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Objectives: This study addresses the growing demand for palliative care (PC) by exploring the role of advanced nursing practice (ANP) within the multidisciplinary team. The purpose is to outline the background of ANP in PC, its interest, training needs, and some recommendations for its establishment in the Moroccan healthcare system. Materials and Methods: A rapid review of relevant studies was carried out through databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standards, edition (2020). The inclusion criteria focussed on studies published within the nursing domain between 2012 and 2022, with a preference for the English language. Results: Study selection allowed to obtain eight relevant studies. The studies agreed that ANP improves the quality of care provided. It has a major role to play in the multidisciplinary team by mobilising all the knowledge required to offer a complete range of care for patients with needs. Nevertheless, its implementation is fraught with challenges. Conclusion: ANP will be able to address the complexity of patient and family needs and serve as cost-effective medical care coordinators for patients and families with both chronic and life-limiting illnesses, to reduce suffering and improve the quality of living and dying across the lifespan. Advanced practice nurses execute assigned authorisations by mobilising the knowledge acquired through university training. The establishment of this cadre in the healthcare system is subject to many challenges that Morocco must anticipate.
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BACKGROUND: This study tried to make a quantitative and qualitative review of the scientific production of the mobilization of critical thinking in nursing and midwifery learning. MATERIALS AND METHODS: The search was carried out in the "Web of Science" and "PubMed" databases between 2001 and 2021, resulting in 43 articles using several keywords "critical thinking," "learning", "nursing," "midwifery". The study will be split into two parts: A quantitative review in the form of a bibliometric analysis and a qualitative one in the form of a literature review. The quality of the articles has been verified by assessing the risk of bias (selection bias, detection bias, and interpretation bias) and using the Standards for Quality Improvement Reporting Excellence method. RESULTS AND OBSERVATIONS: The selected articles were the subject of a quantitative study leading to several results: chronology of publications, types of publications, number of publications, top journals of publications, etc. The same articles have been processed to produce a full qualitative review of the experimental studies. CONCLUSION: The results showed that the total and annual articles need to be higher. Experimental studies, especially quasi-experimental, are far higher than reviews or descriptive studies. The qualitative research showed a controversial relationship between critical thinking and learning improvement.
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(1) Background: Emergency and intensive care nurses are among the health professionals most exposed to occupational health issues such as stress and burnout, etc. Coaching has been considered a useful preventative strategy to provide better support for professionals. This study has two objectives: the first objective is to identify the coaching needs of emergency and intensive care nurses, and the second is to propose a coaching model that addresses the needs and helps manage occupational health issues. (2) Methods: this study followed a mixed-method design, and it included thirty nurses working in the emergency and intensive care unit from two public hospitals in Morocco. The study entailed semi-structured interviews transcribed verbatim until data saturation, guided by the grounded theory approach in order to explore the coaching requirements of emergency and intensive care nurses, and the measurement of the three dimensions of burnout with the Maslach Burnout Inventory (MBI). (3) Results: the results reveal three main conceptualizing explanatory categories of the nurses' coaching requirements: Steps of a coaching action; topics for a coaching action related to occupational health issues such as stress and burnout (it is shown that the prevalence of burnout in our sample is 66.7%); barriers to a coaching action. (4) Conclusions: by investigating the coaching requirements of the nursing staff, a transtheoretical coaching model with a theoretical and ethical basis was suggested in this regard for their occupational health issues management.
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OBJECTIVES: To examine graduate students' perceptions of their nursing professional identity within the university-based educational system. METHODS: A qualitative phenomenological approach was adopted involving the completion of in-depth interviews and focus groups among master's degree students in Morocco. RESULTS: The shift to university-based nursing education system was associated with the development of a positive self-image, sense of empowerment, and attachment to professional values in addition to role extension and involvement in research. CONCLUSIONS: The perceived external barriers such as negative social image, role ambiguity, and unsupportive work environments, limit the reach of the positive influence of the educational shift and may lead to doubts in integrating the clinical workspace.
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Education, Nursing, Baccalaureate , Education, Nursing , Students, Nursing , Humans , Qualitative Research , Universities , Focus GroupsABSTRACT
This article explores the development of the most critical soft skills in midwifery through the use of a participatory method called the World Café in the context of continuing education at the Formation and Simulation Center (FORSim) in Settat, Morocco. Non-technical skills include a set of metacognitive abilities that complement technical skills to ensure the safe execution of technical activities and the parturient's satisfaction. In order to develop these midwifery skills through the World Café method, we invited nine midwives from two maternity units in the Casablanca-Settat region, with whom we elaborated our psychological, organizational, cognitive, and interactional (POCI) model. The study took place over a full day, structured into three distinct steps: a self-assessment of the level of mastery of the eight soft skills in the POCI model, four cycles of the World Café and, finally, a discussion of and feedback about the method. The use of the World Café method allowed for a dialogue on the possibilities of managing and addressing issues related to non-technical skills among midwives from various hospital settings. Based on the results, we found that the participants enjoyed the non-stressful atmosphere of the World Café and were very productive. The assessments and feedback from the midwives participating in this study suggest that managers can adopt the World Café approach to develop non-technical skills and enhance midwives' interactions and soft skills as part of their continuing education.
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(1) Background: Emergency nurses are more exposed to a wider range of stressors, resulting in higher levels of burnout, reducing the quality of nursing care, and decreasing job satisfaction compared with other peers in other nursing departments. The objective of the current pilot research is to evaluate the efficiency of a transtheoretical coaching model on emergency nurses' occupational stress management through a coaching intervention. (2) Materials and Methods: An interview, Karasek's stress questionnaire, the Maslach Burnout Inventory (MBI), an observation grid, and a one-group Pre-test-Post-test questionnaire was carried out to evaluate the changes in emergency nurses' knowledge and their ability to manage stress before and after attending the coaching intervention. A total of seven emergency room nurses at the proximity public hospital of the Settat area in Morocco have taken part in this study. (3) Results: The results have shown that all emergency nurses were subject to the job strain and iso-strain; four nurses were in moderate burnout, only one nurse was found in high burnout, and two were in low burnout. There was a significant difference between mean Pre- and Post-test scores (p = 0.016). Nurses' mean score has improved by 2.86 points after attending the four sessions coaching experience, passing from 3.71 in the Pre-test to 6.57 in the Post-test. (4) Conclusions: The coaching intervention through a transtheoretical coaching model could potentially be an efficient strategy for enhancing the nurses' knowledge and skills in stress management.
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This article explores the non-technical skills critical for the practice of midwives through a comparison of two maternity services in Morocco. Soft skills, or non-technical skills, present a set of metacognitive abilities, which complement hard or technical skills, in order to guarantee the safe performance of a technical activity. This exploration is based on an original methodology that triangulates observation of caring paths, qualitative interviews, and quantitative questionnaires. We identified the main soft skills mastered, those that were missing, and those to be developed, based on an observed or expressed need. The research population included 30 midwives and 70 women. The results led us to identify the most critical non-technical skills for midwifery practice at a Local Medical Centre (LMC) and a Provincial Hospital Centre (PHC) to better understand the effects of workload on the possibilities of activating non-technical skills during caring paths. Based on these results, we elaborated a model for the development and improvement of non-technical skills in midwifery.
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Objectives: The purpose of the current study is to suggest a powerful strategy to overcome the misperceptions of undergraduate nursing students' about paediatric palliative care (PPC), through simulation technique. Materials and Methods: A one-group pre-test-post-test design was carried out to assess changes in undergraduate nursing students' representations about PPC before and after the exposure to a simulation experience. A total of 24 undergraduate nursing students at the Higher Institute of Health Sciences (HIHS) of Settat have taken part in this study. Results: The results have shown that there was a significant difference between mean pre- and post-test scores (P = 0.00). Conclusion: The simulation technique can be a powerful pedagogical strategy to overcome undergraduate nursing students' misperceptions about PPC.
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BACKGROUND: The scarcity of palliative care (PC) services in Morocco, and their absence in Settat, limits the opportunities for nursing students at the Higher Institute of Health Sciences (HIHS) to benefit from clinical placements. As a consequence of this, most students feel underprepared to care for patients with PC needs. AIM: The purpose of this study is to share a simulation-based learning experience in a PC context and to evaluate the effectiveness of this learning method. METHODS: The simulation experience took place in the simulation centre of the HIHS and involved 20 nursing students in their second year. The main goal of the simulation session was to simulate the support given to patients going through the five stages of grief. A post-simulation survey was conducted to explore the nursing students reflections on this learning experience. FINDINGS: The simulation is recommended as a powerful learning approach to compensate for the lack of PC clinical placements available to nursing students. CONCLUSION: The simulation-based training was an excellent opportunity for nursing students to experience caring for patients in extreme end-of life-situations, which was not possible before due to the lack of specialised PC services.
