Change in monitoring practices
in COVID-19 context
Ariane Girard, Alain Lesage
Quebec Network on Suicide, Mood Disorders and Associated Disorders (RQSHA)
Province of Quebec
Nursing practice, Well-being, COVID-19, mental health
of nurses presented anxious or depressive symptoms and 25% of them are under 30 years old.
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of nurses have found balancing work and family more difficult during the pandemic.
of them felt that their work was not consistent with their values.
are uncomfortable using virtual care for mental health follow-up.
In order to respond to the recommendations of the World Health Organization (WHO) to adapt to the health measures of COVID-19, nurses in Quebec have offered remote monitoring methods to patients (telephone, videoconference) . This change in follow-up methods can therefore potentially contribute to maintaining or improving vulnerable people's access to quality mental health-oriented nursing practices. However, the pandemic context requires the rapid adoption of new practices by professionals who are also at risk of suffering the psychological impact of the crisis. Exposure to COVID-19 in the course of their work, or the impact of public health measures such as school closures on their work-family balance are examples of risks. This could lead nurses to give certain practices used in mental health a more secondary role, despite WHO recommendations.
What are our goals?
The general objective of this research project is to describe and contextualize the change in the follow-up practices of nurses in Quebec during the COVID-19 period, in particular with regard to remote follow-up and mental health-oriented practices. This objective will be achieved by answering the following questions:
1) What changes are being seen in the use of remote monitoring modalities and mental health-oriented practices among nurses in the COVID-19 context?
2) What symptoms of psychological distress are observed in nurses monitoring patients in the context of COVID-19?
3) What are the sociodemographic factors, the characteristics of the practice setting and the symptoms of psychological distress associated with the adoption of remote monitoring methods or mental health-oriented practices in the context of nursing monitoring?
4) What are the sociodemographic factors, the characteristics of the practice environment and the symptoms of psychological distress associated with the beliefs, attitudes and intentions of nurses with regard to remote monitoring modalities or mental health-oriented practices in the framework of nursing follow-up?
A descriptive study of the longitudinal survey type (repeated cross-sectional data collection) is carried out. Study participants are asked to complete an anonymous web questionnaire, accessible by clicking on a hypertext link or by copying a URL address on any device with internet access.
What results have we had so far?
Firstly, regarding the nurses' well-being:
and nurses have been reassigned.
do less follow-up of ambulatory clients while being in the same environment.
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of respondents consider remote monitoring generally appropriate for its clientele.
of respondents in mental health consider that their work context is generally compatible with remote monitoring.
Secondly, regarding the changes in practices outpatient follow-ups:
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