La parole aux infirmières soignantes et gestionnaires : un protocole de recherche multi-méthode dans deux centres hospitaliers pour optimiser l’étendue de la pratique infirmière
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Résumé
Introduction : De nombreuses études ont révélé qu’un temps limité est consacré aux activités de soins à valeur ajoutée faisant partie du rôle professionnel des infirmières (Déry et al., 2022). Or, cela a un impact sur la performance des systèmes de santé en termes de coûts globaux. La pandémie de COVID-19 a exercé une pression supplémentaire sur les organisations de soins de santé, et sur les infirmières gestionnaires et soignantes.
Objectif : Mobiliser les acteurs clés d’unités de soins afin de proposer des stratégies efficaces et réalistes pour faciliter le déploiement optimal de la pratique infirmière.
Méthodes : Ce programme de recherche international comprend 3 études transversales consécutives impliquant 2 centres de santé : 1 au Canada et 1 en Suisse. Le devis qualitatif de l’étude 1 comprendra des groupes de discussion avec des infirmières gestionnaires. Le devis corrélationnel quantitatif de l’étude 2 questionnera les infirmières soignantes. L’étude 3 comprendra de multiples rencontres avec des infirmières gestionnaires, soignantes, infirmières cliniciennes spécialisées et éducateurs (acteurs clés) pour élaborer un modèle logique d’intervention.
Discussion et retombées anticipées : L’étude 1 aidera à identifier les pratiques novatrices de gestion mises en œuvre par les infirmières gestionnaires depuis la COVID-19 ainsi qu’à identifier leurs besoins de soutien et de développement professionnel. L’étude 2 permettra de brosser un portrait précis du déploiement actuel de l’étendue de la pratique infirmière, ses tenants et aboutissants. L’étude 3 mobilisera les acteurs clés de chaque unité dans l’identification de stratégies efficaces et réalistes d’amélioration adaptées à leur réalité.
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