L'analyse des compétences infirmières lors d'une situation d'évaluation clinique et de diagnostic

Abstract

The research work presented in this article concerns reengineering of the registered nurse diploma, particularly definition of Skills group No. 1: evaluate a clinical situation and establish a nursing diagnosis. It was designed to analyse real nursing practices in a typical clinical evaluation and diagnosis setting on admission of a patient to hospital. This analysis essentially focused on the cognitive processes used to organise nursing practices. The theoretical framework of professional training allowed this analysis to be performed on the basis of concepts of skills, schema and operative model. The research protocol focused on self-assessment interviews allowing explanation of the schemas used by a skilled nurse and a trainee nurse on admission of a patient in the day hospital for colonoscopy. An analysis of these schemas and especially the operative model of the skilled nurse demonstrated the organising concepts of effective nursing practice. The results, apart from their heuristic value to provide a better understanding of nursing professional practices, also provide resources to design training in nursing clinical evaluation.

Difficulties in Developing the Diagnostic Competence of Nursing Students At My Youssef Hospital in Casablanca: Descriptive Study

“…A study led by Georges Pedarribes and Gwenaël2014 [2], on the analysis of the actual practices of nurses in a typical situation of clinical evaluation and production of a diagnosis during the reception of a patient in hospitalization.This analysis focused particularly on the cognitive processes that organize the actual practices of nurses.…”

Perceptions et attitudes des infirmier(e)s en matière de vie affective et sexuelle des patients cancéreux

“…À l'annonce du diagnostic, les différents comportements peuvent être des indicateurs précieux pour une prise en charge ultérieure optimale. Fort de sa complexité et des dommages que le cancer et ses traitements engendrent sur la sexualité des patients, les infirmières doivent posséder des compétences dans l'évaluation de la situation clinique [4], nécessaires à l'abord précoce de la santé sexuelle du patient dès son admission en hospitalisation et même plus tôt. De nombreuses études ont mis en évidence l'impact social et environnemental [5], mais aussi culturel, physiologique et psychologique des cancers sur la vie sexuelle avant, pendant et après le traitement [6][7][8].…”