Health expectations : an international journal of public participation in health care and health policyMartin Blanc, Marie-Pierre Gagnon, Daphney St-Germain, Boutheina Mejri, Marie Gagné, Isabel Bean, Gratianne Vaisson
INTRODUCTION: HOPtimise is an organisational innovation in paediatric oncology in the province of Québec (Canada) destined to improve and reinforce best nursing practices through digital training using a serious game and create dashboards focused on indicators sensitive to the quality of care. This complex intervention is led by a quality improvement committee, a joint committee of user partners (former patients and family members) and healthcare providers. The present study aims to demonstrate how innovation and training are co-created with multiple stakeholders. The involvement of patients and their families is at the core of the innovation's design. The aim of this study was to create and elaborate on the components of the logic model of the innovation in order to make it easily understandable for any stakeholder, to set the central roles and activities of the innovative process and to be able to verify the progress of the elaboration and the implementation of the innovation afterwards. The study also intended to generate guidance for future complex interventions in nursing practice improvement. DESIGN: This study has a qualitative, descriptive and participatory design with a mixed data collection destined to create the logic model of the innovation. The qualitative methods used are organised through a three-step timeline: the elaboration of the logic model, the verification phase and validation. Data collection methods involved two focus groups, each one at a different phase of the process (n = 9 and n = 6), semi-structured interviews (n = 4) and verification checklists (n = 9) conducted from June 2022 to June 2024. Data collection guides are based on the Porteus (2009) method for the elaboration of a logic model. Through the process, n = 15 participants took part in at least one data collection (either focus group or interviews). RESULTS: With a 2-year and n = 15 multistakeholder study, the team obtained a logic model of organisational innovation. The HOPtimise logic model is a necessary tool to communicate with all stakeholders from various backgrounds. The study shows that the logic model was clear enough to all the participants (n = 15). As a result, this logic model is a strong base to stabilise the roles and activities of those stakeholders in the elaboration and implementation of the innovation. Indeed, it allowed the building of a stable quality improvement committee. Finally, the logic model became a baseline for the process of identifying barriers and implementation strategies. CONCLUSIONS: The HOPtimise logic model is representative of the complexity of the organisational innovation and the organisational challenges that the project will encounter, and is a necessary tool for evaluation of its implementation in terms of its co-constructive nature. PATIENT AND PUBLIC CONTRIBUTION: This study is a co-creation and is family-centred. It involved the engagement and participation of user partners and organisational members. The research team interacted with them during the three steps of the elaboration of the logic model. They provided opinion and expertise on the content of the innovation, its components, the activities needed to reach the outcomes and implementation strategies.
PloS oneRebecca Silvers, Maly Chittaphai, Matt Evans, Jessica Van Meter
BACKGROUND: In 2015, the child mortality rate in Laos was 53.6 per 1,000 live births. The Lao Friends Hospital for Children (LFHC) in Luang Prabang was established to enhance access to specialized pediatric care. To support workforce development, a Pediatric Nursing Training Program was implemented. However, the program has not undergone a formal evaluation since its inception. This study aims to evaluate the program's first five years. STUDY DESIGN: The evaluation included a review of curriculum documents via an online platform and feedback collection through an online survey administered to former expatriate nurse volunteers who provided clinical mentorship. Additionally, semi-structured interviews were conducted with former nurse leaders who designed and implemented the program. Qualitative data were analyzed thematically and validated through triangulation. RESULTS: The curriculum review revealed system-based and course-specific plans, including clear objectives, teaching methods, and evaluation tools. Of the 148 clinical mentors surveyed, a 45% response rate was achieved. Survey responses indicated improvements in nurses' clinical skills since the program's inception, with mentors emphasizing the importance of cultural attunement to Lao staff. Six out of seven former nurse leaders participated in interviews. Key themes emerged, highlighting the value of culturally relevant educational materials, multimodal teaching strategies, a train-the-trainer approach, and clinical mentorship as integral components of the program. CONCLUSION: The development of pediatric nursing specialization at LFHC was facilitated by structured curriculum plans, cultural sensitivity, diverse teaching methodologies, and robust clinical mentorship. These findings provide valuable insights for designing culturally competent and sustainable training programs in Laos and similar contexts.
Neonatal network : NNWilliam L Hull, Meredith L Farmer, Tracey Bell, Jessica M Jones, Curry Bordelon
Multiple imaging modalities are used to diagnose, care for, and manage infants in the NICU. Each modality provides unique benefits; however, radiography remains the most common. This article aims to highlight the use of x-rays by reviewing indications, applications, and a systematic interpretation-guiding process. Evaluation, common pathologies, and considerations are discussed to bridge the gap between fundamental concepts and clinical practice, thereby enhancing neonatal care. This article is designed as an educational resource for all neonatal providers and trainees. Finally, a case study allows readers to practice applying concepts in a real-world, clinically relevant context.
Neonatal network : NNLenora Marcellus, Miranda May Marie Amundsen
Social and community context, the final domain in the Centers for Disease Control and Prevention's determinants of health framework, influences the health and well-being of neonates and their families in many ways that may not always have been considered in neonatal intensive care settings. Building on previous columns, here the impacts of social and community context are described, focusing on community cohesion, justice-related issues, and discrimination and stigma. In this column, we encourage neonatal nurses to consider how the social environment impacts neonates and families during their NICU stay and after discharge. Actions that nurses can take within the NICU setting and externally are described and resources are provided.
INTRODUCTION: Paediatric clinical education presents unique challenges for nursing students owing to the clinical complexity and emotional sensitivity of caring for ill children and their families. This high-stakes period profoundly influences students' professional identity. This study aims to explore the lived experiences of nursing students during their paediatric practicum through a descriptive phenomenological lens. METHODS AND ANALYSIS: This study will be conducted using a qualitative design with a descriptive phenomenological approach. Data will be collected through in-depth, semi-structured interviews with undergraduate nursing students who have completed their paediatric clinical rotation. Purposive sampling will be employed, continuing until data saturation is achieved. Interviews will be recorded in a quiet confidential setting and subsequently transcribed verbatim. Data analysis will follow Colaizzi's seven-step method, involving independent analysis by three researchers followed by group consensus. To ensure rigour and trustworthiness, strategies such as researcher triangulation, member checking and maintaining an audit trail will be utilised. ETHICS AND DISSEMINATION: The Ethics Committee of Qazvin University of Medical Sciences has granted ethical approval for this study. The findings will be published in a peer-reviewed journal and presented at relevant conferences. Furthermore, the results will be shared with nursing faculties and paediatric nursing departments to inform educational practices.