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首页> 外文学位 >Developpement, mise a l'essai et evaluation d'une intervention de pratique reflexive avec des infirmieres oeuvrant aupres de personnes âgees hospitalisees.
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Developpement, mise a l'essai et evaluation d'une intervention de pratique reflexive avec des infirmieres oeuvrant aupres de personnes âgees hospitalisees.

机译：对住院老人护理人员进行反思性干预的开发，测试和评估。

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摘要

The purpose of this research was to develop, field-test and evaluate the effects of a reflective practice intervention (RPI) with nurses who care for hospitalized elders. Based on the theory of Human Caring put forth by Watson (1979) and on the Model for Structured Reflection developed by Johns (2006), the study used a mixed design. A qualitative action-research approach was used for the development and testing of the RPI. The evaluation of the intervention used a qualitative approach and a quantitative quasi-experimental approach with a comparison group (CG). Upon completion of the RPI, the nurses were invited to identify the benefits of the intervention on their skills and nursing knowledge and on their perception of the RP as a way of improving their professional practice. Three hypotheses were advanced: following this RPI and compared with the CG, nurses in the experimental group (EG) would improve their attitudes and knowledge regarding elders, identify a larger number of nursing interventions adapted to the hospitalized elder clientele, and achieve a higher level of reflection.;The study was carried out with 43 university-hospital nurses (EG = 22; CG = 21). The RPI spanned a 22-week period. It included eight thematic workshops each 75 minutes long, delivered at three-week intervals, combined with reading assignments and individual exercises. The RPI focused on three themes central to elder hospitalization: medication, mobilization, and discharge planning.;Qualitative and quantitative data were collected through questionnaires, both open-ended (vignettes, reflective essays) and standardized ( Kogan's Attitudes Toward Old People Scale, Palmore's Facts on Aging Quiz), completed pre- and post-intervention by both groups. Nurses form the EG also completed a questionnaire on the RP experience and some took part in focus groups. A thematic content analysis was carried out on the qualitative data using the approach proposed by Miles and Huberman (2003), and Wilcoxon rank tests were run on the quantitative data.;Results show that the nurses developed different skills and abilities required for a RP, including introspection, openness to others, and critical analysis. The participants recognized that the RPI allowed them, among other things, to develop empiric, ethical, esthetic, personal and emancipatory knowledge. Moreover, they saw the RPI as a means of improving professional practice, particularly thanks to its potential for countering the routinization of care. Furthermore, compared with their CG counterparts, the EG nurses significantly improved their attitudes and knowledge regarding elders. However, no significant inter-group differences emerged following the RPI in terms of either the number of interventions adapted to situations experienced by hospitalized elders or the level of reflection achieved. Research hypotheses were partly supported.;This study demonstrates the potential of a RPI as an innovative professional development approach that valorizes the experience of nurses while allowing them to change their attitudes towards elders in a positive fashion and to adjust their knowledge according to the needs of this frail and vulnerable clientele. Possible avenues of pursuit are proposed for clinical practice, training, management and research.;Key words: reflective practice, professional development, gerontologic nursing, hospitalized elderly, educative intervention, mixed design, action research, quasi-experimental design.
机译：这项研究的目的是与照顾住院老人的护士一起开发，实地测试和评估反思性实践干预（RPI）的效果。基于Watson（1979）提出的“人类关怀”理论和Johns（2006）开发的“结构化反射模型”，该研究采用了混合设计。定性的行动研究方法被用于RPI的开发和测试。对干预措施的评估使用了定性方法和定量准实验方法，并使用了比较组（CG）。 RPI完成后，邀请护士确定干预措施对他们的技能和护理知识以及对RP的理解，以改善他们的专业实践。提出了三个假设：遵循此RPI并与CG相比，实验组（EG）的护士将改善他们对老年人的态度和知识，确定更多适合住院的老年客户的护理干预措施，并达到更高的水平该研究是在43位大学医院护士（EG = 22； CG = 21）的情况下进行的。 RPI跨22个星期。它包括八个专题研讨会，每期75分钟，每三周一次，并结合阅读作业和个人练习。 RPI集中于老年人住院的三个主题：药物治疗，动员和出院计划。通过问卷调查收集定性和定量数据，包括不限成员名额（小插曲，反思性文章）和标准化问卷（Kogan的“对待老年人的态度量表”，“ Palmore's”）。事实调查），两组均完成了干预前后的干预。 EG的护士还完成了有关RP经验的问卷调查，其中一些人参加了焦点小组。使用Miles和Huberman（2003）提出的方法对定性数据进行了主题内容分析，并对定量数据进行了Wilcoxon等级测试。结果表明，护士发展了RP所需的不同技能和能力，包括内省，对他人开放和批判性分析。参与者认识到，RPI使他们能够发展经验，伦理，审美，个人和解放知识。此外，他们将RPI视为改善专业实践的一种手段，尤其是由于RPI具有对抗常规护理的潜力。此外，与CG护士相比，EG护士大大提高了他们对长者的态度和知识。但是，在RPI之后，无论是针对适应住院长者情况的干预措施数量，还是实现的反思水平，都没有明显的群体间差异。研究假说得到了部分支持。本研究证明了RPI作为一种创新的专业发展方法的潜力，这种方法可以提高护士的经验，同时允许他们以积极的方式改变对长者的态度，并根据护士的需求调整知识。这个脆弱而脆弱的客户提出了可能的临床实践，培训，管理和研究途径。关键词：反思性实践，专业发展，老年病学护理，住院老人，教育干预，混合设计，行动研究，准实验设计。

著录项

  • 作者

    Dube, Veronique.;

  • 作者单位

    Universite de Montreal (Canada).;

  • 授予单位 Universite de Montreal (Canada).;
  • 学科 Nursing.
  • 学位 Ph.D.
  • 年度 2012
  • 页码 347 p.
  • 总页数 347
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 肿瘤学;
  • 关键词

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