Soins; la revue de reference infirmiere最新文献

With the help of clinical vignettes, the authors present their approach to maternity care for exiled pregnant women at risk of psychotrauma. They emphasize the importance of co-constructing a life story to bridge discontinuities, and of working as a team with continuity to avoid further breakdowns. At stake is the birth of a baby, which may suffer from psychotraumatic sharing without adequate support.

Female genital mutilation: the current situation and the role of healthcare workers in combating excision. Female genital mutilation/cutting (FGM/C) affects more than 200 million girls and women, mainly in African countries. These procedures have no medical rationale and are essentially a form of power abuse. Despite alarming levels in some countries, prevalence has decreased over the last two decades, but only in very limited proportions. FGM/C is even found in non-African countries due to migration for family reasons, education, work opportunities or political insecurity. In countries such as France, when medical and psychological problems arise, more nurses and health personnel treat FGM/C victims. Their role in the recognition, alert, attendance and fight against such mutilations is crucial.

The creation of advanced practice nursing has led to the emergence of a new link in the healthcare chain. The advanced practice nurse (APN) has seen his nursing skills broadened, particularly clinical skills, and is gradually finding his place in the multi-professional team. This survey presented here explores the clinical skills mobilized by APN and his collaboration with medical professionals within a team of professionals from the Loire-Atlantique regional hospital grouping.

The transcultural approach is indicated for complex cases where the cultural dimension is useful in fully understanding a problem. The cultural coding of certain symptoms, such as trance or possession, can be difficult to achieve in conventional individual therapy. The clinical case of Aïcha, originally from Morocco, referred by her psychiatrist for a transcultural opinion, illustrates a reflection on diagnostic elaboration in the face of possession by a djinn.

Through a clinical analysis of the cultural transfers and counter-transfers at play in the exchange between a nurse and a young unaccompanied minor, the authors propose a reflection on the question of transcultural encounters in healthcare. What recognition should be given to otherness, so as not to reduce the other to his or her difference, but rather to support him or her in the construction of an identity at the heart of the issue of métissage?

French Guiana is a "transcultural world" in its own right, with its indigenous "inland" populations, highly isolated from the healthcare system, more affected by chronic cardiometabolic and infectious diseases than either the coast or mainland France. Transcultural clinics and therapeutic patient education (TPE) therefore play a key role. French Guiana is a pioneer in TPE, health mediation and the practice of "outreach" via local hospitals, delocalized specialty consultations and so on. The proposal is to bring together transcultural TPE workshops for chronic patients in local hospitals in the interior, with a health mediator trained in their pathology, and to combine them with off-site specialist consultations to promote therapeutic adherence.

In occupational therapy, intersubjective movements unfold between the professional and the patient at several levels: in the therapeutic relationship, through the activity and within the institution. A psychodynamic reading of these movements helps to develop working hypotheses. When the person being cared for and the occupational therapist are from different cultures, specific unconscious relational movements are at work. Listening to and taking account of these transcultural issues provides additional insight into the treatment process. They enable us to adapt to the patient and provide the best possible care.

As part of an innovative project initiated by the Quality and Risk Management Department and the Institut de Formation en Soins Infirmiers (Ifsi) at the Laon hospital in the Aisne region of France, a semester 5 nursing student was given the opportunity to put her initial training in quality, risk management and assessment of professional practices to good use during a five-week work placement. Her feedback, like that of the quality department and Ifsi, was positive.

Cultural counter-transference between the different actors in the prison environment can be very strong. However, it is rarely taken into account when analyzing the interactions that healthcare professionals may have with prison officers and inmates. Health professionals working in the medical-psychological service are confronted with a number of cleavages, which could have less impact on them and their care if these counter-transferential movements were better taken into account.

Chronic kidney disease is a worldwide public health problem. Nephrology nursing is an effective intervention in the management of this disease. However, nurses can only develop the skills related to this care after receiving specialized initial education. This article explains the initial nursing education in specialized nephrology care in selected countries.