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Biomedical subjects

F Ducharme

Publications and source records attributed to F Ducharme.

36 records · Page 2Linked to original sources

Psychosocial determinants of burnout in geriatric nursing.

The purpose of this study was to identify determinants of burnout using an adapted version of Kobasa's theoretical framework, considering work stressors, work support, coping strategies and hardiness. Data were collected through a questionnaire mailed to 1990 randomly selected geriatric nurses. A participation rate of 77.6% was achieved. T-test, variance analysis and multiple regression analysis were conducted. Hierarchical multiple regression analysis indicated that 49% of the variance was explained by the study variables. Hardiness and work stressors were the most important predictors of burnout. The findings are discussed in relation to Kobasa's framework, focusing on resources that reduce negative effects of geriatric work stressors. Implications for nursing practice, management, education and research are proposed.

Adaptation, Psychological↗

[The development of a research program based on a conceptual model for the discipline of nursing].

The purpose of this article was to illustrate the development of a team's research program based on a conceptual model for the nursing discipline: Roy's Adaptation Model. The ongoing research program includes studies of psychosocial factors, theoretically known for their potential for explaining health. Four groups of people are the focus of these studies: aged spouses in the community, family caregivers of ill elderly people, family caregivers of mentally ill people, and nurses as professional caregivers for elderly people in institutions. The studies are articulated using the three-level structure proposed by Fawcett & Downs (1986) and Fawcett (1991): conceptual-theoretical-empirical. This research program aims to renew understanding of the person's adaptation processes to various environmental stimuli, adaptive responses that influence health, and nursing interventions that promote health (i.e., biopsychosocial integrity). In order to specify the research variables and relations to be studied between these variables in the first phase of the program, each research project is also guided by a middle-range theory compatible with Roy's Adaptation Model. Elaborated within related disciplines, these theories are variations of the Stress and Coping theory of Lazarus & Folkman (1984). The results of these studies will be compared and articulated in a model that integrates the patterns of relations between the variables. The resulting empirical model together with Roy's conceptual model will be used to guide the development of nursing interventions intended to promote adaptive responses and biopsychosocial integrity. The second phase of the research program includes the implementation and evaluation of nursing strategies that promote adaptation among the four groups of people. This research program is a nursing contribution to certain social issues recognized as priorities by the governments of Canada and Québec. This article is an illustration of one of the various ways of developing nursing knowledge.

Adaptation, Psychological↗

Social support: conceptual and methodological issues for research in mental health nursing.

The concept of social support has been the focus of growing multidisciplinary interest over the past two decades. Nurses are interested in the role that social support plays in promoting mental health. As empirical research on social support has been addressed with more scientific rigor, many conceptual and measurement issues have emerged. The purpose of this paper is to review the predominant conceptual and measurement issues in the study of social support in mental health nursing. Lack of consensus on conceptual clarity and weakness of measurement of the concept of social support are discussed in relation to the two bodies of literature. Directions for the development of nursing knowledge and methodologic approaches for future nursing research on social support and mental health are proposed.

Health Promotion↗

[Research and practice. For a rapid transfer of knowledge in the field of nursing].

The need to accelerate the process of transferring knowledge from research to practice is a growing concern for researchers and clinicians in the nursing sciences. Francine Ducharme, associate professor at the nursing science faculty of the Université de Montréal and researcher at the Institut universitaire de gériatrie de Montréal, first describes the current research in the nursing sciences and its contributions to public health and to the cost-effectiveness of the health care system. She then discusses the problem of the still very slow transition of knowledge from theory to practice. Finally, she presents strategies to integrate a knowledge transfer process within the research processes and outlines a model for cooperation between clinicians and researchers as well as a number of scenarios for the future.

Diffusion of Innovation↗