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Biomedical subjects

A Duquette

Publications and source records attributed to A Duquette.

11 recordsLinked to original sources
PubMed1992

Care delivery modes.

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Delivery of Health Care↗
PubMed1990

[Systems for the delivery of health care].

Re-examining the role of the nurse, the authors remind us of the importance of understanding how our system of health care has evolved, as well as what it holds for the future. Presenting an historical overview of the past 50 years, they discuss concepts related to moving the profession forward and suggest the decade ahead offers key opportunities.

Canada↗
PubMed1988

Reasons for nonparticipation in continuing nursing education.

The purpose of this study was to identify the dimensions underlying the reasons given by nurses for not participating in continuing education activities. Data were collected through a 50-item questionnaire mailed to a stratified random sample of nurses who had not completed any credit course since entering practice. Application of exploratory factor analytic procedures revealed eight conceptually interpretable dimensions. Results indicate that nonparticipant nurses were influenced primarily by attitudinal (e.g. lack of perceived need) and situational variables (e.g. time constraints due to work) rather than by those associated with continuing education sponsors.

Adult↗
PubMed1988

[Obstacles to university studies: the point of view of Quebec nurses].

This research project aimed at identifying obstacles that prevent nurses from taking university courses. Through a random stratified sampling method, we selected 2,063 persons among the 22,494 French speaking nurses of Quebec who worked as nurses and did not take any courses beyond their professional training at the CEGEP level or at the hospital. A 50 statement questionnaire was mailed out and 1,197 questionnaires were returned and reviewed. The ten most important statements were considered under three main themes: lack of time, lack of interest and strenuous working conditions. Statements relating to lack of time and working conditions were dependent upon (X2, p less than .05) the nurses' situation, i.e. employment status, marital status, number of children and age. Theoretical and practical advice are given to interested nurses.

Attitude↗
PubMedDate not supplied

[Case management. The nursing business of care or cost].

Less money spent on health services, cost-effectiveness, better productivity and more efficiency are some of the driving forces of contemporary "neo-liberalism" and political trends. How can nursing services and the profession's human values adapt in this difficult context? The authors describe the newest modality of patient care delivery system: nursing case management. They examine the factors and assumptions that led up to its development and point out the validity of asking some serious questions before embarking on the euphoria of case management.

Cost-Benefit Analysis↗
PubMedDate not supplied

Nursing assignment patterns and patient outcomes.

This article analyzes nursing assignment patterns and patient outcomes critically and comprehensively. Synthesizing empirical data over the past eight years, patient outcomes such as patient satisfaction, and quality of care were examined in association with the main nursing assignment patterns encountered in the literature: case, functional, team, primary and modular. The research results examined do not clearly delineate one assignment pattern or another and it remains illusive, from this analysis, to answer the question most often asked of administrators: "What type of organizational mode would best contribute to the quality of care?" However, this analysis should lead towards decisional impetus for the implementation of new systems of delivery of care, in the present context of limited resources and nursing shortage.

Humans↗
PubMedDate not supplied

Perceiving patient assignment methods through a conceptual framework.

For several decades, the nursing process has been the central issue for numerous nursing discussions. Definitions, meanings, sequences and steps as well as their significance have been presented within the context of given clinically oriented conceptual frameworks. On the other hand, the nursing process could be largely influenced by the organizational context in which it is exercised. This article shows how analyzing patient assignment methods through a conceptual framework permits a better understanding of the ways organizational factors impact upon nursing process quality. Nursing care is the central issue of nursing modalities which characterize the organization and provision of its delivery. In this analysis, these modalities are renamed patient assignment methods. They refer to the tasks, roles, policy and structure for allocating nursing personnel to patients for the provision of nursing care in a hospital unit (Kérouac, Duquette & Sandhu, 1990; Nunson, Beckman, Clinton, Kever & Simms, 1980). The synonyms for patient assignment method found in the literature are: nursing assignment patterns, nursing assignment systems, and organization mode of nursing care (McLennan, 1983). Whatever its name, a given modality does not occur by chance but, rather is a product of specific characteristics. Some of these characteristics pertain to the nursing process. These characteristics can be identified and better understood through a conceptual framework. Historically, patient assignment methods have been extensively described in the literature. The descriptions usually focus on their merits and limitations or their comparisons with one and another. To the best of our knowledge, they have not been analysed using a conceptual framework. This article demonstrates how patient assignment methods could be better understood through an analysis using a conceptual framework. This analysis aims to systematically examine the commonly used patient assignment methods: case, functional, team, primary and modular. Particular attention is paid to the variables that influence the patient assignment methods, for instance, patient characteristics, nursing resources and organizational support. Furthermore, the variables related to nursing process quality, such as, comprehensiveness, accountability, continuity, and coordination of care are also examined. This article is addressed to all nurses who wish to examine through new lenses some of the ways they deliver patient care. Knowing more about the patient assignment method one uses implies understanding the contribution of the organizational factors applicable to the nursing process. Moreover, it is a sure way of enhancing quality care when one has the knowledge of the philosophy, values, beliefs and meanings inherent in each assignment method.(ABSTRACT TRUNCATED AT 400 WORDS)

Models, Nursing↗
PubMedDate not supplied

[Continuing education].

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Education, Nursing, Continuing↗