Réflexion sur la collaboration interdisciplinaire

Gagnier, Jean-Pierre; Roy, Linda

doi:10.3917/ctf.050.0085

Cited by 9 publications

(3 citation statements)

References 5 publications

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“…En SP, le travail est fait par une équipe pluri-professionnelle en interdisciplinarité 5 . Les membres de cette équipe travaillent autour de situations et échangent autour de ce que chacun perçoit d'une situation pour s'approcher au plus près de sa complexité et ajuster l'accompagnement dans les différents domaines en liens avec l'approche globale.…”

Section: Récit Clinique D'une Psychologue Et D'une Assistante Sociale...unclassified

La démarche palliative ou « l’esprit du soin »

Drillaud¹,

Keusch²,

Mélin³

et al. 2022

essais

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Le rapport à l’inconnu que représente la mort est ce que nous avons tous en commun sans exception. En 1986, dans un contexte où le sida bouscule le monde médical, les soins palliatifs sont institutionnalisés en France. L’effet-miroir de la mort sur la vie transmet en effet la prise de conscience de l’importance du lien à l’autre et de notre vulnérabilité commune, révélant ainsi notre interdépendance et la nécessité du prendre soin dans nos vies. En soins palliatifs, c’est dans une approche globale qu’une équipe interdisciplinaire est présente pour accompagner à domicile ou en institution, la personne qui ne peut être guérie ainsi que ses proches. Par leur organisation et leur médiation autour des incommunications, les soins palliatifs permettent de faire place à la dimension existentielle où se révèle alors une communication de « l’esprit du soin » qui ne peut se défaire de la relation à l’autre.

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Section: Récit Clinique D'une Psychologue Et D'une Assistante Sociale...unclassified

La démarche palliative ou « l’esprit du soin »

Drillaud¹,

Keusch²,

Mélin³

et al. 2022

essais

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“…This act of 'working together' with coherence and cohesion requires knowledge of the profession and the roles and missions of the other participants, as well as time for formal or informal exchanges, to guarantee the quality of the teamwork. According to some authors, 'presenting one's specific expertise and recognising the contribution of others also means realising with humility and openness the richness as well as the limits and uncertainties of one's specific profession' [25]. Some practices are specific to one's professional category (e.g.…”

Section: Therapeutic Alliances and Interdisciplinaritymentioning

confidence: 99%

“…Some relatives felt a lack of availability from the carers and a feeling of loneliness after the patient died; some mentioned that the support they received was not entirely satisfactory. According to some authors, a sufficiently good team is one that is 'devoted, rigorous, meeting limits and concerned about them' [25]. A good enough intervener would be one who tries to meet the needs of relatives in this period, knowing that they will not be able to avoid certain types of grief (loss of control and communication) and frustration.…”

Section: Evocation Of Death and The Wish To Hasten Deathmentioning

confidence: 99%

Support practices by an interdisciplinary team in a palliative-care unit for relatives of patients in agonal phase

Mélin¹,

Amieva

Frasca³

et al. 2020

BMC Palliat Care

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Background In the absence of extant recommendations, the aim of this study was to formalise support practices used by an interdisciplinary team in a palliative-care unit (PCU) for the relatives of patients in the agonal phase preceding death. The secondary objective was to understand the expectations of relatives during this phase in terms of the support provided by professionals and volunteers. Methods Thirty-two people took part in this study; all were interviewed through focus groups (FGs). Each FG comprised one category of individuals working in the PCU: nurses, care- assistants, doctors, psychologists, other professionals, palliative-care volunteers, and relatives. Groups were surveyed using an interview guide, and the interviews were recorded and transcribed to enable identification and characterization of all practices. Care practices were classified into four categories: current consensual practices (i.e. performed by all team members), occasional consensual practices, non-consensual practices (performed by one or a few participants), and practices to be developed. Results In total, 215 practices were mentioned by professionals and palliative-care volunteers: 150 current consensual practices, 48 occasional consensual practices, 1 non-consensual practice, 16 practices yet to be developed, and 29 practices for relatives. Many practices were mentioned by different categories of participants; thus, after cross-checking, the number of practices decreased from 215 to 52. A list of practices deemed desirable by all was drawn up and then validated by the entire interprofessional team. These practices were organised around four themes: providing care and ensuring comfort; communicating, informing, and explaining; interacting; and mobilising interdisciplinary skills. Conclusions These results underline the importance of the quality of care provided to patients, the attention given to the relatives themselves, and they highlight the importance of the helping relationship. Following this study, which established a list of varied practices aimed at supporting the relatives of patients in agonal phase, it will be important to set up a broader study seeking to establish a consensus on these practices with an interprofessional group of experts from other PCUs using broad surveys and an adapted methodology. Such studies will make it possible to develop training modules for teams working with relatives.

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Et si les institutions acceptaient de soigner leurs maux ?

Borght¹

2013

Cahiers Critiques De Thérapie Familiale Et De Pratiques De Réseaux

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Les institutions de soins et d’éducation, comme n’importe quel groupe humain organisé, sont sujettes à des maladies et doivent se donner les moyens de se soigner. L’espace de supervision peut en être un, qu’il soit préventif ou curatif. Nous chercherons à comprendre ce qui constitue la spécificité d’un tel espace/temps, et à préciser quelques manières de faire pour poser la mise en place d’un cadre de travail défini comme une « matrice d’empathie ». L’espace de supervision doit pouvoir soutenir un processus d’intelligence collective.

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Réflexion sur la collaboration interdisciplinaire

Cited by 9 publications

References 5 publications

La démarche palliative ou « l’esprit du soin »

La démarche palliative ou « l’esprit du soin »

Support practices by an interdisciplinary team in a palliative-care unit for relatives of patients in agonal phase

Et si les institutions acceptaient de soigner leurs maux ?

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