Abstracts
Abstract
Introduction: Numerous studies have revealed that a limited time is devoted to value-added care activities that are part of nurses’ professional role (Déry et al., 2022). This has an impact on the performance of healthcare systems in terms of overall costs. The COVID-19 pandemic has put more pressure on healthcare organizations, on its nurse managers (NMs) and staff nurses.
Objective: To mobilize key players in care units to propose effective and realistic strategies to facilitate the optimal deployment of nursing practice.
Methods: This international research program encompasses 3 consecutive cross-sectional studies involving 2 healthcare centres: 1 in Canada and 1 in Switzerland. Study 1’s qualitative design will include focus groups with NMs. Study 2’s quantitative correlational design will survey staff nurses. Study 3 will include multiple meetings with NMs, staff nurses, clinical nurse specialists and educators (key players) to develop a logic model of intervention to propose effective and realistic strategies to facilitate the full deployment of nurses’ scope of practice.
Discussion and Research Spin-offs: Study 1 will help describe the innovative management practices of NMs since the onset of the COVID-19 pandemic and identify their support and educational needs. Study 2 will explore the perceptions of staff nurses regarding the work psychological climate and work recognition, their actual scope of practice, their professional satisfaction at work and their perception of the quality of care. Study 3 will take advantage of this new data and mobilize key players in the identification of improvement strategies adapted to their own reality.
Keywords:
- nurses’ scope of practice,
- nurse managers,
- protocol,
- logic model,
- international,
- multi-method
Résumé
Introduction : De nombreuses études ont révélé qu’un temps limité est consacré aux activités de soins à valeur ajoutée faisant partie du rôle professionnel des infirmières (Déry et al., 2022). Or, cela a un impact sur la performance des systèmes de santé en termes de coûts globaux. La pandémie de COVID-19 a exercé une pression supplémentaire sur les organisations de soins de santé, et sur les infirmières gestionnaires et soignantes.
Objectif : Mobiliser les acteurs clés d’unités de soins afin de proposer des stratégies efficaces et réalistes pour faciliter le déploiement optimal de la pratique infirmière.
Méthodes : Ce programme de recherche international comprend 3 études transversales consécutives impliquant 2 centres de santé : 1 au Canada et 1 en Suisse. Le devis qualitatif de l’étude 1 comprendra des groupes de discussion avec des infirmières gestionnaires. Le devis corrélationnel quantitatif de l’étude 2 questionnera les infirmières soignantes. L’étude 3 comprendra de multiples rencontres avec des infirmières gestionnaires, soignantes, infirmières cliniciennes spécialisées et éducateurs (acteurs clés) pour élaborer un modèle logique d’intervention.
Discussion et retombées anticipées : L’étude 1 aidera à identifier les pratiques novatrices de gestion mises en œuvre par les infirmières gestionnaires depuis la COVID-19 ainsi qu’à identifier leurs besoins de soutien et de développement professionnel. L’étude 2 permettra de brosser un portrait précis du déploiement actuel de l’étendue de la pratique infirmière, ses tenants et aboutissants. L’étude 3 mobilisera les acteurs clés de chaque unité dans l’identification de stratégies efficaces et réalistes d’amélioration adaptées à leur réalité.
Mots-clés :
- étendue de la pratique infirmière,
- infirmières gestionnaires,
- protocole,
- modèle logique,
- international,
- multi-méthode
Appendices
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