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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

Funding

$ 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

Themes

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

Why?

In September 2019, the Quebec Ministry of Health and Social Services (MSSS) launched two practical guides intended for registered nurses and social workers working in FMGs. These guides enhance the quality of the exercise and promote interprofessional collaboration between these two trades. The research team offers to support clinicians of FMGs in the appropriation of practical guides.

What are our goals?

Supporting the implementation and deployment of practical guides for social workers (SW) and registered nurses  (RN) in FMGs through an educational intervention to train clinical trainers who will act throughout Quebec.

Specific

Clinics and organizational:

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

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

Evaluative:

  • Describe the process of implementing the educational intervention.

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

  • Identify the conditions for scaling up the educational intervention.

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Why?

In September 2019, the Quebec Ministry of Health and Social Services (MSSS) launched two practical guides intended for registered nurses and social workers working in FMGs. These guides enhance the quality of the exercise and promote interprofessional collaboration between these two trades. The research team offers to support clinicians of FMGs in the appropriation of practical guides.

What are our goals?

Supporting the implementation and deployment of practical guides for social workers (SW) and registered nurses  (RN) in FMGs through an educational intervention to train clinical trainers who will act throughout Quebec.

Specific

Clinics and organizational:

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

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

Evaluative:

  • Describe the process of implementing the educational intervention.

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

  • Identify the conditions for scaling up the educational intervention.

How? 'Or' What?

To effectively support registered nurses and social workers in appropriating practical guides, the Train-the-trainer approach 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 respective 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, it will be all the clinicians from every  FMGs of Saguenay-Lac-St-Jean; then in the third phase, the training will extend throughout Quebec. The teams of trainers 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?

Foster 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 training of trainers strategy. This strategy will then be used for large-scale implementation in Quebec FMGs.

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

 

Sub-Project: Assessment of knowledge of integration of patient-centered care, led by Anaëlle Morin

The objective of the sub-project is to understand how nurse clinicians in FMG 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 practices of nurse clinicians in FMGs following the training received. Individual or group interviews will be conducted in order to explore the changes in practices carried out 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 the emerging themes will be condensed to make proposals allowing 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-managers-patients.

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

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