La signification expérientielle et les facteurs qui influencent la qualité de vie au travail des cadres gestionnaires infirmiers de premier niveau œuvrant en établissements de santé

Au cours des trois dernières décennies, le travail quotidien des cadres gestionnaires infirmiers de premier niveau (CGIPN) a subi de profondes transformations quant aux rôles qu’ils occupent et aux responsabilités qui leur incombent dans les divers établissements de santé. Ces CGIPN vivent et subissent de la pression au regard de leur charge de travail, faisant en sorte qu’ils perçoivent avoir peu de temps pour réaliser adéquatement leur travail en gestion, et que plusieurs infirmières de la relève qui souhaitent faire carrière en gestion se questionnent sur la possibilité d’œuvrer dans ce domaine de la pratique. Peu d’études portent sur l’état de la qualité de vie au travail (QVT) chez ces professionnels. Divisé en trois volets, le projet de recherche mixte séquentielle exploratoire a pour objectif général d’explorer la QVT chez les CGIPN et les facteurs qui l’influencent dans les divers établissements de santé québécois. Les objectifs spécifiques visent à : 1) décrire et comprendre ce que signifie la QVT auprès des 14 CGIPN œuvrant en Centre hospitalier affilié (CHA) à l’Université, 2) décrire et comprendre ce que signifie l’absence d’une QVT auprès des CGIPN en CHA, 3) développer et valider un nouvel instrument de mesure des facteurs favorables et défavorables pouvant influer sur la QVT à partir des données qualitatives auprès de CGIPN (n= 11) œuvrant en Centre de santé et des services sociaux et de CGIPN (n= 11) en Centre hospitalier universitaire, 4) identifier et mesurer les facteurs qui influencent la QVT des CGIPN (n= 291) travaillant dans divers établissements publics de santé et 5) déterminer si les caractéristiques sociodémographiques influencent le choix des facteurs de la QVT. Inspiré de la philosophie du Human caring de Watson comme perspective disciplinaire, le premier volet qualitatif fait appel à une méthode phénoménologique descriptive husserlienne. Pour ce faire, deux séries d’entretiens semi-dirigés à l’aide d’un guide d’entrevue visent à répondre aux deux premiers objectifs. Le second volet cible l’élaboration et la validation d’un instrument de mesure permettant de répondre au troisième objectif de la recherche et le dernier volet, de type quantitatif corrélationnel, s’applique à répondre aux deux derniers objectifs. Dans la première phase, l’analyse visuelle des données qualitatives (verbatim) permet l’émergence des résultats qualitatifs, soit de cinq eidos-thèmes favorables exprimés par les participants et décrits par ordre d’importance : 1) l’actualisation du leadership et des habiletés politiques pour l’amélioration de la qualité des soins infirmiers, 2) les éléments contextuels propices à l’humanisation organisationnelle, 3) le soutien organisationnel favorisant l’épanouissement socioprofessionnel et personnel, 4) l’organisation apprenante favorisant le développement des compétences en gestion des soins infirmiers et 5) l’accompagnement personnalisé répondant aux besoins spécifiques des novices en gestion des soins infirmiers. L’essence de la QVT pour les CGIPN se définit par l’émancipation socioprofessionnelle du cadre gestionnaire infirmier de premier niveau dans sa pratique clinico-administrative au sein d’une organisation humaniste. De plus, trois eidos-thèmes défavorables se dégagent des analyses qualitatives. Les résultats, décrits par ordre d’importance, sont : 1) la déshumanisation organisationnelle, 2) les conditions défavorables à la pratique en gestion des soins infirmiers et 3) l’accompagnement insuffisant des gestionnaires infirmiers novices. L’essence de l’absence d’une QVT pour les CGIPN se présente comme la dysharmonie au travail du cadre gestionnaire infirmier de premier niveau à l’intérieur d’une structure organisationnelle déshumanisante mettant en péril sa pratique clinico-administrative. Par la suite, une mise en relation des deux essences du phénomène a permis de faire émerger la signification universelle de l’expérience de la QVT et l’absence de celle-ci pour des CGIPN œuvrant en CHA comme étant : une dialectique en administration des services infirmiers dans laquelle se vit des pratiques humanisantes permettant l’atteinte d’un idéal de QVT, en coexistence avec des pratiques déshumanisantes conduisant à l’absence de QVT. Afin de respecter les postulats des méthodes quantitatives, les huit eidos-thèmes qui émergent de la première phase qualitative se transforment en facteurs favorables (FF) et défavorables (FD) à la QVT pour la réalisation des deuxième et troisième phases de la recherche. Dans la seconde phase, le construit théorique qui provient des huit eidos-thèmes et 23 thèmes permet de développer un nouvel instrument de mesure qui s’avère unique à cette population à l’étude. L’analyse psychométrique de l’instrument de mesure (questionnaire auto-administré en mode électronique) permet l’obtention d’un score global du coefficient alpha de Cronbach (α) de 0,93, ce qui est jugé excellent. Dans la troisième et dernière phase, les analyses statistiques des données (logiciel SPSS, version 22 pour Windows 7, 2013) issues de l’enquête quantitative provinciale en ligne (Web) mettent en évidence des résultats probants. Les résultats du questionnaire en ligne avec une échelle ordinale à cinq niveaux révèlent un score global du coefficient alpha de Cronbach à 0,95. De plus, les résultats quantitatifs suggèrent que les facteurs favorables (FF) à la QVT ont des scores moyens de 3,99 (FF1), 3,97 (FF2), 3,96 (FF3), 3,72 (FF4) et 3,53 (FF5) et les trois facteurs défavorables (FD) à la QVT ont des scores moyens de 3,91(FD1), 3,78 (FD2) et 3,56 (FD3). Ces facteurs correspondent aux eidos-thèmes favorables et défavorables de la QVT du volet qualitatif phénoménologique. Les résultats quantitatifs révèlent quelques relations significatives des caractéristiques sociodémographiques (âge et années d’expérience) sur le choix des facteurs qui influencent le plus fortement la QVT. En conclusion, le fait de pouvoir mieux décrire et comprendre la signification de la QVT ainsi que son absence et de pouvoir identifier les facteurs qui sont les plus susceptibles de l’influencer permet de formuler des recommandations pour les quatre domaines de la pratique infirmière. Des pistes d’avenues sont formulées pour maintenir la relève infirmière à des postes de CGIPN au sein des organisations de santé en lui assurant des moyens pour optimiser humainement sa QVT.

Description de l’évolution du profil socio-cognitif et clinique d’une cohorte d’adolescents diabétiques de type 1 ayant suivi un programme d’éducation thérapeutique

Thèse réalisée en cotutelle entre Aix-Marseille Université et l'Université de Montréal

Engineering Foundation Year Sustaining Success Lecture 4

slides to take students through part of task of preparing portfolio - also addresses skills development (embedded in tasks)this week - self knowledge and using feedback

IBM's Internet of Things and Academic Initiative

IBM provide a comprehensive academic initiative, (http://www-304.ibm.com/ibm/university/academic/pub/page/academic_initiative) to universities, providing them free of charge access to a wide range of IBM Software. As part of this initiative we are currently offering free IBM Bluemix accounts, either to be used within a course, or for students to use for personal skills development. IBM Bluemix provides a comprehensive cloud based platform as a service solution set which includes the ability to quickly and easily integrate data from devices from Internet of Things ( IoT) solutions to develop and run productive and user focused web and mobile applications. If you would be interested in hearing more about IBM and Internet of Things or you would like to discuss prospective research projects that you feel would operate well in this environment, please come along to the seminar!

Propiedades psicométricas del test de competencias motoras Bruininks Oseretsky en versión corta para niños entre 4 y 7 años en Chía y Bogotá – Colombia.

Existen importantes pruebas de valoración que miden habilidades o competencias motoras en el niño; a pesar de ello Colombia carece de estudios que demuestren la validez y la confiabilidad de un test de medición que permita emitir un juicio valorativo relacionado con las competencias motoras infantiles, teniendo presente que la intervención debe basarse en la rigurosidad que exigen los procesos de valoración y evaluación del movimiento corporal. Objetivo. El presente estudio se centró en determinar las propiedades psicométricas del test de competencias motoras Bruininiks Oseretsky –BOT 2- segunda edición. Materiales y métodos. Se realizó una evaluación de pruebas diagnósticas con 24 niños aparentemente sanos de ambos géneros, entre 4 y 7 años, residentes en las ciudades de Chía y Bogotá. La evaluación fue realizada por 3 evaluadores expertos; el análisis para consistencia interna se realizó utilizando el Coeficiente Alfa de Cronbach, el análisis de reproducibilidad se estableció a través del Coeficiente de Correlación Intraclase –CCI- y para el análisis de la validez concurrente se utilizó el Coeficiente de Correlación de Pearson, considerando un alfa=0.05. Resultados. Para la totalidad de las pruebas, se encontraron altos índices de confiabilidad y validez. Conclusiones. El BOT 2 es un instrumento válido y confiable, que puede ser utilizado para la evaluación e identificación del nivel de desarrollo en que se encuentran las competencias motoras en el niño.

Science is Primary - Children Thinking and Learning in theChemistry Laboratory

The goal of primary science education is to foster children’s interest, develop positive science attitudes and promote science process skills development. Learning by playing and discovering provides several opportunities for children to inquiry and understand science based on the first–hand experience. The current research was conducted in the children’s laboratory in Heureka, the Finnish science centre. Young children (aged 7 years) which came from 4 international schools did a set of chemistry experiments in the laboratory. From the results of the cognitive test, the pre-test, the post-test, supported by observation and interview, we could make the conclusion that children enjoyed studying in the laboratory. Chemistry science was interesting and fascinating for young children; no major gender differences were found between boys and girls learning in the science laboratory. Lab work not only encouraged children to explore and investigate science, but also stimulated children’s cognitive development.

Police perceptions of interviews involving children with intellectual disabilities: a qualitative inquiry

This study employed a qualitative method to explore the experiences of 20 police officers when interviewing children with intellectual disabilities. Three main themes were interpreted as representing challenges to the officers when interviewing special-needs children: police organizational culture, participants' perceptions of these children as interviewees, and prior information. Participants in this inquiry mentioned poor organizational priority within the police force for child abuse cases and children with intellectual disabilities, as well as inadequate support for interviewing skills development and maintenance. Participants also attempted to equalize these children by interviewing them in the same way as their mainstream peers. Finally, participants viewed interview preparation as influential in determining an interview's successful outcome, but recognized that preparedness could bias their interviewing techniques. Increased attention towards these issues will provide a basis for developing strategies to minimize such challenges and thus improve the quality of interviews with children with intellectual disabilities.

Voices of experience : developing export capability through eCommerce in Australian SMEs

This paper reports an exploratory study of 19 Australian SMEs which had successfully used eCommerce develop to or enhance their export capability. The purpose of the study was to identify both successful adoption processes and impediments to using eCommerce for export. Few companies had  adopted a strategic and planned approach to managing this adoption. The lack of easily accessed and trustworthy information and advice was partly responsible. The study identified a number of other obstacles to  eCommerce export development, including infrastructure and technical deficiencies, lack of awareness and expertise, problems with banking and finance and problems with physical links into export destinations. The developments that would most enable Australian companies to use eCommerce for export are identified as: improvements in the infrastructure on which eCommerce depends; the provision of consolidated, impartial information and advice about the use of eCommerce for export; and training and skills development to facilitate the implementation of eCommerce for export.

Tipping points in online-mediated learning environments

Teacher/Student engagement enriches learning experiences beyond the specifics of communicated information by encouraging connectivity and the fostering of learning communities. This paper is an analysis of student engagement in a postgraduate online-mediated learning environment, and considers how engagement may be an important factor in building communities of learning in conjunction with improved learning outcomes. This paper is informed by the conceptual framework for effective e-learning outlined by Garrison and Anderson (2003) as necessary for higher order knowledge building by students as part of skills development for participation in knowledge economies. Data collected through a pilot study infers that a correlation exists between the development of small groups of significantly contributing students within wider online student cohorts and the learning outcomes of all students within the cohort. The findings indicate that a number of small events have increased student engagement and motivation, and resulted in improved learning outcomes.

The effect of cure cycle heating rate on the fibre/matrix interface

Development of civil aerospace composites is key to future “greener” aircraft. Aircraft manufacturers must improve efficiency of their product and manufacturing processes to remain viable. The aerospace industry is undergoing a materials revolution in the design and manufacture of composite airframes. The Airbus A350 and Boeing 787 (both due to enter service in the latter part of this decade) will push utilisation levels of  composite materials beyond 50% of the total airframe by weight. This  change requires massive investment in materials technology, manufacturing capability and skills development. The Quickstep process provides the ability to rapidly cure aerospace standard composite materials whilst providing enhanced mechanical properties. Utilising fluid to transfer heat to the   composite component during the curing process allows far higher heat rates than with conventional cure techniques. The rapid heat-up rates reduce the viscosity of the resin system greatly to provide a longer processing window introducing greater flexibility and removing the need for high pressure during cure. Interlaminar fracture toughness (Mode I) and Interfacial Shear Strength of aerospace standard materials cured using Quickstep have been    compared to autoclave cured laminates. Results suggest an improvement in fibre-matrix adhesion.

Building research capacity in General Practice : Incorporating research as a component of GP vocational training

Aims & rationale/Objectives : Australian research shows that most GP registrar supervisors lack confidence to support registrar research projects and themselves have little or no research experience. Assisting registrars to develop critical thinking skills and an understanding of research methods sufficient to enable active use of these tools in general practice is one of the curriculum statements in the RACGP Training Program Curriculum. A University Department of Rural Health (UDRH) and a General Practice Education and Training (GPET) organisation formed a partnership to: Engage basic term registrars in group research and concurrent research skills training program; Improve research skills, confidence, and knowledge; and Contribute research findings relevant to general practice.

Methods : Registrars' initial research knowledge and confidence was measured by a questionnaire. In addition to a final focus group, feedback via evaluation forms was sought from the 11 registrars and two GPET supervisors at the conclusion of each research training session.

Principal findings : Approaches

Implications : Research skills development training and involvement in research can be successfully integrated into a GP vocational training program.

Skill shortages in health : innovative solutions using vocational education and training

Introduction: This article reports findings of a project funded by the Australian National Council for Vocational Education Research. The project explores solutions to current and projected skills shortages within the health and community services sector, from a vocational education and training perspective. Its purpose is to locate, analyse and disseminate information about innovative models of health training and service delivery that have been developed in response to skill shortages.

Methods: The article begins with a brief overview of Australian statistics and literature on the structure of the national health workforce and perceived skill shortages. The impact of location (state and rurality), demographics of the workforce, and other relevant factors, on health skill shortages is examined. Drawing on a synthesis of the Australian and international literature on innovative and effective models for addressing health skill shortages and nominations by key stakeholders within the health sector, over 70 models were identified. The models represent a mixture of innovative service delivery models and training solutions from Australia, as well as international examples that could be transposed to the Australian context. They include the skill ecosystem approach facilitated by the Australian National Training Authority Skill Ecosystem Project. Models were selected to represent diversity in terms of the nature of skill shortage addressed, barriers overcome in development of the model, healthcare specialisations, and different customer groups.

Results: Key barriers to the development of innovative solutions to skills shortages identified were: policy that is not sufficiently flexible to accommodate changing workplace needs; unwillingness to risk take in order to develop new models; delays in gaining endorsement/accreditation; current vocational education and training (VET) monitoring and reporting systems; issues related to working in partnership, including different cultures, ways of operating, priorities and timelines; workplace culture that is resistant to change; and organisational boundaries. For training-only models, additional barriers were: technology; low educational levels of trainees; lack of health professionals to provide training and/or supervision; and cost of training. Key enhancers for the development of models were identified as: commitment by all partners and co-location of partners; or effective communication channels. Key enhancers for model effectiveness were: first considering work tasks, competencies and job (re)design; high profile of the model within the community; community-based models; cultural fit; and evidence of direct link between skills development and employment, for example VET trained aged care workers upskilling for other health jobs. For training only models, additional enhancers were flexibility of partners in accommodating needs of trainees; low training costs; experienced clinical supervisors; and the provision of professional development to trainers.

Conclusions: There needs to be a balance between short-term solutions to current skill shortages (training only), and medium to longer term solutions (job redesign, holistic approaches) that also address projected skills shortages. Models that focus on addressing skills shortages in aged care can provide a broad pathway to careers in health. Characteristics of models likely to be effective in addressing skill shortages are: responsibility for addressing skills shortage is shared between the health sector, education and training organisations and government, with employers taking a proactive role; the training component is complemented by a focus on retention of workers; models are either targeted at existing employees or identify a target group(s) who may not otherwise have considered a career in health.

Levy grant training scheme evolution : focus on Fiji and Singapore

This thesis examines the evolution of national training policy in Fiji since 1973 with a particular emphasis on the national levy-grant scheme that was introduced in Fiji in that same year. Developments in the Fiji National Training Council (FNTC) levy-grants scheme since its inception, including substantive amendments to the legislation in late 2002, form part of the scholarship. The thesis will provide an analytical narration of the training policy objectives and their transformation over a time span of almost three decades in the context of a small island nation. To inform this study, it was considered essential to compare the Fiji experience of levy grants schemes with other levy grants scheme. The author decided to use as the focal comparative benchmark the case of the Skills Development Fund (SDF) in Singapore. The SDF has been increasingly portrayed, by the World Bank, the International Labour Organisation and other influential agencies, as the best practice case when it comes to managing a training levy grants scheme. The thesis adopted a qualitative approach that utilized elements of case study, historical research, and key person interviews. The challenges of doing 'insider* research were explored because of its pertinence to the study. Because the study also involved the comparison of the policy experiences of two distinct countries, it was imperative to consider the issues and challenges of undertaking comparative research with particular reference to training matters- Given that training is often enmeshed with other human resources management issues, cognisance was taken of some of the broader debates in this regard. Following consideration of the methodological issues, the research paper explores the objectives of national training strategies and, in particular, issues relating to national competitiveness and skills development. The purpose is to situate the issue of training and skills development within the broader discourse of national development. Alternative approaches to the strategic role of training are considered both at the national and organisational level and some of the classic and current debates surrounding human capital investment are visited. The thesis then proceeds to examine the forms of, and rationale for government interventions in the area of training. One of the challenges both in practice and theoretically is to arrive at a consensual definition of training because of the constantly evolving context and boundaries in which training policies are fashioned. This provides the setting to examine the role that governments can and do play in skills development and how levy-grant schemes, in particular, contribute to the process. Three forms of levy grants schemes are identified and examined: levy-generating; levy-exemption; and levy-grant and reimbursement schemes. The levy-grant and reimbursement variant is the basic thrust of this thesis. In this regard, the UK experience with the levy-grant system from 1964 to 1981 is also reviewed. Some of the issues in relation to training levies are scrutinized including the levy as a sheltered source of training finance, levy rates, duration of levy, impact of levy on the quality and quantity of training, benefits to small businesses, links between training and strategic business objectives, repackaging of training to qualify for grants, and the process by which training levy policies are devised. In looking at the policy formulation, it was necessary to unpack the processes involved and explore the role of the state further. In relation to policy development and implementation, the consultation processes, role of bureaucrats, the policy context, and approaches to policy transfer are examined. In looking at the role of the state in policy development, the alternative roles of government are explored and the concepts of the 'developmental state' and the 'corporatist state* evaluated. The notion of the developmental state has particular relevance to this study given the emphasis placed by the Singaporean government on human resource development policies. This sets the scene for a detailed examination of the role of levy-grant training schemes in Fiji and Singapore. The Skills Development Fund in Singapore was developed as an integral component of national economic policy when the Singaporean government decided to break out of the 'low-skills' trap and move the economy towards a higher value adding structure. The levy-grant system was designed to complement the strategy by focusing on upgrading the skills of employees on lower incomes, the assumption being that employees on lower remuneration were more likely to need skills upgrading. The study notes that the early objectives of the SDF were displaced when it was revealed that the bulk of SDF expenditure was directed at higher level supervisory and management training. As a result, the SDF had to refocus its activities on small and medium enterprises and the workers who were likely to miss out on formal training opportunities. The Singaporean context also shows trade unions playing a significant role in worker education and literacy programmes financed under the SDF. To understand this requires some understanding of the historical linkages between the present Singaporean government and trade union leadership. Another aspect of the development of the SDF has been the constant shifting of the institutional responsibility for the scheme. As late as September 2003, the SDF was again moved, this time to the newly created Singapore Workforce Development Agency, with the focus turning to lifelong learning and assisting Singaporeans who are unemployed or made redundant as a result of the economic restructuring. The Fiji experience with the FNTC scheme is different. It evolved in the context of perceived skills shortages but there was a degree of ambiguity over its objectives. There were no specific linkages with economic policy. Relationships with other public training institutions and more recently, private training providers, have been fraught with difficulties. The study examines the origins of the policy, the early difficulties including perceived employer grievances, and the numerous external assessments of the Fiji levy-grant scheme noting that some of them were highly critical. The thesis also examines an attempted reform of the scheme in 1992-93 that proved unsuccessful and the more recent legislative reforms to the scheme in 2002 that have expanded the role of the scheme to encompass, inter alia, national occupational standards and accreditation activities. The thesis concludes by comparing the two schemes noting that the SDF is well entrenched as a policy instrument in Singapore whilst the FNTC is facing a struggle to assert its legitimacy in Fiji.