{"id":{"repo_id":"sherbrooke","oai_identifier":"oai:usherbrooke.scholaris.ca:11143/5961"},"canonical_url":"https://search.dev.ndltd.org/etd/sherbrooke/oai:usherbrooke.scholaris.ca:11143/5961","repository":{"repo_id":"sherbrooke","name":"Université de Sherbrooke","base_url":"https://usherbrooke.scholaris.ca/server/oai/request"},"display":{"title":"Favoriser la communication entre les professionnels de la santé, le patient et ses proches dans le processus de choix de soins en contexte de maladie grave : planification d'une intervention dans le cadre d'une recherche-action","abstract":"Background : The involvement of patients, patients' kin and health care professionals in the communication surrounding the medical decision making process must be improved to insure health care quality. Objectives : The objective of this research was to describe how the communication between a patient, his kin and his health professionals could be improved in regards to the medical decision making process for severe illnesses. Following an action research perspective, this project also aimed to develop an intervention to facilitate this process. Method : Two rounds of four group interviews were conducted with professionals from a regional health center in northern Quebec (Centre de sante et de services sociaux de Rouyn-Noranda: CSSSRN) between 2009 and 2010. The groups represented teams from (a) the intensive care unit and the emergency room, (b) medical and surgical wards, (c) long term care and rehabilitation, (d) home care and specialized outpatient clinics. The transcripts from the first round of interviews were submitted to a thematic analysis while the ones from the second round were submitted to an analytical questioning. Results : Twenty-seven and 29 participants representing 9 health care professions participated to the interviews of the first and second rounds respectively. The first round of interviews revealed that all the health care professionals are involved in the communication associated with the medical decision making process. Strategies used by professionals to improve the participation of patients and patients' kin in the process of choosing care were identified, as well as relevant means of communication used by the professionals amongst themselves. The results inspired the development of a multidisciplinary communication tool and the revision of the decision-making tool used in the health center where the research was conducted. The second round of interviews demonstrated that a multidisciplinary communication tool could allow a better acknowledgement of the roles played by non-doctor professionals, and that a decision-making tool with goals of care rather than levels of care could improve the participation of patients, patients' kin and health care professionals in the choice of care. Finally, a reference tool guiding the communication surrounding the medical decision making process was suggested. Conclusion : This action research project allowed a better understanding of the roles played by non-doctor professionals in the communication surrounding the medical decision making process, and suggested solutions to improve the impact and the legitimacy of their involvement. Finally, three tools to improve the communication around choices of care were developed.","abstract_html":"Background : The involvement of patients, patients' kin and health care professionals in the communication surrounding the medical decision making process must be improved to insure health care quality. Objectives : The objective of this research was to describe how the communication between a patient, his kin and his health professionals could be improved in regards to the medical decision making process for severe illnesses. Following an action research perspective, this project also aimed to develop an intervention to facilitate this process. Method : Two rounds of four group interviews were conducted with professionals from a regional health center in northern Quebec (Centre de sante et de services sociaux de Rouyn-Noranda: CSSSRN) between 2009 and 2010. The groups represented teams from (a) the intensive care unit and the emergency room, (b) medical and surgical wards, (c) long term care and rehabilitation, (d) home care and specialized outpatient clinics. The transcripts from the first round of interviews were submitted to a thematic analysis while the ones from the second round were submitted to an analytical questioning. Results : Twenty-seven and 29 participants representing 9 health care professions participated to the interviews of the first and second rounds respectively. The first round of interviews revealed that all the health care professionals are involved in the communication associated with the medical decision making process. Strategies used by professionals to improve the participation of patients and patients' kin in the process of choosing care were identified, as well as relevant means of communication used by the professionals amongst themselves. The results inspired the development of a multidisciplinary communication tool and the revision of the decision-making tool used in the health center where the research was conducted. The second round of interviews demonstrated that a multidisciplinary communication tool could allow a better acknowledgement of the roles played by non-doctor professionals, and that a decision-making tool with goals of care rather than levels of care could improve the participation of patients, patients' kin and health care professionals in the choice of care. Finally, a reference tool guiding the communication surrounding the medical decision making process was suggested. Conclusion : This action research project allowed a better understanding of the roles played by non-doctor professionals in the communication surrounding the medical decision making process, and suggested solutions to improve the impact and the legitimacy of their involvement. Finally, three tools to improve the communication around choices of care were developed.","abstract_has_math":false,"creators":["Sohi, Julia"],"institution":"Université de Sherbrooke","degree_name":"M. Sc.","degree_level":"Maîtrise","degree_discipline":"Sciences cliniques","degree_department":null,"school":null,"contributors":[],"advisors":["Champagne, Manon"],"committee_chairs":[],"committee_members":[],"year":2011,"date_issued":"2011","date_published":"2011","updated_at":"2026-07-27T21:07:28Z","subjects":["Participation du patient","Équipe de soins","Décision partagée","Communication interdisciplinaire","Planification préalable des soins","Choix de soins","Patient Participation","Patient care team","Décision Making","Interdisciplinary communication","Advance directives"],"languages":["fr"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11143/5961","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Champagne, Manon"]},{"key":"dc:creator","label":"Author","values":["Sohi, Julia"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2014-12-15T15:56:09Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2014-12-15T15:56:09Z"]},{"key":"dc:date.issued","label":"Date","values":["2011"]},{"key":"dc:publisher","label":"Institution","values":["Université de Sherbrooke"]},{"key":"dc:type","label":"Dc Type","values":["Mémoire de maîtrise"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Sciences cliniques"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Maîtrise"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M. Sc."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["Faculté de médecine et des sciences de la santé","Université du Québec en Abitibi-Témiscamingue"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Participation du patient","Équipe de soins","Décision partagée","Communication interdisciplinaire","Planification préalable des soins","Choix de soins","Patient Participation","Patient care team","Décision Making","Interdisciplinary communication","Advance directives"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["fr"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/11143/5961"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Background : The involvement of patients, patients' kin and health care professionals in the communication surrounding the medical decision making process must be improved to insure health care quality. Objectives : The objective of this research was to describe how the communication between a patient, his kin and his health professionals could be improved in regards to the medical decision making process for severe illnesses. Following an action research perspective, this project also aimed to develop an intervention to facilitate this process. Method : Two rounds of four group interviews were conducted with professionals from a regional health center in northern Quebec (Centre de sante et de services sociaux de Rouyn-Noranda: CSSSRN) between 2009 and 2010. The groups represented teams from (a) the intensive care unit and the emergency room, (b) medical and surgical wards, (c) long term care and rehabilitation, (d) home care and specialized outpatient clinics. The transcripts from the first round of interviews were submitted to a thematic analysis while the ones from the second round were submitted to an analytical questioning. Results : Twenty-seven and 29 participants representing 9 health care professions participated to the interviews of the first and second rounds respectively. The first round of interviews revealed that all the health care professionals are involved in the communication associated with the medical decision making process. Strategies used by professionals to improve the participation of patients and patients' kin in the process of choosing care were identified, as well as relevant means of communication used by the professionals amongst themselves. The results inspired the development of a multidisciplinary communication tool and the revision of the decision-making tool used in the health center where the research was conducted. The second round of interviews demonstrated that a multidisciplinary communication tool could allow a better acknowledgement of the roles played by non-doctor professionals, and that a decision-making tool with goals of care rather than levels of care could improve the participation of patients, patients' kin and health care professionals in the choice of care. Finally, a reference tool guiding the communication surrounding the medical decision making process was suggested. Conclusion : This action research project allowed a better understanding of the roles played by non-doctor professionals in the communication surrounding the medical decision making process, and suggested solutions to improve the impact and the legitimacy of their involvement. Finally, three tools to improve the communication around choices of care were developed.","Contexte : La participation des patients et de leurs proches au processus de choix de soins ainsi que l’implication des différents professionnels de la santé dans ce processus sont des priorités pour améliorer la qualité des soins. Objectifs : L ’objectif de cette recherche était de décrire comment le processus de communication entourant le choix de soins entre les professionnels, le patient et ses proches pouvait être amélioré dans le contexte de maladies graves. Suivant une perspective de recherche-action, ce projet visait également à élaborer une intervention pour favoriser ce processus. M éthode : Deux séries de quatre entretiens avec des professionnels de la santé du Centre de santé et de services sociaux de Rouyn-Noranda (CSSSRN) ont été menées entre 2009 et 2010. Les groupes représentaient des équipes (a) des soins intensifs et de l’urgence, (b) des étages de médecine et de chirurgie, (c) des soins de longue durée et de la réadaptation, (d) des soins à domicile et de cliniques externes. La première série d’entretiens a fait l’objet d’une analyse thématique alors que la deuxième série a fait l’objet d ’un questionnement analytique. Résultats : Vingt-sept et 29 participants représentant 9 professions de la santé ont respectivement participé aux entretiens de la première et de la deuxième série. La première série d’entretiens a révélé que tous les professionnels de la santé jouent un rôle dans le processus de communication entourant le choix de soins. Des stratégies utilisées par les professionnels pour favoriser la participation du patient et de ses proches à ce processus sont aussi ressorties de même que des moyens de communication utilisés entre les professionnels. Un outil de communication multidisciplinaire a été conçu à la lumière des résultats et la feuille de Niveaux d ’intervention thérapeutique (NIT) du CSSSRN a été modifiée. La deuxième série d ’entretiens a mis en relief qu’un outil de communication multidisciplinaire permettrait une meilleure reconnaissance des rôles joués par les professionnels non médecins et qu’un outil avec des choix d’objectifs de soins plutôt que des niveaux d ’interventions favoriserait la participation des professionnels non médecins, du patient et de ses proches au processus de choix de soins. Enfin, la pertinence d’un outil de référence avec des stratégies de communication pour discuter des choix de soins a été soulignée. Conclusion : Ce projet de recherche-action a permis de mieux connaître les rôles que jouent les professionnels non médecins dans la communication entourant le choix de soins et de faire ressortir des pistes de solution pour améliorer l’impact de leur participation et en accroître la légitimité. Finalement, trois outils pour améliorer la communication entourant le choix de soins ont été élaborés dans le cadre de cette recherche-action."]},{"key":"dc:title","label":"Title","values":["Favoriser la communication entre les professionnels de la santé, le patient et ses proches dans le processus de choix de soins en contexte de maladie grave : planification d'une intervention dans le cadre d'une recherche-action"]}]}],"canonical_facts":{"dc:contributor.advisor":["Champagne, Manon"],"dc:creator":["Sohi, Julia"],"dc:date.accessioned":["2014-12-15T15:56:09Z"],"dc:date.available":["2014-12-15T15:56:09Z"],"dc:date.issued":["2011"],"dc:description.abstract":["Background : The involvement of patients, patients' kin and health care professionals in the communication surrounding the medical decision making process must be improved to insure health care quality. Objectives : The objective of this research was to describe how the communication between a patient, his kin and his health professionals could be improved in regards to the medical decision making process for severe illnesses. Following an action research perspective, this project also aimed to develop an intervention to facilitate this process. Method : Two rounds of four group interviews were conducted with professionals from a regional health center in northern Quebec (Centre de sante et de services sociaux de Rouyn-Noranda: CSSSRN) between 2009 and 2010. The groups represented teams from (a) the intensive care unit and the emergency room, (b) medical and surgical wards, (c) long term care and rehabilitation, (d) home care and specialized outpatient clinics. The transcripts from the first round of interviews were submitted to a thematic analysis while the ones from the second round were submitted to an analytical questioning. Results : Twenty-seven and 29 participants representing 9 health care professions participated to the interviews of the first and second rounds respectively. The first round of interviews revealed that all the health care professionals are involved in the communication associated with the medical decision making process. Strategies used by professionals to improve the participation of patients and patients' kin in the process of choosing care were identified, as well as relevant means of communication used by the professionals amongst themselves. The results inspired the development of a multidisciplinary communication tool and the revision of the decision-making tool used in the health center where the research was conducted. The second round of interviews demonstrated that a multidisciplinary communication tool could allow a better acknowledgement of the roles played by non-doctor professionals, and that a decision-making tool with goals of care rather than levels of care could improve the participation of patients, patients' kin and health care professionals in the choice of care. Finally, a reference tool guiding the communication surrounding the medical decision making process was suggested. Conclusion : This action research project allowed a better understanding of the roles played by non-doctor professionals in the communication surrounding the medical decision making process, and suggested solutions to improve the impact and the legitimacy of their involvement. Finally, three tools to improve the communication around choices of care were developed.","Contexte : La participation des patients et de leurs proches au processus de choix de soins ainsi que l’implication des différents professionnels de la santé dans ce processus sont des priorités pour améliorer la qualité des soins. Objectifs : L ’objectif de cette recherche était de décrire comment le processus de communication entourant le choix de soins entre les professionnels, le patient et ses proches pouvait être amélioré dans le contexte de maladies graves. Suivant une perspective de recherche-action, ce projet visait également à élaborer une intervention pour favoriser ce processus. M éthode : Deux séries de quatre entretiens avec des professionnels de la santé du Centre de santé et de services sociaux de Rouyn-Noranda (CSSSRN) ont été menées entre 2009 et 2010. Les groupes représentaient des équipes (a) des soins intensifs et de l’urgence, (b) des étages de médecine et de chirurgie, (c) des soins de longue durée et de la réadaptation, (d) des soins à domicile et de cliniques externes. La première série d’entretiens a fait l’objet d’une analyse thématique alors que la deuxième série a fait l’objet d ’un questionnement analytique. Résultats : Vingt-sept et 29 participants représentant 9 professions de la santé ont respectivement participé aux entretiens de la première et de la deuxième série. La première série d’entretiens a révélé que tous les professionnels de la santé jouent un rôle dans le processus de communication entourant le choix de soins. Des stratégies utilisées par les professionnels pour favoriser la participation du patient et de ses proches à ce processus sont aussi ressorties de même que des moyens de communication utilisés entre les professionnels. Un outil de communication multidisciplinaire a été conçu à la lumière des résultats et la feuille de Niveaux d ’intervention thérapeutique (NIT) du CSSSRN a été modifiée. La deuxième série d ’entretiens a mis en relief qu’un outil de communication multidisciplinaire permettrait une meilleure reconnaissance des rôles joués par les professionnels non médecins et qu’un outil avec des choix d’objectifs de soins plutôt que des niveaux d ’interventions favoriserait la participation des professionnels non médecins, du patient et de ses proches au processus de choix de soins. Enfin, la pertinence d’un outil de référence avec des stratégies de communication pour discuter des choix de soins a été soulignée. Conclusion : Ce projet de recherche-action a permis de mieux connaître les rôles que jouent les professionnels non médecins dans la communication entourant le choix de soins et de faire ressortir des pistes de solution pour améliorer l’impact de leur participation et en accroître la légitimité. Finalement, trois outils pour améliorer la communication entourant le choix de soins ont été élaborés dans le cadre de cette recherche-action."],"dc:identifier.uri":["http://hdl.handle.net/11143/5961"],"dc:language.iso":["fr"],"dc:publisher":["Université de Sherbrooke"],"dc:subject":["Participation du patient","Équipe de soins","Décision partagée","Communication interdisciplinaire","Planification préalable des soins","Choix de soins","Patient Participation","Patient care team","Décision Making","Interdisciplinary communication","Advance directives"],"dc:title":["Favoriser la communication entre les professionnels de la santé, le patient et ses proches dans le processus de choix de soins en contexte de maladie grave : planification d'une intervention dans le cadre d'une recherche-action"],"dc:type":["Mémoire de maîtrise"],"thesis:degree_discipline":["Sciences cliniques"],"thesis:degree_level":["Maîtrise"],"thesis:degree_name":["M. Sc."],"thesis:institution_name":["Faculté de médecine et des sciences de la santé","Université du Québec en Abitibi-Témiscamingue"]},"updated_at":"2026-07-27T21:07:28Z"}