Facteurs influençant la satisfaction professionnelle des infirmières en oncologie au fil du temps

Dans cette étude, nous avons mis à l’épreuve un modèle d’équations structurelles en vue d’examiner les facteurs associés au milieu de travail en relation avec les changements touchant la satisfaction professionnelle des infirmières en oncologie entre 2004 et 2006. Le leadership relationnel et une bonne relation médecin-infirmière influençaient constamment les perceptions quant à la présence d’un nombre suffisant d’infirmières pour fournir des soins de qualité et quant à la liberté de prendre des décisions à propos des soins des patients, ce qui influençait directement à son tour la satisfaction professionnelle des infirmières au fil du temps. Le soutien des superviseurs en matière de résolution de conflits et la capacité à influencer les résultats pour le patient constituaient des influences significatives sur la satisfaction professionnelle en 2004, tandis qu’en 2006, une philosophie claire des soins infirmiers revêtait une plus grande importance. Plusieurs facteurs exerçant une influence sur la satisfaction professionnelle des infirmières en oncologie du Canada ont évolué au fil du temps, ce qui peut refléter des changements sur le plan des milieux de travail et de la vie au travail. Ces résultats proposent des pistes pour la modification des conditions de travail qui pourraient rehausser la satisfaction professionnelle et la vie au travail des infirmières

Factors influencing job satisfaction of oncology nurses over time

In this study, we tested a structural equation model to examine work environment factors related to changes in job satisfaction of oncology nurses between 2004 and 2006. Relational leadership and good physician/nurse relationships consistently influenced perceptions of enough RNs to provide quality care, and freedom to make patient care decisions, which, in turn, directly influenced nurses’ job satisfactionover time. Supervisor support in resolving conflict and the ability to influence patient care outcomes were significant influences on job satisfaction in 2004, whereas, in 2006, a clear philosophy of nursing had a greater significant influence. Several factors that influence job satisfaction of oncology nurses in Canada have changed over time, which may reflect changes in work environments and work life. These findings suggest opportunities to modify work conditions that could improve nurses’ job satisfaction and work life

Obtaining dogs from pet stores versus noncommercial breeders

A letter to the editor is presented in response to the article "Differences in behavioral characteristics between dogs obtained as puppies from pet stores and those obtained from noncommercial breeders" that was published in the previous issue and also presents response from authors

Older Persons’ Transitions in Care (OPTIC): a study protocol

Abstract Background Changes in health status, triggered by events such as infections, falls, and geriatric syndromes, are common among nursing home (NH) residents and necessitate transitions between NHs and Emergency Departments (EDs). During transitions, residents frequently experience care that is delayed, unnecessary, not evidence-based, potentially unsafe, and fragmented. Furthermore, a high proportion of residents and their family caregivers report substantial unmet needs during transitions. This study is part of a program of research whose overall aim is to improve quality of care for frail older adults who reside in NHs. The purpose of this study is to identify successful transitions from multiple perspectives and to identify organizational and individual factors related to transition success, in order to inform improvements in care for frail elderly NH residents during transitions to and from acute care. Specific objectives are to: 1. define successful and unsuccessful elements of transitions from multiple perspectives; 2. develop and test a practical tool to assess transition success; 3. assess transition processes in a discrete set of transfers in two study sites over a one year period; 4. assess the influence of organizational factors in key practice locations, e.g., NHs, emergency medical services (EMS), and EDs, on transition success; and 5. identify opportunities for evidence-informed management and quality improvement decisions related to the management of NH – ED transitions. Methods/Design This is a mixed-methods observational study incorporating an integrated knowledge translation (IKT) approach. It uses data from multiple levels (facility, care unit, individual) and sources (healthcare providers, residents, health records, and administrative databases). Discussion Key to study success is operationalizing the IKT approach by using a partnership model in which the OPTIC governance structure provides for team decision-makers and researchers to participate equally in developing study goals, design, data collection, analysis and implications of findings. As preliminary and ongoing study findings are developed, their implications for practice and policy in study settings will be discussed by the research team and shared with study site administrators and staff. The study is designed to investigate the complexities of transitions and to enhance the potential for successful and sustained improvement of these transitions.</p

Older Persons’ Transitions in Care (OPTIC): a study protocol

Background: Changes in health status, triggered by events such as infections, falls, and geriatric syndromes, are common among nursing home (NH) residents and necessitate transitions between NHs and Emergency Departments (EDs). During transitions, residents frequently experience care that is delayed, unnecessary, not evidence-based, potentially unsafe, and fragmented. Furthermore, a high proportion of residents and their family caregivers report substantial unmet needs during transitions. This study is part of a program of research whose overall aim is to improve quality of care for frail older adults who reside in NHs. The purpose of this study is to identify successful transitions from multiple perspectives and to identify organizational and individual factors related to transition success, in order to inform improvements in care for frail elderly NH residents during transitions to and from acute care. Specific objectives are to: 1. define successful and unsuccessful elements of transitions from multiple perspectives; 2. develop and test a practical tool to assess transition success; 3. assess transition processes in a discrete set of transfers in two study sites over a one year period; 4. assess the influence of organizational factors in key practice locations, e.g., NHs, emergency medical services (EMS), and EDs, on transition success; and 5. identify opportunities for evidence-informed management and quality improvement decisions related to the management of NH – ED transitions. Methods/Design: This is a mixed-methods observational study incorporating an integrated knowledge translation (IKT) approach. It uses data from multiple levels (facility, care unit, individual) and sources (healthcare providers, residents, health records, and administrative databases). Discussion: Key to study success is operationalizing the IKT approach by using a partnership model in which the OPTIC governance structure provides for team decision-makers and researchers to participate equally in developing study goals, design, data collection, analysis and implications of findings. As preliminary and ongoing study findings are developed, their implications for practice and policy in study settings will be discussed by the research team and shared with study site administrators and staff. The study is designed to investigate the complexities of transitions and to enhance the potential for successful and sustained improvement of these transitions.Other UBCReviewedFacult