References of "Guillaume, Michèle"
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See detailEt s'il était temps de croire en la capacité des citoyens à s'investir dans les questions de santé?
Pétré, Benoît ULiege; Margat, Aurore; Guillaume, Michèle ULiege et al

in Éducation Santé (2020)

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See detailExploring Nursing Student Self-esteem and its Relationship to Clinical Competence Development: Protocol for A Multiphase Convergent Mixed Methods Study
Dancot, Jacinthe ULiege; Pétré, Benoît ULiege; Detroz, Pascal ULiege et al

in International Journal of Nursing and Clinical Practices (2020), 7

Background: Self-esteem affects nursing students’ well-being and may impact their competence development. Nursing students appear to be at risk for low self-esteem, and their training may negatively ... [more ▼]

Background: Self-esteem affects nursing students’ well-being and may impact their competence development. Nursing students appear to be at risk for low self-esteem, and their training may negatively impact that selfesteem. The existing research, with its controversies, methodological issues, and gaps, has failed to fully portray or explain this phenomenon. Mruk’s two-dimensional model of self-esteem offers an operative theoretical framework based on self-competence and self-liking. The model describes the nature of ‘selfesteem moments’ in which self-esteem changes. The aim of this study is to answer the question: “How does undergraduate nursing education influence students’ self-esteem, specifically regarding the development of their clinical competence?” Methods: A longitudinal design is needed to describe changes during undergraduate nursing education. A mixed methods study is required to measure and explain those changes, with a convergent, multiphase design. A nursing student cohort is created by accidental sampling in four Belgian high schools and followed for three years. Quantitative data including sociodemographic data, self-esteem (as measured by the Rosenberg scale and the Tafarodi & Swann scale), self-efficacy, and state anxiety (Spielberger scale) are collected each year. These data will be used to describe changes in self-esteem level and profile during nursing education. Multivariate analysis is used to identify correlated factors. Qualitative data are collected each year via semi-structured interviews with a cohort created by purposive sampling; content analysis is performed on that data(hermeneutic phenomenology) to identify themes using repetitions, similarities and differences, indigenous categories, and theory-related material. The quantitative and qualitative data are then combined into a meta-matrix. Discussion: The challenges encountered during study designing involved following the cohort while minimizing missing data, validating the French translation of a self-esteem scale using nursing students, and dealing with a large volume of data, especially when assembling it into a meta-matrix. The aim of the study is to help educational institutions tackle the self-esteem issue. Future studies might also compare nursing students to other students, explore the situation of dropouts, and evaluate self-esteem-related pedagogical devices. [less ▲]

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See detailImportance des acides gras polyinsaturés oméga-3 durant la grossesse: mode ou réalité scientifique?
Hoge, Axelle ULiege; Nisolle, Michelle ULiege; Guillaume, Michèle ULiege et al

in Gunaïkeia. Société Royale Belge de Gynécologie et d'Obstétrique (2020), 25(2),

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See detailRelationship between quality of life and disordered physiology and cytology in asthma : a retrospective study from a secondary care center
Louis, Gilles ULiege; Pétré, Benoît ULiege; SCHLEICH, FLorence ULiege et al

Poster (2020)

Introduction: Asthma related quality of life has become an important outcome in the assessment of a patient alongside classical objective physiological and inflammatory parameters. Methods: We conducted a ... [more ▼]

Introduction: Asthma related quality of life has become an important outcome in the assessment of a patient alongside classical objective physiological and inflammatory parameters. Methods: We conducted a retrospective study in a large population of asthmatics recruited from a University secondary care center between 2010 and 2019 (N= 1337). Patients completed asthma quality of life questionnaire (AQLQ) and underwent sputum induction. A disease severity classification was determined by the combination of the alteration of physiological and cytological variables. Group 1 (n=304) included mild asthmatics with FEV1 > 80 % of predicated values, sputum eosinophils <3% and sputum neutrophils < 76%. Group 2 (n=81) included moderate asthmatics with FEV1 between 60% and 80% and sputum eosinophils between 3% and 20% or sputum neutrophils between 76% and 90%. Group 3 (n=72) included severe asthmatics with FEV1 <60% and sputum eosinophils > 20% or sputum neutrophils > 90%. Results: For the whole cohort, AQLQ reached on average 4,5 ranging from 1,07 to 7. AQLQ was correlated with FEV1 (rs=0,33 ; p <0,001) and with sputum eosinophils (rs=-0,14 ; p< 0,001) but not with sputum neutrophils (rs=-0,001 ; p = 0,76). There was a progressive and significant decline in mean AQLQ from group 1 to group 3. Mean (± SEM) AQLQ was 4,8 (±0,07), 4 (± 0,14) and 3,5 (± 0,13) in group 1, 2 and 3 respectively. Conclusion: In our retrospective study, asthma related quality of life deteriorates as airway obstruction and sputum eosinophils increase. Because of its impact on quality of life, it seems essential to consider the eosinophilic inflammatory component in asthma management. [less ▲]

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See detailAssessing quality of life in an obesity observational study: A Structural Equation Modeling Approach
Dardenne, Nadia ULiege; Pétré, Benoît ULiege; Husson, Eddy ULiege et al

in Applied Research in Quality of Life (2020), 15

Purpose: Quality of life (QOL) of a patient is usually computed as the (weighted) sum of items and analysed by means of multiple regressions to evaluate its relationships with various measured factors ... [more ▼]

Purpose: Quality of life (QOL) of a patient is usually computed as the (weighted) sum of items and analysed by means of multiple regressions to evaluate its relationships with various measured factors. The aim of the present study was to compare results derived under classical statistical method with those obtained under more appropriate statistical techniques for QOL. Methods: Analyses were applied to data from 4155 subjects participated in 2012 in a community based sample study in the French speaking part of Belgium and which completed a web-based questionnaire on their weight-related experience. Confirmatory factor analysis (CFA) and structural equation modeling (SEM) were carried out to derive QOL and to test direct/indirect effects of body mass index (BMI), age, body image discrepancy (BID), latent socio-economic (SOCIO) and latent subjective-norm (SN). Results: No major differences were found under both SEM and the product of coefficients approach using SAS PROCESS macro developed by Hayes. Significant direct and indirect effects on physical and psychological dimensions of QOL were found for age, BMI and SOCIO while significant direct effects were found for BID and SN (p < 0.0001). Factor loadings were found to be significantly different according to gender (p < 0.0001). Conclusions: BID and SN are partially mediators on the relationships between BMI and QOL. The study also confirms the role of SOCIO on the (un)observable variables included in the model. However, the large sample size provided significant tests with small effect size and couldn’t highlight pertinent differences between both methods. [less ▲]

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See detailVirtual reality experience: immersion, sense of presence and cybersickness
Servotte, Jean-Christophe ULiege; Goosse, Manon ULiege; Campbell, Suzanne et al

in Clinical Simulation in Nursing (2020)

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See detailDoctoral School Day in Public Health: A2 - How to tackle nursing students’ self-esteem decline? A qualitative phenomenological study
Dancot, Jacinthe ULiege; Pétré, Benoît ULiege; Guillaume, Michèle ULiege

in Archives of Public Health (2019, February 28)

Background: Self-esteem is proved to have a significant impact on nurses’ professional behaviour and competence. Previous studies have highlighted that nursing students reported a lower self-esteem than ... [more ▼]

Background: Self-esteem is proved to have a significant impact on nurses’ professional behaviour and competence. Previous studies have highlighted that nursing students reported a lower self-esteem than the general population of other students. Moreover, other reports have pointed out a decrease in self-esteem during the education process of nurses. The aim of this study was to explore the key factors and mechanisms involved in the self-esteem of nursing students. Methods: A purposive sample of 41 (33 females and 8 males) firstand second-year nursing students from 4 Belgian Colleges was interviewed in order to investigate perceived self-esteem and potential influencing factors selected from an integrative literature review. A phenomenological thematic analysis was done using NVivo 12 and themes were assembled in an explicative model following Mruk’s theory (2013). Results: Students described their self-esteem during the first two years of education as being highly unstable. Mruk explains such variations through what he calls ‘self-esteem moments’, which are related to various stress factors including (1) frequently having to be accepted in new groups (as during training periods) and (2) rapidly and recurrently having to prove their competence. Students described two moments mostly impacting their self-esteem: (1) the training period and particularly the nursing teams’ and teachers’ attitudes; and (2) receiving their exam results. Students reported that such ‘self-esteem moments’ influenced their professional behaviour, leading to either proactive engagement, or defensive withdrawal. The level of engagement fostered more or less the competence development, forming a circle either virtuous or vicious. Conclusion: These first results allow to identify the perceived critical ‘self-esteem moments’ at the beginning of nursing curriculum and to explore their consequences on students’ self-esteem and engagement. Based on these results, actions focusing on self-esteem moments and on students’ ability to cope with them could be suggested to nursing schools. [less ▲]

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See detailProspective association among diabetes diagnosis, HbA1c, glycemia, and frailty trajectories in an elderly population
Aguayo, Gloria A.; Hulman, Adam; Vaillant, Michel et al

in Diabetes Care (2019), 42(10), 1903-1911

Objective: Frailty is a dynamic state of vulnerability in the elderly. We examined whether individuals with overt diabetes or higher levels of HbA1c or fasting plasma glucose (FG) experience different ... [more ▼]

Objective: Frailty is a dynamic state of vulnerability in the elderly. We examined whether individuals with overt diabetes or higher levels of HbA1c or fasting plasma glucose (FG) experience different frailty trajectories with aging. Research Design and Methods: Diabetes, HbA1c, and FG were assessed at baseline, and frailty status was evaluated with a 36-item frailty index every 2 years during a 10-year follow-up among participants from the English Longitudinal Study of Ageing (ELSA). Mixed-effects models with age as time scale were used to assess whether age trajectories of frailty differed as a function of diabetes, HbA1c, and FG. Results: Among 5,377 participants (median age [interquartile range] 70 [65, 77] years, 45% men), 35% were frail at baseline. In a model adjusted for sex, participants with baseline diabetes had an increased frailty index over aging compared with those without diabetes. Similar findings were observed with higher levels of HbA1c, while FG was not associated with frailty. In a model additionally adjusted for income, social class, smoking, alcohol, and hemoglobin, only diabetes was associated with an increased frailty index. Among nonfrail participants at baseline, both diabetes and HbA1c level were associated with a higher increased frailty index over time. Conclusions: People with diabetes or higher HbA1c levels at baseline had a higher frailty level throughout later life. Nonfrail participants with diabetes or higher HbA1c also experienced more rapid deterioration of frailty level with aging. This observation could reflect a role of diabetes complications in frailty trajectories or earlier shared determinants that contribute to diabetes and frailty risk in later life. © 2019 by the American Diabetes Association. [less ▲]

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See detailImpact of a prehospital discrimination between trauma patients with or without early acute coagulopathy of trauma and the need for damage control resuscitation: rationale and design of a multicenter randomized phase II trial.
TONGLET, Martin ULiege; D'ORIO, Vincenzo ULiege; MOENS, Didier ULiege et al

in Acta Chirurgica Belgica (2019)

BACKGROUND: The evidence of the Trauma Induced Coagulopathy Clinical Score (TICCS) accuracy has been evaluated in several studies but the potential effect of its use on patient outcomes needs to be ... [more ▼]

BACKGROUND: The evidence of the Trauma Induced Coagulopathy Clinical Score (TICCS) accuracy has been evaluated in several studies but the potential effect of its use on patient outcomes needs to be evaluated. The primary objective of this study is to evaluate the impact on mortality of a prehospital discrimination between trauma patients with or without a potential need for damage control resuscitation. METHODS: The trial will be designed as randomized phase II clinical trial with comparison of the experimental protocol against the standard of care. The TICCS will be calculated on the site of injury for the patients of the intervention group and treatment will be guided by the TICCS value. Seven days mortality, 30 days mortality, global use of blood products and global hospital length-of-stay will be compared. DISCUSSION: Many data suggest that a very early flagging of trauma patients in need for DCR would be beneficial but this need to be proved. Do we improve our quality of care by an earlier diagnosis? Does a prehospital discrimination between trauma patients with or without a potential need for DCR has a positive impact? [less ▲]

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See detailEfficacy of a Short Role-Play Training on Breaking Bad News in the Emergency Department
Servotte, Jean-Christophe ULiege; Bragard, Isabelle ULiege; Szyld, Demian et al

in Western Journal of Emergency Medicine (2019), 20(6),

Breaking bad news (BBN) in the emergency department (ED) represents a challenging and stressful situation for physicians. Many medical students and residents feel stressed and uncomfortable with such ... [more ▼]

Breaking bad news (BBN) in the emergency department (ED) represents a challenging and stressful situation for physicians. Many medical students and residents feel stressed and uncomfortable with such situations because of insufficient training. Our randomized controlled study aimed to assess the efficacy of a four-hour BBN simulation-based training on perceived selfefficacy, the BBN process, and communication skills. [less ▲]

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