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Nursing in Long-Term Care Facilities: Challenges and Recommendations

This study conducted an investigation into nursing practices in 10 long-term care facilities, including 5 family homes and 5 medical and assistance services. The study found that the majority of the multidisciplinary teams were composed of nursing assistants or medical assistants, with an experience of more than 5 years. The definition of nursing was categorized into keywords such as hygiene, body care, well-being, accompaniment, comfort, and relationship/communication. Required qualities for nursing were identified as patience, empathy, and rigor. Difficulties encountered included lack of time, non-cooperative residents, and heavy physical tasks. The study highlighted the importance of nursing and observation for better understanding and personalized care. Improvement proposals included more time, staffing, resources, incorporating a playful dimension, valuing resident participation, and using nursing as a means of relationship and communication.

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Nursing in Long-Term Care Facilities: Challenges and Recommendations

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  1. LE NURSING EN MAS/FAM ENQUÊTE AUPRÈS DE 10 ÉTABLISSEMENTS MAI 2009

  2. 5 FAM et 5 MAS Équipes pluridisciplinaires Majorité d’AS/AMP ( 56%) Ancienneté > 5 ans

  3. DÉFINITION DU NURSING MOTS-CLÉS: • SOINS (Hygiène, Soins du corps) 68% • BIEN-ÊTRE/APPAISEMENT 27% • ACCOMPAGNEMENT 26% • CONFORT 21% • RELATION/COMMUNICATION 12%

  4. QUALITÉS REQUISES • PATIENCE 39% • EMPATHIE 16% • RIGUEUR 13%

  5. DIFFICULTÉS RENCONTRÉES • MANQUE DE TEMPS 39% • RÉSIDENTS NON COOPÉRANTS 16% • LOURDEUR DES MANUTENTIONS 13%

  6. NURSING et OBSERVATION • MIEUX CONNAÎTRE L’USAGER 97% • UTILISÉES DANS LE CADRE DU PROJET PERSONNALISÉ 50%

  7. INTERÊT POUR LE NURSING • 71 % DES PROFESSIONNELS CONSIDERENT ET APPRECIENT LE NURSING DANS LEUR PRATIQUE PROFESSIONNELLE

  8. PROPOSITIONS D’AMÉLIORATION • PLUS DE TEMPS • PLUS D’ÉFFECTIFS • PLUS DE MOYENS (locaux et matériels) • APPORTER UNE DIMENSION PLUS LUDIQUE (musique, jeux, chants, rire…) • VALORISER L’USAGER DANS SA PARTICIPATION AU NURSING • FAIRE DU NURSING UN MOYEN DE RELATION ET DE COMMUNICATION

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