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BACKGROUND A growing number of health-care professionals are using mobile applications. The mHealth App Usability Questionnaire (MAUQ) was designed to evaluate the usability of mobile health applications by patients and providers.... more
BACKGROUND A growing number of health-care professionals are using mobile applications. The mHealth App Usability Questionnaire (MAUQ) was designed to evaluate the usability of mobile health applications by patients and providers. However, this questionnaire is not available in French. OBJECTIVE The aim of this study is to translate from English into Canadian French, cross-culturally adapt, and initiate the validation of the original version of the MAUQ for standalone mHealth apps used by French-speaking health-care providers. METHODS A cross-cultural research study using the five first steps of the Sousa and Rojjanasrirat (2011) guideline was conducted following 1) an independent and anonymous double translation of the original questionnaire into Canadian French by certified translators, 2) the construction of a consensus version with a third party and the principal researcher based on both translations, 3) an independent and anonymous double back translation of the questionnaire into English by certified translators with no prior knowledge of the original MAUQ, 4) the attainment of a consensus version based on both back translations compared with the original, by the members of a committee, and 5) a pilot testing of the pre-final version with 49 potential users and 10 experts for content validation. RESULTS Five certified translators worked on the forward and back translation. A committee made up of translators, a member of the research team, and a health-care provider with experience in acute care discussed ambiguities and differences between the words, phrases, grammar, and meanings. They made improvements and established a consensus for each of the translated statements. The statements are considered clear with an inter-rater agreement of 99.14% among potential users and 90% among experts. Five statements out of 21 did not exceed the 80% inter-rater agreement of the experts regarding clarity. Following the revisions, modifications, and re-evaluations were carried out by the research team, inter-rater agreement exceeded 80%. Feedback from potential users and experts helped improve the accuracy of the statements. The content validity index of items varied from 0.90 to 1.00 and the overall content validity index was 0.981. Individual Fleiss’ Multirater Kappa of each item was between k=0.89 to 1.00, showing an excellent agreement and increasing confidence in the questionnaire’s content validity. CONCLUSIONS This process of translation and cultural adaptation produced a new version of the MAUQ that was validated for later use among the Canadian French-speaking population. An upcoming separate study will investigate the psychometric properties of the adapted questionnaire.
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AimThis review describes the availability of online French NCLEX‐RN© preparation resources for candidatesBackgroundOne entry to practice requirement for Canadian nurses is to successfully pass a licensing exam upon graduation from their... more
AimThis review describes the availability of online French NCLEX‐RN© preparation resources for candidatesBackgroundOne entry to practice requirement for Canadian nurses is to successfully pass a licensing exam upon graduation from their educational program. In 2015, the American NCLEX‐RN© replaced the Canadian entry to practice licensing examination which was offered in Canada's two official languages: English and French. The NCLEX‐RN© was developed in English and later translated to French. Since its implementation, Francophone candidates and educators in Canada have reported a lack of preparatory resources available in their language and have had substantial lower NCLEX‐RN© pass rates, consistently below 50%MethodsAn integrative review using Whittemore and Knafl's framework was conducted between February and May 2019, and updated in September 2020, through online searches of CINAHL, PubMed, Science Direct and Google Scholar databases. Grey literature was included from 2012 onwards. Results are presented narratively.ResultsA total of 17 French language preparatory resources were found. These resources were categorised into four main groups: (1) What is the NCLEX‐RN©?; (2) What do I need to do prior to writing the NCLEX‐RN©?; (3) What is assessed through the NCLEX‐RN©? and finally, (4) How can I practice before taking the NCLEX‐RN©?ConclusionLimited French‐language NCLEX‐RN© preparatory resources exist for Francophone candidates. Furthermore, practice questions in French are few compared to what is available in EnglishImplications for Nursing and Nursing PolicyOther countries may consider implementing an entry to practice exam such as the NCLEX‐RN© because of its availability in both the French and English language, as well as the possibility of translating the exam to other languages, creating a potential market for this test around the globe. The lack of preparatory resources in French is a major concern to Francophone candidates undertaking such a high‐stakes examination in their language. Nursing stakeholders and policy leaders should acknowledge that such gaps place Francophone writers in a disadvantaged position in comparison to their Anglophone counterparts.
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ABSTRACT Background: Short hospital admission periods following pediatric inpatient surgery leave parents responsible for managing their child’s postoperative pain in the community following discharge. Little is known about the... more
ABSTRACT Background: Short hospital admission periods following pediatric inpatient surgery leave parents responsible for managing their child’s postoperative pain in the community following discharge. Little is known about the experiences of parents caring for their child’s postoperative pain after discharge home following inpatient surgery. Research examining parental postoperative pain management following their child’s day surgery has found that parents are challenged in their pain management knowledge and practices. Aims: This interpretative phenomenological analysis study sought to understand parents’ experiences caring for their child’s postoperative pain at home. Methods: Semistructured telephone interviews were conducted with seven parents between 2 weeks and 6 months after their child’s discharge from hospital. Results: Identified themes were coming home without support, managing significant pain at home, and changes in the parent–child relationship. Conclusions: Parents could potentially benefit from nurses optimizing educational interventions, from receiving ongoing support of transitional pain teams, and from assistance with return to school planning.
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Pain is one of the most prevalent and burdensome pediatric cancer symptoms for young children and their families. A significant proportion of pain episodes are experienced in environments where management options are limited, including at... more
Pain is one of the most prevalent and burdensome pediatric cancer symptoms for young children and their families. A significant proportion of pain episodes are experienced in environments where management options are limited, including at home, and digital innovations such as apps may have positive impacts on pain outcomes for young children in these environments. Our overall aim is to co-design such an app and the objective of this study was to explore the perceptions of children’s parents about app utility, needed system features, and challenges. We recruited parents of young children with cancer and multidisciplinary pediatric oncology clinicians from two pediatric cancer care centers to participate in audio-recorded, semi-structured co-design interviews. We conducted interviews until data saturation was reached. Audio-recordings were then transcribed, coded, and analyzed using thematic analysis. Forty-two participants took part in the process. Participants endorsed the concept o...
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But : Cette étude vise à comprendre les perceptions des professionnels de la santé quant aux soins oncologiques pédiatriques offerts à domicile en français. Méthodologie : Une étude descriptive qualitative a été menée à l’aide d’entrevues... more
But : Cette étude vise à comprendre les perceptions des professionnels de la santé quant aux soins oncologiques pédiatriques offerts à domicile en français. Méthodologie : Une étude descriptive qualitative a été menée à l’aide d’entrevues individuelles semi-dirigées faites auprès de 22 professionnels de la santé. Une analyse thématique des transcriptions a été menée de façon indépendante par deux membres. Résultats : Les soins oncologiques pédiatriques sont offerts en français surtout au Québec, alors qu’il y a un manque d’accès en Ontario. Les causes et les effets possibles de ce manque d’accès ainsi que les solutions sont discutés dans le présent article. Conclusion : Les perceptions recueillies dans la présente étude devraient être prises en compte pour s’assurer d’offrir des soins oncologiques pédiatriques à domicile de qualité en français. Mots-clés : prestation des soins de santé, oncologie, pédiatrie, soins à domicile, francophonie
PURPOSE: Although the hospital remains the dominant site for delivering most pediatric cancer care, home-based care is increasingly provided. To effectively deliver comprehensive, relevant, and acceptable care in children's homes, the... more
PURPOSE: Although the hospital remains the dominant site for delivering most pediatric cancer care, home-based care is increasingly provided. To effectively deliver comprehensive, relevant, and acceptable care in children's homes, the voices of these key informants must be considered. We examined the views of children with cancer, their family caregivers, and clinicians on home-based cancer care to identify necessary strategies to improve the delivery of care. METHODS: Children with cancer, their family caregivers, and multiprofessional clinicians who provide care at a tertiary pediatric care center or in the community participated in audio-recorded, semistructured interviews in French and English. Interviews were conducted until data saturation in each participant group was achieved. Interviews were transcribed, coded, and analyzed using thematic analysis. RESULTS: Thirteen children, 20 family caregivers, and 22 clinicians participated. Home-based care was endorsed as a means t...
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PRISMA-P 2015 checklist. (DOCX 39 kb)
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The purpose of this study was to explore parents' and health care professionals' perception of parents' experiences in making decisions between acute and palliative therapies along the trajectory of their child's... more
The purpose of this study was to explore parents' and health care professionals' perception of parents' experiences in making decisions between acute and palliative therapies along the trajectory of their child's life-limiting condition. An interpretive description qualitative study was conducted. Semistructured interviews were completed with 6 parents and 6 health care professionals. Qualitative thematic analysis was used to identify, analyze, and report 4 themes: (1) “Going by your heart and gut”: the process of making a unique decision; (2) “Not black and white”: experiencing decisional conflict when making difficult decisions; (3) “Widening the circle of care”: various sources of decision-making support; and (4) “Always a worry”: concerns regarding parents' decision quality and outcomes. Parents described experiencing decisional conflict when making health care decisions for their child with a life-limiting condition. Decision support provided by health care professionals in an interprofessional manner was preferred and supplemented by a parent-based support network. Reassurance regarding their good parenting from health care professionals was described as supportive throughout the decision-making experience.
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The objectives of this study were to evaluate the effect of a preoperative educational DVD on parents’ knowledge acquisition, participation and anxiety related to their child’s care in the recovery room. It also aimed at evaluating the... more
The objectives of this study were to evaluate the effect of a preoperative educational DVD on parents’ knowledge acquisition, participation and anxiety related to their child’s care in the recovery room. It also aimed at evaluating the DVD in terms of children’s postoperative distress, pain, analgesic requirements and length of recovery. Following the development of a preoperative educational DVD for parents, a randomized clinical trial, with a pre-test-post-test control group, was conducted on 123 French or English speaking parent-child dyads whose child was aged from 3 to 10 years and underwent an ENT or dental same day surgery at a Canadian pediatric hospital. The parents in the control group received the standard preoperative preparation (verbal and written information about hospital procedures and the hospital’s surgical virtual tour). The parents in the experimental group viewed the DVD and received the standard preoperative preparation. Parents and children were videotaped in...
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AIM This review describes the availability of online French NCLEX-RN© preparation resources for candidates BACKGROUND: One entry to practice requirement for Canadian nurses is to successfully pass a licensing exam upon graduation from... more
AIM This review describes the availability of online French NCLEX-RN© preparation resources for candidates BACKGROUND: One entry to practice requirement for Canadian nurses is to successfully pass a licensing exam upon graduation from their educational program. In 2015, the American NCLEX-RN© replaced the Canadian entry to practice licensing examination which was offered in Canada's two official languages: English and French. The NCLEX-RN© was developed in English and later translated to French. Since its implementation, Francophone candidates and educators in Canada have reported a lack of preparatory resources available in their language and have had substantial lower NCLEX-RN© pass rates, consistently below 50% METHODS: An integrative review using Whittemore and Knafl's framework was conducted between February and May 2019, and updated in September 2020, through online searches of CINAHL, PubMed, Science Direct and Google Scholar databases. Grey literature was included from 2012 onwards. Results are presented narratively. RESULTS A total of 17 French language preparatory resources were found. These resources were categorised into four main groups: (1) What is the NCLEX-RN© ?; (2) What do I need to do prior to writing the NCLEX-RN© ?; (3) What is assessed through the NCLEX-RN© ? and finally, (4) How can I practice before taking the NCLEX-RN© ? CONCLUSION Limited French-language NCLEX-RN© preparatory resources exist for Francophone candidates. Furthermore, practice questions in French are few compared to what is available in English IMPLICATIONS FOR NURSING AND NURSING POLICY: Other countries may consider implementing an entry to practice exam such as the NCLEX-RN© because of its availability in both the French and English language, as well as the possibility of translating the exam to other languages, creating a potential market for this test around the globe. The lack of preparatory resources in French is a major concern to Francophone candidates undertaking such a high-stakes examination in their language. Nursing stakeholders and policy leaders should acknowledge that such gaps place Francophone writers in a disadvantaged position in comparison to their Anglophone counterparts.
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AIM Clinical instructors are typically the sole assessors of nursing students completing their pediatric clinical placement in Canadian children's hospitals, as per their educational institution's assessment criteria and learning... more
AIM Clinical instructors are typically the sole assessors of nursing students completing their pediatric clinical placement in Canadian children's hospitals, as per their educational institution's assessment criteria and learning objectives. The purpose of this study was to explore nursing students' and clinical instructors' perceptions of and experiences with involving pediatric patients and parents in assessing nursing students during their pediatric clinical placement. DESIGN We conducted a qualitative descriptive study. METHODS We completed semi-structured interviews with fourth-year nursing students and pediatric clinical instructors from a University located in a city in central-eastern Canada. We used qualitative content analysis to analyze the data. RESULTS We found that students and instructors perceived patient and parent involvement in the assessment of nursing students' clinical practice as beneficial for patients, parents, students and instructors. Students and instructors believed patients and parents could contribute to assessing students' communication and therapeutic relationship skills. However, we identified potential challenges including patients' and parents' lack of knowledge regarding nursing skills, as well as added stress for students and parents. CONCLUSION Future studies should focus on ways of overcoming these challenges before implementing this novel assessment process.
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The aim was to critically analyse the body of evidence regarding the effectiveness of PFCC transition interventions on the quality of care and the experience of patients.
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PURPOSE To explore patients' and parents' involvement in the formative assessment of undergraduate nursing students' pediatric clinical practice. METHODS We conducted semi-structured interviews with pediatric patients between... more
PURPOSE To explore patients' and parents' involvement in the formative assessment of undergraduate nursing students' pediatric clinical practice. METHODS We conducted semi-structured interviews with pediatric patients between 14 to 18 years of age and parents who received care from a nursing student while admitted to a pediatric tertiary care hospital in Canada. We analyzed the data using qualitative content analysis as well as Lincoln and Guba's criteria for establishing trustworthiness. The Consolidated criteria for reporting qualitative studies (COREQ) checklist was completed for the quality appraisal of this article. FINDINGS Three categories emerged from the data: 1) How patients and parents are currently involved in the formative assessment of nursing students' pediatric clinical practice; 2) How patients and parents would prefer to be involved in the formative assessment of nursing students' pediatric clinical practice; and 3) The potential benefits and challenges of involving patients and parents in the formative assessment of nursing students' pediatric clinical practice. CONCLUSION This study provided an understanding of patients' and parents' past encounters with nursing students and the elements of care that they have assessed as well as those that they would prefer to assess and provide feedback on, while considering the potential benefits and challenges of their involvement. The findings of this study will assist clinical instructors in determining how and when to involve patients and parents in the assessment of nursing students. Academic institutions offering nursing programs should consider the study findings when improving or changing formative assessment strategies.
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BACKGROUND Adolescents are typically admitted for a short period of time after inpatient surgery, leaving much of their recovery to occur at home. Pain, and thus pain management, is a major component of recovery at home. Research among... more
BACKGROUND Adolescents are typically admitted for a short period of time after inpatient surgery, leaving much of their recovery to occur at home. Pain, and thus pain management, is a major component of recovery at home. Research among pediatric outpatient surgical patients has found that pain experienced in the community setting after discharge is often severe and is related to knowledge deficits resulting in inadequate pain management. However, there is little research on community pain management after inpatient surgery. AIM This study aimed to explore the pain experiences of seven adolescents who underwent inpatient surgery. DESIGN This study used Interpretative Phenomenological Analysis as a methodology. SETTING This study took place at a pediatric tertiary care hospital in Canada. PARTICIPANTS 7 adolescents participated, all of whom underwent inpatient surgery with admission between 2-14 days in length. METHODS Semi-structured interviews were conducted 2 to 6 weeks post-discharge. RESULTS Three themes were identified that described their experiences, including managing severe pain at home with minimal preparation, changes in the parent-child relationship, and difficulties returning to school and regular activities. CONCLUSIONS Involving adolescents directly in discharge education, particularly with the use of novel interventions and coaching, may improve outcomes. KEY PRACTICE POINTS Adolescent patients experience significant pain after discharge from hospital after inpatient surgical procedures. Adolescents are in need of adolescent-specific pain management education to increase skill and knowledge and address pain management-related misconceptions. Greater emphasis on involving adolescents in their own pain care and novel intervention could prove useful in improving outcomes.
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BACKGROUND High-quality and relevant nursing education is needed to ensure graduates meet entry to practice competencies. Despite the important role of curricula in the development of nurses and the nursing profession, there does not... more
BACKGROUND High-quality and relevant nursing education is needed to ensure graduates meet entry to practice competencies. Despite the important role of curricula in the development of nurses and the nursing profession, there does not appear to be a consistent or widely accepted approach to nursing curriculum renewal. OBJECTIVE To identify and synthesize existing curriculum renewal/redesign practices, create an aggregated logic model depicting an evidence-informed process for nursing curriculum renewal, and stimulate dialogue about how to keep nursing curricula relevant in an ever-changing healthcare context. DESIGN An integrative review, modeled on the Joanna Briggs Methodology of Systematic Reviews, of the available published articles, including empirical research and discussion articles. DATA SOURCES We searched for quantitative, qualitative, and non-research literature (English and French) on full nursing programs or curriculum revisions for pre-licensure nursing students enrolled in an undergraduate or associate degree program. Databases included CINAHL, Nursing and Allied Health, and Medline from January 2010 to January 2017. We then did a hand search for articles from January 2017 to April 2019. SYNTHESIS Extracted data were synthesized into an aggregated logic model based on Yin's method of cross-case analysis. Data included information about the internal context, the external context, drivers, the preparatory phase, the active phase, outcomes, and evaluation methods of the described curriculum renewal process. RESULTS Twenty articles were included, which were published between 2010 and 2018. The resulting logic model, The Ottawa Model for Nursing Curriculum Renewal, includes information on the context, process and outcomes of the renewal process, and how and when to evaluate curricula. CONCLUSION This synthesis aids in defining the process of curriculum renewal for undergraduate nursing education. It stimulates systems level thinking and reveals gaps, such as the need for further research into curriculum evaluation. The Ottawa Model for Nursing Curriculum Renewal is a usable template to aid educators undertaking their own process of curriculum renewal.
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There is a world-wide shortage of nursing faculty, which is complicated by the need for French, English, and bilingual professors in Canada. The purpose of this qualitative study was to explore the current status and effects of the... more
There is a world-wide shortage of nursing faculty, which is complicated by the need for French, English, and bilingual professors in Canada. The purpose of this qualitative study was to explore the current status and effects of the nursing faculty shortage on Canadian Schools of Nursing (SON) from a leadership perspective. We conducted semi-structured interviews with 12 Deans and Directors of Canadian Schools of Nursing. The participants spoke about the faculty shortage in terms of demand, supply, and strategies employed. The participants were concerned about the ramifications of some of the decisions deemed necessary for continued viability of their programs, such as over-assigning teaching workloads. In light of mass upcoming retirements, shortening the time to completion for PhD studies and making graduate education more accessible are important priorities.
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This study evaluated a virtual tour entitled, "Surgery Virtual Tour," offered on a Web site of a university-affiliated pediatric center. A pre-experimental one-group pretest-posttest design was used to assess the level of health... more
This study evaluated a virtual tour entitled, "Surgery Virtual Tour," offered on a Web site of a university-affiliated pediatric center. A pre-experimental one-group pretest-posttest design was used to assess the level of health care knowledge, emotional state, degree of utilization, and perceived usefulness of the Virtual Tour. The convenience sample consisted of 138 children having same-day surgery and their parents. The "Surgery Virtual Tour" was used by 55% of 138 families. Children who viewed the Web site had statistically significant higher knowledge scores than those who did not. Although there was no statistically significant difference in emotional distress for children in either group before the surgery (Time 1) to the day of the surgery (Time 2), parents' level of emotional distress increased significantly from Time 1 to Time 2 when they took the Virtual Tour. The results of this study will help clinicians and managers build virtual tours for child...
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Changes in health care delivery in Canada and Europe, especially the shift to ambulatory care, have modified the care that children and parents receive and have prompted the need for a partnership alliance. The objectives of this... more
Changes in health care delivery in Canada and Europe, especially the shift to ambulatory care, have modified the care that children and parents receive and have prompted the need for a partnership alliance. The objectives of this exploratory study were to identify Canadian and Belgian health professionals' beliefs and attitudes towards parental involvement in their child's ambulatory care and to determine if these beliefs varied according to cultural background. Health professionals from both countries generally were in favor of parental involvement in their child's care, but are uncertain about its advantages and disadvantages. Facilitators and barriers mentioned by the health care providers were related to parents' abilities or their attitudes toward partnership, and they also expressed a need for more education on the subject. Results of this study indicate that health professionals working in ambulatory care are not fully ready to utilize parents as true partners in their interventions with children and families. Staff education is an important step towards the establishment and maintenance of a real partnership.
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Pediatric care has greatly evolved during the past 30 years, moving from a traditional, medically oriented approach to a more consultative, interactive model. In the literature, the concept of partnership has been explored and presented... more
Pediatric care has greatly evolved during the past 30 years, moving from a traditional, medically oriented approach to a more consultative, interactive model. In the literature, the concept of partnership has been explored and presented in various terms, including presence, collaboration, involvement, and participation. The models of partnership that have been proposed have rarely been evaluated, and do not take the unique environment of ambulatory care into account. Based on a literature review, strong clinical experience with families, and previous research with parents and health professionals, both the conceptual and empirical phases of a new model are described. This model can be adapted to other pediatric health care contexts in either primary or tertiary care and should be evaluated in terms of efficacy and usefulness.
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A Canadian pediatric center has set a preoperative virtual tour on its website. This tour was evaluated by a descriptive study, in terms of utilization, efficacy and usefulness. The tour was utilized by 49.6% of the 123 families. Children... more
A Canadian pediatric center has set a preoperative virtual tour on its website. This tour was evaluated by a descriptive study, in terms of utilization, efficacy and usefulness. The tour was utilized by 49.6% of the 123 families. Children of these families had a significant increase in knowledge from Time I (preop clinic) to Time 2 (day of surgery). Children and youth who did not use the tour reported themselves as more anxious the day of surgery but not significantly. There was no significant change in parents. The internet is a useful tool in families' preparation but cannot replace a direct interaction. Other researches are necessary in order to evaluate the impact of this type of preparation on the quality of care and on the child's recovery.