Développement des collectifs de travail et développement de la sécurité : une étude sur les décisions à risque en anesthésie

This article highlights the collective dimensions of risk management for patients before an anesthesia. After a phase of observation of real activity, interviews were conducted with 20 anesthetists from two French hospitals. The analysis reveals interindividual diversity in practices. This diversity is explained by the inclusion, in decisions, of knowledge about “distributed” skills in the team and about local “shared practice”. The results establish a link between the site where the anesthetists are working and the choice of an anesthetic technique. They also show that the positioning of anesthetist vis-à-vis the “shared practice” is significantly related to their seniority in the profession. These results open perspectives for research and intervention for the joint development of collective work and safety.     

Intérêts et limites de l’utilisation d’une méthodologie mixte : à propos d’une recherche en psychologie de la santé

Recently, the health social sciences, like some fields of psychology, have progressively adopted qualitative methods, particularly in English-speaking countries. When they come in addition to quantitative methods, they are called “mixed methodologies”. Among other reasons, these approaches suffer nonetheless of a lack of acknowledgement because of a still topical debate opposing the positivist-objectivist and the constructivist paradigms. Another reason to this lack of acknowledgement is due to the fact that several authors explain the use of a mixed methodology according to pragmatic arguments. The authors of this paper briefly present these debates and their pertinence in health psychology research and try to overcome them by showing that it is possible to make mixed methodologies fall within a constructivist approach. Their proposal is exemplified through a research work about organ donation decision led in Switzerland. Actually, this research embed multiple and complex factors that offer an appropriated ground for the use of a mixed methodology, qualitative and quantitative.     

Comment dépasser le constat d’un niveau de performance à un test de raisonnement ? Exemple d’une épreuve

To answer one of the criticisms most often formulated about the logical reasoning tests, i.e. characterizing the persons only on their global score, we have created a test aiming to take into account two other types of individual differences: the success profile and the errors. From the use of such a test on 562 persons, the results analysis confirm that our test allows both to collect information and to calculate specific indicators on these two aspects of the performance. The discussion topic turns on the advantage of such approaches.     

L’anxiété liée à la COVID-19 : une analyse de ses effets en milieu de travail

The anxiety engendered by the sanitary crisis of the COVID-19 is a novel emotional phenomenon. Due to its recency and novelty, this form of anxiety and its effects are largely unknown. To explore this issue, we conducted a study among 650 civil agents of the Quebec government during the first wave of the pandemic that examined the effects of COVID-19-triggered anxiety on four indicators of work adjustment: job engagement, organizational commitment, psychological empowerment, and ego depletion. While controlling for the effect of relevant contextual factors, our analyses indicate that COVID-19-triggered anxiety is positively related to organizational commitment and ego depletion and negatively related to psychological empowerment. In contrast, COVID-19-triggered anxiety was not significantly related to job engagement.     

La cross-évaluation : une approche d’évaluation et de développement des processus de travail inter-équipes

Organizational agility has become an increasing focus for companies and has led to the emergence of new developmental methods. This article presents the cross-evaluation as an approach to evaluating and developing inter-team interface efficacity. Though 360 degrees feedback collective processes are being evaluated, and during reflexive workshops they decide what improvements to make in their team functioning. Based on a literature review and more specifically on the theories of social identity and groupthink this article describes the scientific bases of the cross-evaluation method and the biases that can be involved and how to reduce them. It suggests new avenues of research and practical suggestions for practitioners about an inter-team development method.     

Embolie gazeuse cérébrale lors d’une séance d’hémodialyse : aspects médico-légaux : à propos d’une affaire judiciaire

Air embolism is a serious iatrogenic event, concerning many invasive medical therapies. It is a rare but life-threatening adverse event. We report a case of a cerebral air embolism occurring during a renal replacement therapy. We report the case of a court case analyzed in the Department of Legal Medicine of Farhat Hached University Hospital in Sousse, Tunisia, related to a cerebral gas embolism occurring during a session of renal replacement therapy. Then we discuss the medical liability of the medical team involved in this act. Through a draft organic law (law No. 41/2019 on patients’ rights and medical liability), Tunisian jurisprudence aims at resolving legal claims in the field of medical liability by providing more opportunities for an amicable solution and by guaranteeing an adequate and quick compensation of the damage suffered.     

Parcours : développement d’une stratégie de prévention de la récidive adaptée aux milieux ouverts

Experiments show that applying RNR principles “in the real world” within the context of probation can reduce recidivism, provided that evidence-based intervention models are used. In Quebec, probation officers agreed to take part in a pilot project whereby the Parcours program (Pathways) was transposed into a series of interview outlines to be used in a community setting. The experiment took place over a one-year period, the management of convicted offenders consisting in around 10 30 to 90-minute interviews. These interviews addressed: motivation for change, beliefs, values and cognitive distortions, as well as the adoption of relapse prevention strategies. Results were positive enough to authorize the deployment of Parcours en milieu ouvert (Pathways in community settings) in all sectors. This approach could be implemented in France, where at the instigation of the Council of Europe, new European probation rules recommend the establishment of interventions based on evidence-based models.     

« Conciliation vie privée vie professionnelle » : plusieurs termes pour une même réalité ? Proposition de modélisation à travers l’usage français

The aim of this paper is to define the vocabulary used about interactions between people's work and their private lives. Several terms exist and are used as synonyms despite of their slightly different meanings are different: balance, conflict, interaction, enrichment; personal life, family life… Based on an analysis of 45 French articles in psychology, management and human resources, we notice that the terms used are rarely defined. In a thematic analysis of these articles, we suggest a model which defines all words usually used.     

Profils psychométriques de 60 enfants à haut potentiel au WISC IV

PurposeThis work deals with gifted children psychometric profiles obtained using WISC IV test. We are particularly interested in the interpretability of the total IQ and, therefore, in the supposed heterogeneity between the scores. On the other hand, we are questioning the existence of a specific profile for these children. Finally, on a theoretical level, we want to know whether the data collected from this specific population of children remain compatible with the idea of the variability of g factor's weight from level to level of intelligence.MethodThe 60 children, aged 6 to 13, participating in this research were identified on the basis of a prior assessment to WISC III (total IQ equal to or greater than 130). In each, the WISC IV (2005) was administered.ResultsThe results showed heterogeneity in the profiles that results in a non-interpretability of the total IQ of 87 % of children. On the other hand, 77 % of children have a Verbal Index superior to other indices. In terms of correlations, the results show no link between the four WISC IV indexes and very few links between the different subtests that make up the instrument.ConclusionOur results call into question the issue of identification of giftedness which is based on a single digit IQ ≥ 130. It is suggested that the analysis of profile is more relevant than the mere evocation of one total IQ. The idea of a specific profile is still difficult to confirm because of possible bias in recruitment. From a theoretical point of view, the lack of connections between different subtests allows to cast doubt over g factor in this population.     

Les déterminants du décrochage dans l’enseignement secondaire : une revue de littérature

IntroductionDropping out of school is a research topic with various dimensions: non-graduation, school leaving, absenteeism, school failure and school refusal. It involves processes determined by various factors – individual, social, familial and institutional. Individual determinants have specifically been studied in the recent literature. They involve demographic and academic indicators, behaviors, attitudes and mental health of the student, as well as specific types of school refusal. The aim of our study is to update knowledge in this specific field, and highlight underlying problems and methodological issues raised in the literature.MethodDropping out of school is defined as leaving school without a qualification. It involves a process of specific disengagement, which is non-reducible to the negative counterpart of school commitment. The present article is a review of literature from PsycInfo on the individual determinants of dropping out of school. It is based on 50 articles published between 2010 and 2017, related to the following topics: school dropouts, school leavers, school refusal, and academic failure. Five exclusion criteria were used: studies with single factor analysis, literature review, sample excluding secondary education, sample of less than n = 100, non-general, non-mixed, or composed of a sociodemographic minority.ResultsSchool performance and early risk behaviors (substance use disorders, sexuality) remain the best determinants of dropping out throughout the duration of schooling. Psychopathological factors, anxiety, depression and externalized disorders can play a direct or indirect role in the prediction of dropping out. Lack of psycho-emotional support strongly supports the intention to drop out. Motivation has an unequal predictive value, depending on the type of construct or theoretical model used. Inappropriate beliefs, low self-esteem, pessimism, creativity appear as indirect determinants of dropping out. School burnout, understood as emotional, physical and mental exhaustion due to education, directly causes a break between the student and the school.DiscussionMethodological bias can modify the significance of determinants such as gender, academic achievement and retention. Greater knowledge about the relationships between determinants, the profiles of at-risk students and temporalities should help clarify students’ trajectories and the processes at work in different school contexts. Recommendations to educational staff are put forward regarding the detection of individual indicators of dropping out.     

La méthode d’intervention en psychodynamique du travail face au « tournant gestionnaire » : l’exemple d’une intervention dans une unité mixte de recherche

This text aims to show the continuing interest in using the “canonical” method of investigation in work psychodynamics in the context of what is commonly called the managerial turning point. In order to demonstrate this methodology, the authors will rely on a survey conducted in a U.M.R of science called “hard science” following a recommendation of the Agency for evaluation of research and higher education. We will raise the impact of this intervention, allowing participants to think about their work relationship and the necessary modalities in order to do it continuously well, within the managerial logic context.     

Entraînement à la prise de décision avec un serious gaming : délibération et conflits de valeurs

This research analyzes the use of serious gaming (simulator of helicopter) in a management training program for executives. We have observed 16 game sessions and interviewed 44 volunteer participants from the same company through this training program. We have identified few sparring matches between executives, mostly concerning the tasks commanded. The discussion is based on the “how to do” and not on the pursued purposes even when the instructions are ethically questionable. From the theoretical and methodological frame of the psychosociology of the work perspective (Lhuilier, 2013), our analysis highlighted the lack even the absence of collective deliberation before the decision-making process and their modalities in game experience and in real work, after the training program.     

Qualités psychométriques d’une version francophone du « Displaced Aggression Questionnaire »

IntroductionThe Displaced Aggression Questionnaire is currently the only self-report instrument to measure individual tendency to displace aggression. It is composed of three factors, which assess an affective dimension (angry rumination), a cognitive dimension (revenge planning) and a behavioral dimension (displaced aggression).ObjectiveTo adapt a French translated version of the Displaced Aggression Questionnaire and test the psychometrics.MethodIn this study, we recruited 191 adults in the community. The questionnaire has been adapted and validated with respects to guidelines for the process of transcultural adaptation and validation of self-report measures. A principal component analysis has been used to assess the structure of the French version of the questionnaire.ResultsAfter taking into account one item that has not loaded onto any of the three expected factors, the principal component analysis confirmed the hypothesized three-factor structure for the French version of the questionnaire according to the original structure of the scale. It has been named Questionnaire d’Agression Déplacée in French. Results showed good psychometric qualities for the internal consistency, the discriminant and concomitant validity and the reliability.ConclusionBased on these positive results, this version can already be used by French speaking researchers.     

Stéréotypes et préjugés à l’égard de personnes atteintes de cancer : étude auprès d’une population générale et de professionnels de santé

In a national context of the fight against cancer, it is crucial to better understand the attitudes of the public and health professionals about the disease. This study aims to examine the contents of stereotypes and prejudices of the general population and health professionals with regards to cancer patients. The execution of the study was conducted by questionnaire survey of 142 health professionals and 190 people from the general population. The results confirm the existence of a stereotype associated with cancer both in the general population and health professionals. However, there are differences on measures of attitudes about people with cancer showing a greater distancing of health professionals. The implications for health professionals and prevention programs and information about cancer are discussed.     

« Porosité » entre travail et vie privée,conflits et aménagements : une étude comparative de deux populations de femmes

At present, little research has been done regarding the links between work and private life from the standpoint of subjective perceptions. The authors present a qualitative research focused on this issue involving women working in the fields of health and management. The content analysis revealed a double dynamic implying autonomy as well as “permeability” between the two worlds. Three subjective dimensions define this paradoxical movement: “dynamics in social relations”, the “subjective function of the body”, and the “perception of a certain mastery”. Outcomes show how psychological conflict can play an essential role in the personalization process. This was described by participants in terms of satisfaction, yet only under certain conditions.     

Analyse de la détresse psychologique de leaders narcissiques organisationnels : une étude de cas comparative

The present article is a comparative case study that explores the manifestations of psychological distress of two types of narcissistic organizational leaders. More specifically, the aim of this case study is to check for possible differences between a grandiose narcissistic leader and a vulnerable narcissistic leader in relation to three main variables associated with the manifestation of psychological distress. These variables are: trigger factors, the modulation of negative emotional reactions, the presence of early maladaptive schemas and the use of dysfunctional coping strategies. The results obtained indicate that the manifestation of psychological distress by the grandiose narcissistic leader varies in certain respects from that of the vulnerable narcissistic leader. Indeed, the psychological distress manifested by the grandiose narcissistic leader is mainly characterized by anxiety and cognitive problems. Moreover, his psychological distress appears to be accompanied by a fear of public achievement failure and the partial use of two types of dysfunctional coping strategies – self-aggrandizement with reference to ostentation and self-softening underpinned by social withdrawal. With regard to the psychological distress of the vulnerable narcissistic leader, it is essentially characterized by a profound sense of depression and irritability. Moreover, it is associated with a fear of public interpersonal rejection; the internalization of negative emotions (feelings of guilt, self-criticism and feelings of worthlessness); and the partial use of two types of dysfunctional coping strategies – self-softening underpinned by social withdrawal and self-aggrandizement with reference to ostentation.     

Le droit à la protection de la santé dans l’alinéa 11 du Préambule de 1946 : les impacts en termes de solidarité

The right to health protection is recognized as a constitutional objective. This includes guaranteeing an equal access to health care without any discrimination. The implementation of this right is a difficult task due to geographical and socioeconomic inequalities. In many situations, the public health sector is experiencing financial crises. The problems concerning health access seem to be mounting and could jeopardise the principle of solidarity which is the foundation of the health system.