Enhance quality care performance: Determination of the variables for establishing a common database in French paediatric critical care units

Abstract Selected variables for the French Paediatric Intensive Care registry. Rationale, aims, and objectives Providing quality care requires follow-up in regard to clinical and economic activities. Over the past decade, medical databases and patient registries have expanded considerably, particularly in paediatric critical care medicine (eg, the Paediatric Intensive Care Audit Network (PICANet) in the UK, the Australian and New Zealand Paediatric Intensive Care (ANZPIC) Registry in Australia and New Zealand, and the Virtual Paediatric Intensive Care Unit Performance System (VPS) in the USA). Such a registry is not yet available in France. The aim of this study was to determine variables that ought to be included in a French paediatric critical care registry. Methods Variables, items, and subitems from 3 foreign registries and 2 French local databases were used. Items described each variable, and subitems described items. The Delphi method was used to evaluate and rate 65 variables, 90 items, and 17 subitems taking into account importance or relevance based on input from 28 French physicians affiliated with the French Paediatric Critical Care Group. Two ratings were used between January and May 2013. Results Fifteen files from 10 paediatric intensive care units were included. Out of 65 potential variables, 48 (74%) were considered to be indispensable, 16 (25%) were considered to be optional, and 1 (2%) was considered to be irrelevant. Out of 90 potential items, 62 (69%) were considered to be relevant, 23 (26%) were considered to be of little relevance, and 5 (6%) were considered to be irrelevant. Out of 17 potential subitems, 9 (53%) were considered to be relevant, 6 (35%) were considered to be of little relevance, and 2 (12%) were considered to be irrelevant. Conclusions The necessary variables that ought to be included in a French paediatric critical care registry were identified. The challenge now is to develop the French registry for paediatric intensive care units

Effect of best possible self intervention on situational motivation and commitment in academic context

This study investigated the immediate effect of a Best Possible Self (BPS) intervention to enhance positive affect, situational academic motivation and academic commitment in a university context. A large sample of 176 French undergraduate students participated in the study. An experimental group (n = 88) performed a “Best Possible Self” (BPS) intervention that consisted of mentally thinking of the ideal academic future life. A control group (n = 88) was recruited to read neutral information during the same time. We evaluated positive and negative affect, situational academic motivation, and academic commitment. A comparison between the experimental and control group revealed significantly higher levels of positive affect, self-determined situational motivation, and academic commitment in the experimental group than in the control group. The results suggest that future positive thinking may be used to enhance situational academic motivation, and academic commitment in students, with a pivotal role for positive affect. Finally, the BPS intervention effect on motivation was fully mediate by positive affect

Work stress and motivation in psychologists in the hospital setting: the role of primary cognitive appraisal

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