Dans cette perspective d’analyse, ce travail de thèse a cherché à identifier et à examiner les variables qui influent positivement sur la qualité de vie au sein des dyades mère-adolescent avec un passé de cancer, en ayant recours à une approche comparative. Contrairement au mal-être, désormais bien renseigné dans la littérature, on connait mal encore aujourd’hui ce qui participe à la qualité de vie des adolescents avec un passé de cancer. In addition, the new approach proposed here could prove useful to researchers faced with similar micro-macro data.Ĭe travail de thèse s’est intéressé à la qualité de vie des adolescents avec un passé de cancer via les ressources maternelles. The findings of this research may help decision makers within hospitals by highlighting major determinants of turnover among RANs. At ICU-level, number of beds, presence of intermediate care beds (continuous care unit) in the ICU and staff-to-patient ratio emerged as significant predictors. Conversely, number of children and impossibility to skip a break due to workload were significantly associated with higher rates of turnover. Based on our results, social support from colleagues and supervisors as well as long durations of experience in the profession were negatively associated with turnover. In our data, the mean observed RAN turnover rate was 0.19 per year (SD = 0.09). Second, we applied this approach to explain RAN turnover in French ICUs.īased on the simulation study, the approach we proposed allows to estimate the regression coefficients with a relative bias below 7% for group-level factors and below 12% for individual-level factors. First, we developed a small extension of a multi-level modeling method proposed in 2007 by Croon and van Veldhoven and validated its properties using a comprehensive simulation study. The goal of this article was to understand how the ICU-level nurse turnover rate may be explained from multiple covariates at individual and ICU-level, using data from 526 French registered and auxiliary nurses (RANs).Ī cross-sectional study was conducted in ICUs of Paris-area hospitals in 2013. In addition to the serious financial consequences, this is a major concern for patient care (disrupted continuity of care, decreased quality and safety of care, increased rates of medication errors, …). High turnover among healthcare workers is an increasingly common phenomenon in hospitals worldwide, especially in intensive care units (ICUs).
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January 2023
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