Denise Tribble - Academia.edu (original) (raw)
Papers by Denise Tribble
Recherche en soins infirmiers, 2015
The help-seeking concept is largely used in the healthcare system and seems relatively well under... more The help-seeking concept is largely used in the healthcare system and seems relatively well understood by healthcare professionals even though no consensus on this concept has yet been reached. More specifically, the Internet help-seeking concept by adolescents with suicidal thoughts has yet to be explored. To clarify this concept and eventually develop tools for future research in nursing, a concept analysis using the Walker and Avant method was conducted. Three main help-seeking attributes were identified as a result of the analysis: problem-oriented, intentional action and use of an external mean. The antecedents that precede the concept are: problem recognition and perception influenced by beliefs, desired relief, help-source selection and decision to act. The consequents that follow help-seeking are relef, maintenance or exacerbation of the problem. Many empirical referents are identified but none seem to evaluate or conceptually define the attributes of the concept. Finally, a...
European Journal of Oncology Nursing, 2016
In what state of health do women with breast cancer consider themselves to be? Health professiona... more In what state of health do women with breast cancer consider themselves to be? Health professionals classify them as cancer victims but few studies have examined women's perceptions of their own health following a breast cancer diagnosis. We looked at the transition in health status perceptions between before and after receiving the diagnosis. A grounded theory design was chosen to develop a framework. From an analysis of semi-structured individual interviews with 32 women, it emerged that 1) over a two-year period, the participants went through four iterative steps between receipt of the official diagnosis and the return of the level of energy once the treatments are done. Theses four steps are: reacting emotionally, facing the situation, constructing a new identity and reacting to social representations of cancer, 2) the participants did not feel sick from breast cancer. This study shows learning to live with a sword of Damocles over the head during the transition process. The emergent steps of the health status perceptions transition process in breast cancer trajectory give direction for care.
Recherche En Soins Infirmiers, Apr 7, 2015
Canadian Family Physician, Dec 1, 2007
Canadian Family Physician Medecin De Famille Canadien, 2008
To determine whether the recommendations health care professionals make to women of childbearing ... more To determine whether the recommendations health care professionals make to women of childbearing age on the importance of taking folic acid encourage these women to take folic acid supplements. Survey. The Centre de santé et de services sociaux at the Institut universitaire de gériatrie de Sherbrooke in Sherbrooke, Que. A total of 323 Francophone women 18 to 45 years old. Whether or not women had consumed vitamin and mineral supplements during the past year. Descriptive, bivariate statistical analyses and logistic regression modeling were carried out to determine whether the association between health care professionals' recommendations and the consumption of vitamin and mineral supplements persisted after controlling for certain variables (consulting documentation, knowledge, sources of information, perception, age, education, income, marital status, and plans to become pregnant). About 41% of the women reported that their physicians had recommended that they take vitamin and mineral supplements. After adjusting for all the variables in the model, it became clear that there was a significant association between the recommendations of healthcare professionals and the consumption of vitamins and minerals by women of childbearing age. Health care professionals can improve the health of the population through preventive clinical practices. It is important that we support them in their efforts to integrate and apply scientific knowledge in their practice.
Recherche En Soins Infirmiers, Apr 7, 2015
BMC Obesity, 2016
[This corrects the article DOI: 10.1186/s40608-014-0019-z.].
Recherche en soins infirmiers, 2015
Overweight and obesity rates have more than doubled among 12 to 17 year-olds over the past 25 yea... more Overweight and obesity rates have more than doubled among 12 to 17 year-olds over the past 25 years. To date, few studies have documented collaborative practices in activities aimed at promoting healthy eating and physical activity in schools, although collaboration is a key element in health promotion. To identify the determinants that influence collaborative practices in secondary schools. To define the role of the school nurse in these practices. A descriptive multiple case study was conducted in three Quebec secondary schools. The methods used were: focus group; interviews (21); observation (5); and document review (3). Qualitative analysis was conducted by more than one researcher. Determinants of collaborative practices relate to the individual, team and organization. The time needed to adapt to a role is a determinant that influences the contribution a newly appointed school nurse can make to collaborative practices in a school setting. Understanding the determinants that inf...
Canadian Journal of Public Health Revue Canadienne De Sante Publique, 2008
To document breastfeeding rates from birth to six months as well as the factors facilitating and ... more To document breastfeeding rates from birth to six months as well as the factors facilitating and constraining the continuation of breastfeeding in women in the Eastern Townships of Quebec and to compare these to the results obtained in 1999. Postal questionnaire sent to 374 mothers who had breastfed and analysis of archival data. Breastfeeding rates were 86.3% at birth and 75% at discharge from hospital in all mothers who gave birth to a child in 2004-2005. Breastfeeding rates in the 272 mothers who answered the questionnaire were reported to be 67.3% and 47.4% at three and six months respectively. Results indicate that 8.9% of infants were still receiving breast milk exclusively after the third month. However, 27.9% of the mothers had stopped breastfeeding during the infant's first week. Support from the nurses was the primary factor facilitating breastfeeding. The main reasons the mothers gave for stopping breastfeeding were problems with breastfeeding and fatigue. Breastfeeding rates in this area of Quebec have increased significantly in the past five years and are comparable with those in the rest of Canada. Breastfeeding exclusively up to six months is rare, and initiatives to support breastfeeding mothers in the hospital and in the community are having success.
BMC obesity, 2015
Obesity in infertile women increases the costs of fertility treatments, reduces their effectivene... more Obesity in infertile women increases the costs of fertility treatments, reduces their effectiveness and increases significantly the risks of many complications of pregnancy and for the newborn. Studies suggest that even a modest loss of 5-10 % of body weight can restore ovulation. However, there are gaps in knowledge regarding the benefits and cost-effectiveness of a lifestyle modification program targeting obese infertile women and integrated into the fertility clinics. This study will evaluate clinical outcomes and costs of a transferable interdisciplinary lifestyle intervention, before and during pregnancy, in obese infertile women. We hypothesize that the intervention will: 1) improve fertility, efficacy of fertility treatments, and health of mothers and their children; and 2) reduce the cost per live birth, including costs of fertility treatments and pregnancy outcomes. Obese infertile women (age: 18-40 years; BMI ≥30 kg/m(2) or ≥27 kg/m(2) with polycystic ovary syndrome) will ...
L'Infirmiere du Quebec: revue officielle de l'Ordre des infirmieres et infirmiers du Quebec
Nurses working in the perinatal field have a variety of objectives, one of which is helping new p... more Nurses working in the perinatal field have a variety of objectives, one of which is helping new parents feel competent in their new role. Recognizing parents' potential and offering them the support they need to realize it is one of the strategies suggested by the Department of Health and Social Services (MSSS, 1991 and 1992a). In order to identify aspects of nursing interventions at the time of the post-natal visit that promote parental skills, the authors conducted research into the concept of empowerment. Following an in-depth survey of the literature on this concept, they came up with a definition of interventions promoting empowerment, and used this definition as the basis for their analysis of perinatal nurse-client relations. The study, subsidized by the Fondation de recherche en sciences infirmières du Québec (FRESIQ), was carried out between 1993 and 1995 in four CLSCs in the Eastern Townships region. Thirteen nurses agreed to record their conversations with first-time parents during 20 postnatal visits.
Revue de l’Université de Moncton, 2008
Recherche en soins infirmiers, 2015
Approches inductives: Travail intellectuel et construction des connaissances, 2015
Recherche en soins infirmiers, 2015
Canadian Journal of Diabetes, 2015
Canadian Journal of Diabetes, 2015
Recherche en soins infirmiers, 2012
Nurses work in situations of complex care requiring great clinical reasoning abilities. In litera... more Nurses work in situations of complex care requiring great clinical reasoning abilities. In literature, clinical reasoning is often confused with other concepts and it has no consensual definition. To conduct a concept analysis of a nurse's clinical reasoning in order to clarify, define and distinguish it from the other concepts as well as to better understand clinical reasoning. Rodgers's method of concept analysis was used, after literature was retrieved with the use of clinical reasoning, concept analysis, nurse, intensive care and decision making as key-words. The use of cognition, cognitive strategies, a systematic approach of analysis and data interpretation, generating hypothesis and alternatives are attributes of clinical reasoning. The antecedents are experience, knowledge, memory, cues, intuition and data collection. The consequences are decision making, action, clues and problem resolution. This concept analysis helped to define clinical reasoning, to distinguish i...
Canadian family physician Médecin de famille canadien, 2007
To determine whether the recommendations health care professionals make to women of childbearing ... more To determine whether the recommendations health care professionals make to women of childbearing age on the importance of taking folic acid encourage these women to take folic acid supplements. Survey. The Centre de santé et de services sociaux at the Institut universitaire de gériatrie de Sherbrooke in Sherbrooke, Que. A total of 323 Francophone women 18 to 45 years old. Whether or not women had consumed vitamin and mineral supplements during the past year. Descriptive, bivariate statistical analyses and logistic regression modeling were carried out to determine whether the association between health care professionals' recommendations and the consumption of vitamin and mineral supplements persisted after controlling for certain variables (consulting documentation, knowledge, sources of information, perception, age, education, income, marital status, and plans to become pregnant). About 41% of the women reported that their physicians had recommended that they take vitamin and m...
Recherche en soins infirmiers, 2015
The help-seeking concept is largely used in the healthcare system and seems relatively well under... more The help-seeking concept is largely used in the healthcare system and seems relatively well understood by healthcare professionals even though no consensus on this concept has yet been reached. More specifically, the Internet help-seeking concept by adolescents with suicidal thoughts has yet to be explored. To clarify this concept and eventually develop tools for future research in nursing, a concept analysis using the Walker and Avant method was conducted. Three main help-seeking attributes were identified as a result of the analysis: problem-oriented, intentional action and use of an external mean. The antecedents that precede the concept are: problem recognition and perception influenced by beliefs, desired relief, help-source selection and decision to act. The consequents that follow help-seeking are relef, maintenance or exacerbation of the problem. Many empirical referents are identified but none seem to evaluate or conceptually define the attributes of the concept. Finally, a...
European Journal of Oncology Nursing, 2016
In what state of health do women with breast cancer consider themselves to be? Health professiona... more In what state of health do women with breast cancer consider themselves to be? Health professionals classify them as cancer victims but few studies have examined women's perceptions of their own health following a breast cancer diagnosis. We looked at the transition in health status perceptions between before and after receiving the diagnosis. A grounded theory design was chosen to develop a framework. From an analysis of semi-structured individual interviews with 32 women, it emerged that 1) over a two-year period, the participants went through four iterative steps between receipt of the official diagnosis and the return of the level of energy once the treatments are done. Theses four steps are: reacting emotionally, facing the situation, constructing a new identity and reacting to social representations of cancer, 2) the participants did not feel sick from breast cancer. This study shows learning to live with a sword of Damocles over the head during the transition process. The emergent steps of the health status perceptions transition process in breast cancer trajectory give direction for care.
Recherche En Soins Infirmiers, Apr 7, 2015
Canadian Family Physician, Dec 1, 2007
Canadian Family Physician Medecin De Famille Canadien, 2008
To determine whether the recommendations health care professionals make to women of childbearing ... more To determine whether the recommendations health care professionals make to women of childbearing age on the importance of taking folic acid encourage these women to take folic acid supplements. Survey. The Centre de santé et de services sociaux at the Institut universitaire de gériatrie de Sherbrooke in Sherbrooke, Que. A total of 323 Francophone women 18 to 45 years old. Whether or not women had consumed vitamin and mineral supplements during the past year. Descriptive, bivariate statistical analyses and logistic regression modeling were carried out to determine whether the association between health care professionals' recommendations and the consumption of vitamin and mineral supplements persisted after controlling for certain variables (consulting documentation, knowledge, sources of information, perception, age, education, income, marital status, and plans to become pregnant). About 41% of the women reported that their physicians had recommended that they take vitamin and mineral supplements. After adjusting for all the variables in the model, it became clear that there was a significant association between the recommendations of healthcare professionals and the consumption of vitamins and minerals by women of childbearing age. Health care professionals can improve the health of the population through preventive clinical practices. It is important that we support them in their efforts to integrate and apply scientific knowledge in their practice.
Recherche En Soins Infirmiers, Apr 7, 2015
BMC Obesity, 2016
[This corrects the article DOI: 10.1186/s40608-014-0019-z.].
Recherche en soins infirmiers, 2015
Overweight and obesity rates have more than doubled among 12 to 17 year-olds over the past 25 yea... more Overweight and obesity rates have more than doubled among 12 to 17 year-olds over the past 25 years. To date, few studies have documented collaborative practices in activities aimed at promoting healthy eating and physical activity in schools, although collaboration is a key element in health promotion. To identify the determinants that influence collaborative practices in secondary schools. To define the role of the school nurse in these practices. A descriptive multiple case study was conducted in three Quebec secondary schools. The methods used were: focus group; interviews (21); observation (5); and document review (3). Qualitative analysis was conducted by more than one researcher. Determinants of collaborative practices relate to the individual, team and organization. The time needed to adapt to a role is a determinant that influences the contribution a newly appointed school nurse can make to collaborative practices in a school setting. Understanding the determinants that inf...
Canadian Journal of Public Health Revue Canadienne De Sante Publique, 2008
To document breastfeeding rates from birth to six months as well as the factors facilitating and ... more To document breastfeeding rates from birth to six months as well as the factors facilitating and constraining the continuation of breastfeeding in women in the Eastern Townships of Quebec and to compare these to the results obtained in 1999. Postal questionnaire sent to 374 mothers who had breastfed and analysis of archival data. Breastfeeding rates were 86.3% at birth and 75% at discharge from hospital in all mothers who gave birth to a child in 2004-2005. Breastfeeding rates in the 272 mothers who answered the questionnaire were reported to be 67.3% and 47.4% at three and six months respectively. Results indicate that 8.9% of infants were still receiving breast milk exclusively after the third month. However, 27.9% of the mothers had stopped breastfeeding during the infant's first week. Support from the nurses was the primary factor facilitating breastfeeding. The main reasons the mothers gave for stopping breastfeeding were problems with breastfeeding and fatigue. Breastfeeding rates in this area of Quebec have increased significantly in the past five years and are comparable with those in the rest of Canada. Breastfeeding exclusively up to six months is rare, and initiatives to support breastfeeding mothers in the hospital and in the community are having success.
BMC obesity, 2015
Obesity in infertile women increases the costs of fertility treatments, reduces their effectivene... more Obesity in infertile women increases the costs of fertility treatments, reduces their effectiveness and increases significantly the risks of many complications of pregnancy and for the newborn. Studies suggest that even a modest loss of 5-10 % of body weight can restore ovulation. However, there are gaps in knowledge regarding the benefits and cost-effectiveness of a lifestyle modification program targeting obese infertile women and integrated into the fertility clinics. This study will evaluate clinical outcomes and costs of a transferable interdisciplinary lifestyle intervention, before and during pregnancy, in obese infertile women. We hypothesize that the intervention will: 1) improve fertility, efficacy of fertility treatments, and health of mothers and their children; and 2) reduce the cost per live birth, including costs of fertility treatments and pregnancy outcomes. Obese infertile women (age: 18-40 years; BMI ≥30 kg/m(2) or ≥27 kg/m(2) with polycystic ovary syndrome) will ...
L'Infirmiere du Quebec: revue officielle de l'Ordre des infirmieres et infirmiers du Quebec
Nurses working in the perinatal field have a variety of objectives, one of which is helping new p... more Nurses working in the perinatal field have a variety of objectives, one of which is helping new parents feel competent in their new role. Recognizing parents' potential and offering them the support they need to realize it is one of the strategies suggested by the Department of Health and Social Services (MSSS, 1991 and 1992a). In order to identify aspects of nursing interventions at the time of the post-natal visit that promote parental skills, the authors conducted research into the concept of empowerment. Following an in-depth survey of the literature on this concept, they came up with a definition of interventions promoting empowerment, and used this definition as the basis for their analysis of perinatal nurse-client relations. The study, subsidized by the Fondation de recherche en sciences infirmières du Québec (FRESIQ), was carried out between 1993 and 1995 in four CLSCs in the Eastern Townships region. Thirteen nurses agreed to record their conversations with first-time parents during 20 postnatal visits.
Revue de l’Université de Moncton, 2008
Recherche en soins infirmiers, 2015
Approches inductives: Travail intellectuel et construction des connaissances, 2015
Recherche en soins infirmiers, 2015
Canadian Journal of Diabetes, 2015
Canadian Journal of Diabetes, 2015
Recherche en soins infirmiers, 2012
Nurses work in situations of complex care requiring great clinical reasoning abilities. In litera... more Nurses work in situations of complex care requiring great clinical reasoning abilities. In literature, clinical reasoning is often confused with other concepts and it has no consensual definition. To conduct a concept analysis of a nurse's clinical reasoning in order to clarify, define and distinguish it from the other concepts as well as to better understand clinical reasoning. Rodgers's method of concept analysis was used, after literature was retrieved with the use of clinical reasoning, concept analysis, nurse, intensive care and decision making as key-words. The use of cognition, cognitive strategies, a systematic approach of analysis and data interpretation, generating hypothesis and alternatives are attributes of clinical reasoning. The antecedents are experience, knowledge, memory, cues, intuition and data collection. The consequences are decision making, action, clues and problem resolution. This concept analysis helped to define clinical reasoning, to distinguish i...
Canadian family physician Médecin de famille canadien, 2007
To determine whether the recommendations health care professionals make to women of childbearing ... more To determine whether the recommendations health care professionals make to women of childbearing age on the importance of taking folic acid encourage these women to take folic acid supplements. Survey. The Centre de santé et de services sociaux at the Institut universitaire de gériatrie de Sherbrooke in Sherbrooke, Que. A total of 323 Francophone women 18 to 45 years old. Whether or not women had consumed vitamin and mineral supplements during the past year. Descriptive, bivariate statistical analyses and logistic regression modeling were carried out to determine whether the association between health care professionals' recommendations and the consumption of vitamin and mineral supplements persisted after controlling for certain variables (consulting documentation, knowledge, sources of information, perception, age, education, income, marital status, and plans to become pregnant). About 41% of the women reported that their physicians had recommended that they take vitamin and m...