[Inside the French reform of nursing education: a survey of faculty members]. / Au coeur de la réforme des etudes en soins infirmiers: enquête auprès des enseignants formateurs en IFSI.

Changing societal health care needs has led the Ministry of Health to rethink the paramedical courses. European harmonization was needed to set up this training with the LMD system within a university scheme. Based on this new paradigm, an educational reform consisting of a competency-based approach was implemented, leading to major modifications in the function of a trainer. Consequently, training institutes for health care managers had to adapt their program to this new learning concept. The main objective of this study was to identify the needs of trainers in charge of this new graduate nurse program. The secondary objective was to collect their perceptions in order to recognize the positive or negative factors related to these changes. A questionnaire survey was conducted with 276 trainers belonging to 16 out of the 17 nursing schools of the Rhone-Alpes 2 region. One hundred and five trainers responded, corresponding to a rate of 38%. The majority of the respondents considered the new program as suitable, both for training and for profession. The skills approach is seen as a factor for improvement. The learnings to be developed are in line with reflective practice and the conception of symbolic situations. The study has allowed to gather the needs for the trainers to adapt their training. It highlighted the importance of a referent trainer for the trainee, a major and precious lever for change.

Educating diabetic children: integrating representations by children aged 7 to 11 and their parents.

OBJECTIVE: A patient living with a chronic disease develops illness-related knowledge, representations, and specific behaviour leading to attitudes. Our objective was to assess the interaction between representations from diabetic children 7 to 11 years of age and their parents, on the disease and its treatment, in order to improve the therapeutic education process. METHOD: A qualitative approach was developed. Semi-structured interviews and free association technique were used on 10 children 7 to 11 years of age and 10 parents, in the Toulouse Hospital, France. Qualitative and quantitative (Alceste(R) software) discourse analysis relating to representations was performed (distribution, frequency, and meaning of word sequences were compared). RESULTS: Children seemed to cope naturally with their environment in order to manage their disease. Their attitudes were neutral and their behaviour pragmatic. The parents' representations were more conceptual and negative. They expressed their fear of the disease, their difficulty to endorse the responsibilities and overcome everyday constraints. CONCLUSION: The educator must adapt his language level to integrate the child's universe and facilitate assimilation of knowledge. The therapeutic education process for diabetic children should integrate a specific support and training for parents. These results have influenced our choice of a strategy involving continuous group education focusing parents.