Extract
[...] Therefore, a just understanding of the needs proves to be indispensable to all the team in order to provide an adapted and proportionate response. Lefève more precisely characterizes the ethical dimension of care by evoking « the concern for the individuality and the freedom of the subject, as the implementation of the ethical requirement, intrinsically ethical, of respecting his freedom. » (Lefève, 2010) The accompaniment or tutoring of care teams or individual professionals can be reassuring and guiding solutions for the care team, providing real exchanges in practical situations. [...]
[...] For all these tasks, it may be interesting to consider the creation of additional resources such as intermediate functions: such as the "care coordinator" or "professional mediator of care" in order to create the necessary link between the framework and the team, transmit information and support transversally and usefully both functions." In fact, by its position, it flattens the difficulties of understanding and facilitates connections between the different members of the team. In addition, in terms of the medical-social objective of ensuring equal access to care, it may be a question of the content of this equality. In fact, in psychiatric institutions, in particular, the need and demand for care are not always correlated. Therefore, the care team works in 'troubled waters' acting like an automaton that only responds to the demands. However, certain needs are not always expressed, while others are sometimes overexpressed. [...]
[...] In psychiatry, somatic care is less represented. Less precise and less formalized medical guidelines. The care team can then decide on initiatives such as conducting nursing interviews or proposing therapeutic activities as soon as a need is identified by the entire team. However, the difficulty in managing care in "good conditions" increases: some mention insufficient training of healthcare professionals, a lack of staff and others a loss of means, in particular time, administrative tasks having taken on a growing weight." At the same time, mastery, respect, and application of the therapeutic process by all healthcare professionals constitute the conditions sine qua non of good functioning and the synergy and coherence of the healthcare unit. [...]
[...] It should mainly recall the framework, especially legal and ethical, governing the care relationship. Furthermore, the permanent search for 'meaning' in hospital practice leads, if Vial's theory is applied, to consider [...]
[...] The nursing framework is constantly seeking ways to improve its service and reduce costs. From a hierarchical point of view, the nursing officer is generally attached to a care director, a higher health manager or a hospital director. The profession of a [...]
