[Adverse events in healthcare: supporting caregivers in distress].

While we work with patients when they are victims of an adverse event in their care, we too often ignore the fact that the caregiver also experiences the consequences of this event. Some of these events lengthen hospital stays, aggravate health problems and can even lead to death. For the caregivers involved, as well as for the health-care teams, the effects are far from negligible in terms of affect and psychological suffering.

[Nurses involved in adverse events: worrying moral suffering].

In a culture of safety and risk management that seeks to prevent serious adverse events in healthcare environments, we rarely consider what the caregivers involved in these events experience. Studies of nurses show that they experience a range of feelings and sometimes symptoms similar to those found in post-traumatic shock. This text looks back at the experience of nurses as moral suffering, focusing on the offence of a healthcare system and the betrayal of a promise at the heart of the caring relationship.

[The "pocahontanization" of seniors in nursing care].

While the concept of elder, used in the world of nursing, refers to the elderly, its use in the world of "autochthony" in no way refers to the same representations. The inclusion of the concept of elder in the nursing narrative dedicated to First Nations people is a culturalist drift that diverts care from its obligation of openness and attention to the subject. It would seem salutary to revisit this use of abusive categories in the world of nursing, as it runs counter to what we claim to defend through cultural securitization approaches, which are more fashionable than reasoned.

[The representation of sexuality and ageing in cinema: a reflection of a persistent capacitist ideology].

One might think that the representation of the ageing body in film has evolved over the years, reflecting certain cultural and societal changes, as well as advances in the understanding of ageing. However, regardless of gender, older people are more likely than any other group to appear in film as comic antidotes to ageing, cultivating stereotypes of physical, cognitive and even sexual inefficiency.

[The body in old age: Pernicious medical and materialist thinking].

This article looks at the historical construction of knowledge about the elderly body from a medical perspective that is concerned with the materiality of the body and associated losses. It recalls, presents and analyses the paradigm of loss, decline and failure that dominates the way care is provided, and examines the issues associated with this domination. By presenting old age as a social construct produced by language and subject to values relating to a certain performance of the body, the author invites us to shift our perspective and take a finer, more complex and broader view of the body and the experience of being old.

[A rhizomic nursing discipline: theoretical knowledge for dealing with cared-for and nursing bodies].

The institutionalization of the nursing discipline within French universities can take a number of different paths, but must not ignore a fundamentally diverse practical reality. Heterogeneity is also evident in the abundance of theories available and mobilized to address objects of nursing interest. This text emphasizes this mobilization and presents a rhizomic nursing discipline that departs from a classical, vertical and hierarchical academic discipline.

[Improving the experience of racialized immigrant seniors in Quebec].

In Quebec, racialized immigrant seniors (AIRs) are a significant presence in long-term care facilities (CHSLDs) in the Greater Montreal area. To identify interventions that best meet their needs, this study interviewed 12 RIAs, including their families, about their experience in CHSLDs. The results show that RIAs face three challenges: food, clothing and play.

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The notion of environment is today nearly ubiquitous within the field of health sciences. Links between environment and health have long been reported and described in medicine, nursing, and public health. The article analyzes the historical construction of perspectives on these links by following a thread that weaves through Hippocratic and aerist medical theories, urban medicine, and the hygienist current of the 18th and 19th centuries.

[Biomedical domination in nursing: a contribution to the emancipation of nurses].

Nursing practice and the knowledge that supports it developed in close connection with biomedical practices/knowledge and physicians. This interprofessional and interdisciplinary relationship can be analyzed based on a critical and postcolonial reading, which seeks to emancipate and assert a disciplinary space for nursing that is both academic and professional. This text employs this approach and highlights the biomedical grounds of nursing practices and knowledge.

[How literature can help develop a nursing perspective: the contribution of the novel “Mend the Living”].

Including the humanities in health sciences training is a means of humanizing healthcare practice. The humanities and social sciences, but also artistic disciplines such as dance, film, theater, and literature make it possible to take into account the complexity of lived experiences and to deepen the notion of caring. In this paper, we revisit the relevance and usefulness of literature in educating healthcare workers.

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Introduction: Retention of healthcare workers (HCWs) in the healthcare system during the COVID-19 pandemic could become a challenge. It is therefore important to better understand what are the motivational elements that could explain a greater or lesser motivation to care for infected patients.

Objectives: To evaluate factors modulating HCWs' willingness to treat COVID-19 infected patients.

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Context : Quebec's "medical aid in dying" (MAID) is a medical intervention mostly practiced in palliative care units. MAID results from a deep revolution within Quebec's ethics regarding end-of-life care. However, there is a lack of empirical studies regarding nursing practice within the context of MAID.

[Sexuality of elderly people living in CHSLDs in Quebec, between neglect and recognition].

Despite the popular belief that sexuality disappears with age, research shows that it is an important focus for many people over 60. Contemporary realities observed among this population reveal real needs for affection and sexual desires that translate into various practices. This does not exclude residents of long-term care centres (CHSLD).

How anxious were Quebec healthcare professionals during the first wave of the COVID-19 pandemic? A web-based cross-sectional survey.

Background: The coronavirus disease 2019 (COVID-19) pandemic may cause significant anxiety among healthcare professionals (HCPs). COVID-19-related psychological impacts on HCPs in Western countries have received relatively little attention.

Objective: This study aims to assess the levels of anxiety in HCPs working in the province of Quebec (Canada) during the first wave of the COVID-19 pandemic and identify factors associated with changes in anxiety scores.

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Every academic discipline nurturing its own science draws on the development and dissemination of a knowledge. In pursuit of this project, the nursing discipline has proposed various conceptualizations of knowledge. The one developed by Chinn and Kramer, following Carper’s work, is without doubt the most prominent and most often borrowed concept in discussing the epistemological foundations of the discipline.

Empowering Nurses to Provide Humanized Care in Canadian Hospital Care Units: A Qualitative Study.

Previous studies have reported a conflict between nurses' motivation to provide humanized care and practical requirements impeding them from doing so. This exploratory descriptive qualitative study aimed to explore nurses' perspectives on humanized care, the challenges they face, and, most importantly, their recommendations to overcome these barriers. Semistructured individual interviews were conducted with 17 auxiliary and registered nurses working in various health care units in a Canadian hospital.

[Nursing as a creole discipline: Reflecting on plurality, borrowed motives, and the confluences within.].

A reflection on the evolution of the nursing discipline requires us to question various motives borrowed from other disciplines. While some may be reluctant to borrow, they also believe that borrowing undermines the assertion and autonomy of the discipline itself. This text suggests defining the nursing discipline based on the merits of the confluences, heritages, and plurality that make up its landscape.

[The body in nursing discipline: an essential to link the four concepts of the metaparadigm].

How can we teach and practice nursing, develop knowledge and reflect on the founding principles of nursing discipline without explicitly considering the essential place of the body ? After addressing the nursing science disciplinary metaparadigm and its four central concepts, we suggest this theoretical proposal be expanded to include the body as a fifth concept, demonstrating its appropriateness in linking the other concepts, namely the person, health, environment and nursing. In this perspective, different readings of the body are thus proposed. In the variate configurations displayed, they appear as ways leading to specific microparadigms and from which it becomes possible to identify the nature of nursing and caring, as well as the types of knowledge that are useful to be taught within the nursing curriculum.

[Dying well seen in the light of self-transcendence and transition : two theories of care helpful to nurses].

Accompanying a dying person up to and at the actual moment of death is a duty that often leaves carers at a loss. We shall show how far theoretical nursing knowledge can help practitioners who accompany the end of life by applying two theories of care : Reed’s theory of self-transcendence and Meleis’s theory of transition. Our interpretation of the theory of self-transcendence designates three points of reference in the concept of dying well.

[Restoring the complexity of reality in theoretical health promotion approaches through incorporating the identity of the subject].

The theoretical frameworks presently dominating health promotion practices mainly focus on the individual's psychosocial and cognitive components. When focusing on environments, these frameworks barely relate contextual elements to the individuals who give them a real existence. Because of the disjunction and reduction they create, the main theoretical readings only partially recognize the complexity of social life and therefore lose the Subject.

[Encountering the subject in the health field: a human care theory based on lived experience].

Dominated by a bio-mechanistic paradigm, Western health systems are suffering from numerous problems. One such problem is the lack of consideration for lived experiences and the complexity and depth of meaning that characterize them. We accordingly emphasize in this text the importance of talking a deep look at the experiences of the cared-for Subject and changing the viewpoint on his or her problems.

Cancer patients and spiritual experiences: redefining the self through initiatory ordeals.

Objectives: When one explores the paths that sick people follow in search of meaning and a cure, one is quite likely to encounter religious knowledge and practices. Examining this facet and the spiritual experiences that arise therein leads us to the subject of identity, which systematically comes up as soon as we consider the impact of serious illness on people's lives. We need to follow the identity-building process that occurs in the disease, ruptures, and redefinitions if we are to understand how religious practices and knowledge contribute to the process.