Search Results

Introduction: The operationalization of nursing-sensitive performance measures has been highly variable. It results in measures that are sometimes suboptimal and difficult for managers and nurses to access. The objective is to propose a rigorous method for operationalizing nurse-sensitive performance measures based on routine data. Source of Information: The primary source of information for this article is an operationalization method adapted from a reporting guide and performance measure evaluation instrument. It includes 7 processes and 33 interrelated quality attributes. The application of this operationalization method was successfully tested in a university hospital. Discussion: Operationalization of nursing-sensitive performance measures is a complex process. This method is an original proposal that allows for the justification and argumentation of the choices made. We discuss how this method is a response to 3 methodological issues: (1) heterogeneous and poorly detailed operationalization methods; (2) critical attributes (e.g., relevance, scientific validity, feasibility) that lack consensus and (3) heterogeneous data architecture models. Implication and conclusion: This operationalization method provides a systematic and transparent approach to generating nursing-sensitive performance measures from routine data. It could improve their operationalization, facilitate their understanding and evaluation.

Keywords: nurses, infirmières et infirmiers, outcome and process assessment (health care), évaluation des résultats et des processus en soins de santé, quality of health care, qualité des soins de santé, amélioration de la qualité, quality improvement, méthodologie en recherche épidémiologique, epidemiologic research design

This article examines the letters of the last hour written by Mary Stuart during her captivity in Fotheringay before her death on February 8, 1587. Addressed to her contemporaries, these letters allow Mary Stuart to control until the end the image of her that will remain in collective memory and, at the same time, they promote self-examination. The letter of the last hour is closely related to several literary genres like the farewell letter, the arts of dying, and the testament but its specificity lies in its relation to the ritual of death as it was conceived at the time.

The general question of this study is to understand the impact of credit risk on the performance of Canadian banks. The results allow to confirm that effective management of credit risk has a positive effect on the performance of Canadian banks and that increasing credit risk leads to a decrease in financial and stock market performance. The results also confirm that certain ratios such as debt to deposit and debt to asset positively affect operational performance. This research clearly highlights a clarification and a better understanding of the determinants of credit risk, and its relevance to promote policies for managing this risk, hence the better performance of banks.

This study describes and compares the availability of courses exploring intercultural issues in Quebec university programs for four disciplines of the caring professions (occupational therapy, social work, psychology and midwifery). The study identifies the presence of such courses in each discipline, their mandatory or optional nature, their pedagogical characteristics and their content. The themes describing this content, identified through inductive content analysis, were grouped together according to the components of cultural competence: cultural self-awareness, cultural knowledge and skills (Sue et al., 1992). Cultural knowledge is most often addressed, except in midwifery, where it is cultural skills. Almost a quarter of programs do not offer any intercultural courses. The courses offered are mostly lectures, although an experiential format (e.g., internship or practicum) would rather help to develop cultural competence. The discussion highlights the advantages and disadvantages of making these intercultural courses mandatory, notably regarding students’ motivation, and suggests concrete actions facilitating the necessary institutional changes.

Keywords: diversity, diversité, intercultural issues, enjeux interculturels, formation universitaire, university training, relation d’aide, caring professions, occupational therapy, ergothérapie, psychologie, psychology, social work, travail social, midwifery, pratique sage-femme, compétence culturelle, cultural competency

This text looks at intermediality (links between arts) as a foundation for narrative music, in a series of eight works entitled Wirkunst. The origins of the Wirkunst stem from other visual arts, literary or cinematographic works. Thus, the first part opens with semiotics theories on which my research is based. Then, I present the “musical interpretation’s grid of artworks” which I use to transform my perception of an artwork toward a musical work. Finally, I propose a definition of musical narrativity inherent to the Wirkunst with an emphasis on the field of perception and, more specifically, their many levels of reading, conceptual and sonorous.

Keywords: Musique, composition, arts, intermédialité, narrativité, perception

This article reports on the findings of a larger study that explored urban Indigenous providers’ experiences with contracting in mental health and addictions care. The study was undertaken with seven Indigenous and one non-Indigenous non-profit organizations based in diverse large and mid-size cities (off reserve) in British Columbia, Canada. Indigenous and critical theoretical perspectives provided the lens for this ethnographic inquiry. In-depth interviews were the primary data source. Participants’ narratives provide an account of the ideological embeddedness of contracting and how a New Public Management operates to perpetuate colonial power imbalances and structural barriers to culturally safe and equity-oriented care within urban Indigenous communities. Policy and practice implications for government funders are discussed.

Keywords: Indigenous health services, Canada, mental health, cultural safety, contracting

In order to discuss the issues associated with artificial intelligence systems (AIS), publications in AI ethics have multiplied recently. While law and ethics work toward a common goal of fostering beneficial and responsible use of AI, these normative initiatives are distinct and must be appropriately situated in relation to each other. In this article, starting from a pragmatist perspective, we propose a reflection on the normative role of what Luciano Floridi calls “soft ethics” in relation to law. We will reflect on the characteristics it should have to play an effective normative role that is complementary to law, as well as on the internormative relations between ethics and law in the perspective of normative pluralism.

Keywords: éthique, ethics, droit, law, intelligence artificielle, artificial intelligence, pragmatisme, pragmatism, pluralisme normatif, normative pluralism

In 2015, France recognized hematological malignancies, including non-Hodgkin's lymphoma (NHL), as an occupational disease resulting from pesticide exposure. The IARC of the WHO then declared glyphosate and glyphosate-based herbicides to be genotoxic and probably carcinogenic. In the United States, 125,000 American victims of NHL attributed to Bayer-Monsanto's Roundup have filed lawsuits against the company, while 2.5 million pages of declassified internal documents, the Monsanto Papers, illustrated the incredible manipulations to conceal Roundup’s dangers and to subvert the evaluation and regulatory systems. After three costly convictions, Bayer-Monsanto signed a partial out-of-court settlement of $11 billion and withdrew Roundup from the U.S. domestic market. The structural increase in pesticides, from 2.3 to 4.1 million tons from 1990 to 2018, contributing to the 385 million cases per year of serious and unintentional poisoning, and their threatening impacts on the climate, biodiversity and planetary limits, require going beyond the compensation of certain diseases to highlight the responsibilities of producing firms, regulatory bodies and public authorities : This is the core of this article focused on glyphosate-based herbicides (HBC), the first pesticides in the world, in Canada and Quebec and their links with certain cancers, including non-Hodgkin's lymphoma (NHL).

Keywords: Herbicides à base de glyphosate, Glyphosate-based herbicides, santé, health, travail, labor, politiques publiques, and public policy