Pour la suppression pure et simple du régime des accidents du travail

«quo On disait autrefois, en Angleterre, que le Droit est un âne. S'agissant de l'indemnisation du dommage corporel, la France a fait beaucoup mieux : notre droit est franchement imbécile. Il s'agit maintenant de se donner les moyens de se sortir de cette situation : cela est tout à fait à notre portée ». C'est sur ces mots que s'achève le percutant rapport du docteur Louis Mélennec Pour une loi unique d'indemnisation du handicap et du dommage corporel, et pour l'abolition des systèmes actuels (responsabilité civile, accidents du travail, pensions d'invalidité dont Médecine & Droit publie ici quelques bonnes pages. L'auteur y analyse et dénonce avec force les incohérences du système français d'indemnisation du handicap et du dommage corporel et préconise la reconstruction d'un système unitaire harmonieux et cohérent. « Ce rapport, d'une inexorable sévérité, étayée par l'analyse intellectuelle et l'expérience personnelle de l'auteur, devrait-il obliger aussi bien les pouvoirs publics² que les spécialistes du droit social et les juristes du dommage corporel à une réflexion sans concession sur toutes les incohérences ainsi stigmatisées åquo.     

Effet du télétravail sur la santé psychologique et la performance des travailleurs durant la pandémie de la Covid-19

The aim of this study was to examine how the widespread use of telework during the COVID-19 pandemic may have created a specific work context influencing employees’ psychological health and performance. Results of analyses conducted on a sample of 3771 Canadian teleworkers revealed that telework created additional demands such as task interdependence and professional isolation. These demands had negative effects on telework performance by increasing the frequency of perceived stress. However, the presence of resources such as organizational support appeared to play a buffering role in moderating the direct effect of professional isolation on telecommuting performance.     

Prévention du suicide de la personne âgée : la place des interventions communautaires

Although elders’ social isolation has been a topic of interest for public policies in the recent years, its prevention, specifically in relation to suicide prevention, has not stimulated the interest of researchers, yet. This paper present the results from a literature review aiming to identify the actions in elders’ suicide prevention. From the 425 initial papers identified on elders’ suicide prevention, only 57 describe “actions” in suicide prevention, 47 of which are actions targeting individuals, with psychological, psychiatric or psychotherapeutic interventions. Only eight researches integrate the social environment as a facilitator for suicide prevention. We discuss the particularity of this field, the limits of an individual-centred approach, and the interests of community, integrative interventions.     

Contribution d’une catégorisation des RPS à la prédiction du stress et du burnout (ou du mal-être au travail) des soignants

Health-care professionals are strongly affected by distress at work. Our goal is to study the usefulness of a psychosocial risk measure, compared to a measure of psychosocial and organizational work constraints, on the prediction of distress among a population of caregivers. This measure is based on the categorization of psychosocial risk factors issued from the College of experts chaired by Gollac. Seven hundred and fifty-seven health-care professionals filled out a questionnaire composed of measures of psychosocial risks, psychosocial and organizational work constraints specific to caregivers, as well as stress and burnout. Results indicate that the measure of psychosocial risk better predicted the levels of stress and burnout than the measure of psychosocial and organizational work constraints.     

Impact du célibat géographique des marins sur le conflit travail-famille et la satisfaction professionnelle

The goal of this research is to study the impact of geographical celibacy on work-family conflict and job satisfaction. Indeed, we made the hypotheses that geographical celibates will have more negative feeling toward these two concepts. In order to test these hypothesis, 5298 sailors of the French Navy answered a questionnaire that measured job satisfaction and work-family conflict. Results show that there are differences and that geographical celibates feel more conflict than non-geographical celibates. Moreover, they are less satisfied by their job. This study allows us to question the relevance of this status in a military institution where mobility is particularly high.     

Travail cognitivo-émotionnel chez des patients en soins palliatifs : étude du vécu,de la réminiscence et du silence

IntroductionFacing one's own mortality allows one to be more aware of one's life history, to make the link between one's different personal experiences and to open up to introspection, be it in exchange or in silence.ObjectiveTo collect the cognitive-emotional work taking place in palliative care patients and to appreciate the use and contribution of reminiscence as well as the place of silence in the discourse.MethodOur study is cross-sectional, exploratory and qualitative. The interviews were conducted by the psychologist using an interview guide previously defined for this study. Non-verbal elements were taken into account following the interview. Nine patients, exclusively women, with an average age of 71 years, suffering from cancer, hospitalized and who were told that their curative treatments were over, were included.FindingsAfter a thematic analysis, it appears that the patients’ concerns are mainly focused on their relationship with their end of life and death. We observe a majority of negative reminiscences as well as a diversity in their contributions. The main function of silence is emotional when the themes of the end of life and illness are discussed.ConclusionIt seems necessary to support questions about the end of life and the reminiscences that may be activated following the proximity of death. Recognition of the different types of silence must also be part of the listening skills of professionals.     

Risques de la régulation médicale en médecine d’urgence. Analyse des dossiers de plaintes de la permanence des soins ambulatoire au SAMU du Var

Introduction

The non-urgent care requests depending on the continuity of care system have to be regulated by a regulating doctor of a medical emergency service call center. We aim to determine the risk factor of litigations about the regulation of the continuity of care system. So, the cases with friendly complaint and those with litigation have been compared.

Le développement contemporain des régimes juridiques des conflits d’intérêts : l’exemple du secteur de la santé

The conceptualization of conflicts of interests and deployment of their regulatory systems are primarily modes of economic and managerial health control. When did the legal regime of conflicts of interests, which formalizes the process, clash with the conditions of professional practice? Not all assumptions of friction or opposition of interests necessarily constitute a conflict of interests. All public sector professionals have interests but not all their interests generate conflicts. The aim of public declaration of interests is to reveal the relations of interest in order to allay suspicion. Most frequently in the form of soft law system, the declaration of interests is a way of warning about the existence of a “grey zone” or time of deontological risk. It was changed by the law of 29 December 2011     

Sécurité des patients et développement des recherches : de la loi Bertrand à la loi Jardé

The legislator has successively adopted two laws amending deeply the legal framework of research. The first one is the law “Bertrand” no. 2011-2012 of 29 December 2011 on strengthening the safety of the drug and health products, which emphasizes the need for transparency of links of interest and opens wider opportunities for using post-marketing authorization trials. The second one is the law “Jardé” no. 2012-300 of March 5, 2012 on researches involving the human person, reforming all the rules governing researches and which establishes a national commission of researches involving the human person. If the first one is a clear move towards strengthening the protection of patients in research, it is possible to be more reserved about the effects of the latter, which seems more oriented towards an easing of constraints on researchers.     

Les effets des activités auto-descriptives sur la clarté du concept de soi : le rôle modérateur des variables sociodémographiques

This research questions the possibility of inducing the development of self-concept clarity (SCC), through a self-describing activity. A test-retest device comprises three groups: neutral (no intermediate activity), control (logical-cognitive activity), experimental (self-describing activity). The results indicate that the self-describing activity generates the largest effect, but become significantly stronger when individuals start with a low CCS, which is often the when belonging to less values socio-demographic categories. We reinterpet these process in terms of “remediation” et we explore possibilities to measure and develop professional orientation practices for this purpose.     

Définir ou détecter des pathologies ? Utilisation et interprétation des scores seuils à la lumière du débat dimensions/catégories

A number of psychometric tests are aimed at locating the performance of an individual along a continuous range that goes from normal to worrying. In a different paradigm, there are tests whose goal is to assess whether or not an individual is healthy with respect to a psychological, psychiatric or neurological pathology that is defined independently from the test itself. The former rely on a dimensional concept of psychopathologies; the latter imply a categorical concept. The former require to compare the performance of the individual to a standard sample that is representative of the general population; the latter involve a standard sample representative of the healthy population only. The former might imply the use of a cut-off score to indicate that a certain degree of rarity of the performance has been reached, while the latter must involve a cut-off score to make a decision (whether the individual belongs to the “healthy” or “pathological” category), a score that is most often set so as to control the false-positive rate in making this decision. In the former paradigm, the cut-off score defines or contributes to define the pathology. In the latter, it only helps detecting it. This article aims at making clear the difference between these two realms and highlight their practical as well as theoretical impact on psychological practice.     

Remarques sur la théorie intuitionniste des espaces linéaires

Sans résumé     

Utilisation des compétences des immigrants sur le marché du travail au Canada: Répercussions de la recherche sur le capital humain

La signification quantitative de la sous-utilisation des qualifications immigrées peut être évaluée, quoique sans précision, dans l'analyse humain-capitale de revenus. Les déficits de revenus des immigrés peuvent surgir de: (a) la qualité immigrée inférieure de compétence, (b) sous-utilisation des qualifications immigrées, et (c) injustices de salaire pour des immigrés faisant la même chose fonctionnent les Canadiens indigènesoutenus. Conformé aux nombreuses études, données des micro-données 1996 de recensement prouvent que la sous-utilisation des qualifications immigrées est significative, cependant moins ainsi que le salaire inégal dans des métiers. En 1996 dollars, tout le déficit immigré annuel de revenus de chacune des trois sources était 15,0 milliards, dont15,0 milliards, dont 2,4 milliards ont été liés à la sous-utilisation de compétence, et 12,6 milliards ont été liés à l￠injustice de salaire. La discussion considère des ajustements à ces évaluations, tenant compte des difficultés mesurant les niveaux de compétence des métiers et de la qualité immigrée de compétence. < /div > < div class=Äbstract» < a name=Äbs2» < /a > The quantitative significance of the underutilization of immigrant skills may be assessed, albeit imprecisely, in human-capital earnings analysis. Earnings deficits of immigrants may arise from: (a) lower immigrant skill quality, (b) underutilization of immigrant skills, and (c) pay inequities for immigrants doing the same work native-born Canadians. Consistent with numerous studies, data from the 1996 census micro-data show that underutilization of immigrant skills is significant, though less so than unequal pay within occupations. In 1996 dollars, the total annual immigrant earnings deficit from all three sources was12,6 milliards ont été liés à l'injustice de salaire. La discussion considère des ajustements à ces évaluations, tenant compte des difficultés mesurant les niveaux de compétence des métiers et de la qualité immigrée de compétence.     

Le bien-être psychologique au travail des professionnels du médical et du paramédical : rôles des échanges leader-membres,du soutien organisationnel perçu,du sentiment d’efficacité et médiations par la satisfaction des besoins psychologiques

This research aims to study the relationships between the perceived organizational support, the leader-member exchange (LMX), and the feeling of general self-efficacy with the psychological well being at work (PWBW) in the medical and para-medical environment. We also tested the indirect effects of satisfaction psychological of autonomy, competence and affiliation in the relationship between these predictors and PWBW. A total of 175 participants from the medical and para-medical sectors completed a questionnaire. The results showed that all predictors positively correlated with PWBW. Mediation analyzes showed that need satisfaction had a mediating effect on the relationships between inductors and PWBW. Finally, leader-member exchanges (LMX) and general self-efficacy promoted PWBW, and the satisfaction of the three psychological need systematically played a mediating role.