Dr. Lavoie is a nurse, associate professor and Dean for graduate studies and research at the Laval University School of Nursing. She is also a researcher at the Centre de recherche du CHU de Québec–Axe oncologie, more specifically within the Réseau Québécois de recherche en Soins PALliatifs et de fin de vie (RQSPAL) and the Équipe de Recherche Michel-Sarrazin en Oncologie psychosociale et Soins palliatifs (ERMOS).

Graduated in nursing sciences (B.Sc., M.Sc.), she obtained a doctorate degree in philosophy (Ph.D.) regarding palliative care. Moreover, she completed a postdoctoral internship at the Institute of Human Becoming (Pittsburgh) in order to study the practical implications of the caring approach “Human becoming” (Parse, 1998, 2003, 2007) in the context of end-of-life. Her research program focuses on the experience of relational autonomy and the implementation of caring practices in palliative care which promotes the respect of patients’ autonomy by taking into account their capabilities and limitations. It is composed of three axes: (1) to deepen the experience of autonomy of end-of-life patients; (2) to contribute to the development of a caring practice which can facilitate the expression and the respect of the autonomy of end-of-life patients; (3) to study the limits of certain practices surrounding the respect of autonomy during end-of-life.

Palliative care; Experience and respect of autonomy; Death and dying; Existential-humanist philosophy; Philosophy and theory of nursing sciences; Ethics

To deepen the experience of autonomy during end-of-life

The first focus explores the experience of autonomy in a palliative care setting from the perspective of patients suffering from incurable diseases. An initial project with SSHRC funding allowed for the definition and exploration of six essential aspects of these patients’ experience: affirmation of identity as a human being, ability to act by oneself, generation of positive impacts on well-being, experience of difficult and sometimes painful feelings, altered relationships, and adoption of different attitudes with regard to the future. Through this research, it was possible to critically examine the attitudes of healthcare professionals, for example as manifested in their tendency to act for the patient—acts perhaps motivated by a desire to do good, but nevertheless an “affront” to the patients’ expressed autonomy.

To contribute to the development of a caring practice which can facilitate the expression and the respect of the autonomy of end-of-life patients

The second focus concerns the development of caregiving practices that encourage the expression and respect of palliative care patients’ autonomy. A first research project (SSHRC) describes the changes observed in the practices and beliefs of caregivers, in the experience of patients’ loved ones, and in the documentation of the patients’ expressed wishes following the application of Parse’s theory (2003). Once this theory is put into practice, data analysis demonstrates, among other findings, a shift in caregivers’ focus from completing a task to understanding the patient’s perspective; caregivers placing increased emphasis on listening to patients and on respecting the patients’ priorities and choices. While respect for patient autonomy does present new challenges, the research takes into account solutions and techniques used by caregivers to provide even greater autonomy.

To study the limits of certain practices surrounding the respect of autonomy during end-of-life

This third research focus includes an additional project entitled “De la philosophie des soins palliatifs aux pratiques cliniques actuelles” (associate researcher, SSHRC). The project’s aim is to explore and describe current practices in healthcare facilities that appear at odds with the philosophy of palliative care (e.g., by failing to respect patient autonomy) and that are unconducive to the proper provision of palliative care.

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31 entries « 3 of 4 »

Jacono B, Cable-Williams B, Foster C, Mitchell MG, Lavoie M, Richardson HRL, Jewrs H, Young L

Principes et pratiques des soins infirmiers palliatifs et compétences en soins palliatifs à l'intention du personnel infirmier au Canada

Book

Canadian Association of Schools of Nursing / Association canadienne des écoles de sciences infirmières, Ottawa, ON, 2011.

Lavoie M, De Koninck T, Blondeau D

Frontière entre la mort et le mourir

Journal Article

Laval théologique et philosophique, 65 (1), pp. 67-81, 2009, ISSN: 0023-9054.

Lavoie M, Blondeau D, De Koninck T

The dying person: an existential being until the end of life.

Journal Article

Nurs Philos, 9 (2), pp. 89-97, 2008, ISSN: 1466-7681.

Abstract | Links:

Lavoie M

La contribution de la théorie de l’humain en devenir au développement de la pratique soignante en fin de vie

Journal Article

Cahiers francophones de soins palliatifs, 8 (2), pp. 9-17, 2008, ISSN: 1916-1824.

Blondeau D, Lavoie M

Les enjeux éthiques du recours au placebo

Journal Article

Perspect Infirm, 4 (5), pp. 41-44, 2007, ISSN: 1708-1890.

Lavoie M, De Koninck T, Blondeau D

The nature of care in light of Emmanuel Levinas.

Journal Article

Nurs Philos, 7 (4), pp. 225-34, 2006, ISSN: 1466-7681.

Abstract | Links:

Lavoie M

[Caring for a person in mourning]

Journal Article

Perspect Infirm, 2 (3), pp. 36-9, 2005, ISSN: 1708-1890.

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Lavoie M

L’éthique de la recherche auprès des personnes en fin de vie

Journal Article

Les Cahiers de soins palliatifs, 5 (1), pp. 41-51, 2004, ISSN: 1490-5191.

Blondeau D, Lavoie M, Valois P, Keyserlingk EW, Hebert M, Martineau I

The attitude of Canadian nurses towards advance directives.

Journal Article

Nurs Ethics, 7 (5), pp. 399-411, 2000, ISSN: 0969-7330.

Abstract | Links:

Lavoie M, Blondeau D, Godin G

Intentions to select a given level of care when confronted with an ethical issue: the impact of a living will.

Journal Article

J Appl Soc Psychol, 29 (4), pp. 772-85, 1999, ISSN: 0021-9029.

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31 entries « 3 of 4 »
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Active projects

  • Centre de recherche sur le cancer, Subvention, Institutionnel - BDR, BDR - Centres de recherche reconnus, from 1996-05-01 to 2022-06-13
  • Centre de recherche sur les soins et les services de première ligne de l'Université Laval, Subvention, CIUSSS - CN - Centre de recherche sur les soins et les services de première ligne de l'ULaval, Centres de recherche affiliés, from 2017-01-01 to 2099-12-31
  • Réseau de recherche en interventions en sciences infirmières du Québec (RRISIQ), Subvention, Fonds de recherche du Québec - Santé, Réseaux thématiques de recherche, from 2012-04-13 to 2021-04-30
Data provided by the Université Laval research projects registery