75 (93.75%) achieved consensus during the two subsequent rounds. Notably, 5 items (6.25%) did not reach consensus. The items with the highest consensus related to the signs and symptoms of infection, pressure ulcers, and the essential elements for healing. Conversely, items such as toe pressure measurement, wounds around drains, and frostbite failed to achieve consensus. Conclusions The results of this study will inform the development of the initial content of the algorithm for a wound care mobile application. Expert participation and their insights on infection-related matters have the potential to support evidence-based wound care practice. Ongoing debates surround items without consensus. Finally, this study establishes expert wound care nurses’ perspectives on the competencies anticipated from newly graduated nurses.

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“…Newly graduated nurses face a pronounced gap in wound care, exacerbated by multiple barriers, such as limited access to specialized resources, inexperience, and reduced self-con dence [11][12][13]. This problem is particularly evident in the province of Quebec, Canada, where nurses have a high level of professional autonomy in wound care, including setting treatment plans and providing care and treatment.…”

Section: Introductionmentioning

confidence: 99%

Content of a wound care mobile application for newly graduated nurses: An e-Delphi study

Gagnon,

Chartrand,

Probst

et al. 2023

Preprint

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Background Wound care represents a considerable challenge, especially for newly graduated nurses. The development of a mobile application is envisioned to improve knowledge transfer and facilitate evidence-based practice. The aim of this study was to establish expert consensus on the initial content of the algorithm for a wound care mobile application for newly graduated nurses. Methods Experts participated in online surveys conducted in three rounds. Twenty-nine expert wound care nurses participated in the first round, and 25 participated in the two subsequent rounds. The first round, which was qualitative, included a mandatory open-ended question solicitating suggestions for items to be included in the mobile application. The responses underwent content analysis. The subsequent two rounds were quantitative, with experts being asked to rate their level of agreement on a 5-point Likert scale. These rounds were carried out iteratively, allowing experts to review their responses and see anonymized results from the previous round. We calculated the weighted kappa to determine the individual stability of responses within-subjects between the quantitative rounds. A consensus threshold of 80% was predetermined. Results In total, 80 items were divided into 6 themes based on the results of the first round. Of these, 75 (93.75%) achieved consensus during the two subsequent rounds. Notably, 5 items (6.25%) did not reach consensus. The items with the highest consensus related to the signs and symptoms of infection, pressure ulcers, and the essential elements for healing. Conversely, items such as toe pressure measurement, wounds around drains, and frostbite failed to achieve consensus. Conclusions The results of this study will inform the development of the initial content of the algorithm for a wound care mobile application. Expert participation and their insights on infection-related matters have the potential to support evidence-based wound care practice. Ongoing debates surround items without consensus. Finally, this study establishes expert wound care nurses’ perspectives on the competencies anticipated from newly graduated nurses.

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Étude descriptive des facilitateurs et des obstacles dans le transfert des connaissances en soins de plaies chez des infirmiers et des infirmières nouvellement diplômées travaillant au Québec

Cited by 3 publications

References 91 publications

Self‐supporting wound care mobile applications for nurses: A scoping review

Self‐supporting wound care mobile applications for nurses: A scoping review

Content of a wound care mobile application for newly graduated nurses: an e-Delphi study

Content of a wound care mobile application for newly graduated nurses: An e-Delphi study

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