Daphney St-Germain

Phenomenological Study of Neurogenic Bowel From the Perspective of Individuals Living With Spinal Cord Injury

OBJECTIVE To gain greater insight into the lived experience of individuals with spinal cord injury (SCI) and neurogenic bowel dysfunction (NBD). DESIGN Qualitative (phenomenologic) interviews and analysis. SETTING Community. PARTICIPANTS Individuals with SCI and NBD (N=19) residing in the community. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURE Concerns related to living with NBD after SCI. RESULTS Challenges related to living with SCI and NBD included costs and requirements, emotional impact, diet, education and employment, intimacy and interpersonal relations, social participation, spontaneity and daily schedule, travel, lack of appropriate and consistent assistance, loss of autonomy (independence, privacy), lack of predictability and fear of incontinence, medical complications, pain or discomfort, physical effort of the bowel routine, physical experience, and time requirements. CONCLUSIONS Living with NBD presents many challenges. When categorized according to the International Classification of Functioning, Disability and Health, identified domains include body functions and structures, activity, participation, environmental factors, and personal factors. Identified issues have implications for improving clinical management and should be assessed when determining the impact and efficacy of interventions.

The Caring-Disability Creation Process model: a new way of combining 'Care' in nursing and 'Rehabilitation' for better quality of services and patient safety

In an effort to continuously improve the quality of the services provided to persons in rehabilitation and patient safety, this article presents a model for the development of a Caring-Disability Creation Process that combines two elements that, in the past, have often been separated: care in nursing and rehabilitation. This new model and its underlying concepts introduce to a comprehensive approach in the recognition of the added value of caring by the contribution of rehabilitation nurses making an optimal development of the individuals potential and achieving successful social participation.

Building an interfaculty interprofessional education curriculum: What can we learn from the Université Laval experience?

Interprofessional education (IPE) is increasingly recognized as a means to improve practice in health and social care. However, to secure interprofessional learning, it is important to create occasions in prelicensure health and social services curriculum so that students can learn with, from and about each other. This paper presents the process behind the development and implementation of an IPE curriculum in 10 health and social sciences programs by a team of professors from the faculties of medicine, nursing sciences and social sciences at Université Laval in the province of Québec, Canada. The pedagogical approach, description of primary objectives and issues related to its implementation in the curriculum programs are also described and discussed.

Neurogenic bowel after spinal cord injury from the perspective of support providers: a phenomenological study.

To gain greater insight into the experience of support providers who assist and support individuals with spinal cord injury (SCI) for the performance of bowel care.

Patient Safety: The Contribution of “Rehabilitation Caring” To Its Definition

With the perspective of Disability Creation Process (DCP), rehabilitation caring extends the definition of patient safety beyond physical aspects. Given that rehabilitation transforms the person holistically and solicits a humanistic approach from the caregiver, it seems inevitable that psychological, social, and spiritual standpoints must be considered as major issues for these patients. By presenting the DCP with new research findings, pertaining to a caring approach in rehabilitation, a strongly linked perspective was revealed, which contributes to patient safety.