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A temática da violência na formação da enfermagem : racionalidades hegemônicas e o ensino na graduação / The theme of violence in nursing education : hegemonic rationalities and teaching in the graduation course / El tema de la violencia en la formación de la enfermería : racionalidades hegemónicas y la enseñanza en la graduaciónBonfim, Elisiane Gomes January 2015 (has links)
Neste estudo, aborda-se o ensino da temática da violência na graduação em enfermagem. O objetivo geral da tese consistiu em investigar como a temática da violência é abordada em Cursos de Bacharelado em Enfermagem das Instituições de Ensino Superior, situadas em Porto Alegre, e analisar as racionalidades subjacentes em documentos e práticas. O estudo qualitativo englobou todos os cursos de bacharelado em enfermagem, situados em Porto Alegre, que concluíram turmas, perfazendo quatro cursos. As ferramentas para a geração de dados incluíram pesquisa documental, por meio das diretrizes curriculares nacionais, dos projetos pedagógicos, de matrizes curriculares, de planos de ensino das disciplinas que abordam a violência e de entrevistas com os docentes que abordam a temática da violência na graduação em enfermagem. Os resultados demonstraram a abordagem da violência no currículo formal real, com concentração nas disciplinas voltadas para a saúde da criança, em situações nas quais a violência é discutida a partir da percepção de necessidade do docente e no currículo oculto, por meio da demanda pela vivência de situações de violência nos cenários de prática. Foi possível identificar um distanciamento entre as normativas fundantes da saúde como direito, constantes nas Diretrizes Curriculares Nacionais e que inspiram os Projetos Pedagógicos dos Cursos, e o real na implementação dos Currículos. A execução dos projetos é permeada pela racionalidade biomédica, pelo padrão empírico de conhecimento de enfermagem e com a concepção de saúde, entendida como ausência de doenças, o que, constata-se, não sustenta a complexidade de abordagens multicausais como aquelas necessárias a teorizar e gerar enfrentamentos à violência. Outra constatação é de que as competências e as habilidades, previstas para a formação, são transcritas das Diretrizes Curriculares para os Projetos Pedagógicos dos Cursos, e não se configuram em operacionalização nos Planos de Ensino. Nas ementas das disciplinas, que abordam a violência, ainda persiste o foco na doença, exceção às disciplinas de direitos humanos e às voltadas à saúde da criança, que têm por base políticas públicas. Neste contexto, novos olhares na abordagem da violência acontecem, por meio das atividades de extensão, programas e projetos, e pela inserção do tema nos grupos de pesquisa, nos quais é possível vivenciar a atuação da equipe multidisciplinar, além dos estágios obrigatórios em cenários de prática em diferentes instituições que não se limitam à saúde e que atuam considerando a saúde enquanto direito. / This study approaches the theme of teaching of violence within the nursing graduation studies. The general objective of the thesis consisted of an investigation about how the theme of violence is approached in Nursing Graduation Courses of Higher Teaching Institutions located in Porto Alegre as well as of an analysis of rationalities that are subjacent in documents and practices. The qualitative study comprised all of the graduation courses on nursing located in Porto Alegre that completed and formed classes totaling four courses. The tools for the collecting data included research on documents of the national curriculum guidelines, pedagogic projects, curriculum matrices and teaching plans of the disciplines that cover the issue of violence, as well as interviews with teachers who discuss this theme in the nursing graduation. Findings demonstrated the violence approach in the actual formal curriculum with concentration in the disciplines addressing the child´s health and in situations where violence is discussed in the perception of the teacher´s need as well as in the hidden curriculum by means of the demand due to the experience of violence situations in the practice settings. It was possible to identify a gap between the normative ruling foundations of health as a right, presented in the National Curriculum Guidelines that inspire the Pedagogic Projects of the Courses and the actual ones applied in the implementation of the Curricula. The execution of the projects is permeated by the biomedical rationality and the empiric standard of nursing knowledge besides the health conception, understood as absence of diseases, what is perceived as unable to sustain the complexity of multiple and varied approaches like those needed to theorize and to generate confrontations to violence. Another finding evidences that the competences and abilities foreseen for the nursing education are transcribed from the Curriculum Guidelines for the Pedagogic Projects of the Courses but are not outlined for their operation in the Teaching Plans. In the synopses of the disciplines that approach violence still persist the focus on disease with exception of the disciplines on human rights and those addressed to the child´s health that are founded on public policies Within this context, new glances on the violence approach occur by means of extension activities, programs and projects and by inserting the theme in research groups where it is possible to experience the performance of the multidisciplinary team besides the mandatory internship practice scenarios in different institutions that are not limited to health but that develop their activities by considering health as a right. / Este estudio aborda el tema de la enseñanza de la violencia dentro de los estudios de graduación de enfermería. El objetivo general de la tesis consistió en investigar como la temática de la violencia es abordada en Cursos de Licenciatura en Enfermería de las Instituciones de Enseñanza Superior, ubicadas en Porto Alegre, y analizar las racionalidades subyacentes en documentos y prácticas. El estudio cualitativo abarcó todos los cursos de graduación en enfermería ubicados en Porto Alegre que concluyeron y formaron grupos, totalizando cuatro cursos. Las herramientas para la generación de datos incluyeron investigación en documentos de las directrices curriculares nacionales y de proyectos pedagógicos, matrices curriculares, planes de enseñanza de las disciplinas que abordan la violencia bien como a través de entrevistas con los docentes que abordan la temática de la violencia en la graduación en enfermería. Los resultados demostraron el abordaje de la violencia en el currículo formal real, con concentración en las disciplinas dedicadas a la salud del niño y en situaciones donde la violencia es discutida desde la percepción de necesidad del docente bien como en el currículo oculto, por medio de la demanda por la vivencia de situaciones de violencia en los escenarios de práctica. Fue posible identificar un distanciamiento entre las normativas fundantes de la salud como derecho, previstas en las Directrices Curriculares Nacionales y que inspiran los Proyectos Pedagógicos de los Cursos, y lo real en la implementación de los Currículos. La ejecución de los proyectos es impregnada por la racionalidad biomédica, por el estándar empírico de conocimiento de enfermería con la concepción de salud, entendida como ausencia de enfermedades, lo que, según se constata, no sustenta la complejidad de abordajes de múltiples causas como aquellas necesarias para teorizar y generar enfrentamientos a la violencia. Otra constatación es que las competencias y habilidades previstas para la formación son transcritas de las Directrices Curriculares para los Proyectos Pedagógicos de los Cursos pero no se las encuentra configuradas en la operación de los Planes de Enseñanza. En las sinopsis de las disciplinas, que abordan la violencia, todavía persiste el foco en la enfermedad, a excepción de las disciplinas de derechos humanos y de aquellas volcadas a la salud del niño, que toman las políticas públicas como base. En este contexto, ocurren nuevas miradas en el abordaje de la violencia por medio de las actividades de extensión, programas y proyectos, así como por la inserción del tema en los grupos de pesquisa, en los cuales es posible experimentar la actuación del equipo multidisciplinario, además de las prácticas obligatorias en escenarios de práctica de diferentes instituciones que no se limitan a la salud pero que actúan considerando la salud como derecho.
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Professionnalité du CPE. L'exercice de l'autorité et les rites de passage dans leur rapport à la transgression. Le cas de la fête du Père Cent / Professional qualities of the C. P. E. : year head (GB) / dean (US) The exercise of authority and the rites of passage linked with transgression. The Père cent example.Bertin, Raynald 07 July 2013 (has links)
A cent jours du baccalauréat, les élèves des classes de terminale fêtent le Père cent. Déguisés, ils vont par petits groupes, telle une parade carnavalesque, faire la quête sur les ronds-points et se retrouvent tous en soirée pour danser. C’est une sorte de rite de passage, commémorant les années passées ensemble avant de se séparer. L’institution scolaire ne voit pas toujours d’un bon œil ces pratiques assimilées à du « bizutage ». Le Conseiller Principal d’Éducation, par ses fonctions, est responsable de l’animation éducative de l’établissement. Il doit accompagner les élèves dans toutes leurs initiatives, sans pour autant, dans le cas du Père cent, cautionner institutionnellement l’événement. Comment une pratique interdite peut-t-elle se dérouler ? Quelle fonction remplit-elle auprès de ces jeunes qui transgressent les règles ? Quelle peut être la posture du C. P. E. dans l’exercice de son autorité face à un rituel lycéen subversif ? L’historiographie de cette fête (1880-2010) et la lecture d’images photographiques sur plus d’un siècle nous a permis d’en relever les éléments fondamentaux et les origines militaires et normaliennes. Une lecture herméneutique a dégagé les invariants et fait émerger la forme archétypale du Père cent. Convoquant les concepts de fête, de rites de passage et de transgression de l’autorité, la méthodologie employée a montré comment la fête, par son émergence ouvre un espace propice aux rites de passage et aux transgressions. Elle offre à ces jeunes l’occasion opportune de témoigner de leur maturité. Par voie de conséquence, la fonction de C. P. E. apparaît au cœur des multiples tensions et des contradictions que catalyse la fête du Père cent. Le support théorique de cette recherche est amplement nourri par les travaux d’A. v. Gennep et de V. W. Turner sur les rites de passage, de R. Caillois, J. Heers, M. Maffesoli sur la fête, de P. Meirieu, J. Housaye, P. Bourdieu, F. Lerbet-Séréni, sur l’éducation, P. Audi, B. Robbes, A. Kojève pour l’autorité et X. Pommereau, J-J. Rassial pour l’adolescence. Dépassant le cadre de cette fête, l’étude montre l’intérêt et le profit, pour le C. P. E., d’investir les moindres espaces éducatifs afin de faire advenir l’auctor en chaque élève. / One hundred days prior to the baccalaureate exam, the 12th graders (US) / upper sixth pupils (GB) celebrate the Père cent. They wear disguises like people do in carnival parades and go begging for small change at roundabouts (crossroads). Eventually, they organize parties and dance (all night long). It is a kind of rite of passage to celebrate the good time spent together before everyone makes the parting of the ways. Most school officials look unfavourably on this custom / tradition as they consider it as hazing (US) / fresher initiation (GB). The CPE is in charge of the educational animation at school. He is supposed to guide the pupils' initiatives, without actually backing a celebration such as the Père Cent. How can a prohibited event take place each year ? What is the aim of breaking the rules for the youth ? How can the CPE react when confronted with this subversive ritual ? The historiography of this feast (1880-2010) and the analysis of pictures spanning one century made it possible to reveal the basic elements and the military origins of the celebration. (Ecole normale d’instituteurs) The unchanging factors of the celebration have emerged thanks to an hermeneutic analysis, the archetypal structure of the Père cent was thus outlined. Carrying the concepts of festival, rites of passage and rebellion against authority, the methodology used showed how the celebration is the perfect way for pupils to experience rites of passage and rebellion. Students get the opportunity to show evidence of their maturity. As a consequence, the duty of the CPE is at the heart of the tension and contradictions triggered up by the Père cent celebration. The theoritical support of this research largely stem from the work of A.Gennep and V.W. Turner about the rites of passage, R. Callois, J.Heers, M.Maffesoli about celebrations, P.Meirieu, J.Housaye, F.Lerbet-Séréni about education, P.Audi, B.Robbes, A. Kojève about authority and X. Pommereau, J-J. Rassial about adolescence. Beyond the celebration, this study shows how interesting and profitable it is for the CPE to commit himself in any educative field and rouse the pupils' auctor.
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A temática da violência na formação da enfermagem : racionalidades hegemônicas e o ensino na graduação / The theme of violence in nursing education : hegemonic rationalities and teaching in the graduation course / El tema de la violencia en la formación de la enfermería : racionalidades hegemónicas y la enseñanza en la graduaciónBonfim, Elisiane Gomes January 2015 (has links)
Neste estudo, aborda-se o ensino da temática da violência na graduação em enfermagem. O objetivo geral da tese consistiu em investigar como a temática da violência é abordada em Cursos de Bacharelado em Enfermagem das Instituições de Ensino Superior, situadas em Porto Alegre, e analisar as racionalidades subjacentes em documentos e práticas. O estudo qualitativo englobou todos os cursos de bacharelado em enfermagem, situados em Porto Alegre, que concluíram turmas, perfazendo quatro cursos. As ferramentas para a geração de dados incluíram pesquisa documental, por meio das diretrizes curriculares nacionais, dos projetos pedagógicos, de matrizes curriculares, de planos de ensino das disciplinas que abordam a violência e de entrevistas com os docentes que abordam a temática da violência na graduação em enfermagem. Os resultados demonstraram a abordagem da violência no currículo formal real, com concentração nas disciplinas voltadas para a saúde da criança, em situações nas quais a violência é discutida a partir da percepção de necessidade do docente e no currículo oculto, por meio da demanda pela vivência de situações de violência nos cenários de prática. Foi possível identificar um distanciamento entre as normativas fundantes da saúde como direito, constantes nas Diretrizes Curriculares Nacionais e que inspiram os Projetos Pedagógicos dos Cursos, e o real na implementação dos Currículos. A execução dos projetos é permeada pela racionalidade biomédica, pelo padrão empírico de conhecimento de enfermagem e com a concepção de saúde, entendida como ausência de doenças, o que, constata-se, não sustenta a complexidade de abordagens multicausais como aquelas necessárias a teorizar e gerar enfrentamentos à violência. Outra constatação é de que as competências e as habilidades, previstas para a formação, são transcritas das Diretrizes Curriculares para os Projetos Pedagógicos dos Cursos, e não se configuram em operacionalização nos Planos de Ensino. Nas ementas das disciplinas, que abordam a violência, ainda persiste o foco na doença, exceção às disciplinas de direitos humanos e às voltadas à saúde da criança, que têm por base políticas públicas. Neste contexto, novos olhares na abordagem da violência acontecem, por meio das atividades de extensão, programas e projetos, e pela inserção do tema nos grupos de pesquisa, nos quais é possível vivenciar a atuação da equipe multidisciplinar, além dos estágios obrigatórios em cenários de prática em diferentes instituições que não se limitam à saúde e que atuam considerando a saúde enquanto direito. / This study approaches the theme of teaching of violence within the nursing graduation studies. The general objective of the thesis consisted of an investigation about how the theme of violence is approached in Nursing Graduation Courses of Higher Teaching Institutions located in Porto Alegre as well as of an analysis of rationalities that are subjacent in documents and practices. The qualitative study comprised all of the graduation courses on nursing located in Porto Alegre that completed and formed classes totaling four courses. The tools for the collecting data included research on documents of the national curriculum guidelines, pedagogic projects, curriculum matrices and teaching plans of the disciplines that cover the issue of violence, as well as interviews with teachers who discuss this theme in the nursing graduation. Findings demonstrated the violence approach in the actual formal curriculum with concentration in the disciplines addressing the child´s health and in situations where violence is discussed in the perception of the teacher´s need as well as in the hidden curriculum by means of the demand due to the experience of violence situations in the practice settings. It was possible to identify a gap between the normative ruling foundations of health as a right, presented in the National Curriculum Guidelines that inspire the Pedagogic Projects of the Courses and the actual ones applied in the implementation of the Curricula. The execution of the projects is permeated by the biomedical rationality and the empiric standard of nursing knowledge besides the health conception, understood as absence of diseases, what is perceived as unable to sustain the complexity of multiple and varied approaches like those needed to theorize and to generate confrontations to violence. Another finding evidences that the competences and abilities foreseen for the nursing education are transcribed from the Curriculum Guidelines for the Pedagogic Projects of the Courses but are not outlined for their operation in the Teaching Plans. In the synopses of the disciplines that approach violence still persist the focus on disease with exception of the disciplines on human rights and those addressed to the child´s health that are founded on public policies Within this context, new glances on the violence approach occur by means of extension activities, programs and projects and by inserting the theme in research groups where it is possible to experience the performance of the multidisciplinary team besides the mandatory internship practice scenarios in different institutions that are not limited to health but that develop their activities by considering health as a right. / Este estudio aborda el tema de la enseñanza de la violencia dentro de los estudios de graduación de enfermería. El objetivo general de la tesis consistió en investigar como la temática de la violencia es abordada en Cursos de Licenciatura en Enfermería de las Instituciones de Enseñanza Superior, ubicadas en Porto Alegre, y analizar las racionalidades subyacentes en documentos y prácticas. El estudio cualitativo abarcó todos los cursos de graduación en enfermería ubicados en Porto Alegre que concluyeron y formaron grupos, totalizando cuatro cursos. Las herramientas para la generación de datos incluyeron investigación en documentos de las directrices curriculares nacionales y de proyectos pedagógicos, matrices curriculares, planes de enseñanza de las disciplinas que abordan la violencia bien como a través de entrevistas con los docentes que abordan la temática de la violencia en la graduación en enfermería. Los resultados demostraron el abordaje de la violencia en el currículo formal real, con concentración en las disciplinas dedicadas a la salud del niño y en situaciones donde la violencia es discutida desde la percepción de necesidad del docente bien como en el currículo oculto, por medio de la demanda por la vivencia de situaciones de violencia en los escenarios de práctica. Fue posible identificar un distanciamiento entre las normativas fundantes de la salud como derecho, previstas en las Directrices Curriculares Nacionales y que inspiran los Proyectos Pedagógicos de los Cursos, y lo real en la implementación de los Currículos. La ejecución de los proyectos es impregnada por la racionalidad biomédica, por el estándar empírico de conocimiento de enfermería con la concepción de salud, entendida como ausencia de enfermedades, lo que, según se constata, no sustenta la complejidad de abordajes de múltiples causas como aquellas necesarias para teorizar y generar enfrentamientos a la violencia. Otra constatación es que las competencias y habilidades previstas para la formación son transcritas de las Directrices Curriculares para los Proyectos Pedagógicos de los Cursos pero no se las encuentra configuradas en la operación de los Planes de Enseñanza. En las sinopsis de las disciplinas, que abordan la violencia, todavía persiste el foco en la enfermedad, a excepción de las disciplinas de derechos humanos y de aquellas volcadas a la salud del niño, que toman las políticas públicas como base. En este contexto, ocurren nuevas miradas en el abordaje de la violencia por medio de las actividades de extensión, programas y proyectos, así como por la inserción del tema en los grupos de pesquisa, en los cuales es posible experimentar la actuación del equipo multidisciplinario, además de las prácticas obligatorias en escenarios de práctica de diferentes instituciones que no se limitan a la salud pero que actúan considerando la salud como derecho.
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Geography of College Opportunity: Situating Community College Baccalaureates across Demographic DifferencesLeonard, Michael B. January 2020 (has links)
No description available.
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Relation infirmière-personne : perceptions d’étudiantes infirmières sur l’acquisition et la mobilisation des ressources nécessairesCoupat, Clémence 07 1900 (has links)
Problématique : La relation infirmière-personne est au cœur de la discipline et de la profession infirmière. Dans les modèles actuels de formation en approche par compétences, l’acquisition des ressources nécessaires à cette relation ne fait pas consensus et les perceptions des étudiantes n’ont pas été explorées.
Objectif : Comprendre les perceptions d’étudiantes infirmières quant à l’acquisition des ressources nécessaires à la relation infirmière-personne au cours de leur formation au baccalauréat.
Méthode : Cette recherche qualitative-descriptive a permis de mener quatre groupes focalisés auprès de 20 étudiantes des trois années du baccalauréat en sciences infirmières de l’Université de Montréal. Une analyse thématique inspirée de Paillé et Mucchielli (2021) a été réalisée à deux niveaux d’inférence différents.
Résultats : Trois thèmes ont été identifiés : 1) la conception des étudiantes concernant la relation infirmière-personne, 2) les ressources internes et 3) les ressources externes. La conception des étudiantes se construit sur la place centrale donnée à la relation infirmière-personne, un idéal de pratique, notamment ancré sur le partenariat-patient, et des facteurs influençant cette relation. Les émotions et les expériences antérieures font partie des ressources internes. Enfin, les outils d’apprentissage et les modèles de rôles sont des ressources externes. Un diagramme permet de représenter les thèmes formant une compétence à part entière.
Recommandations : Les résultats invitent les infirmières à remettre la relation infirmière-personne au cœur de leurs préoccupations. Ils encouragent particulièrement les responsables de formation à adopter des curriculums permettant de visibiliser la relation infirmière-personne et les ressources qu’elle mobilise. / Background: The nurse-patient relationship is at the heart of the nursing discipline and profession. In current models of competency-based education, the acquisition of necessary resources for this relationship is not a matter of consensus and students' perceptions were not explored.
Aims: To understand the perceptions of nursing students regarding the acquisition of resources necessary for the nurse-patient relationship during their baccalaureate training.
Design: This qualitative-descriptive research was conducted in four focus-groups with 20 students from the three years of the Nursing Baccalaureate program at the Université de Montréal. A thematic analysis inspired by Paillé and Mucchielli (2021) was conducted at two different levels of inference.
Results: Three themes were identified: 1) students' conception of the nurse-patient relationship, 2) internal resources and 3) external resources. The students' conception is built on the centrality of the nurse-patient relationship, an ideal of practice, notably anchored on the patient-partnership, and factors influencing this relationship. Emotions and previous experiences are part of the internal resources. Finally, learning tools and role-models are external resources. A diagram represents the themes that form a competence.
Recommendations: The results invite all nurses to put the nurse-patient relationship back at the heart of their concerns. They particularly encourage those responsible for education to adopt curricula that make the nurse-patient relationship and the resources it mobilizes visible.
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Self-Regulated Learning Strategies and Beliefs of International Baccalaureate Students in an Urban Secondary High SchoolWhite, Judith 19 April 2011 (has links)
No description available.
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Online RN to BSN Education: Characteristics of Student SuccessZuspan, Rebecca E. 05 July 2017 (has links)
No description available.
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A Case Study of an International Baccalaureate School within an Urban School District-University PartnershipGlass, Lindsey Heather 03 June 2016 (has links)
No description available.
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大學入學考試制度之研究:以台灣與法國為例 / A Study of College Admission: The Case of Taiwan and France白美恩, Marion Baudry Unknown Date (has links)
隨著高等教育的大眾化發展,臺灣與法國的大學招生制度經過幾次變革,以期滿足招生需求。大學學位不僅是學歷的一紙證明,更是臺灣與法國高等教育標準化歷程的體現。從高中過渡到大學,是每個學生學術生涯中關鍵且費神的階段,並與未來的成功息息相關。因此,無論在臺灣或法國,學生高中階段的學術能力測驗至關重要,可謂從青春期過渡到成年期的重要指標。學術能力測驗成績影響著絕大多數畢業生的大學申請和錄取機會。雖然臺灣和法國有不少關於兩國大學教育的研究,但對於高中學生進入大學前的學術能力測驗甚少探討。本研究旨在探討臺、法國大學申請的入學先決條件和要求,以期進一步瞭解大學入學機制。本研究透過對臺灣和法國大學系統中錄取要求,如臺灣的先修課程測驗和法國的一般入學要求等規定進行對比分析,找出各自的優缺點。研究方法包括文獻綜述,以及對兩國高中生進行問卷調查和深度訪談。研究發現,目前兩國的大學入學系統的主要難題之一是缺乏相應的學術指導機制。臺灣方面在於過分強調大學入學考試測驗,法國則與之相反,學生因為過高的升學率而缺乏學習動機。本研究建議,今後臺法兩國如何面對高教入學機會中重新出現的不公與文憑貶值等新挑戰,是雙方大學入學體系需要解決的共同問題。 / With the massification of their higher education systems, Taiwan and France have experienced several changes in their college admission processes in order to meet the increasing demand of enrollment into higher education. A university degree has become more than just a certificate of academic achievement but a normalized process in Taiwan and France. The transition from high school to university has become a pivotal yet nerve-racking period in a student’s academic career and is considered as one of the most crucial factor of the student’s future success. In Taiwan and France, the academic abilities of students tested during the senior high school are the most important and significant indicators of students’ transition from adolescence to adulthood. It leads a vast majority of graduates to apply to university and to undertake college admission process. Although several studies have been done in Taiwan and France, only few have previously analyzed a student’s journey through the college admission process in the two countries. The current study intends to investigate the prerequisites and requirements that college applicants in Taiwan and France are required to meet in order to access the college and university systems. By comparing and analyzing the massification of the two systems, as well as Taiwan and France college admission’s requirements such as the Scholastic Ability Test and the Advanced Subjects Test in Taiwan, and the French General Baccalaureate; the study seeks to identify the crucial pro and cons that arise in each system in order to give recommendations on improvements that can be made. Data has been collected through literature reviews, in-depth interviews as well as surveys among former senior high school students in both countries. The results of the present study show that one of the main dilemmas of today’s education systems is the lack of academic guidance. While one of the main problems of Taiwanese education is its emphasis on testing, France education, on the contrary, is facing issues due to its excessive accessibility of universities which leads students to enroll in degrees without real motivations behind their choice. The shift of inequalities in educational opportunities is also one of the new concerns that Taiwanese and French education systems are facing as well as the depreciation of diplomas.
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L’étendue effective de pratique des infirmières oeuvrant en santé mentale et le niveau de formationLafleur, Martine 04 1900 (has links)
L’importance du rôle de l’infirmière dans le système de santé autant au niveau de l’accessibilité que la qualité et la sécurité des soins et services donnés à la population est reconnue. Pour être en mesure d’exercer pleinement ce rôle, les infirmières doivent être en mesure d’exercer à leur pleine étendue de pratique. Les infirmières œuvrant dans le domaine de la santé mentale n’y font pas exception. Or, les recherches démontrent que les infirmières ne parviennent pas à mettre en oeuvre l’ensemble des activités pour lesquelles elles détiennent la formation et l’expérience. Cette recherche vise à mesurer l’étendue de pratique effective des infirmières oeuvrant en santé mentale ainsi qu’à identifier l’influence du niveau de formation sur cette étendue de pratique. Cette étude prend appui sur le SCOP model de Déry et al. (2015) qui mentionne que certaines caractéristiques de l’environnement et individuelles, telles que le niveau de formation, peuvent influencer l’étendue effective de la pratique des infirmières. Le déploiement de cette étendue de pratique a le potentiel d’influencer à son tour la satisfaction professionnelle des infirmières (Déry et al., 2013), la qualité des soins aux patients ainsi que d’autres variables organisationnelles telles que l’accessibilité, les durées moyennes de séjours et les coûts. Un devis corrélationnel descriptif a été retenu pour cette étude. Un questionnaire de type Likert a été complété par les infirmières (n=80) d’un Institut universitaire en santé mentale du Québec. Des analyses de la variance ont été utilisées pour comparer les moyennes d’étendue de pratique selon les ni-veaux de formation. Les résultats démontrent un déploiement sous-optimal de l’étendue de la pratique des infirmières (4,24/6; E.T.= 0,63). Cette étendue de pratique est tout de même supérieure à l’étendue de pratique des infirmières d’autres milieux qui a été mesurée à l’aide du questionnaire de l’étendue de la pratique infirmière (QÉPI). Les analyses effectuées concernant l’influence du niveau de formation sur l’étendue de pratique n’ont révélées aucune différence significative entre les niveaux de formation F (3, 77) = 0,707, p = 0,551.
Le niveau de formation des infirmières, la présence d’un biais de représentation, le manque de puissance statistique et certaines caractéristiques de l’emploi peuvent expliquer ces résultats. Les résultats de cette étude semblent constituer une recherche empirique initiale puisqu'il s’agit à ce jour de l’unique recherche à avoir mesuré l’étendue de pratique des infirmières œuvrant en santé mentale à l’aide du QÉPI et à avoir tenté de connaître l’influence que pouvait avoir le niveau de formation sur l’étendue de leur pratique. / The importance of nursing in the health care system, both in terms of accessibility and quality and safety of patient care is well documented. In order to be able to fully exercise their role, nurses must be able to accomplish their full scope of practice. This applies to all nurses, including mental health nurses. However, research shows that nurses are unable to implement all the activities for which they have the training and experience. The aim of this study is to measure the actual scope of mental health nursing practice and to identify the influence of the level of training on this scope of practice. This study is based on the SCOP Model, from Déry et al. (2015), which states that certain job and individual characteristics, such as the level of training, can determine the actual nursing scope of practice. The deployment of this scope of practice can potentially influence professional satisfaction, quality of care and organizational factors such as accessibility, average lengths of stays and costs (Déry et al. 2015). A descriptive correlational design was used for this study. A questionnaire using a Likert scale was completed by nurses (n = 80) from a Quebec mental health Institute. Analysis of variance tests were used. The results show a sub-optimal deployment of the scope of nursing practice (4.24/6; E.T. = 0.63). The scope of practice results is the highest that has been measure with the ASCOP questionnaire. No significant differences were found between nurses with different levels of training F (3, 77) = 0.707, p = 0.551. These results can be explain by the nurses education level, the presence of a representation bias, a lack of statistical power or certain of the work characteristics. The results obtained in this study constitute initial empirical data on the subject. It is the only research measuring mental health nurses’ scope of practice with the ASCOP questionnaire and attempting to know the potential influence of level of training on scope of practice.
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