Recherche en soins infirmiers
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This third article is consecrated to the testimony's analysis of eleven patients having lived an experience of comfort in post-operative phase. The hermeneutic process used is the one proposed by Patricia Benner. ⋯ In the frame of the hermeneutic research, this methodological approach is undeniably the strongest point developed by the author, because, it allows an analysis which goes beyond the nursing speech whom the patient "who suffers" is more often the missing subject. Two clinical recommendations end this article.
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The need for a valid and reliable multi-dimensional instrument in French to enable nurses and clinicians to assess intensity and changes in cancer-related fatigue (CRF) and evaluate efficacy of intervention stratégies on patient outcome, prompted us to translate the Piper Fatigue Scale (PFS) and assess its psychometric properties in a French speaking population. The revised PFS is a 22 item self-report instrument with four sub-scales: behavioural/severity, affective, sensory and cognitive/mood. The PFS was translated using a procédure of translation and back translation and tested on 20 bilingual subjects. ⋯ The overall results of this preliminary study are satisfactory. We expect results to be further improved by the modifications proposed and testing is now underway in homogenous populations to evaluate the sensitivity of the instrument to changes over time. This will enable us to ascertain the definitive French version of the Piper Fatigue Scale.
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This study aims at describing the experience of the patients and their family when they are faced with an interdisciplinary team in palliative care. Are the patients and their family aware of the interdisciplinarity within the team and does this organization meet their expectations? We also went deeper into some themes, i.e. pain treatment, notion of safety and the position of the patients and of his relatives as object or subject of the care. We chose the qualitative approach to answer this question. ⋯ At home, the interdisciplinarity is not yet perceived by the subjects and it is striking to see the relatives who wish to "take a break" in their accompaniment of the sick person, even if they feel very guilty and are not very well considered by the care takers. We also noted all what was expressed around the death and the death accompaniment, which raises questions on the role of the team, the limits of this accompaniment and the training of the care takers for this accompaniment. To conclude, this study allowed us to describe an experience rather precisely; we could thus stress the perception by the patients and the families of a team, what, we think, can help the latter in their daily practice but also in a deepened reflection on the interdisciplinarity conditions and the implementation of real team projects, involving the patient and his family.