Les activités des infirmières œuvrant en soins de première ligne auprès des personnes atteintes de maladies chroniques : une revue systématique de la littérature

Poitras, Marie-Ève; Chouinard, Maud‐Christine; Fortin, Martin; Girard, Ariane; Gallagher, Frances

doi:10.3917/rsi.126.0024

Cited by 11 publications

(11 citation statements)

References 44 publications

(97 reference statements)

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“…This role is in line with the expectations of the various strategies aimed at reducing CD and also in line with the role of CD nurses who spend most of their clinical time on this issue (Huriani, 2019; Improving Chronic Illness Care, 2019; Ministère de la Santé et des Services sociaux, 2019; Ordre des infirmières et infirmiers du Québec; Santé Canada, 2007). This role must be grounded in collaborative perspective with the family physician to use everyone's skills for the benefit of the patient (Poitras et al, 2016). Nursing follow-ups would meet patients' priority needs, thus promoting better CR, and reducing the recurrence of MI (Huriani) and the feeling of vulnerability (Frohmader et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

What are the Needs of People Living in Remote Areas About the Essential Components of a Cardiac Rehabilitation Program?

Bernier

Lavoie

Poitras

2022

Science of Nursing and Health Practices

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Introduction: Cardiac rehabilitation (CR) is an effective intervention to support patients in achieving their health objectives and in decreasing their risk of suffering from another myocardial infarction (MI). However, in several remote areas, no cardiac rehabilitation program (CRP) exists to support patients having experienced an MI. Before the creation of an intervention CRP adapted to patients living in these areas, it is essential to describe patients and healthcare professionals' needs regarding cardiac rehabilitation care. Objective: This study describes the needs of remote patients and healthcare professionals for the essential components in a CR program following myocardial infarction and percutaneous transluminal coronary angioplasty. Methods: A qualitative formative research study was conducted involving 10 men, 6 women, and 4 family physicians. Data were collected through in-depth individual interviews and one focus group. Results: Results show that patients who have suffered an MI have multiple unmet needs. This gap may be due to the variability in follow-ups by healthcare professionals. In the absence of a cardiac rehabilitation program, these patients must adapt quickly to their new health condition. Discussion and conclusion: It is critical that the needs of patients living in remote areas are better addressed in cardiac rehabilitation. To do this, it is essential to create a CRP that is tailored to the needs of both patients and professionals, thus providing patient-centered care.

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Section: Discussionmentioning

confidence: 99%

What are the Needs of People Living in Remote Areas About the Essential Components of a Cardiac Rehabilitation Program?

Bernier

Lavoie

Poitras

2022

Science of Nursing and Health Practices

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“…CCVD causes readjustments for both the individual and their family. Poitras et al state that chronic diseases can make it difficult to implement health interventions and best practices (Poitras et al, 2016). To foster an effective therapeutic relationship by avoiding conformism and becoming too lax, the nurse must focus on the patients, what they say and how they say it, reflecting on how the individual experience affects daily life, and adaptation to their new situation (Valverde, 2008).…”

Section: Discussionmentioning

confidence: 99%

Chronic cardiovascular nursing care in Spanish primary care: A qualitative study

Lizcano‐Álvarez

Hernández

Alameda-Cuesta

et al. 2022

Int J of Nursing Practice

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Aims: We aimed to investigate the perspective of primary care nurses on their role with patients who have chronic cardiovascular disease and to identify cultural elements shared by nurses caring for people with chronic cardiovascular disease. In primary care, the role of the nurse is essential to promote self-efficacy in cardiovascular self-care. Individuals with chronic cardiovascular disease need to integrate the disease into their life, together with the health recommendations for management and follow-up.Methods: A qualitative, focused ethnographic study was conducted. Purposeful sampling was used to include nurses who were working in primary care during the study. Data collection took place between 20 January and 20 May 2014 and consisted of semi-structured interviews. A thematic analysis was applied using the data.Results: Eleven participants were included. Cardiovascular care forces nurses to reflect on their identity and role in primary care. The relationship between the nurse and people with chronic cardiovascular disease is a complex process, which may cause nurses to feel a sense of failure and monotony in their work.Conclusions: Our findings may help to understand the role of the nurse and the care provided in patients with chronic cardiovascular disease.

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“…Established in 2001 in the province of Quebec, primary care clinics comprise family physicians who collaborate with RNs and other professionals (e.g. social workers, pharmacists, psychologists) to provide care and access to care [ 5 , 7 ]. However, even if those PCCs have existed for over 20 years, a lack of sufficient guidelines regarding the role of RNs has been observed [ 5 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

The impact of patients as trainers on registered nurses’ patient engagement in primary care clinics: a qualitative study

Morin,

Couturier,

Poirier

et al. 2023

BMC Prim. Care

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Background In Canada, primary care is usually the front door to health care for people with health issues. Among these primary care services are primary care clinics (PCC), where the competencies of registered nurses (RNs) are needed. However, nursing practice in PCCs is variable and sometimes suboptimal from one PCC to another. In 2019, the Quebec Ministry of Health and Social Services deployed a practical guide for RNs practicing in PCCs. This guide was intended to support best professional and interprofessional practices and enhance the quality of services offered according to a physical-social vision of care, interprofessional collaboration and partnership with the patient. The Formation de formateurs en première ligne (F2PL) project team developed a train-the-trainer educational intervention to support RNs in assimilating the content of this guide. This educational intervention is uncommon because it includes patients as trainers (PTs). PTs developed and provided andragogic content about patient’s experience to enhance patient engagement. Objective To describe the impacts of the educational intervention provided by the PTs in nurses’ patient engagement practices in PCCs. Methods A descriptive qualitative approach was used to describe in-depth changes in RNs’ practices. Individual interviews were conducted with 10 RNs and 3 PTs to explore the changes in RNs’ practice and the barriers and facilitators to adopting this new practice. An inductive and deductive thematic analysis was carried out according to a conceptual model of patient engagement (the Montreal Model), and emerging themes were condensed into propositions. To ensure credibility, a peer review was conducted with the F2PL team, which includes a patient co-leader. Results The educational intervention provided by PTs has impacted RNs’ practice in 3 ways: awareness or reminding of general principles, updating commitment to already known principles and enhancing the development of new professional skills. Conclusions PTs could effectively support the RNs’ motivation to use patient engagement practices in primary care.

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Les activités des infirmières œuvrant en soins de première ligne auprès des personnes atteintes de maladies chroniques : une revue systématique de la littérature

Cited by 11 publications

References 44 publications

What are the Needs of People Living in Remote Areas About the Essential Components of a Cardiac Rehabilitation Program?

What are the Needs of People Living in Remote Areas About the Essential Components of a Cardiac Rehabilitation Program?

Chronic cardiovascular nursing care in Spanish primary care: A qualitative study

The impact of patients as trainers on registered nurses’ patient engagement in primary care clinics: a qualitative study

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