Stratégies favorisant le développement des compétences infirmières pour une pratique collaborative optimale en milieu hospitalier

Background: Organizational and personal factors influence the development of collaborative skills and collaborative practice. In the hospital setting, these factors may limit collaborative practice and help to limit the professional development of nurses. Nurses face the challenge of working in this environment where staff turnover is high, work overload remains, reporting relationships persist, and lack of professional knowledge of the nursing contribution is present. The purpose of this work is to identify strategies from the scientific literature that support the development of nursing skills to foster optimal collaborative practice in hospitals. Objectives: Two objectives are pursued in this work. First, it aims at documenting the strategies for an optimal collaborative practice of hospital nurses according to the skills of the collaborative practice and the patient partnership in health and social services of the Patient Collaboration and Partnership Directorate (DCPP) and the interfaculty operational committee of the Université de Montréal (CIO-UdeM). Next, recommendations are proposed to support the development of nursing skills in interprofessional collaboration in hospital settings. Method: An integrative research of the writings was carried out according to the method of the "scoping review" of Arksey and O'Malley (2005). It was performed by querying the biomedical databases CINAHL, MEDLINE, Embase. Some texts from Google Scholar and gray literature are also included. This work is based on the skills referential of the collaborative practice and the patient partnership in health and social services (DCCP and CIO-UdeM, 2016). Results : The analysis of the literature has identified seven main strategies that contribute to the development of nursing skills for optimal collaborative practice in hospitals, which are: training programs incorporating interprofessional immersion simulation (In Situ Simulation); use of structured interprofessional communication methods such as SBAR, optimized deployment of the scope of nursing practice, use of the TeamSTEPPS Canada continuing education toolkit, interprofessional patient tours, use of information and communication (ICT) and the change of organizational culture following the model of magnetic hospitals (Magnet hospitals). These provided recommendations for nursing practice, managers and clinical counselors, and for organizations (decision-makers). It is suggested that nurse managers and hospital organizations implement strategies within the organizational work structure that further support nurses and their professional development. Conclusion: This work will contribute to the current knowledge of nurses' interprofessional skills development strategies. It presents recommendations for clinical counselors as well as managers in hospitals. In addition, it will sensitize decision-makers on which organizational aspects to promote that could have a beneficial effect on the performance of teams and the organization itself. It will also provide a compendium of strategies and tools based on scientific evidence as support for nurse managers.

Keyphrases: Skills Development, Nurses, Interprofessional team, Strategies, Collaborative Practice, Hospital