F2PL: Implementation and evaluation of a support
strategy for the implementation of practical guides for
clinical nurses and social workers working in FMGs:
the educational intervention for the training of trainers
in front-line services.

Principal investigators

Marie-Eve Poitras,

Yves Couturier, Sylvie Massé, Gilles Gauthier,

Marie-Dominique Poirier


$ 580,000

Quebec Health Research Fund in partnership with the Ministry of Health and Social Services

Study setting

6 Quebec family medicine groups located in 3 regions


Training of trainers, nurses, social workers, interprofessional collaboration, practical guides, shared decision-making


In September 2019, the Quebec Ministry of Health and Social Services (MSSS) launched two practical guides intended for clinical nurses and social workers who practice in FMGs. These guides enhance the quality of practice and promote interprofessional collaboration between these two professions. The research team offers to support FMG clinicians in adopting the practical guides.

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of the

What are our goals?

Support the implementation and deployment of practical guides for social workers (TS) and clinical nurses (IC) in FMGs through an educational intervention to train clinical trainers who will operate throughout Quebec.


Clinical and organizational:

  • Develop and implement a training and implementation support program (educational intervention) in three phases with the changes in practice promoted by the two MSSS practice guides.

  • Document the best ways to implement the educational intervention within the targeted CI(U)SSSs and in the various participating FMGs.


  • Describe the process for implementing the educational intervention.

  • Evaluate the effects of the intervention on trainers, trainees, managers, decision makers, physicians in charge and patients of the intervention.

  • Identify the conditions for scaling up the educational intervention.


To effectively support nurse clinicians and social workers in the appropriation of practical guides, the approachtrain-the-trainer  is used during each of the three phases of the project. This consists of training teams of clinical trainers who will, in turn, train teams of clinicians in their region. During the first phase, clinicians from six FMGs in Saguenay-Lac-St-Jean, Montreal and Abitibi-Témiscamingue were trained.

Journée de formation de formateurs cliniques - Marie-Eve Poitras, Yves Couturier

In the second phase, there will be all the clinicians from all the FMGs in Saguenay-Lac-St-Jean, then in the third phase, the training will extend to all of Quebec. The training teams are made up of 50% patient partners, because we firmly believe that experiential knowledge is as important as theoretical knowledge.

What results are we aiming for? 

Promote the harmonious development of professional and collaborative practices at zero cost for FMGs and ultimately aim to improve the services offered to patients.

Identify an optimal and sustainable train-the-trainer strategy. This strategy will then be used for large-scale implementation in Quebec FMGs.

Watch our Doodly capsule on the page Knowledge transfer to learn more. 


Sub-Project: Knowledge Assessment of Integrating Patient-Centred Care, led byAnaelle Morin

The objective of the sub-project is to understand how nurse clinicians in GMF at SLSJ will appropriate the patient-partner approach and integrate it into their professional practice.

The use of a descriptive qualitative approach will make it possible to describe in depth the changes in practice of clinical nurses in FMGs following the training received. Individual or group interviews will be conducted to explore the practice changes made by nurses, as well as the barriers and elements that facilitate the adoption of this new practice.


An inductive and deductive thematic analysis will be carried out and emerging themes will be condensed to make proposals to answer the research question. Analysis and validation circles will be carried out with all the co-researchers of the F2PL team, including the co-responsible patients.

This project will provide a better understanding of how nurse clinicians in FMGs modulate their practices following train-the-trainer type training. This knowledge will facilitate the creation of new training and the strategies to be favored by the Ministry of Health and Social Services for the appropriation of future practical guides.