Influence of the implementation of strengths-based nursing and healthcare on early childhood nurses' competencies: a mixed-method study.

BACKGROUND: The scope of practice for nurses caring for families has evolved to meet the challenges presented by societal changes and increasing needs. In 2015, early childhood nurses from a Swiss region decided to implement a new model of care to guide their practice. The aim of this study was to explore the changes to early childhood nurses' practices following the implementation of the strengths-based nursing and healthcare (SBNH) approach to care. METHODS: This study of early childhood nurses' (N = 61) practices used a pre-post intervention design and a mixed-method approach. Nurses' competencies and changes in practice were measured using the Nurse Competence Scale (NCS). The quantitative data were analysed using descriptive statistics, Kruskal Wallis tests and logistic regression. Thematic analysis was used to derive themes from the qualitative data. RESULTS: After the intervention, frequency of competency use increased in all domains of the NCS except the "teaching-coaching" domain; perceived levels of competencies also increased in all areas except "helping role" and "diagnostic functions". Age and length of employment at the current post hindered improvement in the "teaching-coaching" competency. Interviews revealed themes related to the implementation process: "adaptability", "implementation process", "ambivalence" and "engagement to change". Other themes were related to practice changes: "developing a disciplinary identity", "path with families" and "strengths". CONCLUSION: This study showed that the use of perceived competencies changed over time after the introduction of SBNH into practice. Nurses questioned and adapted their routines based on SBNH. Nurse's vision of care also changed; they felt that their care was congruent with their values. For families, this approach allowed a change of vision with a resource-centred approach. Implementation of models of care such as the SBNH in the early childhood context is innovative, as little research in the literature addresses the early childhood community home-visiting context is still modest. This research underlines the added value of this approach on early childhood nurses' competencies.

Impacts of Touch massage on the experience of patients with chronic pain: A protocol for a mixed method study.

BACKGROUND: Chronic pain is a major public health problem. It affects the quality of life of many patients and their families and compromises physical and social functioning and psychological well-being. Non-pharmacological interventions are increasingly being used as a complement to chronic pain care. One of these interventions is Touch massage (TM) that can provide relaxation, comfort and well-being. In addition to its various physiological functions, TM can be used as a social communication tool. MATERIALS AND METHODS: This is a cluster study with an exploratory qualitative part. Two groups will be considered: the experimental group will benefit from a TM delivered by trained members of care team and the control group will benefit from an intervention of the same duration with a foot massage device. At least 4 sessions will be delivered and spread over two weeks. Sample size calculation showed that 78 participants (39 per group) need to be included. As for the qualitative part, semi-structured interviews will be conducted to investigate the patients' perception of the intervention; focus groups will explore the satisfaction and general perception of the health care teams. EXPECTED RESULTS: Incorporating TM interventions into care planning could bring benefits in supporting patients suffering from chronic pain. TM is expected to increase the patients' feelings that their pain is seriously considered; physical and psychological support should help improve their sense of comfort and well-being and hence their quality of life. This practice might thus improve the caregiver-patient relationship with TM as a providing a new means of establishing communication through touch. TRIAL REGISTRATION: ClinicalTrials.gov, NCT04295603, Registered on March 4, 2020.

[Nursing interventions to promote blood donor commitment: A rapid realist literature review]. / Interventions infirmières pour promouvoir la fidélisation des donneurs de sang : une revue rapide et réaliste de la littérature.

BACKGROUND: Blood transfusions save lives. Although giving blood is of key importance to health care systems, there is still a long-term shortage of blood. Health services need the help of voluntary donors to provide an adequate supply. Nurses who work in transfusion centers play a crucial role in encouraging blood donor commitment. There is a need to identify and analyze donor motivations and effective nursing interventions. OBJECTIVE: To identify existing donor mechanisms in order to facilitate nursing interventions. METHOD: A realist literature review was conducted in 2018 following the method outlined by Pawson. Articles were identified from two scientific databases, and nine scientific articles selected. They were then analyzed using the realist evaluation framework. RESULTS: The analysis highlighted three areas of intervention: mechanisms stemming from donors' individual experiences; existing interventions that enable donors to go from intending to give blood to actually giving blood; and finally interpersonal interventions in the reciprocal partnership between nurses and donors. This relationship should help make giving blood a pleasant experience and have a positive impact on commitment, especially in relation to new donors.