La formation d'infirmières-formatrices à la décision partagée : Jeter les bases d'une stratégie nationale


Marie-Eve Poitras

Centre de recherche du CHU de Québec - Hôpital St-François d'Assise


Domaine : Santé des populations

Programme : Formation postdoctorale (citoyens canadiens ou résidents permanents)

Concours 2016-2017


Unité SOUTIEN du Québec (Stratégie de recherche axée sur le patient)

The practice of nurses working in Family Medicine Groups (FMG) is largely dedicated to the management of patients with chronic diseases. Nurses can play a critical role in the care of these patients by supporting patient engagement through shared decision making and self-management.  However, evidence suggests that many nurses adopt paternalistic approaches when interacting with patients with chronic diseases. Training nurses in shared decision making for this clientele is a worthy goal, yet the capacity needed to train all nurses in Quebec is currently lacking.

Consequently, this research study aims to scale-up access to training in shared decision making for nurses that care for patients with chronic diseases and that work within interprofessional teams in Quebec FMGs. To achieve this goal, we will conduct a systematic review on "train-the-trainer" shared decision making program and then develop a nurse-focused train-the-trainer intervention. This intervention will then be evaluated through a pilot cluster randomized controlled trial. The main outcome measure of this pilot trial will be the feasibility of conducting a larger-scale follow-up study. Secondary outcomes will include the knowledge and skills of nurse-trainers and nurse-trainees, levels of shared decision making, patients' perceived engagement in care, and the estimated costs of the intervention. This project is consistent with the FRQ-S objectives related to knowledge translation and quality improvement for vulnerable patients, such as primary care patients with chronic diseases.