[Nursing Science Education at Bachelor’s level: the process for developing a shared vision]. / L'enseignement de la science infirmière en formation initiale Bachelor : processus de développement d'une vision partagée.

The development and the implementation for a project in nursing science education at a Bachelor?s level is related to the recommendations published in the new curriculum framework (PEC 2012) of the University of Applied Sciences Western Switzerland. Considering the issues raised by the professors concerning the fundamentals in nursing science to be taught at a bachelor?s level, in line with a Master and Doctorate in nursing science, the management of the institution HEDS has given a mandate to two master students in nursing science to brainstorm with professors to develop and improve a plan of action for nursing science education. By relying on a rigorous methodology based on a systemic approach, interviews with national and international nursing experts, nursing faculty deans and professors concerned by those recommendations highlight two priorities for action : incorporate a conception of nursing discipline within the faculty of nursing and set up the curriculum according to the conceptual model chosen. This original project has allowed an important change for the renewal of a shared vision of nursing science education at three levels : the teachers? educational practices, the curriculum and the institution.

[Urinary incontinence in hospitalized geriatric patients : is it really a priority for nurses?]. / L'incontinence urinaire chez des personnes âgées hospitalisées en unité de gériatrie: est-ce vraiment une priorité pour les infirmières?

INTRODUCTION: urinary incontinence (UI) is a phenomenon with high prevalence in hospitalized elderly patients, effecting up to 70% of patients requiring long term care. However, despite the discomfort it causes and its association with functional decline, it seems to be given insufficient attention by nurses in geriatric care. OBJECTIVES: to assess the prevalence of urinary incontinence in geriatric patients at admission and the level of nurse involvement as characterized by the explicit documentation of UI diagnosis in the patient's record, prescription of nursing intervention, or nursing actions related to UI. METHODS: cross-sectional retrospective chart review. One hundred cases were randomly selected from those patients 65 years or older admitted to the geriatric ward of a university hospital. The variables examined included: total and continence scores on the Measure of Functional Independence (MIF), socio-demographic variables, presence of a nursing diagnosis in the medical record, prescription of or documentation of a nursing intervention related to UI. RESULTS: the prevalence of urinary incontinence was 72 % and UI was positively correlated with a low MIF score, age and status of awaiting placement. Of the examined cases, nursing diagnosis of UI was only documented in 1.4 % of cases, nursing interventions were prescribed in 54 % of cases, and at least one nursing intervention was performed in 72 % of cases. The vast majority of the interventions were palliative. DISCUSSION: the results on the prevalence of IU are similar to those reported in several other studies. This is also the case in relation to nursing interventions. In this study, people with UI were given the same care regardless of their MIF score MIF, age or gender. One limitation of this study is that it is retrospective and therefore dependent on the quality of the nursing documentation. CONCLUSIONS: this study is novel because it examines UI in relation to nursing interventions. It demonstrates that despite a high prevalence of UI, the general level of concern for nurses remains relatively low. Individualized care is desirable and clinical innovations must be developed for primary and secondary prevention of UI during hospitalization.