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  1. Article: “Briser la barrière du silence”, un programme de simulation pour adresser la détresse psychologique.

    Nadon, Nathalie / Laramée, Pierre

    Soins; la revue de reference infirmiere

    2023  Volume 68, Issue 874, Page(s) 55–57

    Abstract: Although several strategies have been developed to support medical students during their studies in order to prevent burnout, depression and suicide, not all of them are equally effective. Simulation is an interesting strategy: it gives students the ... ...

    Title translation "Breaking the Silence Barrier", a simulation program to address psychological distress.
    Abstract Although several strategies have been developed to support medical students during their studies in order to prevent burnout, depression and suicide, not all of them are equally effective. Simulation is an interesting strategy: it gives students the tools to detect and intervene in signs of distress in their colleagues, and helps them break the barrier of silence in the face of psychological distress.
    MeSH term(s) Humans ; Burnout, Professional/prevention & control ; Students, Medical/psychology ; Psychological Distress ; Surveys and Questionnaires ; Stress, Psychological/psychology ; Depression
    Language French
    Publishing date 2023-04-19
    Publishing country France
    Document type English Abstract ; Journal Article
    ZDB-ID 604655-1
    ISSN 0038-0814
    ISSN 0038-0814
    DOI 10.1016/j.soin.2023.03.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Efficacy and cost-feasibility of the Timely Chest Compression Training (T-CCT): a contextualized cardiopulmonary resuscitation training for personal support workers participating during in-hospital cardiac arrests.

    Vincelette, Christian / Sokoloff, Catalina / Nadon, Nathalie / Desaulniers, Pierre / Carrier, François Martin

    CJEM

    2021  Volume 23, Issue 2, Page(s) 180–184

    Abstract: Objectives: The Timely Chest Compression Training (T-CCT) was created to promote more frequent training in chest compressions for personal support workers. This study aims to assess the efficacy of the T-CCT on the chest compression performance and to ... ...

    Abstract Objectives: The Timely Chest Compression Training (T-CCT) was created to promote more frequent training in chest compressions for personal support workers. This study aims to assess the efficacy of the T-CCT on the chest compression performance and to examine costs related to this intervention.
    Methods: A prospective single group, before-after study was conducted at a university-affiliated hospital. The T-CCT is adapted for support workers and lasts 20 min during working hours. Guided by peer trainers, live feedback devices and mannikins, the T-CCT targets chest compression training. Using an algorithm, chest compression performance scores were gathered before and after the intervention.
    Results: Of 875 employed support workers, 573 were trained in 5 days. Prior to the intervention, the median performance score was 72%. Participants significantly improved after the intervention (p < 0.001) and the median of the differences was 32% (95% CI 28.5-36.0). Support workers in critical care units and those with an active basic life support (BLS) certification performed better at baseline and were less inclined to have large changes in performance scores after the intervention. When compared to basic life support training, the T-CCT is over three times less expensive.
    Conclusions: The T-CCT was an effective and low-cost initiative that allowed to train a large group of support workers in a short amount of time. Since they are actively involved in resuscitation efforts in Quebec (Canada), it may promote the delivery of high-quality compressions during in-hospital cardiac arrests. Our inquiry can incite and guide other organizations in the implementation of similar interventions.
    MeSH term(s) Cardiopulmonary Resuscitation ; Feasibility Studies ; Heart Arrest ; Hospitals, University ; Humans ; Manikins ; Prospective Studies
    Language English
    Publishing date 2021-01-04
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-020-00038-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: [No title information]

    Leclerc, Jacinthe / Sanctuaire, Alexandre / Nadon, Nathalie / Méthot, Julie

    Perspective infirmiere : revue officielle de l'Ordre des infirmieres et infirmiers du Quebec

    2018  Volume 15, Issue 4, Page(s) 38–44

    Title translation Anticoagulants oraux directs.
    Language French
    Publishing date 2018-10-13
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2132473-6
    ISSN 1708-1890
    ISSN 1708-1890
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Telehealth-Delivered Program and Accompanying Patients to Enhance the Clinical Condition of Patients Throughout a Liver Transplant: Protocol for a Mixed Methods Study.

    Pomey, Marie-Pascale / Le Roux, Enora / Nadon, Nathalie / Perron, Jessie / Barry, Angèle / Bémeur, Chantal / Poder, Thomas G / Duford, Fernand / Laviolette, Louise / Tétrault-Lassonde, Johanne / Vialaron, Cécile / Escalona, Manuel J / Normandin, Louise / Huard, Geneviève / Girardin, Catherine / Rose, Christopher / Malas, Kathy / Ouellet, Denis / Vincent, Catherine

    JMIR research protocols

    2024  Volume 13, Page(s) e54440

    Abstract: Background: Liver transplantation (LT) is indicated in patients with severe acute or chronic liver failure for which no other therapy is available. With the increasing number of LTs in recent years, liver centers worldwide must manage their patients ... ...

    Abstract Background: Liver transplantation (LT) is indicated in patients with severe acute or chronic liver failure for which no other therapy is available. With the increasing number of LTs in recent years, liver centers worldwide must manage their patients according to their clinical situation and the expected waiting time for transplantation. The LT clinic at the Centre hospitalier de l'Université de Montréal (CHUM) is developing a new health care model across the entire continuum of pre-, peri-, and posttransplant care that features patient monitoring by an interdisciplinary team, including an accompanying patient; a digital platform to host a clinical plan; a learning program; and data collection from connected objects.
    Objective: This study aims to (1) evaluate the outcomes following the implementation of a patient platform with connected devices and an accompanying patient, (2) identify implementation barriers and facilitators, (3) describe service outcomes in terms of health outcomes and the rates and nature of contact with the accompanying patient, (4) describe patient outcomes, and (5) assess the intervention's cost-effectiveness.
    Methods: Six types of participants will be included in the study: (1) patients who received transplants and reached 1 year after transplantation before September 2023 (historical cohort or control group), (2) patients who will receive an LT between December 2023 and November 2024 (prospective cohort/intervention group), (3) relatives of those patients, (4) accompanying patients who have received an LT and are interested in supporting patients who will receive an LT, (5) health care professionals, and (6) decision makers. To describe the study sample and collect data to achieve all the objectives, a series of validated questionnaires, accompanying patient logbooks, transcripts of interviews and focus groups, and clinical indicators will be collected throughout the study.
    Results: In total, 5 (steering, education, clinical-technological, nurse prescription, and accompanying patient) working committees have been established for the study. Recruitment of patients is expected to start in November 2023. All questionnaires and technological platforms have been prepared, and the clinicians, stakeholders, and accompanying patient personnel have been recruited.
    Conclusions: The implementation of this model in the trajectory of LT recipients at the CHUM may allow for better monitoring and health of patients undergoing transplantation, ultimately reducing the average length of hospital stay and promoting better use of medical resources. In the event of positive results, this model could be transposed to all transplant units at the CHUM and across Quebec (potentially affecting 888 patients per year) but could also be applied more widely to the monitoring of patients with other chronic diseases. The lessons learned from this project will be shared with decision makers and will serve as a model for other initiatives involving accompanying patients, connected objects, or digital platforms.
    International registered report identifier (irrid): PRR1-10.2196/54440.
    Language English
    Publishing date 2024-03-22
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2719222-2
    ISSN 1929-0748
    ISSN 1929-0748
    DOI 10.2196/54440
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Simulation-based education to improve management of refractory anaphylaxis in an allergy clinic.

    Copaescu, Ana M / Graham, Francois / Nadon, Nathalie / Gagnon, Rémi / Robitaille, Arnaud / Badawy, Mohamed / Claveau, David / Roches, Anne Des / Paradis, Jean / Vincent, Matthieu / Bégin, Philippe

    Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology

    2023  Volume 19, Issue 1, Page(s) 9

    Abstract: Background: High-fidelity simulations based on real-life clinical scenarios have frequently been used to improve patient care, knowledge and teamwork in the acute care setting. Still, they are seldom included in the allergy-immunology curriculum or ... ...

    Abstract Background: High-fidelity simulations based on real-life clinical scenarios have frequently been used to improve patient care, knowledge and teamwork in the acute care setting. Still, they are seldom included in the allergy-immunology curriculum or continuous medical education. Our main goal was to assess if critical care simulations in allergy improved performance in the clinical setting.
    Methods: Advanced anaphylaxis scenarios were designed by a panel of emergency, intensive care unit, anesthesiology and allergy-immunology specialists and then adapted for the adult allergy clinic setting. This simulation activity included a first part in the high-fidelity simulation-training laboratory and a second at the adult allergy clinic involving actors and a high-fidelity mannequin. Participants filled out a questionnaire, and qualitative interviews were performed with staff after they had managed cases of refractory anaphylaxis.
    Results: Four nurses, seven allergy-immunology fellows and six allergy/immunologists underwent the simulation. Questionnaires showed a perceived improvement in aspects of crisis and anaphylaxis management. The in-situ simulation revealed gaps in the process, which were subsequently resolved. Qualitative interviews with participants revealed a more rapid and orderly response and improved confidence in their abilities and that of their colleagues to manage anaphylaxis.
    Conclusion: High-fidelity simulations can improve the management of anaphylaxis in the allergy clinic and team confidence. This activity was instrumental in reducing staff reluctance to perform high-risk challenges in the ambulatory setting, thus lifting a critical barrier for implementing oral immunotherapy at our adult center.
    Language English
    Publishing date 2023-01-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 2434973-2
    ISSN 1710-1492 ; 1710-1484
    ISSN (online) 1710-1492
    ISSN 1710-1484
    DOI 10.1186/s13223-023-00764-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: A qualitative evaluation of a family nursing intervention.

    Duhamel, Fabie / Dupuis, France / Reidy, Mary / Nadon, Nathalie

    Clinical nurse specialist CNS

    2006  Volume 21, Issue 1, Page(s) 43–49

    Abstract: Congestive heart failure is a major source of anxiety for both patients and their family. This article presents the results of a qualitative case study aimed at evaluating family nursing interventions from the perspective of the family members and a ... ...

    Abstract Congestive heart failure is a major source of anxiety for both patients and their family. This article presents the results of a qualitative case study aimed at evaluating family nursing interventions from the perspective of the family members and a clinical nurse specialist (CNS). A CNS applied a family nursing intervention program with 4 couples. Data were obtained through semistructured interviews preintervention and postintervention for the couples and postintervention for the CNS. The transcripts of the interviews were submitted for content analysis. For the couples, results show both spouses subject to a high level of suffering, which can be alleviated through a family nursing meeting that allows them to obtain a better understanding of each other's experience. For the CNS, family interventions were considered a privilege since they helped relieve suffering and her own feelings of powerlessness. These results have the potential to improve family nursing interventions and enhance CNS practice.
    MeSH term(s) Adaptation, Psychological ; Aged ; Anxiety/etiology ; Anxiety/prevention & control ; Attitude of Health Personnel ; Attitude to Health ; Family/psychology ; Family Nursing/organization & administration ; Family Nursing/psychology ; Female ; Heart Failure/nursing ; Heart Failure/psychology ; Humans ; Male ; Middle Aged ; Nurse Clinicians/organization & administration ; Nurse Clinicians/psychology ; Nurse's Role/psychology ; Nursing Evaluation Research ; Nursing Methodology Research ; Pilot Projects ; Professional-Family Relations ; Program Evaluation ; Qualitative Research ; Social Support ; Surveys and Questionnaires ; Systems Theory
    Language English
    Publishing date 2006-11-15
    Publishing country United States
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 1036840-1
    ISSN 0887-6274
    ISSN 0887-6274
    DOI 10.1097/00002800-200701000-00009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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