Change in monitoring practices and nurses' well-being

in the COVID-19 context

Principal investigaors

Marie-Eve Poitras,

Jean-Daniel Carrier,

Ariane Girard, Alain Lesage

Funding

$ 10,000

Quebec Network on Suicide, Mood Disorders and Associated Disorders (RQSHA)

Study setting

Province of Quebec

themes

Nursing practice, Well-being, COVID-19, mental health

Why?

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 monitoring methods can therefore potentially contribute to maintaining or improving the access of vulnerable people to quality nursing practices geared towards mental health. However, the pandemic context requires the rapid adoption of new practices by professionals who are also at risk of suffering the psychological impacts of the crisis. Exposure to COVID-19 in the course of their work, or the impact of public health measures such as the closing of schools 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 monitoring practices for nurses in Quebec during the COVID-19 period, in particular with regard to remote monitoring and practices oriented towards mental health. This objective will be achieved by answering the following questions:

1) What changes are we seeing in the use of remote monitoring methods and in mental health-oriented practices among nurses in the COVID-19 context?

2) What are the symptoms of psychological distress observed in nurses monitoring patients in a COVID-19 context?

3) What are the socio-demographic factors, the characteristics of the practice environment and the symptoms of psychological distress associated with the adoption of remote monitoring methods or practices oriented towards mental health within the framework of nursing monitoring?

4) What are the socio-demographic 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 distance monitoring methods or practices oriented towards mental health in the framework of nursing follow-up?

How? 'Or' What?

A descriptive study of the longitudinal survey type (repeated cross-sectional data collections) is carried out. Study participants are invited to answer an anonymous web questionnaire, accessible by clicking on a hyperlink or by copying a URL address to any device with internet access.

What results do we have so far?

10%

des infirmières a présenté des symptômes anxieux ou dépressifs et 25 % d'entre elles ont moins de 30 ans.

1 sur 2

des infirmières ont trouvé la conciliation travail-famille plus difficile pendant la pandémie.

40%

d'entre elles avaient l'impression que leur travail n'était pas cohérent avec leurs valeurs.

55%

sont inconfortables à utiliser les soins virtuels pour le suivi en santé mentale.

En un deuxième temps, concernant les changements des pratiques de suivis en soins ambulatoires :

10%

des infirmières
et infirmiers a été réaffecté(e)s.

42%

font moins de suivis de clientèle ambulatoire en étant dans le même milieu.

1 sur 2

des personnes répondantes considèrent le suivi à distance généralement approprié pour sa clientèle.

40%

des répondant(e)s en santé mentale considèrent que leur contexte de travail est généralement compatible avec les suivis à distance.

lotus.png