Дисертації з теми "Description clinique"
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Smith, Mark. "Pathophysiologie cognitive du ralentissement depressif : description clinique, analyse, mesure." Paris 6, 1991. http://www.theses.fr/1991PA066635.
Повний текст джерелаAUDEGUY, PHILIPPE. "Ectasies vasculaires antrales : description clinique et evolution chez 85 malades." Angers, 1994. http://www.theses.fr/1994ANGE1001.
Повний текст джерелаMARSAN, MONNERET LAURENCE. "Le cristallin traumatique : description anatomo-clinique, situations cliniques et conduites a tenir ; a propos de 126 globes." Lyon 1, 1993. http://www.theses.fr/1993LYO1M115.
Повний текст джерелаRenaud, Mathilde. "Ataxies cérébelleuses héréditaires : identification de gènes responsables, description clinique et stratégie diagnostique." Thesis, Strasbourg, 2017. http://www.theses.fr/2017STRAJ019/document.
Повний текст джерелаHereditary cerebellar ataxias are a group of rare and heterogeneous neurodegenerative diseases. The transmission mode is recessive, dominant or X-linked. Our objectives were to better describe the phenotype of some inherited ataxias, to provide genotype-phenotype correlations and to improve the diagnostic strategies for these rare diseases. We enlarged the clinical, biological, radiological phenotype of Fragile X Tremor Ataxia Syndrome (FXTAS), recessive ataxia due to PEX10 related peroxisomal biogenesis disorders, ataxia with oculomotor apraxia type 1 (AOA1). We showed genotype-phenotype correlations in AOA1 patients: mean age at onset was higher with at least one missense mutation. A ranking algorithm has been created to predicting the molecular diagnoses of recessive cerebellar ataxia in order to guide the diagnosis and facilitate interpretation of next generation sequencing. The establishment of a molecular diagnosis is important in this type of rare pathologies to guide the genetic counseling and to diagnosis the ataxias accessible to a treatment
Deligny, Céline Damier Philippe. "Dystonie secondaire à un traumatisme mineur périphérique description clinique et explorations fonctionnelles neurologiques de 6 patients /." [S.l.] : [s.n.], 2006. http://theses.univ-nantes.fr/thesemed/SPEdeligny.pdf.
Повний текст джерелаCailly, Charlène. "La contribution des assistantes maternelles au développement psychoaffectif du jeune enfant : Description et analyse clinique de pratiques." Thesis, Aix-Marseille, 2012. http://www.theses.fr/2012AIXM3075.
Повний текст джерелаThe purpose of the study is to shed light on the unknown contribution of the childminders in the psycho-emotional development of young children. Our goal was to highlight the development of « intelligence at work » (C. Dejours, 1993) of the childminders from a paradigm of « ergology clinic » (Y. Clot, 1999). For this, we asked three working hypotheses : 1) the childminders develop a secondary intelligence at work experience in the « functions of mothering » (D.W. Winnicott, 1969). 2) The nurses develop a secondary intelligence at work experience in the « paternal function » (F. Dolto, 1984). 3) The childminders develop a secondary intelligence at work experience in the form of « defensive strategies » (C. Dejours, 1993; P. Molinier, 2006). The population was incorporated into 2 groups : 3 childminders « novices » and 3 childminders « expert ». The methodology consisted of a qualitative method of data collection (semi-structured interviews with « instruct the double » and « self-confrontation cross ») and a qualitative method of data processing (clinical thematic analysis and analysis of the linguistic utterance). This analysis was used to validate the research hypotheses and identify the qualities, knowhow, skills and defensive strategies leading to efficiency in working with young children
COUTER, JEAN-PIERRE. "Description clinique de l'epidemie de dengue iii chez l'enfant en polynesie francaise d'aout 89 a mai 90." Lille 2, 1991. http://www.theses.fr/1991LIL2M143.
Повний текст джерелаLuce, Christelle Bibas Jean-Pierre. "Description clinique et moyens de prise en charge actuels des troubles du comportement alimentaire (TCA) chez l'adolescent anorexie, boulimie /." Créteil : Université de Paris-Val-de-Marne, 2005. http://doxa.scd.univ-paris12.fr:80/theses/th0234749.pdf.
Повний текст джерелаNormandeau-Babin, Vincent. "Description des phénotypes cliniques des patientes diagnostiquées pour un cancer de l'ovaire de type épithélial à partir d'un entrepôt de données cliniques : un soutien pour la génomique fonctionnelle." Mémoire, Université de Sherbrooke, 2013. http://hdl.handle.net/11143/6346.
Повний текст джерелаCabelguenne, Delphine. "Mise au point d'un outil de formation des infirmières pour le bon usage du nécessaire à perfusion à l'hôpital : contributions de la théorie des représentations sociales à la description des pratiques." Lyon 1, 2001. http://www.theses.fr/2001LYO1T244.
Повний текст джерелаSennsfelder, Laëtitia. "Troubles du Spectre de l'Alcoolisation Foetale (TSAF) : Description clinique d'une série de patients réunionnais et recherche de biomarqueurs épigénétiques à visée diagnostique." Electronic Thesis or Diss., La Réunion, 2024. https://elgebar.univ-reunion.fr/login?url=http://thesesenligne.univ.run/24_11_L_SENNSFELDER.pdf.
Повний текст джерелаRecognized as a major public health problem, Fetal Alcohol Spectrum Disorders (FASD) are the leading cause of avoidable neurocognitive disorders and social maladjustment. Despite diagnostic guidelines, the diagnosis of FASD remains complex, particularly in non-syndromic forms without physical signs such as ARNDs. There are several possible reasons for this misdiagnosis : 1- the confirmation of prenatal and/or preconceptional alcohol exposure (PAE) is based on a declarative approach, which is often difficult for parents and complicated in the case of placement or adoption; 2- FASD, which are still little known or underestimated by some health professionals, may be confused with other genetic syndromes and easily considered as a differential diagnosis; 3- This delay or even this absence of diagnosis limits care and support, which are nevertheless decisive in improving the life trajectory. The search for new diagnostic biomarkers has become a major challenge in recent years. In response to this challenge, we propose to describe a series of 147 children and adolescents followed at the University Hospital of Reunion Island, both clinically and biologically (genetic and epigenetic data), in order to provide useful diagnostic information for the early identification of these patients and their families. Our clinical study confirmed the diagnostic criteria classically proposed in the literature; new criteria are also described describes new ones, such as camptodactyly of the extremities, and highlights the vulnerabilities associated with FASD in these children (paternal preconceptional exposure, exposure to multiple toxins, prematurity, complex socio-familial situation, associated genetic anomaly whose origin raises questions about the possibility of chromosomal fragility underpinned by epigenetic mechanisms). This precise clinical description, the first carried out on a large series of patients from Reunion, reinforces the need for early detection to improve the prognosis, limit additional and secondary disabilities, optimize the quality of life of affected children and potentially affected siblings, and offers, if necessary, parental care.Considering the epigenetic analyses, we identified differential and persistent miRNAs expression in children with FASD aged 0-18 years. The expression sub-profiles differed according to the tissues studied (buccal epithelial cells or plasma), but also according to the diagnostic categories (FAS, partial FAS, ARND). These results, which need to be confirmed in a larger series, could indicate the possibility of an epigenetic signature in patients, which would be crucial in proposing an early diagnosis of patients
Denis, Bernard. "Cyanoses dues à un shunt droit-gauche auriculaire par foramen ovale perméable : à propos de 8 observations ; description d'une nouvelle entité clinique." Toulouse 3, 1988. http://www.theses.fr/1988TOU31188.
Повний текст джерелаColson, Sébastien. "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." Thesis, Aix-Marseille, 2015. http://www.theses.fr/2015AIXM5057/document.
Повний текст джерелаIn France, therapeutic patient education programs (ETP) to adolescents with type 1 diabetes are designed to make the teenager to self-manage their disease and its treatment. Based on social cognitive theory of Bandura, the effects of educational activities should lead to the strengthening of self-efficacy, coupled with other socio-cognitive factors, favoring the therapeutic adherence of teenager, a better quality of life and improved glycemic control.The thesis work was broken down into three main goals:1) Perform concept clarification on the specificitiess of TpE in a pediatric context, from a literature analysis method according to Rogers (2000).2) To conduct a systematic review aimed to describe the content and effects of educational programs from 2009 to 2014 on glycemic control, disease management, psychosocial criteria of children and adolescents with type 1 diabetes, and assess the consistency of these programs with the recommendations of the ISPAD.3) Describe the evolution of the socio-cognitive and clinical profile on three months of a diabetic adolescent cohort participated in an ETP in France.This work helped to develop knowledge on the concept of TPE in the pediatric context, the state of research on structured educational programs in type 1 diabetes in children and adolescents, but also implement a pilot study in the context of the ETP in France
Dutoya, Thierry. "Maladie d'Alzheimer probable : à propos d'une forme familiale à début précoce, description clinique d'une fratrie, investigations génétiques et revue de la littérature." Bordeaux 2, 1994. http://www.theses.fr/1994BOR2M230.
Повний текст джерелаMissov, Emile. "Nouveaux marqueurs biochimiques de l'insuffisance cardiaque : description et applications cliniques." Montpellier 1, 1997. http://www.theses.fr/1997MON1T026.
Повний текст джерелаHamel, Olivier Robert Roger. "Ganglions végétatifs céphaliques anatomie descriptive, topographique et fonctionnelle; intérêts cliniques. /." [S.l.] : [s.n.], 2004. http://theses.univ-nantes.fr/thesemed/SPEhamel.pdf.
Повний текст джерелаMorin, Michel. "Epidemiologie descriptive d'une cohorte de 400 reflux gastro-oesophagiens cliniques." Besançon, 1990. http://www.theses.fr/1990BESA3064.
Повний текст джерелаBeaudoin, Sylvie. "Manifestation du phénomène d'inquiétude dans une population non-clinique : un examen descriptif." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0003/MQ41849.pdf.
Повний текст джерелаCAULIER, CHEVREUL SYLVIE. "Mere et malade mentale : etude clinique ; etude descriptive et retrospective en circonscription d'action sociale." Montpellier 1, 1993. http://www.theses.fr/1993MON11037.
Повний текст джерелаPLEGAT, SERGE. "Profil clinique des formes familiales de maladie de crohn : etude descriptive multicentrique de 47 familles." Lille 2, 1994. http://www.theses.fr/1994LIL2M269.
Повний текст джерелаMartel, Brigitte. "Étude descriptive de l'expérience de l'excellence de la pratique des infirmières en soins intensifs pédiatriques." Master's thesis, Université Laval, 2007. http://hdl.handle.net/20.500.11794/19370.
Повний текст джерелаRobert, Thierry. "Analyse descriptive des essais cliniques contre placebo realises dans la maladie de parkinson." Rennes 1, 1992. http://www.theses.fr/1992REN1M148.
Повний текст джерелаBellou, Abdelouahab. "L' anaphylaxie : approche clinique descriptive et approche expérimentale chez le rat Brown Norway sensibilisé à l'ovalbumine." Nancy 1, 2001. http://www.theses.fr/2001NAN11303.
Повний текст джерелаRenaud, Cyrille. "L'infarctus cérébral artériel du nouveau-né à terme : présentation clinique, facteurs de risques et déterminants évolutifs à partir d'une cohorte prospective multicentrique d'épidémiologie descriptive." Phd thesis, Université Jean Monnet - Saint-Etienne, 2011. http://tel.archives-ouvertes.fr/tel-00697759.
Повний текст джерелаDufresne, Alexandra. "Facteurs descriptifs de la susceptibilité hypnotique : une sous-analyse de l'essai clinique "Hypnotic analgesia intervention during first-trimester pregnancy termination : an open randomized trial"." Thesis, Université Laval, 2008. http://www.theses.ulaval.ca/2008/25783/25783.pdf.
Повний текст джерелаHébert, Maude. "Étude descriptive rétrospective des construits de la maladie de femmes nouvellement atteintes d'un cancer du sein à la suite de leurs traitements dans une clinique ambulatoire d'oncologie /." Trois-Rivières : Université du Québec à Trois-Rivières, 2007. http://www.uqtr.ca/biblio/notice/resume/30011392R.pdf.
Повний текст джерелаEssai - Maîtrise en Sciences infirmières. En tête du titre: Université du Québec. "Essai présenté à l'Université du Québec à Trois-Rivières comme exigence partielle de la maîtrise en sciences infirmières (M. es sc.)" CaQQUQ CaQQUQ CaQQUQ Comprend des réf. bibliogr. : (f. [99]-109).
Watt, Dieng Fatimata Azoulay-Petit Chantal. "Syndrome d'insulinorésistance en pratique clinique en 2005 prise en charge par 10 médecins généralistes et étude descriptive et comparative de 10 dossiers de patients diabétiques de type 2 /." Créteil : Université de Paris-Val-de-Marne, 2006. http://doxa.scd.univ-paris12.fr:80/theses/th0236869.pdf.
Повний текст джерелаTannouri, Rachelle El. "Établissement d’une cohorte de patientes ayant consulté à l’Institut de Cancérologie de Lorraine et porteuses de la mutation BRCA1-3600del11 : étude descriptive des caractéristiques cliniques et anatomo-pathologiques des cancers du sein et de l’ovaire dans cette cohorte : mise en évidence d’un phénomène d’anticipation génétique dans 38 paires mères-filles atteintes de cancer du sein ou de l’ovaire." Thesis, Université de Lorraine, 2017. http://www.theses.fr/2017LORR0072/document.
Повний текст джерелаIntroduction: Over 1000 alterations in the BRCA1 gene have been documented. Most of these are frameshifts and ~10% are missense mutations that generate stop codons leading to a truncated and therefore inactive BRCA1 protein. In the French population, prevalence of BRCA1 mutations has been reported in few studies; In a preliminary study of 14 breast and/or ovarian cancer families, a frequent BRCA1 mutation was detected in five unrelated families; the c.3481_3491del11 mutation (BIC: 3600del11), an 11 base-pair deletion in exon 11 leading to a premature stop codon at 1165. In a second study carried out in 2004 involving 27 index cases, the c.3481_3491del11 mutation accounted for 37%. The haplotype analysis of the families carrying the mutation c.3481_3491del11, all originating from Alsace-Lorraine (North-East of France), revealed the presence of a common allele, indicating a founder effect. Purpose: To an attempt to better define the clinical and pathologic characteristics of breast and ovarian cancer related with the 3600del11 BRCA1 mutation, we report our experience with breast and ovarian cancer patients carrying the 3600del11 mutation at the Lorraine Oncology Institute in France. The aim of the current analysis is also to evaluate any differences of breast or ovarian cancer age at diagnosis between mothers and daughters carrying the c.3481_3491del11 mutation in the BRCA1 gene.Patients: Within the population who were referred between 1994 and 2012 to our oncogenetic clinic at the Lorraine oncology institute and who underwent genetic testing for BRCA1 and BRCA2, we identified 404 women carrying a BRCA1 mutation. Interestingly, 45% (180 of 404) of women with detected BRCA1 mutation had the germline 3600del11 mutation. These women were members of 89 different families with breast and or ovarian cancer cases. A study cohort of 38 women carrying the c.3481_3491del11 mutation and affected by first breast or ovarian cancer who reported a first breast or ovarian cancer in their mother carrying the c.3481_3491del11 mutation, was identified in 37 different families including members with breast and/or ovarian cancer at the Oncology Institute of Lorraine. Twelve mothers underwent genetic testing. Twenty five pairs of the 38 mothers-daughters pairs with c.3481_3491del11 mutation were affected by breast cancer and 13 pairs by ovarian cancer.Methods: Clinical and genetic data were collected from medical files and family pedigrees. Analyses were conducted for each cancer type. We investigated an early breast cancer detection effect due to early screening programs and also an increased breast tumor aggression. Since major improvements in breast cancer clinical management and imaging techniques appeared after 1980, we compared the age at breast cancer diagnosis and the age at death in mothers and daughters before and after 1980, first, in the group of women including mothers and daughters taken together and then in mothers and daughters separately. Genetic data were retrieved from familial files and clinical and pathological data from medical files. Descriptive statistics for the study population were calculated using the SPSS software (version 20.0). Results: Ninety one patients (71, 7%) were affected by first breast cancer and 31 (24,4%) by ovarian cancer. Breast tumors were identified in 37.4% of cases aged <40 years. Estrogen receptor status and progesterone receptor status were reported to 67 patients. Hormonal receptors status was positive in 31.4% of breast tumors. A triple-negative subtype was found in 21 cases, which accounts for 65.6% of the 32 patients with 3600del11 mutation for whom HER2 status was available. Ovarian tumors of the serous type, which constitute about 71 percent of all epithelial ovarian carcinomas, predominate among patients with 3600del11 mutation. Eighty six per cent of carriers were diagnosed at advanced stages III/IV [...]
Coutu, Philippe-André. "Description de l'environnement psychsocial du travail des infirmières vieillissantes en emploi en milieu clinique /." 2003. http://proquest.umi.com/pqdweb?did=766705611&sid=22&Fmt=2&clientId=9268&RQT=309&VName=PQD.
Повний текст джерелаColson, Sébastien. "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, 2015. http://hdl.handle.net/1866/13507.
Повний текст джерелаIntroduction : En France, les programmes d’éducation thérapeutique du patient (ETP) à destination de l’adolescent diabétique de type 1 visent à rendre l’adolescent autonome pour gérer sa maladie et son traitement. En s’appuyant sur la théorie sociale cognitive de Bandura, les effets des activités éducatives de l’ETP devraient conduire au renforcement du sentiment d’efficacité personnelle, couplé à d’autres facteurs socio-cognitifs, favorisant l’adhésion thérapeutique de l’adolescent, une meilleure qualité de vie et un meilleur équilibre glycémique. Cependant, il n’existe pas de publication décrivant l’ensemble de ces critères pour la population des adolescents diabétiques de type 1 pendant et après le programme d’ETP, et les outils d’évaluation en français sont manquants. Objectifs : Les travaux de thèse se sont déclinés en trois buts principaux : 1. Réaliser une clarification de concept sur les spécificités de l’ETP dans un contexte pédiatrique, à partir d’une analyse de la littérature (article I). 2. Réaliser une revue systématique ayant pour objectif de décrire le contenu et les effets des programmes éducatifs de 2009 à 2014 sur le contrôle glycémique, la gestion de la maladie, les critères psychosociaux des enfants et des adolescents diabétiques de type 1, et d’évaluer la concordance de ces programmes avec les recommandations de l’ISPAD (article II). 3. Décrire l’évolution du profil socio-cognitif et clinique sur trois mois d’une cohorte d’adolescents diabétiques ayant participé à un programme d’ETP en France (article III). Méthode : Chaque objectif a nécessité une méthode spécifique : - Article I : utilisation de la méthode d’analyse de concept évolutionniste de Rodgers (2000) ; - Article II : utilisation de la méthode de revue systématique Cochrane Collaboration (Higgins & Green, 2011) ; - Article III : mise en œuvre d’un protocole de recherche pilote auprès d’une population d’adolescents de 12 à 17 ans inclus, diabétiques de type 1 sous insulinothérapie, participant à un programme d’ETP, à partir d’une méthode mixte concurrente parallèle en trois volets : quantitatif, qualitatif et intégratif. Résultats : Les résultats des travaux de thèse sont organisés par article : Le premier article porte sur les spécificités pédiatriques du concept d’éducation thérapeutique du patient par une analyse de la littérature de 1998 à 2012. Une clarification de concept selon la méthode de Rodgers (2000) a été réalisée, afin d’identifier les attributs spécifiques de la population des enfants et des adolescents. Cinq attributs ont émergé : la triade relationnelle, les partenariats collaboratifs, l’adaptation de l’apprentissage, l’acquisition progressive et évolutive des compétences, et la créativité. Cet article a été publié dans la revue Santé Publique. Le second article présente les résultats d’une revue systématique sur les effets et la qualité des programmes éducatifs dans le diabète de type 1 pédiatrique. Quarante-trois publications ont été incluses, représentant 36 programmes éducatifs, développant des compétences d’autosoins et/ou psychosociales. La qualité des programmes a été analysée selon les critères des recommandations de l’International Society of Pediatric and Adolescent Diabetes. Cet article a été soumis à la revue The Diabetes Educator, en anglais. Au préalable du troisième article, la validation des tests psychométriques des outils quantitatifs de la recherche est exposée, de même que les résultats des deux premiers temps de suivi de la cohorte d’adolescents. Le troisième article présente les résultats concernant un sous-échantillon de 24 adolescents ayant réalisé les trois mois de suivi (de M0 à M3), dont 21 qui ont participé au volet qualitatif. Les indicateurs cliniques et psychosociaux restaient stables au cours du temps. L’amélioration du sentiment d’efficacité personnelle avait tendance à être liée à l’amélioration de l’équilibre glycémique. L’analyse thématique qualitative a permis d’explorer les forces et les obstacles des adolescents diabétiques de type 1 de la cohorte pour parvenir à un comportement d’autogestion, tandis que les analyses multivariées qualitatives ont identifié les différences de discours entre les adolescents ayant une amélioration du sentiment d’efficacité personnelle et ceux qui le diminuent au cours du temps. Discussion : Ces travaux de recherche ont globalement permis de développer les connaissances sur le concept d’ETP dans le contexte pédiatrique, sur l’état de la recherche concernant les programmes éducatifs structurés dans le diabète de type 1 de l’enfant et de l’adolescent, mais aussi de mettre en application une étude pilote dans le contexte de l’ETP en France. Des tendances ont été discutées, permettant d’envisager des axes d’amélioration tant dans l’amélioration des programmes d’ETP et le développement de compétences psychosociales, que dans de futurs travaux de recherche. Le statut de l’infirmier chercheur en France est également abordé.
Introduction: In France, therapeutic patient education programs (TPE) to type 1 diabetic (T1D) adolescents are designed for developed therapeutic adherence of their disease and its treatment. Based on social cognitive theory of Bandura, the effects of TPE activities should lead to the strengthening of self-efficacy, coupled with other socio-cognitive factors, favoring self-management, better quality of life and improved glycemic control. However, there is no publication describing all of criteria for T1D teenagers during and after the TPE and French questionnaires are missing. Aims: The thesis works was broken down into three main goals: 1. Perform concept clarification on the specifics of TPE in a pediatric context, from a litterature review (Article I). 2. Conduct a systematic review to describe the content and effects of educational programs from 2009 to 2014 on glycemic control, disease management, psychosocial criteria of children and adolescents with diabetes type 1, and assess the consistency of these programs with the recommendations of the ISPAD (Article II). 3. Describe the evolution on three months of the socio-cognitive and clinical profile in a cohort of adolescents with diabetes who participated in an TPE program in France (Article III). Method: Each aim has required a specific method: - Article I: use of Rodgers’s evolutionary concept analysis method (2000); - Article II: use of Cochrane Collaboration systematic review methodology (Higgins & Green, 2011); - Article III: implementation of a pilot research protocol with a population of adolescents 12-17 years of age, type 1 diabetics on insulin, participating in an TPE program, from a mixed parallel concurrent method with three components: quantitative, qualitative and integrative. Results: Results of the thesis are organized by section: The first article focuses on pediatric specificities of the concept of therapeutic patient education with an analysis of the literature from 1998 to 2012. A concept clarification by Rodgers method (2000) was conducted to identify the specific attributes of children and adolescents. Five attributes have emerged: relational triad, collaborative partnership, adaptation of learning, gradual and progressive acquisition of skills, and creativity. This article was published in Santé Publique. The second article presents the results of a systematic review on the effects and the quality of educational programs in pediatric type 1 diabetes. Forty-three publications were included, representing 36 educational programs, developing self-care and / or psychosocial skills. Program quality was analyzed according to criteria of the International Society of Pediatric and Adolescent Diabetes recommendations. This article was submitted to The Diabetes Educator, in English. Beforehand the third article, psychometric validation of research tools is exposed, as well as the results of the first two-time monitoring of the cohort of adolescents (M0 and M1). The third article presents results on a subsample of 24 adolescents completed the three-month follow-up (M0 to M3), including 21 who participated in the qualitative component. The clinical and psychosocial indicators were stable over time. The improved self-efficacy tended to be linked to the improvement of glycemic control. The qualitative thematic analysis was used to explore the strengths and challenges of T1D adolescent’s cohort to achieve a self-management behavior, while qualitative multivariate analyzes identified differences in speech between adolescents who improve self-efficacy and those that decrease over time. Discussion: This research has generally allowed to develop knowledge on the TPE concept in the pediatric context, the state of research on structured educational programs in the children and adolescents type 1 diabetes, and to implement a pilot study in the context of the TPE in France. Trends were discussed, allowing to consider areas for improvement both in improving TPE programs and of life skills development, that in future research. Status of the nurse researcher in France is also discussed.
Therrien, Marc. "Évaluation de la stabilité posturale en fauteuil roulant chez les enfants atteints d'un déficit moteur cérébral : description clinique et validation d'un outil de mesure." Thèse, 2007. http://hdl.handle.net/1866/15468.
Повний текст джерелаHamelin, Audrey. "Organisation du travail dans une clinique de diabète : étude descriptive des processus cliniques et du continuum de soins de la clientèle diabétique." Thèse, 2018. http://depot-e.uqtr.ca/8761/1/032178747.pdf.
Повний текст джерелаStevenson, Moire. "Being a bereaved parent : early bereavement experiences and perspectives on paediatric palliative care and bereavement services." Thèse, 2014. http://hdl.handle.net/1866/11433.
Повний текст джерелаThe death of a child is considered one of the most stressful and difficult experiences a person can face. Clinicians, hospitals, and other organizations want to help and support bereaved parents through their grief, but their efforts are hampered by a lack of research in the area of parental bereavement. This dissertation is comprised of two literature reviews and one empirical study that attempt to address this gap and inform services in paediatric palliative care in general, and in bereavement support in particular. The first article consists of an examination of the needs of patients receiving paediatric palliative care and their families. By metasummarizing the descriptive and qualitative research in the area, 10 need domains were found. The results were generally in agreement with current guidelines in paediatric palliative and end-of-life care; however, there were several aspects of care that were reported as lacking or problematic that are not addressed in these guidelines and that should be considered in future guideline and policy creation. In the second article, parents’ adaptation to their grief and elements found to influence their adaptation were examined. The aim was to synthesize the relevant literature in a way that could be useful to clinicians; to this end, a narrative synthesis method was employed in order to synthesize both quantitative and qualitative research in the area of parental bereavement. The results suggest important elements to keep in mind when assessing how parents adapt to their grief. The results also suggest aspects related to better adaptation, which could serve as potential avenues for support and intervention. However, this review also demonstrated certain methodological issues in the literature that hinder the synthesis and clinical applicability of the findings. The objective of the third article was to inform bereavement follow-up and support services through the use of an interpretive description methodology. To this end, 21 bereaved parents (including 5 parental couples) and 7 hospital staff involved in bereavement follow-up activities at two paediatric hospitals were interviewed, and the clinical applicability of the results verified through various meetings with project collaborators and service/program providers. The results of the study describe how parents coped with their grief in the early phase of their bereavement, as well as their perspectives on how various bereavement follow-up services helped them cope. We found that parents regulate their intense feelings of grief through either loss-oriented or restoration-oriented strategies, including attempts to reorganize their self-identity and connection to their deceased child; often parents’ relationships with others help them cope in these ways. The insights we gained from the respondents also allowed us to elucidate how various bereavement support and follow-up services were helpful. These results are discussed along with the clinical implications and how these findings can inform bereavement service providers.
Dupuis, Cathy. "Développement d'un questionnaire favorisant l'utilisation du jugement clinique chez les observatrices passives de la simulation clinique haute fidélité : étude descriptive exploratoire." Thèse, 2019. http://depot-e.uqtr.ca/8817/1/032271543.pdf.
Повний текст джерелаMartel, Brigitte. "Étude descriptive de l'expérience de l'excellence de la pratique des infirmières en soins intensifs pédiatriques /." 2007. http://www.theses.ulaval.ca/2007/24823/24823.pdf.
Повний текст джерелаAlami, Hassani Sara. "Le parcours expérientiel de l’exercice du leadership clinique infirmier chez des infirmières bachelières nouvellement diplômées." Thesis, 2019. http://hdl.handle.net/1866/24536.
Повний текст джерелаIn the Quebec health system, nurses are expected to develop and demonstrate high level of clinical nursing leadership (CNL) in their practice. In fact, researchers argue that the development of this competency is essential to optimizing the quality of patient care and patient safety (Goudreau, Pepin & al., 2015; Stanley & Stanley, 2017). Other researchers argue that the exercise of CNL presents a significant challenge for newly graduated nurses (NGN) who are still trying to learn how to prioritize, organize and delegate care (Benner, 2001; Ekström & Idvall, 2015). We found only five key research studies from our review of the CNL of new graduated nurses. They focus on the development process of this competency (Pepin & al., 2011), as well as ways to support this development and exercise it in clinical settings (Chappell & Richards, 2015, Ekström & Idvall, 2015, Larue & al., 2013, Won, 2015). To our knowledge, a systematic review (Chappell & Richards, 2015) and only four qualitative studies (Ekström & Idvall, 2015; Larue & al., 2013; Pepin & al., 2011; Won, 2015) have focused on CNL practice in NGNs specifically. The literature provides an understanding of the development of this nursing competency, with landmarks of its exercise, but remains silent regarding the pathways of its exercise. In order to better understand and complement the existing research, this qualitative interpretive descriptive study (Thorne, 2016) based on a constructivist epistemological theory (Guba & Lincoln, 1994), described the experiential path of exercising CNL among NGNs in their first year of professional practice, including the identification of elements that facilitated or impeded its exercise, from their perspective. The conceptual framework guiding this study encompasses the development of clinical nursing expertise (Benner, 2001) and the notion of individuation through life courses (Carpentier & White, 2013). Through convenience sampling, eight nurses with respectively 1, 5 (n=2), 6 (n=3), 10 or 11 months of clinical practice, respectively, were recruited from a francophone university hospital center. Semi-structured interviews varying in length from 45 to 60 minutes were conducted with each of the nurses recruited. A content analysis based on themes (Thorne, 2016) according to the method proposed by Paillé & Mucchielli (2016) was carried out. The results indicate that for NGNs, it is difficult to exercise CNL during the first months of practice. However, the exercise of this nursing competency is evolutionary and exponential to clinical experience. We found that over a 12-month period, NGNs identified five cumulative ways of exercising their CNL in their bedside clinical practice, either by 1) maintaining an optimal level of quality of their patient care; 2) collaboration and effective communication with the care team; 3) adopting the role of clinical preceptor; 4) professional involvement beyond the patient care; 5) improving practices through consulting scientific evidence. In addition, we identified various factors facilitating and impeding the exercise of their CNL. In all, these advanced-beginner nurses identified four facilitating factors and five impeding factors. We conclude that the influence of organizational contexts and institutional cultures plays a role in the exercise of this particular leadership competency at the beginning of clinical practice is present. These factors are grouped into three main themes: 1) teams; 2) shifts and 3) resources. We believe that this study contributes greatly to the literature and provides insights into strategies to support the practice of this critical competency in nursing practice. In addition, we hope that this study will serve as a guide for health institutions in adopting strategies that support the exercise of CNL in the nursing field. NGNs are a valuable resource “and every effort should be made to improve retention and reduce turnover of this important segment of the nursing workforce” (Fallatah, Laschinger & Read, 2017, p. 173). Thus, many recommendations have been proposed for practice, research, as well as education.
Marquis, Gravel Guillaume. "Étude de cohorte rétrospective analytique et descriptive des résultats échocardiographiques et cliniques de la chirurgie valvulaire tricuspidienne." Thèse, 2010. http://hdl.handle.net/1866/4951.
Повний текст джерелаAbstract - Data regarding surgical management of tricuspid valve disease are based on small cohort studies, and only few of them report echocardiographic results or risk factors for mortality and morbidity. A retrospective descriptive and analytic cohort study was performed in order to analyze the Montreal Heart Institute experience regarding tricuspid valve surgery. Data was extracted from the medical files of patients. During the 1977-2008 period, 792 tricuspid valve repairs and 134 tricuspid valve replacements were performed (median age of patients: 62 years). Operative mortality was 13.8%. Actuarial survival rates at 5, 10, and 15 years were 67±2%, 47±2%, and 29±2%, respectively. At last follow-up, 31% of patients who underwent repair and 12% of patients who underwent replacement had tricuspid regurgitation ≥3/4 (p<0,001). NYHA functional class improved significantly at last follow-up compared to baseline (p<0,001). Propensity score analysis showed that a replacement was associated with increased operative and late mortality rates compared to repair, but with less tricuspid regurgitation ≥2/4 or ≥3/4 at follow-up. The study shows that despite substantial mortality rates, patients experience a significant functional improvement following tricuspid valve surgery. Risk factors for mortality and morbidity are described, and sub-group analyses for triple valve surgery and for isolated tricuspid valve surgery are exposed.
Blanchette, Patricia. "Les pratiques évaluatives d’enseignants lors de l’évaluation en cours d’apprentissage d’étudiants en contexte d’enseignement clinique de soins infirmiers : une étude descriptive qualitative." Thèse, 2017. http://constellation.uqac.ca/4158/1/Blanchette_uqac_0862N_10316.pdf.
Повний текст джерелаBoucher, Valérie. "Étude descriptive portant sur la perception des étudiantes quant à leur jugement clinique suite au visionnement de scénarios simulés en santé mentale." Thèse, 2018. http://depot-e.uqtr.ca/8343/1/031930063.pdf.
Повний текст джерелаNguyen, Diem-Quyen. "Les évaluations formatives de performances cliniques (ÉFPC) : un exemple d'approche authentique pour le développement des compétences dans l'enseignement supérieur." Thèse, 2006. http://hdl.handle.net/1866/17305.
Повний текст джерела"Facteurs descriptifs de la susceptibilité hypnotique. Une sous-analyse de l'essai clinique « Hypnotic analgesia intervention during first-trimester pregnancy termination : an open randomized trial »." Thesis, Université Laval, 2008. http://www.theses.ulaval.ca/2008/25783/25783.pdf.
Повний текст джерелаGirard, Marie-Claude. "L’expérience d’acquisition de ressources en enseignement à la clientèle et de leur utilisation en situation clinique telle que perçue par des infirmiers ayant suivi un cours e-learning : étude qualitative descriptive." Thèse, 2014. http://hdl.handle.net/1866/11946.
Повний текст джерелаAll nurses must maintain their knowledge and skills up to date. However, in the current context, due to lack of nurses, continuing education represents a great challenge for nurses. Therefore e-learning seems to have a great potential to take over this challenge. A qualitative study based on the critical incidents method was meant to describe clinical nursing experiences (n=4) after an e-learning course on patient teaching. This 45 hours long course was led on a competency based approach. Individual interviews allowed us to document the use of their acquired knowledge in different clinical contexts. The results reveal that nurses (n=4) acquired different resources (knowledge, skills) that they used in clinical patient teaching. According to the results, discussion forums about clinical cases and a learning project in real clinical context turned out to be useful educational strategies to sustain professional nursing skills. Finally, e-learning based on the competency-based approach reveals itself as an educational strategy of great promise. Key words: e-learning, continuing education, educational strategies, competency based approach