Patient participation in discharge planning decisions in the frame of primary nursing approach: a conversation analytic study

Primary Nursing (PN) is a model of care delivery which is described to favor patient participation, as aPrimary Nurse is responsible for coordinating all aspects of care including discharge planning. The purposeof this paper is to explore patient-nurse interactions in a rehabilitation clinic in which PN is used. Twenty-five interactions of video-recorded data involving 12 patients with their primary nurse were includedin this paper and analyzed using conversation analysis, an inductive data-driven approach. Our findingssuggest that nurses use two different communicative styles \u2013 a \u201creciprocal\u201d or a \u201cindividual\u201d perspective\u2013 when discussing discharge decisions with patients. While the \u201creciprocal\u201d style is a more collaborativeapproach, the \u201cindividual\u201d communicative practice is more unilateral. Making those different approachesexplicit might lead to refinement of Primary Nursing theories

Evaluating the impact of a blended interprofessional education course on students’ attitudes towards interprofessional education: a pre-post study

Abstract Background Since 2011, five educational and healthcare institutions have implemented a short interprofessional education (IPE) course to bring together undergraduates from five disciplines. To meet the logistical challenges of IPE implementation, more specifically, the large number of classrooms needed to gather students together and the need for human resources to guide learning activities, a face-to-face IPE course was redesigned into a blended (online and face-to-face collaborative learning activities) IPE course. In March 2023, 183 medical, 378 nursing, 46 radiologic technology, 69 physiotherapy, and 74 occupational therapy students participated in a one-day IPE blended course to learn interprofessional team functioning and dynamics, role clarification and responsibilities of other professions, and interprofessional communication skills. This study aimed to assess students’ changes in attitudes towards IPE after being involved in a large-scale interprofessional blended learning course. Methods A before-after study was conducted using a French translation of the validated questionnaire “University of West of England Interprofessional Questionnaire” (UWE-IP questionnaire). Students’ attitudes towards interprofessional (IP) relationships and IP learning were measured before and after the course. In March 2023, two hundred fifty-six students from five professions answered two subscales of the UWE-IP questionnaire before and after the course (response rate 34%). Results Students’ attitudes towards IP relationships improved significantly after the course. The score on this subscale (min 8; max 24) changed from 11.18 (SD 2,67) before the course to 10,38 (SD 2,55) after the course, indicating a significant improvement in attitudes towards IP relationships (p < 0,001). More specifically, students had more positive attitudes on the item “I have a good understanding of the roles of different health and social care professionals.” and the item “I feel that I am respected by people from other health and social care disciplines.” after the course. A positive change in students’ attitudes towards IP learning was observed, but the results were not significative. Conclusion A face-to-face IPE course redesigned as a blended course helped overcome existing challenges to implementing an IPE course. The results suggest a blended IPE course improves students’ attitudes towards interprofessionality

Hospitalisation psychiatrique des adolescents dans le Canton de Vaud : une étude sur les modalités d'admission, les filières de soins, le rôle et le vécu de l'hospitalisation

Studied factors associated with the admission, diagnosis, and treatment of 50 male and female adolescents (aged 13-16 yrs) voluntarily admitted to a psychiatric care unit and 15 male and female adolescents (aged 13-16 yrs) involuntarily admitted to a psychiatric care unit in Switzerland. Data on sociodemographic factors, clinical and psychiatric symptoms, and admission and treatment variables were obtained by questionnaire. The 10th Edition of the International Classification of Diseases, the Brief Psychiatric Rating Scale, the Montgomery-Asberg Depression Rating Scale, the State-Trait Anxiety Inventory, the General Health Questionnaire, and other psychometric tests were used. The results show that clinical severity was higher and social adaptation scores were poorer among involuntarily admitted patients. The results also indicate that acute psychiatric symptoms improved in both groups of patients within an average 24 days of admission and that hospitalization was perceived positively by patients and their family members. Implications for the development of durable therapeutic alliances are discussed. (PsycINFO Database Record (c) 2004 APA, all rights reserved