Effects on nurses’ quality of working life and on patients’ quality of life of an educational intervention to strengthen humanistic practice among hemodialysis nurses in Switzerland : a protocol for a mixed-methods cluster randomized controlled trial

Delmas, Philippe (Institut et Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale) ; O'Reilly, Louise (Université de Sherbrooke, Canada) ; Cara, Chantal (Université de Montréal, Canada) ; Brousseau, Sylvain (Université du Québec en Outaouais, Saint-Jérôme, Canada) ; Weidmann, Jean (School of Management and Engineering Vaud, Yverdon-les-Bains) ; Roulet-Schwab, Delphine (Institut et Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale) ; Ledoux, Isabelle (2Université de Sherbrooke, Canada) ; Pasquier, Jérôme (Institute of Social and Preventive Medicine, Lausanne University Hospital (CHUV)) ; Antonini, Matteo (Institut et Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale) ; Bellier-Teichmann, Tanja (Institut et Haute Ecole de la Santé La Source, HES-SO Haute école spécialisée de Suisse occidentale)

Background: Humanistic nursing practice constitutes the cornerstone of the nursing profession. However, according to some authors, such practice tends to fade over time in favour of non-humanistic behaviours. To contrast this tendency, an educational intervention (EI) based on Watson’s Theory of Human Caring was developed and tested in two pilot studies involving, respectively, rehabilitation nurses in Quebec (Canada) and haemodialysis (HD) nurses in Switzerland. In light of the positive results obtained in these, another study is being undertaken to examine more in depth the EI’s effects on both HD nurses and patients in French Switzerland. The EI is expected to have positive effects on quality of nurse-patient relationship (NPR), team cohesion, nurse quality of working life (QoWL), and patient quality of life (QoL). Methods/design: The study described in this protocol will use a mixed-method cluster randomised controlled trial design. For the quantitative component, nurse and patient data will be collected through questionnaires. The accessible population of 135 nurses and 430 patients will be clustered into 10 HD units. These units will be randomised into an experimental group (EG) and a waiting-list control group (WLCG). Measurements will be taken at baseline (preintervention) and repeatedly over time (post-intervention): immediately at EI completion and six and 12 months thereafter. For the qualitative portion of the study, 18 semi-structured interviews will be conducted with EG nurses picked at random two months after EI completion to explore perceived changes in nurse humanistic practice. Qualitative data will be analysed through the relational caring inquiry method, a phenomenological approach. Descriptive and inferential statistics will be computed from the quantitative data. Discussion: The study described in this protocol will determine if and how the proposed EI promotes humanistic nursing practice and how this practice affects quality of NPR, nurse QoWL, and patient QoL. Moreover, it will lay the groundwork for offering the EI to nurses in other healthcare sectors.


Keywords:
Article Type:
scientifique
Faculty:
Santé
School:
La Source
Institute:
Secteur Recherche et Développement (Ra&D) de l'Institut et Haute Ecole de la Santé La Source
Subject(s):
Santé
Date:
2018-01
Pagination:
11 p.
Published in:
BMC Nursing
Numeration (vol. no.):
2018, vol. 17, no. 1, pp. 47-57
DOI:
ISSN:
1472-6955
Appears in Collection:



 Record created 2019-02-11, last modified 2019-02-28

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