Evaluation of the process of harmonization
clinical practices and optimizing
the scope of practice of nurses
at the CIUSSS du Saguenay-Lac-Saint-Jean
Chantale Simard, Maud-Christine Chouinard, Véronique Roberge, Sylvie Massé, Line Marois, Caroline Savard, Annick Bergeron, Manon Fouquet, Kim Larocque, Clémence Dallaire and
J ohanne Déry
Quebec Nursing Intervention Research Network
CIUSSS of Saguenay-Lac-Saint-Jean
Nursing practice, optimization, harmonization
In recent years, a major reorganization of the health and social services network in Quebec has taken place, leading, among other things, to the creation of Integrated Health and Social Services Centers (CISSS) and Integrated University Health and Services Centers Social (CIUSSS). This has led to major changes in the structure of services, bringing together professionals, particularly nurses, from various backgrounds with diversified practices. Through this major reorganization, the Nursing Department (DSI) of each CIUSSS became responsible for nursing professional development and the quality of services in all the establishments thus merged.
Faced with this challenge, the DSI of the CIUSSS du Saguenay-Lac-Saint-Jean (SLSJ) recently began implementing a vast approach to ensure that the practice of nurses is more uniform across the facilities. The approach also aims to optimize their practice so that they perform all the tasks for which they have been trained.
What results have we had?
The project had to be put on hold due to the COVID-19 pandemic but is still ongoing.
What are our goals?
1) Describe how practice harmonization and optimization activities are carried out in the facilities
2) Understand what can facilitate or make difficult the process of harmonizing practices and optimizing
3) Determine how nurses, clinical support teams and managers perceive the impacts of the process (quality of care, well-being and quality of life at work)
4) Measure the impact of the approach using indicators
Our project is based on the single case study, mobilizing a mixed approach (from qualitative and quantitative data) and based on an evolutionary evaluation approach. We also use the Quadruple Aim model.
In order to carry out the project, we used:
1) Individual interviews with managers
2) Group interviews with nurses,
3) Sociodemographic data questionnaires
4) Span of practice questionnaires
6) Field Notes
7) Participant observation
We then proceeded to analyze the data by
grouping the data according to the identified themes.
Thus, we can highlight the findings
by the different groups of participants.
We also compared data from
questionnaires before and after the implementation of the
approach to assess its effect.
Poitras, ME Marois, L Simard, C Savard, C Roberge, V Déry, J Dallaire, C Dassylva, A Chouinard, MC. (2020). Harmonization and optimization of nurses' clinical practices: towards an updated care management. Update on health and social services. 15(4): 8-10.
Simard C, Marois L, Massé S, Savard C, Poitras ME, Roberge V, Déry J, Dallaire C, Chouinard MC. (2020). Approach to harmonizing clinical practices and optimizing the scope of practice of nurses. Nursing Perspectives.