Personne : Guillaumie, Laurence
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Adoption and outcomes of ISO 14001 : a systematic review
2017-02-14, Guillaumie, Laurence, Boiral, Olivier, Heras-Saizarbitoria, Iñaki, Tayo Tene, Christian Valery
The objective of this paper is to analyze the adoption and outcomes of the ISO 14001 standard through a systematic review of the main studies on this issue published in peer-reviewed journals between 1996 and 2015. The 94 papers analyzed make it possible to paint a comprehensive picture of the effectiveness of ISO 14001 in environmental management practices, performance in this area and social aspects such as employee awareness. The systematic review also sheds more light on the main pitfalls and success factors of the standard. Nevertheless, the similarities and even redundancies of the literature in terms of objectives, approaches and methods used tend to produce quite predictable and optimistic results, which do not reflect the complexity of the impact of ISO 14001. The paper highlights the importance of more diverse and critical approaches that might challenge the successful rhetoric of the dominant literature, which tends to focus on positive aspects and be limited to a few countries that are not representative of the wide international distribution of certification. The findings of this systematic review can also help managers in making decisions on the adoption and renewal of certification.
Effectiveness and content analysis of interventions to enhance oral antidiabetic drug adherence in adults with type2 diabetes : systematic review and meta-analysis
2015-05-23, Grégoire, Jean-Pierre, Bruin, Marijn de, Vézina-Im, Lydi-Anne, Guillaumie, Laurence, Pérez Herrera, Norma Maria, Zomahoun, Hervé Tchala Vignon, Moisan, Jocelyne, Guénette, Line
Objectives: To estimate the pooled effect size of oral antidiabetic drug (OAD) adherence-enhancing interventions and to explore which of the behavior change techniques (BCTs) applied in the intervention groups modified this pooled intervention effect size. Methods: We searched relevant studies published until September 3, 2013, on MEDLINE, Embase, PsycInfo, the Cochrane Library, CINAHL, Current Contents Connect, and Web of Science. Selected studies were qualitatively synthesized, and those of at least medium quality were included in the meta-analysis. A random-effects model was used to pool effectiveness (Hedges’s g) and to examine heterogeneity (Higgins I2). We also explored the influence on the pooled effectiveness of unique intervention BCTs (those delivered to the intervention groups but not control groups in a trial) by estimating their modifying effects. Results: Fourteen studies were selected for the qualitative synthesis and 10 were included in the meta-analysis. The pooled effectiveness of the interventions was 0.21 (95% confidence interval −0.05 to 0.47; I2 = 82%). Eight unique BCTs were analyzed. “Cope with side effects” (P = 0.003) and “general intention formation” (P = 0.006) had a modifying effect on the pooled effectiveness. The pooled effectiveness of the interventions in which “cope with side effects” was applied was moderate (0.64; 95% confidence interval 0.31–0.96; I2 = 56%). Conclusions: The overall effectiveness of OAD adherence-enhancing interventions that have been tested is small. Helping patients cope with side effects or formulate desired treatment outcomes could have an impact on the effectiveness of OAD adherence-enhancing interventions. Only those interventions that include helping patients to cope with side effects appear to be particularly effective in improving OAD adherence.
Empowering nurses to provide humanized care in Canadian hospital care units : a qualitative study
2020-10-01, Guillaumie, Laurence, Desgroseilliers, Valérie, Boiral, Olivier, Roy, Bernard, Vonarx, Nicolas
Previous studies have reported a conflict between nurses’ motivation to provide humanized care and practical requirements impeding them from doing so. This exploratory descriptive qualitative study aimed to explore nurses’ perspectives on humanized care, the challenges they face, and, most importantly, their recommendations to overcome these barriers. Semistructured individual interviews were conducted with 17 auxiliary and registered nurses working in various health care units in a Canadian hospital. Participants demonstrated a good understanding of what humanized care covers and entails. They also described it as the very core of their profession and main source of job satisfaction. However, nurses reported that they are confronted with organizational barriers, mainly a lack of staff, the burden of administrative tasks, unsuitable physical environments or equipment, and little managerial support. Nurses stressed the need for a cultural change in managerial practices in order to be able to improve their provision of humanized care. Based on the findings, 4 structuring recommendations were identified: adopting an institutional policy promoting the implementation of humanized care, incorporating humanized care in nurses’ tasks and procedures, improving participatory management, and ensuring adequate staffing.
Revisiting the internal consistency and factorial validity of the 8-item Morisky Medication Adherence Scale
2016-10-19, Grégoire, Jean-Pierre, Zongo, Arsène, Guillaumie, Laurence, Lauzier, Sophie, Moisan, Jocelyne, Guénette, Line
Objective: To assess the internal consistency and factorial validity of the adapted French 8-item Morisky Medication Adherence Scale in assessing adherence to noninsulin antidiabetic drug treatment. Study Design and Setting: In a cross-sectional web survey of individuals with type 2 diabetes of the Canadian province of Quebec, self-reported adherence to the antidiabetes drug treatment was measured using the Morisky Medication Adherence Scale-8. We assessed the internal consistency of the Morisky Medication Adherence Scale-8 with Cronbach’s alpha, and factorial validity was assessed by identifying the underlying factors using exploratory factor analyses. Results: A total of 901 individuals completed the survey. Cronbach’s alpha was 0.60. Two factors were identified. One factor comprised five items: stopping medication when diabetes is under control, stopping when feeling worse, feeling hassled about sticking to the prescription, reasons other than forgetting and a cross-loading item (i.e. taking drugs the day before). The second factor comprised three other items that were all related to forgetfulness in addition to the cross-loading item. Conclusion: Cronbach’s alpha of the adapted French Morisky Medication Adherence Scale-8 was below the acceptable value of 0.70. This observed low internal consistency of the scale is probably related to the causal nature of the items of the scale but not necessarily a lack of reliability. The results suggest that the adapted French Morisky Medication Adherence Scale-8 is a two-factor scale assessing intentional (first factor) and unintentional (second factor) non-adherence to the noninsulin antidiabetes drug treatment. The scale could be used to separately identify these outcomes using scores obtained on each of the sub-scales.
Correlates of sugar-sweetened beverages consumption among adolescents
2020-05-08, Vézina-Im, Lydi-Anne, Guillaumie, Laurence, Turcotte, Stéphane, Boucher, Danielle, Douville, Frédéric, Beaulieu, Dominique
Objective: To identify correlates and underlying beliefs regarding the adolescents’ intention to abstain from consuming sugar-sweetened beverages (SSB) and the consumption of ≤1 daily portion of SSB. Design: Correlational study. Setting: Region of Chaudière-Appalaches in the province of Quebec, Canada. Participants: 311 adolescents aged 13–18 years completed a self-administrated online questionnaire based on the Reasoned Action Approach. Frequency and quantity of different types of SSB within the past month were measured. Results: Total mean SSB intake was 882·6 ml/d (654·0 kJ/d ). Only 11·3 % abstained from SSB within the last month. Intention to abstain from SSB was explained by identification as SSB abstainers ( β = 0·47), perceived norm ( β = 0·32), attitude ( β = 0·30), age 13–14 years ( β = –0·27) and perception of the school environment ( β = 0·14), which explained 66 % of the variance. Consumption of ≤1 daily portion of SSB was explained by the intention to abstain (OR = 1·55; 95 % CI 1·14, 2·11), perceived behavioural control to abstain (OR = 1·80; 95 % CI 1·29, 2·52), sex (girls v. boys: OR = 2·34; 95 % CI 1·37, 3·98) and socio-economic status (advantaged v. disadvantaged school: OR = 2·08; 95 % CI 1·21, 3·56). Underlying beliefs (i.e. more energy, decreased risk of addiction and friends’ approval) associated with intention as well as perceived barriers (e.g. access to SSB, after an activity that makes you thirsty), and facilitating factors (e.g. access to water) linked to SSB consumption were identified. Conclusions: The results can inform public health interventions to decrease SSB consumption and their associated health problems among adolescents.
Exploring the needs of parents who experience miscarriage in the emergency department : a qualitative study with parents and nurses
2019-01-17, Guillaumie, Laurence, Montigny, Francine de, Emond, Tina
AIMS AND OBJECTIVES: To understand how parents experienced miscarriage in an emergency department setting. Objectives were to identify parents' needs, isolate factors that influenced their experience, and provide recommendations to improve care from the perspective of women, their partners, nurses and nurse managers. BACKGROUND: Miscarriage is the most prevalent complication encountered during pregnancy. It subjects parents to a multitude of emotions and may have significant consequences on mental health. Emergency department visits are frequently the only opportunity for parents to receive formal support during a miscarriage; it is thus crucial to understand the experiences of parents in this setting. DESIGN: The study employed a descriptive, exploratory, qualitative approach with semi-structured interviews. METHODS: The study was founded on the W.K. Kellogg Foundation's Logic Model Development Guide (2004) and Meleis' Transitions Theory (2015). A total of 26 participants were interviewed (17 parents, 7 emergency department nurses and 2 emergency department nurse managers). Consolidated criteria for reporting qualitative research was used to report results. RESULTS: Three categories of needs were identified: physical health, cognitive and emotional. For instance, parents expressed a need to receive more information during their visit to the emergency department (i.e., a cognitive need), whether about the diagnostic test results or how to ensure a better recovery. Parents also reported a desire for professionals to address their emotional concerns. Nurses were aware of the emotional impact of miscarriage but felt that they were not adequately trained in providing optimal care to parents in this situation. CONCLUSIONS: Parents who visited the emergency department for miscarriage reported several unfulfilled needs that generated dissatisfaction with care. Emergency department organisational constraints hindered optimal nursing care practices. RELEVANCE TO CLINICAL PRACTICE: Nurses have an important role to play in improving parents' experience. They can do so by understanding the needs of parents and by being involved in developing new guidelines.
Patients’ beliefs about adherence to oral antidiabetic treatment : a qualitative study
2015-03-10, Grégoire, Jean-Pierre, Guillaumie, Laurence, Giguère, Gabriel, Lauzier, Sophie, Moisan, Jocelyne, Guénette, Line
Purpose: The purpose of this study was to elicit patients' beliefs about taking their oral antidiabetic drugs (OADs) as prescribed to inform the development of sound adherence-enhancing interventions. Methods: A qualitative study was performed. Adults with type 2 diabetes who had been taking an OAD for >3 months were solicited to participate in one of six focus groups. Discussions were facilitated using a structured guide designed to gather beliefs related to important constructs of the theory of planned behavior. Four coders using this theory as the theoretical framework analyzed the videotaped discussions. Results: Forty-five adults participated. The most frequently mentioned advantages for OAD-taking as prescribed were to avoid long-term complications and to control glycemia. Family members were perceived as positively influential. Carrying the OAD at all times, having the OAD in sight, and having a routine were important facilitating factors. Being away from home, not accepting the disease, and not having confidence in the physician's prescription were major barriers to OAD-taking. Conclusion: This study elicited several beliefs regarding OAD-taking behavior. Awareness of these beliefs may help clinicians adjust their interventions in view of their patients' beliefs. Moreover, this knowledge is crucial to the planning, development, and evaluation of interventions that aim to improve medication adherence.
Psychosocial factors associated with pharmacists’ antidepressant drug treatment monitoring.
2020-03-12, Grégoire, Jean-Pierre, Guillaumie, Laurence, Humphries, Brittany, Lauzier, Sophie, Moisan, Jocelyne, Villeneuve, Denis
Objective: Patients undergoing antidepressant drug treatment (ADT) may face challenges regarding its adverse effects, adherence, and efficacy. Community pharmacists are well positioned to manage ADT-related problems. Little is known about the factors influencing pharmacists’ ADT monitoring. This study aimed to identify the psychosocial factors associated with pharmacists’ intention to perform systematic ADT monitoring and report on this monitoring. Design: Cross-sectional study based on the Theory of Planned Behavior (TPB). Setting and participants: Community pharmacists in the province of Quebec, Canada. Outcome measures: Pharmacists completed a questionnaire on their performance of ADT monitoring, TPB constructs (intention; attitude; subjective norm; perceived behavioral control; and attitudinal, normative, and control beliefs), and professional identity. Systematic ADT monitoring was defined as pharmacists’ reporting 4 or more consultations with each patient during the first year of ADT to address adverse effects, adherence, and efficacy. Hierarchical linear regression models were used to identify the factors associated with the intention and reporting of systematic ADT monitoring and Poisson working models to identify the beliefs associated with intention. Results: A total of 1609 pharmacists completed the questionnaire (participation ¼ 29.6%). Systematic ADT monitoring was not widely reported (mean score ¼ 2.0 out of 5.0), and intention was moderate (mean ¼ 3.2). Pharmacists’ intention was the sole psychosocial factor associated with reporting systematic ADT monitoring (P < 0.0001; R2 ¼ 0.370). All TPB constructs and professional identity were associated with intention (P < 0.0001; R2 ¼ 0.611). Perceived behavioral control had the strongest association. Conclusion: Interventions to promote systematic ADT monitoring should focus on developing a strong intention among pharmacists, which could, in turn, influence their practice. To influence intention, priority should be given to ensuring that pharmacists feel capable of performing this monitoring. The main barriers to overcome were the presence of only 1 pharmacist at work and limited time. Other factors identified offer complementary intervention targets.
A mixed-methods systematic review of the effects of mindfulness on nurses
2016-10-05, Guillaumie, Laurence, Boiral, Olivier, Champagne, Julie
Aim: To review the effects of mindfulness-based interventions on Registered Nurses and nursing students. Background: Work-related stress among nurses is estimated to be the biggest occupational health problem after musculoskeletal disorders. Design: A mixed-method systematic review incorporating quantitative and qualitative data was conducted. Data sources: Studies on the effects of mindfulness-based interventions for nurses and nursing students published between 1980 and 2014 were identified through a systematic search in electronic databases: Medline, Embase, PsycINFO, Cochrane Library and Cinahl. Review methods: Data analysis was conducted based on the framework of Thomas and Harden (2004). Results: A total of 32 studies, including 17 controlled designs, 11 pre-post designs and four qualitative designs were reviewed. Meta-analysis suggests that mindfulness-based interventions may be effective in significantly reducing state anxiety and depression at posttreatment and state anxiety and trait anxiety at follow-up. Qualitative studies and uncontrolled studies shed light on benefits overlooked in RCTs, including improvements in the well-being of individuals (e.g. inner state of calmness, awareness and enthusiasm) and improved performance at work (better communication with colleagues and patients, higher sensitivity to patients' experiences, clearer analysis of complex situations and emotional regulation in stressful contexts). Conclusions: Mindfulness appeared to improve nurses' mental health significantly. It could be used in worksite health promotion programmes. Only a few studies have explored the impact of mindfulness on nurses' professional behaviours and their relationships with patients and colleagues. Future research should further explore the long-term impacts of mindfulness on performance and well-being at work using sound methodological designs.
Développement, implantation et évaluation d'une intervention de promotion de la consommation de fruits et de légumes dans la population adulte française
2010, Guillaumie, Laurence, Godin, Gaston, Manderscheid, Jean-Claude
Ce projet a consisté en le développement, l'implantation et l'évaluation d'interventions visant la consommation d'au moins cinq portions de fruits et de légumes par jour chez des personnes ayant l'intention d'adopter ce comportement mais ne le faisant pas. Tout d'abord, une revue systématique de la littérature a été réalisée afin d'identifier les déterminants de la consommation de fruits et de légumes (CFL). Un total de 23 études a été identifié. Les déterminants les plus fréquents étaient l'habitude, l'intention, le sentiment d'efficacité personnelle et la connaissance. La régulation du comportement est aussi apparue comme un déterminant mais n'a été testée que dans une étude. Prenant en considération ces résultats et le degré élevé de motivation de la population visée, le sentiment d'efficacité personnelle ainsi que la planification de l'action et de la gestion de l'action ont été les cibles principales des interventions. Ensuite, 319 participants âgés de 20 à 65 ans ont été aléatoirement distribués dans quatre groupes : 1) une intervention basée sur la planification de l'action et de la gestion de l'action (PA); 2) une intervention basée sur le développement du sentiment d'efficacité personnelle (DEP); 3) une intervention combinant ces deux approches (IC); et 4) un groupe témoin. Un total de 163 participants a retourné les questionnaires avant et après l'intervention et à trois mois de suivi. À trois mois de suivi, comparée au groupe témoin, la CFL a augmenté de façon significative dans les groupes PA et IC (respectivement, 1,5 et 1,9 portion par jour). La plupart des variables psychosociales ont significativement augmenté, à l'exception du sentiment d'efficacité personnelle associé à la consommation de légumes. De plus, le changement de CFL est apparu médié par le changement d'intention de consommer des fruits et le changement dans la planification de l'action de consommer des légumes. En conclusion, les interventions basées sur la planification de l'action et de la gestion de l'action sont apparues efficaces pour augmenter la CFL, qu'elles soient associées ou non au DEP. Les interventions futures devraient privilégier cette approche pour favoriser le passage de l'intention à l'action de consommer des fruits et des légumes.