Pier-Luc Turcotte - Academia.edu (original) (raw)
Papers by Pier-Luc Turcotte
Nursing philosophy, Jun 9, 2024
Scandinavian Journal of Occupational Therapy, Oct 1, 2023
Nursing Inquiry, Dec 6, 2023
Nursing Inquiry
Traditional health sciences (including nursing) paradigms, conceptual models, and theories have r... more Traditional health sciences (including nursing) paradigms, conceptual models, and theories have relied heavily upon notions of the ‘person’ or ‘patient’ that are deeply rooted in humanistic principles. Our intention here, as a collective academic assemblage, is to question taken‐for‐granted definitions and assumptions of the ‘person’ from a critical posthumanist perspective. To do so, the cinematic works of filmmaker David Cronenberg offer a radical perspective to revisit our understanding of the ‘person’ in nursing and beyond. Cronenberg's work explores bodily transformation and mutation, with the body as a fragile and malleable vessel. Cronenberg's work allows us to interrogate the body in all its complexity, contingency, and hybridity and provides avenues of rupture within current understandings of ‘the person’. Reinventing the definition of what it means to be human, critical posthumanism offers opportunities to both critique humanist theories and build affirmative futur...
Journal of Evaluation in Clinical Practice
Développement Humain, Handicap et Changement Social
Le maintien à domicile et la participation sociale des aînés ayant des incapacités sollicitent un... more Le maintien à domicile et la participation sociale des aînés ayant des incapacités sollicitent une concertation appropriée de diverses ressources de la communauté, dont celles du soutien à domicile (SAD) des Centres de santé et de services sociaux (CSSS). Malgré leur importance, les interventions actuellement offertes par les CSSS aux aînés ayant des incapacités sont limitées et portent principalement sur la sécurité et l’indépendance lors de l’hygiène, de l’habillage, des transferts et de l’alimentation, au détriment des activités sociales et de loisir. Cette offre limitée pourrait en partie être expliquée par une évaluation qui ne permet pas de bien couvrir toutes les dimensions des besoins des aînés et d’en cerner adéquatement la complexité. Cet article présente une réflexion sur l’utilisation de l’Évaluation de l’autonomie de l’Outil d’évaluation Multiclientèle (OÉMC), incluant le Système de mesure de l’autonomie fonctionnelle (SMAF), pour identifier les besoins de participation...
Le Climatoscope, Jan 23, 2020
Pour favoriser la participation sociale des aînés, les ergothérapeutes peuvent offrir des service... more Pour favoriser la participation sociale des aînés, les ergothérapeutes peuvent offrir des services communautaires tant à l’échelle individuelle que populationnelle. Pourtant, leur pratique courante au soutien à domicile aborde rarement la participation sociale, ce qui illustre l’importance d’accompagner un changement de leur pratique. Cette étude visait à repenser l’ergothérapie en milieu communautaire pour : 1) identifier des pratiques à intégrer pour favoriser la participation sociale des aînés, 2) explorer les facteurs pouvant influencer l’intégration de ces pratiques et 3) identifier les actions à déployer pour intégrer ces pratiques au soutien à domicile. Un partenariat de recherche-action participative en milieu communautaire a impliqué un comité de pilotage formé de 12 partenaires d’un programme local de soutien à domicile à Montréal (Québec). Quatre groupes de discussion focalisée et sept entretiens individuels avec 28 informateurs clés ont été transcrits puis analysés. Les ...
The climate crisis represents the biggest public health threat of our time. It interacts with the... more The climate crisis represents the biggest public health threat of our time. It interacts with the rising inequalities, chronic diseases and mental illness widely associated with our dominant economic system. Though degrowth and public health approaches differ, both share common values. The former proposes a new paradigm intended to halt the destruction of life-supporting systems by infinite economic growth, while improving social justice and cohesion. The latter aims to maximize health and well-being while reducing health inequities, using strategies ranging from health protection to health promotion. In various jurisdictions, public health is legally mandated to act when population health is threatened. Some have also adopted a "Health in all Policies" approach. Though public health has leadership for climate change and health adaptation planning, decisions and efforts on mitigation strategies are often left to other sectors; several tools such as health impact assessment...
Canadian Journal of Occupational Therapy, 2019
Background. Occupational therapists who provide community-based services are well positioned to f... more Background. Occupational therapists who provide community-based services are well positioned to foster older adults’ social participation. However, community occupational therapists rarely address social participation and require support to change their practice. Purpose. This study initiated a remodelling of community occupational therapy services by (a) selecting practices fostering older adults’ social participation and (b) identifying factors that could affect their integration. Method. A community-based participatory research study was conducted in a large Canadian city. Four focus group meetings and seven individual interviews were held with 28 key informants. Findings. A continuum of emerging practices was identified, including personalized, group-based, and community-based interventions. Potential enablers of these practices included clinical support, better communication, and user involvement. Organizational and systemic barriers were related to the institutional culture an...
Canadian Journal of Program Evaluation, 2021
Les innovations sociales suscitent un engouement auprès d’organisations, de communautés et de pro... more Les innovations sociales suscitent un engouement auprès d’organisations, de communautés et de professionnels québécois et canadiens oeuvrant collectivement pour répondre aux enjeux sociaux complexes dans des contextes dynamiques. Évaluer ces innovations en s’appuyant sur des approches formatives et sommatives a révélé certaines limites. L’évaluation évolutive (ÉÉ) se positionne donc comme solution possible. Cet article met en relation les écrits scientifiques avec l’expérience de praticiens expérimentés au Québec. L’équilibre entre gestion de projet et évaluation, production de connaissances et transformation de pratiques, itération continue et établissement d’un échéancier est au coeur d’une démarche effi cace d’ÉÉ.
Background Participation is a key determinant of successful aging and enables older adults to st... more Background
Participation is a key determinant of successful aging and enables older adults to stay in their homes and be integrated into the community. Assessing participation needs involves identifying restrictions in the accomplishment of daily and social activities. Although meeting participation needs involves older adults, their caregivers and healthcare providers, little is known about their respective viewpoints. This study thus explored the participation needs of older adults having disabilities as perceived by the older adults themselves, their caregivers and healthcare providers.
Methods
A qualitative multiple case study consisted of conducting 33 semi-structured interviews in eleven triads, each composed of an older adult, his/her caregiver and a healthcare provider recruited in a Health and Social Services Centre (HSSC) in Québec, Canada. Interview transcripts and reviews of clinical records were analyzed using content analysis and descriptive statistics based on thematic saliency analysis methods.
Results
Aged 66 to 88 years, five older adults had physical disabilities, five had mild cognitive impairment and one had psychological problems, leading to moderate to severe functional decline. Caregivers and healthcare providers were mainly women, respectively retired spouses and various professionals with four to 32 years of clinical experience. Participation needs reported by each triad included all domains of participation. Needs related to daily activities, such as personal care, nutrition, and housing, were generally met. Regarding social activities, few needs were met by various resources in the community and were generally limited to personal responsibilities, including making decisions and managing budgets, and some community life activities, such as going shopping. Unmet needs were mainly related to social activities, involving leisure, other community life activities and interpersonal relationships, and some daily activities, including fitness and mobility.
Conclusions
This study highlights the complexity of older adults’ participation needs, involving daily as well as social activities. Properly assessing and addressing these needs is thus necessary to improve older adults’ health and well-being. Discrepancies in the various actors’ perceptions of participation needs must be further explored. Additional research would help better understand how to optimize the contribution of community organizations and caregivers.
Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine
Occupational therapy knowledge emerged in the 19th century as reformist movements responded to th... more Occupational therapy knowledge emerged in the 19th century as reformist movements responded to the industrialisation of society and capitalist expansion. In the Global North, it was institutionalised by State apparatuses during the First and Second World Wars. Although biomedicine contributed to the rapid expansion and establishment of occupational therapy as a health discipline, its domestication by the biomedical model led to an overly regulated profession that betrays its reformist ideals. Drawing on the work of Deleuze and Guattari, our aim in this article is to deconstruct the biomedicalisation of occupational therapy and demonstrate how resistance to this process is critical for the future of this discipline. The use of arts and crafts in occupational therapy may be conceptualised as a ‘nomad science’ aesthetically resisting the domination of industrialism and medical reductionism. Through the war efforts, a coalition of progressive nurses, social workers, teachers, artisans a...
Background. Occupational therapists who provide community-based services are well positioned to f... more Background. Occupational therapists who provide community-based services are well positioned to foster older adults’ social participation. However, community occupational therapists rarely address social participation and require support to change their practice. Purpose. This study initiated a remodelling of community occupational therapy services by: (1) selecting practices fostering older adults’ social participation, and (2) identifying factors that could influence their integration. Method. A community-based participatory research study was conducted in a large Canadian city. Four focus group meetings and seven individual interviews were held with 28 key informants. Findings. A continuum of emerging practices was identified, including personalized, group-based and community-based interventions. Potential enablers of these practices included clinical support, better communication and user involvement. Organizational and systemic barriers were related to the institutional culture...
Recherche en soins infirmiers
Nursing philosophy, Jun 9, 2024
Scandinavian Journal of Occupational Therapy, Oct 1, 2023
Nursing Inquiry, Dec 6, 2023
Nursing Inquiry
Traditional health sciences (including nursing) paradigms, conceptual models, and theories have r... more Traditional health sciences (including nursing) paradigms, conceptual models, and theories have relied heavily upon notions of the ‘person’ or ‘patient’ that are deeply rooted in humanistic principles. Our intention here, as a collective academic assemblage, is to question taken‐for‐granted definitions and assumptions of the ‘person’ from a critical posthumanist perspective. To do so, the cinematic works of filmmaker David Cronenberg offer a radical perspective to revisit our understanding of the ‘person’ in nursing and beyond. Cronenberg's work explores bodily transformation and mutation, with the body as a fragile and malleable vessel. Cronenberg's work allows us to interrogate the body in all its complexity, contingency, and hybridity and provides avenues of rupture within current understandings of ‘the person’. Reinventing the definition of what it means to be human, critical posthumanism offers opportunities to both critique humanist theories and build affirmative futur...
Journal of Evaluation in Clinical Practice
Développement Humain, Handicap et Changement Social
Le maintien à domicile et la participation sociale des aînés ayant des incapacités sollicitent un... more Le maintien à domicile et la participation sociale des aînés ayant des incapacités sollicitent une concertation appropriée de diverses ressources de la communauté, dont celles du soutien à domicile (SAD) des Centres de santé et de services sociaux (CSSS). Malgré leur importance, les interventions actuellement offertes par les CSSS aux aînés ayant des incapacités sont limitées et portent principalement sur la sécurité et l’indépendance lors de l’hygiène, de l’habillage, des transferts et de l’alimentation, au détriment des activités sociales et de loisir. Cette offre limitée pourrait en partie être expliquée par une évaluation qui ne permet pas de bien couvrir toutes les dimensions des besoins des aînés et d’en cerner adéquatement la complexité. Cet article présente une réflexion sur l’utilisation de l’Évaluation de l’autonomie de l’Outil d’évaluation Multiclientèle (OÉMC), incluant le Système de mesure de l’autonomie fonctionnelle (SMAF), pour identifier les besoins de participation...
Le Climatoscope, Jan 23, 2020
Pour favoriser la participation sociale des aînés, les ergothérapeutes peuvent offrir des service... more Pour favoriser la participation sociale des aînés, les ergothérapeutes peuvent offrir des services communautaires tant à l’échelle individuelle que populationnelle. Pourtant, leur pratique courante au soutien à domicile aborde rarement la participation sociale, ce qui illustre l’importance d’accompagner un changement de leur pratique. Cette étude visait à repenser l’ergothérapie en milieu communautaire pour : 1) identifier des pratiques à intégrer pour favoriser la participation sociale des aînés, 2) explorer les facteurs pouvant influencer l’intégration de ces pratiques et 3) identifier les actions à déployer pour intégrer ces pratiques au soutien à domicile. Un partenariat de recherche-action participative en milieu communautaire a impliqué un comité de pilotage formé de 12 partenaires d’un programme local de soutien à domicile à Montréal (Québec). Quatre groupes de discussion focalisée et sept entretiens individuels avec 28 informateurs clés ont été transcrits puis analysés. Les ...
The climate crisis represents the biggest public health threat of our time. It interacts with the... more The climate crisis represents the biggest public health threat of our time. It interacts with the rising inequalities, chronic diseases and mental illness widely associated with our dominant economic system. Though degrowth and public health approaches differ, both share common values. The former proposes a new paradigm intended to halt the destruction of life-supporting systems by infinite economic growth, while improving social justice and cohesion. The latter aims to maximize health and well-being while reducing health inequities, using strategies ranging from health protection to health promotion. In various jurisdictions, public health is legally mandated to act when population health is threatened. Some have also adopted a "Health in all Policies" approach. Though public health has leadership for climate change and health adaptation planning, decisions and efforts on mitigation strategies are often left to other sectors; several tools such as health impact assessment...
Canadian Journal of Occupational Therapy, 2019
Background. Occupational therapists who provide community-based services are well positioned to f... more Background. Occupational therapists who provide community-based services are well positioned to foster older adults’ social participation. However, community occupational therapists rarely address social participation and require support to change their practice. Purpose. This study initiated a remodelling of community occupational therapy services by (a) selecting practices fostering older adults’ social participation and (b) identifying factors that could affect their integration. Method. A community-based participatory research study was conducted in a large Canadian city. Four focus group meetings and seven individual interviews were held with 28 key informants. Findings. A continuum of emerging practices was identified, including personalized, group-based, and community-based interventions. Potential enablers of these practices included clinical support, better communication, and user involvement. Organizational and systemic barriers were related to the institutional culture an...
Canadian Journal of Program Evaluation, 2021
Les innovations sociales suscitent un engouement auprès d’organisations, de communautés et de pro... more Les innovations sociales suscitent un engouement auprès d’organisations, de communautés et de professionnels québécois et canadiens oeuvrant collectivement pour répondre aux enjeux sociaux complexes dans des contextes dynamiques. Évaluer ces innovations en s’appuyant sur des approches formatives et sommatives a révélé certaines limites. L’évaluation évolutive (ÉÉ) se positionne donc comme solution possible. Cet article met en relation les écrits scientifiques avec l’expérience de praticiens expérimentés au Québec. L’équilibre entre gestion de projet et évaluation, production de connaissances et transformation de pratiques, itération continue et établissement d’un échéancier est au coeur d’une démarche effi cace d’ÉÉ.
Background Participation is a key determinant of successful aging and enables older adults to st... more Background
Participation is a key determinant of successful aging and enables older adults to stay in their homes and be integrated into the community. Assessing participation needs involves identifying restrictions in the accomplishment of daily and social activities. Although meeting participation needs involves older adults, their caregivers and healthcare providers, little is known about their respective viewpoints. This study thus explored the participation needs of older adults having disabilities as perceived by the older adults themselves, their caregivers and healthcare providers.
Methods
A qualitative multiple case study consisted of conducting 33 semi-structured interviews in eleven triads, each composed of an older adult, his/her caregiver and a healthcare provider recruited in a Health and Social Services Centre (HSSC) in Québec, Canada. Interview transcripts and reviews of clinical records were analyzed using content analysis and descriptive statistics based on thematic saliency analysis methods.
Results
Aged 66 to 88 years, five older adults had physical disabilities, five had mild cognitive impairment and one had psychological problems, leading to moderate to severe functional decline. Caregivers and healthcare providers were mainly women, respectively retired spouses and various professionals with four to 32 years of clinical experience. Participation needs reported by each triad included all domains of participation. Needs related to daily activities, such as personal care, nutrition, and housing, were generally met. Regarding social activities, few needs were met by various resources in the community and were generally limited to personal responsibilities, including making decisions and managing budgets, and some community life activities, such as going shopping. Unmet needs were mainly related to social activities, involving leisure, other community life activities and interpersonal relationships, and some daily activities, including fitness and mobility.
Conclusions
This study highlights the complexity of older adults’ participation needs, involving daily as well as social activities. Properly assessing and addressing these needs is thus necessary to improve older adults’ health and well-being. Discrepancies in the various actors’ perceptions of participation needs must be further explored. Additional research would help better understand how to optimize the contribution of community organizations and caregivers.
Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine
Occupational therapy knowledge emerged in the 19th century as reformist movements responded to th... more Occupational therapy knowledge emerged in the 19th century as reformist movements responded to the industrialisation of society and capitalist expansion. In the Global North, it was institutionalised by State apparatuses during the First and Second World Wars. Although biomedicine contributed to the rapid expansion and establishment of occupational therapy as a health discipline, its domestication by the biomedical model led to an overly regulated profession that betrays its reformist ideals. Drawing on the work of Deleuze and Guattari, our aim in this article is to deconstruct the biomedicalisation of occupational therapy and demonstrate how resistance to this process is critical for the future of this discipline. The use of arts and crafts in occupational therapy may be conceptualised as a ‘nomad science’ aesthetically resisting the domination of industrialism and medical reductionism. Through the war efforts, a coalition of progressive nurses, social workers, teachers, artisans a...
Background. Occupational therapists who provide community-based services are well positioned to f... more Background. Occupational therapists who provide community-based services are well positioned to foster older adults’ social participation. However, community occupational therapists rarely address social participation and require support to change their practice. Purpose. This study initiated a remodelling of community occupational therapy services by: (1) selecting practices fostering older adults’ social participation, and (2) identifying factors that could influence their integration. Method. A community-based participatory research study was conducted in a large Canadian city. Four focus group meetings and seven individual interviews were held with 28 key informants. Findings. A continuum of emerging practices was identified, including personalized, group-based and community-based interventions. Potential enablers of these practices included clinical support, better communication and user involvement. Organizational and systemic barriers were related to the institutional culture...
Recherche en soins infirmiers