Enseigne-t-on l’intervention en cessation tabagique aux futures infirmières ? Résultat d’une étude descriptive

Lepage, Mario; Dumas, Louise; Saint-Pierre, Chantal

doi:10.1177/1757975914523456

Cited by 3 publications

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“…Plusieurs obstacles sont rapportés pour expliquer la déficience du contenu en cessation tabagique : programmes déjà très chargés [39], professeurs pas assez bien formés en la matière [24,39,41], contenu actuel jugé suffisant [37][38][39] et ce même si plusieurs éléments ne sont pas couverts. Sarna et al [24] ajoutent que le manque de préparation des enseignants, la faible priorité pour ce contenu, les attitudes négatives, le statut de fumeur des étudiants infirmiers et le manque de programmes modèles sont responsables d'un contenu pauvre en cessation tabagique, ce qui s'avère similaire à une étude auprès d'enseignantes infirmières québécoises [42].…”

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L'intervention en cessation tabagique dans la formation infirmière au Québec : enquête auprès des responsables de programmes

Lepage¹,

Dumas²,

Saint-Pierre³

2014

Santé Publique

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L'intervention en cessation tabagique dans la formation infirmière au Québec : enquête auprès des responsables de programmes

Lepage¹,

Dumas²,

Saint-Pierre³

2014

Santé Publique

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Effectiveness of a Theory- and Web-Based Adaptive Implementation Intervention on Nurses’ and Nursing Students’ Intentions to Provide Brief Counseling: Protocol for a Randomized Controlled Trial

et al. 2020

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Background Brief counseling can motivate patients to initiate health behavior change. However, increasing the provision of brief counseling by nurses is difficult due to contextual and practitioner-level factors impeding nurses’ motivation and intentions to provide brief counseling (eg, unfavorable attitude toward brief counseling, lack of perceived control linked to barriers). Theory-based implementation interventions could address these practitioner-level factors and support evidence-based practice in the context of brief counseling. Web-based, adaptive e-learning (electronic learning) programs are a novel type of implementation intervention that could address the limitations of current brief counseling training programs, such as accessibility and personalization. Objective This paper presents a study protocol for evaluating the effectiveness of the E_MOTIVA implementation intervention—a theory- and web-based adaptive e-learning program—to increase nurses’ and nursing students’ intentions to provide brief counseling for smoking, an unbalanced diet, and medication nonadherence. Methods A two-group, single-blind, randomized controlled trial will be conducted with nurses and nursing students enrolled in a Bachelor of Science in Nursing program in Quebec, Canada. Participants in the experimental group will be allocated to the E_MOTIVA intervention—a theory- and web-based adaptive e-learning program—while participants in the active control group will be allocated to the E_MOTIVB intervention, a knowledge- and web-based standardized e-learning program. The E_MOTIVA intervention was designed to influence the constructs of the Theory of Planned Behavior (eg, attitude, subjective norms, and perceived behavioral control) in the context of brief counseling. The Cognitive Load Index and User Engagement Scale will be used to assess participants’ cognitive load and engagement related to e-learning. Participants will complete the Brief Counseling Nursing Practices Questionnaire–Abridged Version at baseline and follow-up. All study measures will be completed online. Results The study is ongoing. The results of the study will provide answers to the primary hypothesis (H1) that experimental group participants will demonstrate a greater change in the score of intentions to provide brief counseling between baseline (–T1) and follow-up (T4). Secondary hypotheses include greater improvements in scores of attitude (H2), subjective norms (H3), perceived control (H4), behavioral beliefs (H5), normative beliefs (H6), and control beliefs (H7) regarding brief counseling in the experimental group between baseline and follow-up. We also anticipate lower intrinsic and extrinsic cognitive loads (H8, H9), higher germane cognitive load (H10), and higher engagement (H11, H12) in the experimental group. Conclusions This study will be among the first in evaluating a novel type of implementation intervention, a theory- and web-based adaptive e-learning program, in nurses and nursing students. This type of intervention has the potential to support evidence-based practice through accessible, personalized training in wide-ranging domains in nursing. Trial Registration ISRCTN Registry ISRCTN32603572; http://www.isrctn.com/ISRCTN32603572 International Registered Report Identifier (IRRID) PRR1-10.2196/18894

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Effectiveness of a Theory- and Web-Based Adaptive Implementation Intervention on Nurses’ and Nursing Students’ Intentions to Provide Brief Counseling: Protocol for a Randomized Controlled Trial (Preprint)

Fontaine¹,

Cossette²,

Gagnon³

et al. 2020

Preprint

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BACKGROUND Brief counseling can motivate patients to initiate health behavior change. However, increasing the provision of brief counseling by acute care nurses is difficult due to contextual and practitioner-level factors impeding nurses’ motivation and intentions to provide brief counseling (e.g., unfavorable attitude toward brief counseling, lack of perceived control linked to barriers). Moreover, most brief counseling training programs lack accessibility and personalization. Theory-based, adaptive e-learning programs could provide accessible and personalized brief counseling training. OBJECTIVE This paper presents a study protocol for evaluating the effectiveness of a theory-based, adaptive e-learning program on acute care nurses’ intentions to provide brief counseling for smoking, an unbalanced diet and medication nonadherence. METHODS A two-group, multicenter RCT will be conducted with acute care nurses (N=186). Nurses will be randomized to a theory-based, adaptive e-learning program (E_MOTIVA; experimental group) or knowledge-based, standardized e-learning program (E_MOTIVB; active control group). The E_MOTIVA program was designed to influence the constructs of the Theory of Planned Behavior (e.g., attitude, subjective norm and perceived behavioral control) in relation to brief counseling. The Cognitive Load Index and User Engagement Scale will be used to assess nurses’ cognitive load and engagement related to e-learning. Nurses will complete the Brief Counseling Nursing Practices Questionnaire at baseline and between 41- and 50-day post-randomization. RESULTS The study is ongoing (ISRCTN32603572). CONCLUSIONS This study will be amongst the first in evaluating a theory-based, adaptive e-learning program in nurses. These programs have the potential to support evidence-based practice through accessible, personalized training in wide-ranging domains in nursing. CLINICALTRIAL ISRCTN Registry; ISRCTN32603572; https://www.isrctn.com/ISRCTN32603572

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Enseigne-t-on l’intervention en cessation tabagique aux futures infirmières ? Résultat d’une étude descriptive

Cited by 3 publications

References 34 publications

L'intervention en cessation tabagique dans la formation infirmière au Québec : enquête auprès des responsables de programmes

L'intervention en cessation tabagique dans la formation infirmière au Québec : enquête auprès des responsables de programmes

Effectiveness of a Theory- and Web-Based Adaptive Implementation Intervention on Nurses’ and Nursing Students’ Intentions to Provide Brief Counseling: Protocol for a Randomized Controlled Trial

Effectiveness of a Theory- and Web-Based Adaptive Implementation Intervention on Nurses’ and Nursing Students’ Intentions to Provide Brief Counseling: Protocol for a Randomized Controlled Trial (Preprint)

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