Soins Psychiatrie最新文献

The transcultural dimension must necessarily be taken into account in the diagnosis of psychiatric disorders, as shown by the case of a young immigrant woman whose request for clinical care is motivated by an anxiety-depressive state that she explains by difficulties in adapting to a poorly mastered cultural disparity. This situation reveals that her difficulties are the expression of acculturation and post-traumatic stress inherent in war trauma.

In France, the nursing profession has recently seen major advances in terms of autonomy in care, particularly through the introduction of cooperation protocols in psychiatry and advanced practice. While cooperation protocols enable nurses to broaden their skills, some feel that these measures could hinder the deployment of advanced practice. Recognition is at the heart of the debate. What remains to be seen is an integrated vision of the evolution of nursing skills, in which the two systems complement each other without clashing, with a view to improving the quality of care, while enhancing the value of the profession as a whole.

A retired psychiatric sector nurse, trainer, epistemologist and team supervisor, Dominique Friard contributes to clinical nursing thought through his writings on the epistemology of nursing care in psychiatry, the intake interview, the importance of ambulatory care in mental health, the place of the body in nursing science, and more. Drawing on these multiple lines of thought, he shares his vision of the concept - protean and essential to nursing - of the culture of care in psychiatry.

The effects of social acceleration on mental health and psychiatric practices can be analyzed by combining Hartmut Rosa's sociological theories, Eugène Minkowski's phenomenology of lived time and Vincenzo Di Nicola's slow thought movement. It may be proposed to introduce a genuine culture of time into psychiatric care, by developing a particular sensitivity to the intimate rhythm of patients, and promoting synchrony and therapeutic attunement. Inspired by the slow movement, this culture of time calls for practices that are more attuned to the subjective experience of those being cared for, illustrated by concrete examples drawn from Zen thought in particular.

The worldwide prevalence of mental disorders among young people is a cause for concern. In France, there is a long delay in accessing appropriate care for psychotic disorders, which worsens the prognosis. The University Hospital Adult Psychiatry Unit in Rennes offers an early intervention program called Ipope, which has shown that specific monitoring of emerging mental disorders improves engagement in care, reduces the risk of relapse and promotes recovery. This scheme is part of a dynamic of decompartmentalizing psychiatric structures and collaborating with external players, thus promoting an integrated, seamless care pathway for the user.

Advanced Practice Nurses (APNs) play a key role in psychiatry, improving access to care, managing crises and preventing relapse. They intervene in post-emergency consultations, ensuring continuity of care, adjusting treatments and coordinating treatment paths with medical teams. Their contribution helps to reduce emergency room overcrowding and secure follow-up care. The deployment of IPAs requires legislative adjustments to maximize their impact and meet growing mental health needs.

The Ktell music-listening device enables patients in psychiatric hospitals to listen to music during their stay in an intensive care room (ICU). An analysis of the impact of this musical listening device on the quality of care offered to patients placed in an ICU was carried out between 2018 and 2020. This study highlighted that the latter seize the opportunity offered to them to pilot the device as they please, according to their needs at the time.

Mobile teams in psychiatry are booming. A quasi-experimental French before-and-after study carried out at the Metz Jury public mental health facility has confirmed the international literature on the benefits of crisis resolution teams, in particular: a reduction in the number of admissions, an increase in the number of wom en taken into care, a reduction in the rate of care without consent, and a reduction in the length of full-time hospitalization. A qualitative analysis of the satisfaction of patients cared for by the mobile team and their families, compared with their experience of hospitalization, completes these results.

Against a backdrop of post-health-crisis conditions and access difficulties due to hospital bed closures, the number of consultations in psychiatric emergencies has risen significantly in recent years. A study conducted at the Centre psychiatrique d'orientation et d'accueil reports on the challenges faced by psychiatric emergency departments at Hôpital Sainte-Anne in receiving and treating patients, and the solutions adopted to reduce waiting times.