Personne :
Dallaire, Clémence

En cours de chargement...
Photo de profil
Adresse électronique
Date de naissance
Projets de recherche
Structures organisationnelles
Nom de famille
Université Laval. Faculté des sciences infirmières
Identifiant Canadiana

Résultats de recherche

Voici les éléments 1 - 3 sur 3
  • PublicationRestreint
    The clinical microsystems approach : does it really work? a systematic review of organizational theories into health care practices
    (American Pharmacists Association, 2020-07-19) Dogba, Maman Joyce; Côté, André; Laberge, Maude; Beogo, Idrissa; Dallaire, Clémence; Said Abasse, Kassim
    Objectives: Faced with increased expectations regarding the quality and safety of health care delivery systems, a number of stakeholders are increasingly looking for more efficient ways to deliver care. This study was conducted to provide a critical appraisal and synthesize the best available evidence on the impact of implementing clinical microsystems (CMS) on the quality of care and safety of the health care delivery. Data sources: A comprehensive and systematic search of 6 electronic databases, from 1998 to 2018, was conducted to identify empirical literature published in both English and French, evaluating the impact of implementing CMS in health care settings. Study selection: We included all study designs that evaluate the impact of implementing CMS in health care settings. Data extraction: Independent reviewers screened abstracts, read full texts, extracted data from the included studies, and appraised the methodological quality. Results: Of the 1907 records retrieved, 35 studies met the inclusion criteria. The settings included general practice clinics (n = 18), specialized care units (n = 14), and emergency and ambulatory units (n = 3). The implementation of CMS helped to develop the patient-centered approach, promote interdisciplinarity and quality improvement skills, increase the fluidity of the clinical acts performed, and increase patient safety. It contributed to increasing patients' and clinicians' satisfaction, as well as reducing hospital length of stay and reducing hospitalacquired infections. The implementation of CMS also contributed to the development and refinement of diagnostic tools and measurement instruments. Conclusion: The CMS approach is unique because of the primacy given to the quality of care offered and the safety of patients over any other consideration, and its ability to redesign health care delivery systems. Efforts still need to be made to legitimize the approach in various health care settings worldwide.
  • PublicationRestreint
    Cultural adaptation of the nursing activities score to the French-Canadian context and reliability evaluation
    (Pappin Communications, 2018-10-01) Lachance, Joanie; Douville, Frédéric; Oliveira, E. M. (Edilamar Menezes); Dallaire, Clémence; Gallani, Maria Cecilia; Oliveira, Arthur H. C.; Houle, Julie
    Background : Evaluating nursing activities in the direct care provided tool and intensive care unit (ICU) patient is important to better understand the intensity of care required by patient and then, to better distributes human and financial resources. The Nursing Activities Score (NAS) is a 23- item tool aimed at quantifying the nursing time in IUC patient direct care. Aim : The aim of this paper is to present the cultural adaptation of the NAS to the French-Canadian context and the results of the assessment of its reliability. Methods : Phase 1 of this methodological study was the cross-cultural adaptation of NAS and its tutorial as follows: translation, synthesis of translation, back-translation, evaluation by an expert committee, and pretest. In Phase 2, reliability was assessed according to the criterion of interrater agreement in three specialized ICUs, by three evaluators: one pair of nurses and one expert. Results : The total score exhibited an intra-class coefficient of 0.90, indicating a good overall agreement among the three judges. Concerning the items separately, Kappa-Fleiss coefficients indicated that 65% of the items (15/23) presented clear evidence of agreement. Items with lower levels of agreement were those with multiple-choice answers (i.e., monitoring; administrative tasks, hygiene, mobilization, support and care of relatives and patient) and some related to specific treatments. Conclusion : The French-Canadian version of the NAS and its tutorial were content validated by the target users. The evaluation of its reliability indicated a good overall agreement among judges for the total NAS score, but the multiple-choice items and some items related to specific interventions remain a challenge for the standardisation of scores among different users. The training of nurses for the NAS use is imperative for the accurate use of its tutorial and scoring. The evidence of the validation of this version will be the topic of a further publication.
  • PublicationRestreint
    Acceptability of videoconferencing to preserve the bond of cognitively impaired long-term care residents with their family caregivers : a mixed-methods study
    (Elsevier, 2022-09-22) Hardy, Marie-Soleil; Fanaki, Chaimaa; Savoie, Camille; Dallaire, Clémence; Wilchesky, Mashelle; Gallani, Maria Cecilia; Gagnon, Marie-Pierre; Laberge, Maude; Voyer, Philippe; Côté, André; Couture, Vincent; Dallaire, Bernadette
    Visiting restrictions had to be imposed to prevent the spread of the COVID-19 virus and ensure the safety of long-term care home (LTCH) residents. This mixed method study aimed to explore residents’ and family caregivers’ acceptability of electronic tablets used to preserve and promote contact. Semi-structured individual interviews with 13 LTCH residents and 13 family caregivers were done to study their experiences, as well as the challenges and resources encountered in the implementation and use of videoconferencing. They had to rate, on a scale from 0 to 10, each of the 6 Theoretical Framework of Acceptability’ constructs of the acceptability of the intervention. The results confirm acceptability of videoconferencing, giving residents and caregivers the opportunity to talk to and see each other during the pandemic. Videoconferencing had some benefits, such as being less expensive, and taking less time and effort for family caregivers.