Papers by Isabelle Bragard
Quality of Life Research, Oct 6, 2020
This randomized controlled study assessed the impact of a 3-hour intravenous medication safety si... more This randomized controlled study assessed the impact of a 3-hour intravenous medication safety simulationbased learning (SBL) on self-efficacy, stress, knowledge and skills of nursing students. Medication administration error is a worldwide concern [1], that has been linked with a lack of knowledge and skills in safe medication administration among new graduate and student nurses [2-4]. Preventing medication errors could therefore involve training through simulation. Methods: Participants (n=99) were randomly assigned either to the control group (CG, n=50) or the experimental group (EG, n=49). While CG and EG both had a traditional clinical internship, EG beneficiated in addition the 3-hour SBL, using standardized patients in the context of an intensive care unit. The two groups were assessed twice: at T0 and T1 (four weeks later), through an Objective Structured Clinical Examination (OSCE) and questionnaires. Two blinded experts rated the students OSCE with an evaluation grid. Results: Mean participants age was 21,2. There were no statistically differences between groups at T0. Compared to the CG (0%), the EG increased its self-efficacy (+19,35%) with a significantly difference (p<0,001) at T1. The SBL conducted to a greater increase of knowledge and skills in the EG (respectively +150%, +128%) than in the CG (respectively +46% and +47%), with a statistically significant difference (p<0,0001). Conclusion: Results reinforce the interest of a short SBL using standardized patients to improve medication administration. Clinical impact of these observations requires further evaluation to determine potential transfer in clinical settings and retention over time.
European Journal of Public Health, 2020
Background The extent to which patients are involved in their care can be influenced by hospital ... more Background The extent to which patients are involved in their care can be influenced by hospital policies and interventions. Nevertheless, the implementation of patient participation and involvement (PPI) at the organisational (meso) level has rarely been assessed systematically. The aim of this study was to assess the occurrence of PPI practises in hospitals in Belgium, France, Germany and Luxembourg and to analyze if, and to what extent, the hospital vision and the presence of a patient committee influence the implementation of PPI practises. Methods A cross-sectional study was carried out using an online questionnaire in hospitals in the border regions of the four countries. The data were analyzed for differences between regions and the maturity of PPI development. Results Full responses were obtained from 64 hospitals. A wide range of practices were observed, the degree of maturity was mixed. A majority of hospitals promoted patient partnership in the hospital’s philosophy of ca...
Revue médicale de Liège, 2017
Rev Med Liege 2017; 72 : 1 : xx-xx Résumé : La Health Literacy (HL) se définit comme ‘la connaiss... more Rev Med Liege 2017; 72 : 1 : xx-xx Résumé : La Health Literacy (HL) se définit comme ‘la connaissance, la motivation et les compétences des individus à accéder, comprendre, évaluer et appliquer l’information en matière de santé en vue de porter des jugements et de prendre des décisions de tous les jours en ce qui concerne la santé, la prévention des maladies et la promotion de la santé, de manière à maintenir ou améliorer la qualité de vie’. Au niveau politique belge, ce concept commence à être reconnu comme étant un domaine d’action prioritaire. En effet, une HL limitée peut affecter la santé en conduisant, par exemple, à une moins bonne gestion des maladies chroniques, à davantage d’hospitalisations et de décès prématurés. Cet article aborde la question de l’évaluation de la HL, des interventions pour l’améliorer ainsi que les nombreux défis qui restent à relever dans ce domaine. La HL semblerait fondamentale pour le développement d’une meilleure gestion de la santé. Elle permettr...
Clinical Simulation in Nursing, 2020
Introduction: Virtual reality (VR) is a recent topic in healthcare education. Little is known abo... more Introduction: Virtual reality (VR) is a recent topic in healthcare education. Little is known about the factors affecting the immersion and the sense of presence in VR. This study aimed to understand the elements that influence the sense of presence among undergraduate healthcare students and postgraduate (PG). Methods: Undergraduate healthcare students (n ¼ 42) and PG (n ¼ 19) were immersed in a mass casualty incidenteimmersive simulation. Participants completed questionnaires before (immersion propensity, stress) and after immersion (sense of presence, stress, cybersickness, and satisfaction). The qualitative component of the study provided the context for the quantitative results. Results: The sense of presence was high among both groups but higher among PG (p ¼ .02) and was positively correlated to immersion propensity (r ¼ 0.36; p < .001). The level of cybersickness was low despite a discomfort induced by the VR material. A significant group-by-time effect was found for stress (p < .001). Stress levels increased more in the PG through the immersion without effect on the sense of presence. Conclusion: In accordance with the results, the mass casualty incidenteimmersive simulation induced a high level of sense of presence and a low level of cybersickness. The sense of presence was correlated with the individual immersion propensity.
BMC cancer, Jan 10, 2017
Although previous studies have reported the efficacy of communication skills training (CST) progr... more Although previous studies have reported the efficacy of communication skills training (CST) programs, specific training addressing communication about uncertainty and hope in oncology has not yet been studied. This paper describes the study protocol of a randomized controlled trial assessing the efficacy of a CST program aimed at improving physician ability to communicate about uncertainty and hope in encounters with cancer patients. Physician participants will be randomly assigned in groups (n = 3/group) to a 30-h CST program (experimental group) or to a waiting list (control group). The training program will include learner-centered, skills-focused, practice-oriented techniques. Training efficacy is assessed in the context of an encounter with a simulated advanced stage cancer patient at baseline and after the CST for the experimental group, and after four months for the waiting-list group. Efficacy assessments will include communicational, psychological and physiological measures...
Vingt-trois couples dont un des conjoints est atteint du cancer ont été randomisés en 2 groupes :... more Vingt-trois couples dont un des conjoints est atteint du cancer ont été randomisés en 2 groupes : le groupe expérimental, dans lequel le patient participait activement à la méthode d'action (GE, N = 12), et le groupe contrôle, dans lequel le conjoint était seul (GC, N = 11). DESIGN EXPÉRIMENTAL: Cette étude adopte une perspective longitudinale : les participants sont évalués à deux reprises, avant et après l'intervention. Les besoins psychosociaux des conjoints de personnes atteintes d'un cancer : évaluation de l'efficacité de la résolution de problèmes en présence ou non du patient 2
Radiotherapy and Oncology, 2016
BMC research notes, 2015
Information about recruitment and retention factors and quality of work life (QWL) in rural emerg... more Information about recruitment and retention factors and quality of work life (QWL) in rural emergency departments (EDs) is limited. A pilot study was used to determine the feasibility of a large-scale study of these variables in Quebec EDs. Two EDs, approximately 10,000 and 30,000 patients per year respectively, were selected as convenience samples. An online survey containing the Quality of Work Life Systemic Inventory (QWLSI; 34 items) and the Recruitment and Retention Factors Questionnaire (39 items) was sent to ED nurses and physicians of these two EDs. Descriptive statistics of percentage, mean and standard deviation and correlations were used to analyse the data. Forty out of 64 eligible workers (62%) gave their consent to participate, but only 20 had completed both questionnaires. Participants' mean age was 42 years (SD = 11.6). The average participants satisfaction with their access to continuing education was low (Mean = 1.6, SD = 0.8). However, their satisfaction with ...
British journal of cancer, Jan 12, 2013
Although patients with cancer are often accompanied by a relative during breaking bad news (BBN) ... more Although patients with cancer are often accompanied by a relative during breaking bad news (BBN) consultations, little is known regarding the efficacy of training programmes designed to teach residents the communication skills needed to break bad news in a triadic consultation. Residents were randomly assigned to a 40-h dyadic and triadic communication skills training programme (n=48) or a waiting list (n=47). A simulated BBN triadic consultation was audiotaped at baseline, and after training for the training group, and 8 months after baseline for the waiting list group. Transcripts were analysed using content analysis software (LaComm). A coder determined the moment of bad news delivery and the relative's first turn of speech regarding the bad news. A generalised estimating equation was used to evaluate residents' communication skills, BBN timing, and the relative's inclusion in the consultation. Ninety-five residents were included. After training, the duration of the p...
British journal of cancer, Jan 13, 2010
This study aims to assess the efficacy of a 40-h training programme designed to teach residents t... more This study aims to assess the efficacy of a 40-h training programme designed to teach residents the communication skills needed to break the bad news. Residents were randomly assigned to the training programme or to a waiting list. A simulated patient breaking bad news (BBN) consultation was audiotaped at baseline and after training in the training group and 8 months after baseline in the waiting-list group. Transcripts were analysed by tagging the used communication skills with a content analysis software (LaComm) and by tagging the phases of bad news delivery: pre-delivery, delivery and post-delivery. Training effects were tested with generalised estimating equation (GEE) and multivariate analysis of variance (MANOVA). The trained residents (n=50) used effective communication skills more often than the untrained residents (n=48): more open questions (relative rate (RR)=5.79; P<0.001), open directive questions (RR=1.71; P=0.003) and empathy (RR=4.50; P=0.017) and less informatio...
Supportive Care in Cancer, 2006
Background: Ineffective physicians' communication skills have detrimental consequences for patien... more Background: Ineffective physicians' communication skills have detrimental consequences for patients and their relatives, such as insufficient detection of psychological disturbances, dissatisfaction with care, poor compliance, and increased risks of litigation for malpractice. These ineffective communication skills also contribute to everyday stress, lack of job satisfaction, and burnout among physicians. Literature shows that communication skills training programs may significantly improve physicians' key communication skills, contributing to improvements in patients' satisfaction with care and physicians' professional satisfaction. This paper describes a Belgian Interuniversity Curriculum (BIC) theoretical roots, principles, and techniques developed for junior physicians specializing in various disciplines dealing with cancer patients. Curriculum description: The 40-h training focuses on two domains: stress management skills and communication skills with cancer patients and their relatives. The teaching method is learner-centered and includes a cognitive, behavioral, and affective approach. The cognitive approach aims to improve physicians' knowledge and skills on the two domains cited. The behavioral approach offers learners the opportunity to practice these appropriate skills through practical exercises and role plays. The affective approach allows participants to express attitudes and feelings that communicating about difficult issues evoke. Such an intensive course seems to be necessary to facilitate the transfer of learned skills in clinical practice. Conclusions: The BIC is the first attempt to bring together a stress management training course and a communication training course that could lead not only to communication skills improvements but also to burnout prevention.
Occupational Medicine, 2011
Conclusions The results confirm that the QWLSI can provide an indication of workers' health well-... more Conclusions The results confirm that the QWLSI can provide an indication of workers' health well-being and of organizational performance in different areas of work life. The problem factors found among Belgian medical residents suggest that prevention should focus on reduction of work hours, development of support and change in leadership style.
Journal of Cancer Education, 2010
Supported by the Fonds National de la Recherche Scientifique-Section Télévie of Belgium and by th... more Supported by the Fonds National de la Recherche Scientifique-Section Télévie of Belgium and by the C.A.M., training and research group (Brussels-Belgium).
International Journal of Clinical and Experimental Hypnosis
Cancer can provoke fatigue, sleep disturbances, and emotional distress. Hypnosis interventions ha... more Cancer can provoke fatigue, sleep disturbances, and emotional distress. Hypnosis interventions have shown positive short-term effects on these symptoms. However, less is known about their long-term effects. This study assessed the short-and long-term effects of a group intervention combining self-care and self-hypnosis on these symptoms in posttreatment cancer patients. Ninety-five female cancer survivors were randomized to either a hypnosis group intervention or wait-list control. Results showed significant decreases in fatigue, sleep difficulties and emotional distress after intervention for the hypnosis group intervention in comparison to the wait-list control. Most of these positive effects were maintained at 1-year followup. Most participants received the hypnosis group intervention approximately 10.65 months after diagnosis, and it is possible that delivering the intervention earlier after diagnosis could have achieved a more robust impact. Further studies are needed to replicate these results in comparison to an active control condition and investigate the best time postdiagnosis for initiating the intervention.
International Journal of Clinical and Experimental Hypnosis, 2019
Many children with cancer and their parents suffer from distress, fatigue, and relational difficu... more Many children with cancer and their parents suffer from distress, fatigue, and relational difficulties. Hypnosis is often used to decrease children's procedure-related pain and distress in pediatric oncology and to improve the well-being of adults with cancer. This article describes a pilot study assessing the acceptability and feasibility of a group intervention combining self-care and hypnosis for children with cancer and their parents, and a quasi-experimental protocol aimed at assessing the efficacy of this intervention to improve quality of life, distress, fatigue, and coping. The pilot study showed that the intervention was feasible and perceived positively. Future research is needed to test the efficacy of group interventions combining self-care and hypnosis to improve quality of life for children with cancer and their families.
Sécurité d'administration des médicaments : comparaison de l'impact d'une formation par simulatio... more Sécurité d'administration des médicaments : comparaison de l'impact d'une formation par simulation et des stages cliniques.
Uploads
Papers by Isabelle Bragard