L’étendue effective de la pratique des infirmières dans les services de proximité en région éloignée

Morin, Michel; Lessard, Lily

doi:10.3917/rsi.138.0075

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…Despite bylaws and regulations, studies show an underutilization of the nursing workforce 15,16 . This is attributable to multiple factors, including the constant evolution of the nursing scope of practice 17 or a variation in its local implementation 18 . Indeed, the nursing scope of practice undergoes significant modulation according to local contexts, 19 which limits the power of legislation to guarantee the expansion of the practice.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Organizational Nursing Innovations in Primary Care

Duhoux,

Rioux-Dubois,

Poitras

et al. 2023

JONA: The Journal of Nursing Administration

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Nursing innovations in primary care, based on interprofessional care models, could be better identified, recognized, and deployed. This article presents the results of a symposium discussing the implementation of nursing innovations in primary care in Quebec, Canada, in partnership with researchers and stakeholders. Built on the appreciative inquiry approach, 9 nursing innovations were described. To support the implementation of such nursing innovations responding to current primary care issues and population needs, 4 recommendations emerged: the need to implement strategies to achieve optimal scope of practice for primary care nurses; the importance to develop funding and organizational models that support primary care nursing innovation; the need to enhance a collaborative and democratic governance open to innovation; and the opportunity to create partnerships with the research community and teaching institutions.

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Section: Discussionmentioning

confidence: 99%

Clinical and Organizational Nursing Innovations in Primary Care

Duhoux,

Rioux-Dubois,

Poitras

et al. 2023

JONA: The Journal of Nursing Administration

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Nurses’ and Nursing Assistants’ Experiences With Teleconsultation in Small Rural Long-Term Care Facilities: Semistructured Interview Pilot Study

Nabelsi,

Leclerc,

Plouffe

2024

JMIR Aging

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Background In Quebec, the shortage of nurses during night shifts compromises the safety and quality of resident care, particularly in small residential and long-term care centers (“Centres d’hébergement et de soins de longue durée”; CHSLDs) located in rural areas. The need to ensure the continuous presence of nurses 24 hours a day in CHSLDs has become more pressing, forcing some facilities to implement exceptional measures such as on-call telephone services to ensure access to a nurse. In light of these challenging circumstances, the Direction nationale des soins et des services infirmiers of Quebec’s Ministère de la Santé et des Services sociaux has rolled out a teleconsultation pilot project. Objective This study aims to explore nurses’ and nursing assistants’ experience of integrating teleconsultation during night shifts in rural CHSLDs with ≤50 residents. Methods The 6-month pilot project was rolled out sequentially in 3 rural CHSLDs located in 2 administrative regions of Quebec between July 2022 and March 2023. A total of 18 semistructured interviews were conducted with 9 nurses and nursing assistants between February and July 2023. Results Participants’ experiences revealed that teleconsultation provided significant added value by improving clinical, administrative, and organizational practices. Some practices remained unchanged, indicating stable workflows. Workflow optimization through an expanded scope of practice ensured efficient and safe continuity of care. Enhanced collaboration between nurses and nursing assistants led to improved care coordination and communication. The leadership played a significant role in clarifying professionals’ roles and in supporting effective adaptation to teleconsultation. Conclusions This pilot project represents a significant step forward in improving care for CHSLD residents in Quebec. Teleconsultation not only makes it possible to overcome recruitment challenges and ensure the continuous presence of nurses during night shifts but also optimizes professional practices while ensuring the safety and quality of care provided to residents.

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Nurses’ and Nursing Assistants’ Experiences With Teleconsultation in Small Rural Long-Term Care Facilities: Semistructured Interview Pilot Study (Preprint)

Nabelsi,

Leclerc,

Plouffe

2024

Preprint

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BACKGROUND In Quebec, the shortage of nurses during night shifts compromises the safety and quality of resident care, especially in small residential and long-term care centres (CHSLDs) located in semi-remote or remote areas. This situation, which is exacerbated by the current overall shortage, exacerbates nurse staffing problems in these facilities. The need to ensure the continuous presence of nurses 24 hours a day in CHSLDs has become more pressing, forcing some facilities to implement exceptional measures such as on-call telephone services to ensure access to a nurse. In light of these challenging circumstances, the Direction nationale des soins et des services infirmiers (DNSSI) of Quebec’s Ministère de la Santé et des Services sociaux (MSSS) has rolled out a teleconsultation pilot project. OBJECTIVE This study aimed to explore nurses’ and nursing assistants’ lived experience of the integration of teleconsultation during night shifts in rural CHSLDs with fewer than 50 residents. METHODS The six-month pilot project was rolled out sequentially in three rural CHSLDs located in two administrative regions of Quebec, between July 2022 and March 2023. A total of 16 semi-structured interviews were conducted with eight nurses and nursing assistants between February and July 2023. RESULTS Participants’ testimonials revealed that teleconsultation provided significant added value by improving clinical, administrative, and organizational practices. Some practices remained unchanged, indicating stable workflows. Workflow optimization through an expanded scope of practice ensured efficient and safe continuity of care. Enhanced collaboration between nurses and nursing assistants led to improved care coordination and communication. Leadership played a significant role in clarifying professionals’ roles and in supporting effective adaptation to teleconsultation. CONCLUSIONS This pilot project represents a significant step forward in improving care for CHSLD residents in Quebec. Teleconsultation not only makes it possible to overcome recruitment challenges and ensure the continuous presence of nurses during night shifts, it also optimizes professional practices while ensuring the safety and quality of care provided to residents.

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L’étendue effective de la pratique des infirmières dans les services de proximité en région éloignée

Abstract: Mémoire présenté dans le cadre du programme de maîtrise en sciences infirmières avec mémoire en vue de l'obtention du grade de Maître ès sciences (M.Sc.

Cited by 3 publications

References 22 publications

Clinical and Organizational Nursing Innovations in Primary Care

Clinical and Organizational Nursing Innovations in Primary Care

Nurses’ and Nursing Assistants’ Experiences With Teleconsultation in Small Rural Long-Term Care Facilities: Semistructured Interview Pilot Study

Nurses’ and Nursing Assistants’ Experiences With Teleconsultation in Small Rural Long-Term Care Facilities: Semistructured Interview Pilot Study (Preprint)

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