Réflexions d’un médecin expert et d’un juriste autour d’un exercice pratique de droit médical

We offer a reflection around a clinical case of nosocomial infection allowing us to address the difficulties faced by experts and lawyers and other jurists in matters of medical liability. This case is the result of an exercise proposed within the framework of the national DIU (interuniversity diploma) in medical accidents for which the two authors are responsible in Amiens and Bordeaux. The writing was enriched with the responses of the students. This clinical case makes it possible to approach the compensation for nosocomial infections, to compare the amicable procedure before the conciliation and compensation commission for medical accidents and the procedure before a judicial or administrative jurisdiction. Finally, the reflection focuses on patient information, especially protected adult, and access to the medical file. It is not a question here of detailing the medical care but of discussing medical responsibility and the rights of the patients.     

Restaurer les liens détruits. À propos d’un dispositif de soins dans un village victime d’un massacre collectif

The terrorism, such as Algeria knew it, is organized with main objective the destruction of the whole society. Indeed, through the committed atrocities, the attacks and the collective massacres it is the whole population that lives under the terror. The murders and the destruction of highly symbolic places such as houses, schools which represent in fact the “packaging” of a community are going to favor the destruction of the family links and the community links. The answer to face this situation can only be collective within the framework of a collective approach and of a practice of network.     

La construction de compétences d’étudiants en soins infirmiers lors d’un apprentissage par simulation : étude au cours d’un exercice de prise en charge d’un arrêt cardiorespiratoire

Our study focuses on the professionalization process in nursing students. More specifically, it aims to understand how each step of simulation in nursing education contributes to skills development in nursing students. In total, forty-seven students participated in this study. All the learners were first year students and answered anonymously, at the four stages of the research process, to a questionnaire consisting of six questions to measure their opinion on the acquisition of skills during a learning session based on simulation. Each question was built on one of the six forms of knowledge defined by Le Boterf, 1997, Le Boterf, 2007, Le Boterf, 2011 in his theoretical model of competence. The results show that each stage of the simulation training significantly modifies the students’ opinion on the different forms of knowledge they have acquired. Moreover, the debriefing, that is an essential part of simulation learning, proves to be the most complex stage given the multiple psycho-cognitive and emotional processes involved.     

Validité de construit d’une épreuve de jeu de rôle dans le cadre d’un centre d’évaluation chez des officiers de marine.

The present study was designed to obtain validity estimates for a role-play test. Participants were 125 french Navy officers who were rated by a pool of professional assessors and psychologists. All the assessors received reccurring training sessions, focusing on the behavioral checklist, on rating errors, and on share frame of reference. The assessment procedure included role play exercise, cognitive ability scale (g factor) and personality scale (big five factors). First, exploratory factor analyses were conducted on the data gathered, and four factors were identified (authoritarianism, oral communication, consideration with others and frankness). In a nomological perspective, we also analysed the links between the exercises dimensions, personality inventorie and intelligence scale. The findings suggest that role play dimension, personality and intelligence seem to measure different thinks.     

De l’efficacité d’un « exergame » sur le stress perçu et le sentiment d’auto-efficacité chez un patient atteint de la maladie de Parkinson : résultats d’un protocole à cas unique de type ABAB

IntroductionRehabilitation is of paramount importance in Parkinson's disease because it compensates for deficiencies in the body's structures and functions and preserves relative autonomy for as long as possible. Nevertheless, people with this disease report low adherence to physical activity.ObjectiveThe purpose of this research is to examine the potential psychological benefits of using an “exergame”, a “serious game” based on physical exercise in the functional rehabilitation of Parkinson's disease, including stress and self-efficacy.MethodA single case ABAB protocol (n = 1) over 4 weeks, 1 week per phase, 3 observation points per phase, was developed. Our variables were measured by questionnaires and we used visual and statistical analysis to interpret changes in scores between Phases A and B.OutcomesThe “exergame” intervention appears to improve perceived stress and self-efficacy. The results are accompanied by an exploratory interview, reporting qualitative changes.ConclusionThe use of “exergame” in Parkinson's disease seems promising, and does not harm the person. But the methodology used is not sufficient to conclude on its real effectiveness. Further studies are needed.     

Validation de l’inventaire des habiletés politiques auprès d’une population occupant un poste de directions d’établissement scolaire

A single instrument was listed to measure political skills, defined as the understanding of others and the use of that knowledge to influence their actions. It was validated with employees, although political skills were more relevant to managers and, in particular, to school principals. A single study validated the psychometric properties of the instrument with managers showing that the dimensional structure would deploy in 5 factors unlike what is observed among employees, which is deployed in 4 factors. The purpose of this study is to verify whether the tool is reliable and has a distinct structure when employed with a population occupying a management position and more particularly school principals. A total of 304 school principals completed an electronic questionnaire. The results suggest a satisfactory dimensional structure in four factors and good fidelity, which invalidates the use of a separate structure for manager including school principal, as reported by Snell et al. (2013).     

L’équipe paramédicale à l’hôpital psychiatrique : Retentissement actuel d’une évolution de deux décennies Analyse d’un entretien de supervision

At the advent of the reform of nursing education in France, this study attempts to give an overview of changes in the work practices of nurses and the employment of nurse’s aides in psychiatric wards of hospitals. Based on the assumption that interaction acts as an interface between the individual on one side and collective systems on the other, the authors approach this issue by analyzing a supervisory meeting of a caregiving team in a psychiatric hospital.     

Évaluation de l’effet d’un programme d’entraînement à l’autogestion des épisodes explosifs chez des enfants atteints du syndrome de Gilles de la Tourette

For children with Tourette syndrome (TS), explosive outbursts (EO) can be more disruptive than tics to the child's functioning. This study evaluated the effectiveness of an innovative cognitive-behavioral intervention for decreasing frequency and intensity of EO. Five boys and one girl ranging in age from 9 to 12 years took part in the study. EO frequency and intensity were measured by systematic observation of events and by questionnaire, while tics and child's psychosocial functioning were measured by questionnaires. The children showed trends towards decreased EO frequency post treatment but no changes in EO intensity. Statistical analysis and questionnaires results revealed no significant change. Qualitative information indicated a benefit to the families following therapy.     

Restauration d’un contexte de libre choix et insertion professionnelle des allocataires du RMI

This study deals with the vocational rehabilitation of minimum wage integration beneficiaries (RMI) and their commitment with an assistance service of vocational rehabilitation. We postulate that these public is perceived like not very autonomous by the welfare workers and that their freedom of action is some reduced. So we studied the impact of a context of freedom on the course of these public. Two results appeared. Firstly, a high context of freedom increases the commitment of people towards the welfare workers. Secondly, we observed that context of freedom did not have impact on the vocational rehabilitation of the individuals recently registered in RMI device. Nevertheless, in a freedom context, people registered since longer had the same probability to success that people recently registered in RMI device.     

Validation française d’un questionnaire des perceptions de justice en milieu judiciaire

To improve the quality of the national justice system, the aim is to test the validity of a questionnaire on the justice perceptions of the criminal procedures and the justice decisions. One hundred and thirty-two defendants were questioned. A factorial analysis directs to a four factors solution: the distributive justice, the procedural justice, the interpersonal justice and the informative justice. After regression analyses, the procedural justice predicts the sentence satisfaction and the procedure satisfaction as well as the anger and the trust. The interpersonal justice predicts the procedure satisfaction and the trust, and the informative justice the satisfaction of the procedure. The results confirm the importance of the perceptions of the justice dimensions to favor positive attitudes towards the judicial institution.     

Refuser sans dire non : étude d’un jeu de langage dans une transaction entre un patron et un employé

The aim of this paper is to go on with the articulation between the notions of form of life and language game started by Agnoletti (2006). In this way, we want to show the links between language game and activity through the study of pieces of verbal interaction coming from a professional transaction between a chief and his employee. By using the hierarchical and functional analysis (Roulet et al., 1985), we show regularities, both at the level of the structure of the interaction and in that of the sentences and vocabulary. We make then a relationship between the linguistic forms and the context in which they appear and we consider that we have to deal with a language game which has two modalities: appeal to the rule and the charge. These forms are related to power and authority.     

L’annonce d’un décès en milieu hospitalier

Announcing a death is always a delicate moment for close familial members but also for caregivers. Law gives some precisions about how this information must be delivered. Recently the state council judged that the lack of empathy from caregivers and the late of the death announcement can create a damage. This judgement gives more precisions about how a death announcement must be in a hospital. This topic is pretty similar with the information which must be given to close familial members about organ donation. This latter is definitely more exceptional and the procedure is a way more regulated. There are much rules which explain how this information must be delivered.     

Le développement d’un outil de mesure des comportements inadaptés au travail auprès de directions d’établissements scolaires du Québec

This study focuses on developing a measuring tool for unsuitable behaviour in the workplace. The tool has been developed from school principals. To do so, exploratory factor analyses have been conducted. Data have been collected from 232 senior staff members from school facilities across Quebec. Participants were invited to answer an online questionnaire. The results obtained help to classify inappropriate work behaviour into one factor. In addition to its theoretical value, this research brings several significant contributions to practice.     

Préservation d’une image positive de soi dans un cadre de vie « à risque »

According to social identity theory (Tajfel, 1972), individual try to maintain a positive self-image. Places at which he/she is attached contribute to identity building (Proshansky et al., 1983; Twigger-Ross & Uzzell, 1996). Therefore, individual will try to maintain a positive a positive and stable image of such places. Our study is interested in what is the representation of their living area for individuals living in coastal area considered as exposed to erosion/flood risk, and attached to it. We are focused on how this representation influences their perception to coastal risk. We assume that individual attached to a place which he/she consider as “at risk” will put in place a strategy to preserve the positive image of this place and of himself/herself. Analyzing answers to a questionnaire, results demonstrate that individuals considering a place which they are attached as “at risk” mitigate the danger impact on that space. Thus, they conciliate probability of such negative event on place which they identifying themselves with positive image of this place and, by extension, of themselves.     

La dynamique identitaire de stagiaires immigrants : Stratégies d’acculturation et insertion dans un collectif de travail

The aim of this research was to explore reciprocal relations between acculturative strategies of immigrant trainees and their “strategies” of integration into a workgroup. The investigation of each participant’s identity dynamics served as a basis to this qualitative and exploratory study, using the IMIS (multistage social identity investigator), created by Zavalloni and Louis-Guérin (1984, 2007). In both the cases presented here, work environments echoed back to some of the main obstacles opposing to the social integration of immigrants. Therefore, part of the results revealed spontaneous emergence of adaptative strategies simultaneously linking to cultures and the profession.     

Facteurs d’invention,de dissémination et de diffusion d’une innovation : leçons d’une triple étude de cas

The aim of this article is to identify the factors facilitating the invention, dissemination and diffusion phases of the innovation process. An action-research was conducted in a hospital setting using mixed methods (participant observation, interviews and questionnaires). A triple case study illustrated the invention of a change management methodology, its dissemination using an interactive learning strategy and its diffusion within and outside the organization. Ten factors from various research traditions emerged. No model was able to explain all factors facilitating one phase. Phases of the innovation process were carried out dynamically, as a continuously reactivated process.     

Processus d’élaboration et de validation d’un questionnaire portant sur le développement des compétences émotionnelles lors du mentorat

Objective and methodThe aim of this article is to provide a portrait of the emotional competencies developed by school principals (n = 359) in a mentoring context by developing a seven-step questionnaire by Frenette et al. (2019) presenting various proofs of validity.ResultsThe analyses conducted support a factorial structure with two correlated aspects of emotional competencies (self and others). School principals in Quebec develop more emotional competencies related to the aspect of others than for themselves during mentoring. A further analysis indicates that school principals develop more two dimensions of Emotional competencies: Identification and Understanding. The results also show that 77.26 % of respondents indicated that they developed emotional skills during mentoring.ConclusionThe results provided an understanding of the importance of emotional competencies in education, and specifically in school management. It also revealed the importance of emphasizing the role of mentoring in their development. To our knowledge, the questionnaire developed in this study is one of the first to measure the development of emotional competencies during a mentoring relationship.