Attentes, diagnostics et modalités de traitement de la clientèle de classe socio-économique moins favorisée

La majorité des études s'accordent pour dire que les modalités des traitements reçus par la clientèle de classe socio-économique (C.S.E.) moins favorisée sont différentes de celles des autres classes. L'appartenance à la C.S.E. moins favorisée serait associée à un plus haut taux de problèmes psychologiques, à un mode de référence "de l'extérieur " qui semble influencer les attentes vis-à-vis le thérapeute et la thérapie, à une perception peut-être en partie biaisée chez le thérapeute qui augmente la gravité du diagnostic et qui influence la façon dont cette clientèle est reçue en psychothérapie.The majority of studies conclude that the form of treatment therapy provided to the socio-economically underpriveledged clienteles (SEC) are different to those provided to other clienteles. The author says that belonging to a less fortunate SEC is associated to a higher rate of psychological problems; to an "outside" model that seems to influence the expectations vis-a-vis the therapist and the therapy ; and to a perception of the therapist that is probably biaised in part which, in turn, increases the gravity of the diagnosis and influences the manner in which such a clientele is greeted in psychotherapy

Canadian Soldiers in Bermuda During World War One

Three Canadian infantry battalions served in Bermuda during the First World War. Very little is known about their presence in these islands. The raison d'être of this article is to provide a better knowledge of this first Canadian garrison duty abroad. The author analyzes the selection of the units which were sent to Bermuda and studies and compares them from different points of view. Then, he examines their stay, emphasizing the social aspects of their garrison duty. The Canadians' reaction toward it and the reciprocal feelings of the soldiers and the Bermudians are considered.Trois bataillons d'infanterie canadiens ont servi aux Bermudes pendant la Première Guerre mondiale. On ne sait à peu près rien de leur passage là-bas. Cet article vise à combler cette lacune. L'auteur explique le choix des unités envoyées en garnison dans ces îles de l'océan Atlantique, puis les étudie et les compare à divers points de vue. Il s'attache ensuite à leur séjour, en mettant en relief le côté humain des choses. La réaction des Canadiens à l'égard de ce service de garnison et les sentiments réciproques des soldats et des Bermudiens sont considérés

Les lendemains de l’arrêt Port Arthur Shipbuilding

Quelle a été l'attitude des arbitres depuis cet arrêt de la Cour suprême 1 relatif à leurs pouvoirs en matière de contrôle de la sanction disciplinaire imposée par l'employeur ? L'ambivalence de leurs réactions pose à nouveau le problème de la portée véritable de cet arrêt

M-health adoption by healthcare professionals : a systematic review

Objective The aim of this systematic review was to synthesize current knowledge of the factors influencing healthcare professional adoption of mobile health (m-health) applications. Methods Covering a period from 2000 to 2014, we conducted a systematic literature search on four electronic databases (PubMed, EMBASE, CINAHL, PsychInfo). We also consulted references from included studies. We included studies if they reported the perceptions of healthcare professionals regarding barriers and facilitators to m-health utilization, if they were published in English, Spanish, or French and if they presented an empirical study design (qualitative, quantitative, or mixed methods). Two authors independently assessed study quality and performed content analysis using a validated extraction grid with pre-established categorization of barriers and facilitators. Results The search strategy led to a total of 4223 potentially relevant papers, of which 33 met the inclusion criteria. Main perceived adoption factors to m-health at the individual, organizational, and contextual levels were the following: perceived usefulness and ease of use, design and technical concerns, cost, time, privacy and security issues, familiarity with the technology, risk-benefit assessment, and interaction with others (colleagues, patients, and management). Conclusion This systematic review provides a set of key elements making it possible to understand the challenges and opportunities for m-health utilization by healthcare providers

Interactions between Dispatchers and Truck Drivers in a High Turnover Context

Nota: Las reglas de escritura de las referencias bibliográficas pueden variar según los diferentes dominios del conocimiento. Este documento está protegido por la ley de derechos de autor. La utilización de los servicios de Érudit (comprendida la reproducción) se rige por su política de utilización que se puede consultar en el UR

Determinants of the intention of elementary school nurses to adopt a redefined role in health promotion at school

BACKGROUND: The quest for greater efficiency in the provision of primary healthcare services and the implementation of a "health-promoting school" approach encourage the optimal redefinition of the role of school nurses. School nurses are viewed as professionals who might be significant actors in the promotion of youth health. The aim of this study was to identify the determinants of the intention of elementary school nurses to adopt a new health-promotion role as a strategic option for the health-promoting school. METHODS: This study was based on an extended version of the theory of planned behaviour (TPB). A total of 251 respondents (response rate of 70%) from 42 school health programs across the Province of Québec completed a mail survey regarding their intention to adopt the proposed health-promotion role. Multiple hierarchical linear regression analyses were performed to assess the relationship between key independent variables and intention. A discriminant analysis of the beliefs was performed to identify the main targets of action. RESULTS: A total of 73% of respondents expressed a positive intention to accept to play the proposed role. The main predictors were perceived behavioural control (β = 0.36), moral norm (β = 0.27), attitude (β = 0.24), and subjective norm (β = 0.21) (ps < .0001), explaining 83% of the variance. The underlying beliefs distinguishing nurses who had a high intention from those who had a low intention referred to their feelings of being valued, their capacity to overcome the nursing shortage, the approval of the school nurses' community and parents of the students, their leadership skills, and their gaining of a better understanding of school needs. CONCLUSIONS: Results suggest that leadership is a skill that should be addressed to increase the ability of school nurses to assume the proposed role. Findings also indicate that public health administrators need to ensure adequate nurse staffing in the schools in order to increase the proportion of nurses willing to play such a role and avoid burnout among these human resources

Fire performance of self-tapping screws in tall mass-timber buildings

Building elements are required to provide sufficient fire resistance based on requirements set forth in the National Building Code of Canada (NBCC). Annex B of the Canadian standard for wood engineering design (CSA O86-19) provides a design methodology to calculate the structural fireresistance of large cross-section timber elements. However, it lacks at providing design provisions for connections. The objectives of this study are to understand the fire performance of modern mass timber fasteners such as self-tapping screws, namely to evaluate their thermo-mechanical behavior and to predict their structural fire-resistance for standard fire exposure up to 2 h, as would be required for tall buildings in Canada. The results present the great fire performance of using self-tapping screws under a long time exposure on connections in mass timber construction. The smaller heated area of the exposed surface has limited thermal conduction along the fastener’s shanks and maintained their temperature profiles relatively low for two hours of exposure. Based on the heat-affected area, the study presents new design principles to determine the residual length of penetration that would provide adequate load-capacity of the fastener under fire conditions. It also allows determining safe fire-resistance values for unprotected fasteners in mass timber construction exposed up to two hours of standard fire exposure

Tertiary Study on the Use of Artificial Intelligence for Service Delivery: A Bibliometric Analysis of Systematic Literature Reviews

Despite the large number of systematic literature reviews (SLRs) on the use of artificial intelligence (AI) for service delivery, scholars suggest more scientific evidence. However, the direction that these reviews will take depends on the knowledge accumulated in the existing literature. Therefore, the objective of this research is to explore SLRs that have synthesized the use of AI for service delivery. We conducted a tertiary study, which consists of a bibliometric analysis of SLRs. We searched SLRs published over the last ten years in six bibliographic databases. Sixty-six studies meeting the inclusion criteria were processed through a bibliometric analysis in which we combined article metadata with data extracted from the full-text review. The results describe the publication trends of SLRs, their application domains, and the particularities of the private and public sectors. Recommendations for future SLRs on the use of AI for service delivery are proposed