ABSTRACT
Jean Watson developed, in the United States, a conceptual model of nursing based on caring. A term sometimes translated as "to care" without properly reflecting what the concept entails. This theory has been adopted in many countries. Some authors report that it brings satisfaction to students, nurses, and managers of health facilities. Based on Watson's work, Chantal Cara built the humanist model of nursing at Montreal University. The aim of the project is to improve the well-being of patients and caregivers. It is likely to retain existing nurses and attract the next generation to the institutions which implement it.
Subject(s)
Empathy , Humans , France , Models, NursingABSTRACT
Identifying and assessing somatic pain in people with schizophrenia remains a major public health issue for this vulnerable population. In France, Advanced Practice Nursing is developing, based on a practice built around clinical expertise. How can the clinical expertise of psychiatric and mental health APNs improve the identification and assessment of somatic pain in these patients, and thus help to improve their somatic health?
Subject(s)
Schizophrenia , Humans , Schizophrenia/complications , Schizophrenia/diagnosis , France/epidemiology , Advanced Practice Nursing , Pain Measurement/methods , Pain Measurement/nursing , Clinical Competence/standards , Nociceptive Pain/diagnosisABSTRACT
INTRODUCTION: The number of Advanced Practice Nurses (APNs) has significantly increased in France since 2019, with the number of graduates expected to reach 1700 by the end of 2023, up from approximately 60. Fifteen percent of them specialize in oncology-hematology (APN-OH). Data on their activities, access to continuing education, and expectations are limited. METHODS: We conducted an observational study among practicing APN-OHs in France. A questionnaire was distributed from June to September 2023. RESULTS: Of the 55 responding APN-OHs, 78.3% worked in Cancer Centers or within University Hospital Centers. Their primary motivation for becoming APN-OH was to enhance their nursing practice and deepen their medical knowledge, with teaching and research interests remaining marginal. Their level of responsibility generally aligned with their expectations and the medical staff was perceived as supportive. The main challenges were of logistical and material nature. The heterogeneity in APN-OH training was seen as a limiting factor in the attractiveness of the profession. The most significant gaps in their education revolved around the lack of practical cases. CONCLUSION: This study highlights that the primary concern of APN-OHs is to strengthen their practical training. Medical personnel are perceived as supportive, but challenges related to working conditions and education persist. It is essential to consider these factors to support the deployment of APN-OHs across the country and improve ongoing education.
Subject(s)
Advanced Practice Nursing , Education, Nursing, Continuing , Hematology , Oncology Nursing , Humans , France , Oncology Nursing/education , Female , Male , Advanced Practice Nursing/education , Hematology/education , Middle Aged , Surveys and Questionnaires , Adult , Motivation , Cancer Care Facilities , Attitude of Health PersonnelABSTRACT
In addition to deploying their skills in clinical practice, advanced practice nurses (APNs) have the mission, through their expertise, to participate in the evaluation and improvement of professional practices. What is the role of the APN's clinical leadership? How can he/she position himself/herself in order to accompany the health care teams and ensure the efficiency of care?
Subject(s)
Advanced Practice Nursing , Mentoring , Female , Humans , Leadership , Professional Practice , Patient Care TeamABSTRACT
The impact of interventions by therapeutic education nurses on compliance and the quality of life of patients with chronic diseases has been proven. These different perspectives of caregivers and patients highlight the specific case of the treatment of HIV.
