| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 313605 | Annales Mdico-psychologiques, revue psychiatrique | 2016 | 6 Pages |
RésuméCet article s’emploie à différencier des pratiques de soin qui confrontent le soignant à la mort dans le contexte de la gériatrie et celui de la réanimation à partir d’un matériel clinique recueilli dans le cadre de séances d’analyse des pratiques auprès de soignants en gériatrie, d’une part, et d’entretiens réalisés avec des soignants de réanimation participant à une recherche universitaire, d’autre part. Au-delà des mécanismes défensifs individuels mis en place par les soignants pour gérer au mieux la problématique de la mort, c’est bien l’équipe, dans ses modalités de cohésion, dans son fonctionnement, dans ses stratégies collectives, qui peut soit étayer, soit fragiliser le soignant. Ainsi, nous montrerons en quoi ces contextes de travail différenciés orientent la façon de penser et d’agir des soignants dans leur gestion de la mort.
ObjectivesThis article aims at differentiating the case practices through which medical teams are confronted with death in a geriatric context and in an intensive care context. We study the subjective experience of health care professionals in intensive care unit and geriatric unit in front of patients with risk of death.Materials and methodsDiscourse from a test produced during some analysis sessions with a geriatric care team about their care practices and clinical interviews with a medical team working in an intensive care unit and carrying out university research. They had to develop their personal feeling about the organization of their work and their management of the relationship with the old patients or hospitalized patients. All interviews were entirely recorded and rewritten. Then, we proceeded to the coding of the interviews and we realized a thematic analysis with the consensus of three searchers.ResultsBeyond individual defensive mechanisms installed by them in order to manage the issue of death at the very best, it is the team, through their cohesion, through their working practices, through their collective strategies, who can play an important supporting role for its members in an intensive care unit or on the contrary generate suffering in geriatrics. Thus, we will show the way these differentiated contexts adjust the medical team's way of thinking and acting when they want to manage death and its conditions.
