Operating Room Culture and Interprofessional Relations: Impact on Nurse's Retention.

The purpose of this article is to describe interprofessional relations in order to better understand their impact on nurse retention, while considering the operating room culture and its specific context. A focused ethnography was performed between September and October 2017 at a university hospital in an urban center in the province of Quebec, Canada. This was a secondary analysis of 11 nurses' semistructured one-on-one interviews. Additional data were collected through 6 days of observations, informal conversations, field notes, and a journal. A thematic analysis followed. Interprofessional relations and the need for recognition are important for nurse retention. In addition, a nurse's personality appears to be an important aspect in the complex and specific context of the operating room. Nurse retention in the operating room is multifactoral, and like the need for recognition, interprofessional relations are important issues. Interventions to improve working relationships, recognition of nurses, and consideration of a nurse's personality during hiring appear to be promising avenues for improving retention in the operating room.

[Non-pharmacological therapies for language deficits in the agrammatic and logopenic variants of primary progressive aphasia: a literature review]. / Les approches thérapeutiques non pharmacologiques des troubles du langage dans les variantes agrammatique et logopénique de l'aphasie progressive primaire : revue de la literature.

Primary progressive aphasia is a neurodegenerative condition characterised by a progressive and isolated disorder of expressive language, associated with atrophy of the left posterior frontoinsular region (nonfluent/agrammatic variant) or with atrophy of the left temporoparietal junction area (logopenic variant). This literature review reports studies about language therapies for these two variants of primary progressive aphasia. More precisely, the review presents the behavioral interventions and the augmentative/alternative communication tools reported in the literature to improve language performances or to compensate for language difficulties. Most of these studies reported that interventions are efficient. However, inconsistent results are found regarding maintenance of improvement and generalization to untreated language abilities. Other studies are still required to establish the clinical relevance of interventions for language and communication disorders in primary progressive aphasia. In these studies, the use of more ecological interventions focusing on the specific needs of people living with this disease should be specifically addressed.

[Non-pharmacological therapies of language deficits in semantic dementia]. / Les approches thérapeutiques non pharmacologiques des troubles du langage dans la démence sémantique.

Semantic dementia (SD) is a neurodegenerative condition characterised by a progressive disorder of semantic processing, word comprehension and anomia. This literature review reports behavioural studies about language therapies for SD. More precisely, the review presents the cognitive, participative and alternative/augmentative interventions reported in the literature to improve language performances or to compensate for language worsening associated with the disease. Most studies show that interventions are efficient. However, maintenance of improvement and generalization to untreated language abilities remain limited. Other studies are still required to establish the clinical relevance of interventions for language and communication disorders in semantic dementia. In these studies, the use of more ecological interventions focusing on the specific needs of people living with semantic dementia should be specifically addressed.