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Biomedical subjects

Carmen G Loiselle

Publications and source records attributed to Carmen G Loiselle.

12 recordsLinked to original sources

The searching, processing, and sharing of breast cancer information by women diagnosed with the illness.

Most women diagnosed with breast cancer seek health-related information to cope with the demands of the illness. However, few studies have documented how women actually seek, process, and share cancer-related information. This qualitative study explores the process of managing cancer-related information from the perspective of 12 women with breast cancer. Three core components of information management (IM) emerged from the data: initial cancer-related informational triggers, emotional and behavioural reactions to the information, and the IM outcomes of feeling relieved, hopeful, supported, or distressed. According to the participants, IM is an ongoing process in which the choice to continue sharing cancer-related information with individuals depends on women's perceptions of how supportive they have been.

Adaptation, Psychological↗

Sharing empirical knowledge to improve breastfeeding promotion and support: description of a research dissemination project.

BACKGROUND: Effective transfer of research findings to health care settings is a shared priority among researchers, clinicians, and decision makers. A multidisciplinary, multi-method investigation conducted in 2001 that explored breastfeeding practices and support within a large immigrant community in Montreal, Quebec, Canada, bore numerous implications for practice. Peer-reviewed funding was subsequently granted to support dissemination of these findings to relevant stakeholders. METHOD: Key steps in implementing this research dissemination project included (1) identifying and attracting target audiences from hospitals, community health settings, and government agencies; (2) tailoring tools for communication of research findings to the various needs of audiences; (3) designing interactive workshops to facilitate knowledge uptake; and (4) integrating the project outcomes within a government-sponsored regional breastfeeding committee for longer-term impact. FINDINGS: Despite organizational challenges, more than 90 health care providers, decision makers, and breastfeeding support volunteers participated in the project workshops. Through feedback loops, the dissemination activities contributed new layers of understanding to the original research findings. The activities also engaged audience members to identify more effective breastfeeding support interventions and led to the adoption of breastfeeding support priorities shared by hospital, community, and government stakeholders. CONCLUSION: This dissemination project provided unique opportunities for researchers and stakeholders to share in the interpretation of research findings and to strategically plan for future interventions to promote and support breastfeeding within ethnically diverse communities. Further research dissemination work should continue to be theoretically grounded, include systematic, long-term assessment of dissemination outcomes, and be adequately financed throughout.

Breast Feeding↗

Hardiness, work support and psychological distress among nursing assistants and registered nurses in Quebec.

BACKGROUND: Although nursing assistants (NAs) represent a large segment of Canadian health care providers, little is known about psychosocial factors related to their physical and psychological well-being and how these compare with their registered nurse (RN) counterparts. AIM: Guided by Maddi and Kobasa's theoretical framework of Factors Affecting Health-Illness Status, the purpose of the present study was to examine relationships among hardiness, psychological distress and work support in NAs, and to compare results with those from a sample of RNs. METHOD: A random sample of 171 NAs in Quebec completed self-report questionnaires. The study instruments included validated French-Canadian versions of Kobasa's Hardiness Scale, Ilfeld's Psychiatric Symptom Index, and Moos' Work Relationship Index. RESULTS: As theoretically predicted, statistically significant correlations were found between hardiness and psychological distress (r = -0.42; P < 0.001), hardiness and work support (r = 0.27; P < 0.001), and between work support and psychological distress (r = -0.21; P < 0.001). Using a mediational model and multiple regression analyses, hardiness among NAs was found to be a significant mediator between work support and psychological distress. Comparative analyses revealed that whereas NAs and RNs reported similar levels of psychological distress (P = 0.25) and work support (P = 0.13), NAs reported significantly less hardiness (t = -5.58; P < 0.01). In addition, NAs and RNs reported significantly more psychological distress than the general population of Quebec, Canada (t = 9.07 and 22.84, P < 0.01, respectively). CONCLUSION: Results add support to Maddi and Kobasa's theoretical propositions linking personal and contextual resources to health-related outcomes and offer insights into specific factors that may affect the health and well-being of both NAs and RNs as well as their work climate.

Humans↗

[Impact of lack of resources in dialysis practice in Quebec].

The purpose of this descriptive study was to assess the impact of limited resources on the practice of dialysis in Quebec and to highlight certain ethical issues. Twelve semi-structured interviews were done with nurses in charge of 14 dialysis centres in Quebec. A survey using self-administered questionnaires was also carried out between January 2000 and July 2001, with a convenience sample of 412 patients and 156 other persons involved, including 116 dialysis nurses. Two discussion groups brought together sixteen stakeholders from four dialysis centres. The results presented here were obtained by triangulating methods and data. They show that access to dialysis is not limited by Quebec nephrologists, that patients are increasingly old and sick, that teams are working to the utmost of their ability and that it is difficult for nursing staff to provide optimal care under these conditions.

Adult↗