Aim This paper describes the characteristics of the new advanced practice nursing roles in France, as well as their challenges and perspectives, and compares the French model with the recommendations of the International Council of Nurses. Background Advanced practice nursing is particularly well established in English‐speaking countries. Since 2018, France has become the second French‐speaking region to legalize and regulate advanced practice nurses. Source of evidence The International Council of Nurses and French government websites, and scientific databases (PubMed, CINALH, Cochrane Library) were explored. Feedback from French nursing academics was also requested. Discussion The advanced practice nursing model in France is described according to the scope and conditions of professional practice. The educational program leads to a State diploma with master’s degree, which it is mandatory to be a registered nurse. Remuneration depends on the sector of practice in the public hospital, primary care or private sector. Although there is no national strategy for the implementation of advanced practice nursing roles, research projects are being initiated to guide and evaluate the practice. Based on concordance analysis with the recommendations of the International Council of Nurses, the French advanced practice nursing model appears to be similar to the nurse practitioner model. Conclusion Adjustments in the scope of practice and education can be expected as the implementation of these roles is evaluated. Implications for nursing practice This is a historical evolution of the nursing profession in France, for which communication with patients and healthcare professionals is essential. Implications for nursing policy The implementation of advanced practice nursing roles in clinical settings requires the development of national strategies to support initiatives and ensure the sustainability of these roles.
Background: The number of cancer survivors is growing increasingly worldwide and a growing need exists for greater knowledge into cancer survivorship. The long-term negative consequences of the disease are now better known. Cancer may also foster positive outcomes such as post-traumatic growth. Some survivors consider life after cancer as the start of a new life and put in place a coping process called post-traumatic development (PTD) measured by a scale developed by Tedeschi and Calhoun. Objective: The purpose of this article is to determine modifiable factors affecting PTD, particularly those that could integrate clinical interventions, and those that reflects patient behaviors, willing to improve their health.Methods: This study focuses on the 1,982 participants in the VICAN cohort who responded to the survey at two and five years from diagnosis. Our search for characteristics associated with moderate to high PTD was conducted using logistic regressions.Results: Factors positively associated with moderate or high PTD are, a positive perception of time spent on information, increased physical activity and healthier diet, have benefited from psychological support at the beginning of the disease.Conclusion: High PTD is strongly associated with health behavior and information. Our findings suggest that appropriate clinical and educational interventions can help foster growth after the experience of cancer. Even if we do not know what causes what, it is admitted that the interventions leading to the Adapted Physical Activities, for example, are good from all points of view.
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