Travailler dans un réseau de santé : effets sur la santé psychique au travail

The new needs as regards care taking charge of patients have contributed to the creation of health networks. As they are growing fast, they are an integral part of the French sanitation system. The impact, on the health professionals, of networking is, today, the object of contrasted research and results, but has little been studied as far as Social Psychology, Work and Organizations are concerned. This article follows a research project which had the objective, on the one hand, to describe the effects of the participation to a health network mental health at work and, on the other hand, to examine the variables and process accounting for the variability of these effects. This research privileges an approach to the health network as a place of socialization and personalization (Malrieu, 1979). The research on the ground is carried out in collaboration with the health network town-hospital Prevention and Taking charge of Pediatric Obesity Network (RéPPOP) Midi-Pyrénées. We have carried out semi-guided interviews with 20 private professionals (8 doctors, 8 dieticians, 3 psychologists, 1 physiotherapist) members of the RePPOP Midi-Pyrénées network. The main results show that the perception of positive and/or negative effects of networking on mental health varies according to the age of membership of the network and the processes of transfer of experience (from professional practice within the network to professional practice off-network and vice versa). Proposals are deduced in terms of continuing education within the network.     

Secret médical en santé au travail

The occupational physicians are obliged, like any doctor, to respect the ethical obligations imposed on their profession, including in the exercise of the missions specific to occupational medicine and contained in the Labor Code. The occupational physician is not isolated and works in a multidisciplinary team of a health service at work. He must communicate with other health professionals, but also with employers, representative bodies of staff. Medical confidentiality holds a special place in the triangular relationship between the occupational physician, the employee and the employer. The medical practice in the field of occupational health requires that many provisions of the Labor Code be followed, including the respect of the secret of manufacture and the position of advising employers and employees. The occupational physician must communicate with the employer in order to best achieve his mission, but in practice, it may be difficult for the occupational doctor to make his recommendations heard to improve the working conditions of employees without power, when he cannot argue his opinions on medical information.     

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.     

Jardin thérapeutique,outil de prévention du burnout

The aim of this research was to study the effect of the presence of a garden in a hospital care sector on caregiver burnout. Eighty-eight nurses and caregivers from 9 care sectors answered a questionnaire constructed from the theories and scales of Karasek and Theorell. Three types of services were compared (cognitive behavioral unit, palliative care, post-acute and rehabilitation care) with a garden adapted for therapeutic activities versus with a regular garden versus with no garden. The main result was a lesser incidence of burnout in care services with a garden that those without a garden, irrespective of the type of care service, along with an amplification of the benefit with specially-designed gardens. The feeling of strength, both physical and psychological, was less present when the care services did not have a garden. A trend toward an increase in musculoskeletal disorders in services with a therapeutic garden versus no garden was observed. Upon analyzing the results, the authors recommend particular attention in the designing of hospital gardens in order to facilitate the ergonomics of nursing work. The overall results advocate the use of the garden as a systemic structure conducive to work interactions in a specially-designed area.     

Observer judgmental accuracy of personality: Benefits related to being a good (normative) judge

The current study tested the hypothesis that accuracy of personality judgment would be positively related to beneficial life outcomes. 189 participants observed targets across 5 dyadic interactions and made judgments of the 10 targets on the Big Five traits. Self and acquaintance ratings were used as the accuracy criteria. Normative accuracy for all traits was related to agreeableness, and normative accuracy for some traits was positively related to interpersonal control, interpersonal support, positive affect, and life satisfaction. Distinctive accuracy was not related to beneficial outcomes. These results imply that normative accuracy based on observation is associated with beneficial outcomes, whereas distinctive accuracy is not.     

The impact of job demands,climate, and optimism on well-being and distress at work: What are the mediating effects of basic psychological need satisfaction?

IntroductionPsychological health at work, a multidimensional concept grasped by the absence of negative states and by the presence of positive states, is here approximated in terms of distress and well-being.ObjectiveThis study was aimed at examining the extent to which job demands, individual resources (optimism), and organizational resources (climate) are linked to well-being and distress at work. We looked at whether these links are mediated in satisfaction of the three basic psychological needs posited in self-determination theory (competence, relatedness, and autonomy).MethodThe participants were 298 French elementary, middle, and high school teachers who were asked to answer a questionnaire. The data was analyzed using Hayes and Preacher's method for testing multiple mediations.ResultsSatisfaction of the psychological needs for competence and relatedness fully mediated the links between job climate and psychological health at work (well-being and distress). Optimism turned out to be an important factor of health, not only because it had a strong impact on well-being and distress, but also because its effects were partially mediated by satisfaction of the need for competence.ConclusionThe present results confirm the relevance of the variables used to predict psychological health (particularly optimism). Job demands directly affected well-being and distress levels. The climate — by way of satisfaction of the need for competence and for relatedness — plays a critical role in matters of occupational health.     

EARLY PARENTING SUPPORT AND INFORMATION: A CONSUMER PERSPECTIVE

The transition to parenthood is a period of both joy and challenge for most parents. There is a recognized need to support parents during this period, yet existing interventions have shown limited evidence of efficacy. This study takes a consumer‐focused approach to examine the needs and preferences of parents both prenatally (n = 77) and postnatally (n = 123) for parenting support. The study used a cross‐sectional design with a purpose‐built online survey. Parents were recruited via online forums, Facebook and parenting blogs, childcare centers, and playgroups. In general, all parents were satisfied with their current levels of both formal and informal support, and about one fourth of parents had accessed a parenting intervention. Parents expressed a moderate level of interest in additional parenting information, and parents expecting their first baby indicated preferences for information about basic baby care needs whereas postnatally, parents expressed more interest in topics around self‐care and behavior management. The implications for developing interventions and engaging families are discussed.     

Des conduites à risques aux assuétudes comportementales : le trouble addictif au danger

Several studies show that playing a dangerous sport has a direct influence on the emotional state of athletes. Engaging in such behaviour would not only reduce negative affect but also produce a positive affect that does not equate only relief but an “extraordinary experienced”. Notwithstanding the unique qualities of these sports, it is likely that some subclinical individual characteristics such as sensation seeking, emotional–behavioural deregulation can promote a self-reinforcement of these practices or even facilitated the installation of an addictive tendency. Risk and intense sensation are also at the heart of dangerous games. Four points seem to motivate these practices: risk-taking, intensity, loss of consciousness, and the “wake survival”. In addition, practitioners are characterized by a more severe depressive symptomatology than non-practitioners. Some of these depressive elements are probably anterior to the game, but it is also possible that others are the consequence; this has the effect of strengthening the emotional–behavioural addiction. Through these extreme sports and games of non-oxygenation, the level of danger appears to be a real source of excitement. Playing with death is going to give inner magnitude to the experience. Without the sense of risk, the practice of the activity would not make sense. Psychological functioning of these sports and these “players” is based on the need to be stimulated, to be excited by the risk or even the fear in order to be appeased. Also, treat the danger, but also and mainly deal with emotions. The danger as a means of activation may fill in a toxic function of emotional and behavioural self-regulation including a risk that this excitation will self-sustained. Indeed, some of these athletes and these “players” increase their practice and push the safety threshold by adopting behaviours more and more risky in order to experiment higher sensations. When some semiological clues characterize the practice of risky activities like the repetition of a dangerous situation, loss of control, the invasion of the psychic life, time spent at the expense of social, family and school activities… they may reflect a real addiction to danger. It therefore becomes necessary for the clinician and the researcher to identify all these prodromal symptoms and signs of addiction. Criteria for the diagnosis of Addictive Disorder to Danger are proposed and discussed.     

Subjective well‐being in times of social change: Congruence of control strategies and perceived control

This paper investigates the association between perceptions of broader changes in the social‐ecological context and individuals’ subjective well‐being (SWB). Macro‐level societal changes such as globalization or demographic change give rise to new demands for individual functioning at work and/or in the family. Such new demands associated with social change are stressful and likely to be related to lower levels of SWB. Being active agents, individuals attempt to deal with social change and its increasing demands to protect their SWB. The present study investigates which kinds of control strategies are most effective in protecting one's SWB. Specifically, we predicted that control strategies of goal engagement will be most effective under conditions of perceived high control, and control strategies of goal disengagement will be most effective under conditions of perceived low control. In a large sample of 2537 German adults, work‐ and family‐related demands associated with social change were found to be negatively linked to SWB. Moreover and in line with the motivational theory of lifespan development, control strategies of goal engagement and disengagement were beneficial for SWB to the extent that they matched the perceived control of the demands associated with social change.     

Vicissitudes of goal commitment: Satisfaction,investments, and alternatives

Constructs typically used to understand commitment between individuals were used to elucidate individual differences in goal commitment. In Study 1, 299 college students completed assessments of goal satisfaction, investments, alternatives and commitment regarding an academic goal. Structural equation modeling demonstrated confirmatory evidence for satisfaction’s, investments’, and alternatives’ collective impact on people’s goal commitment. In Study 2, the model components were manipulated by having 236 college students considered the goal to learn a new language and read information suggesting they were high or low in satisfaction, investments, and alternatives. Results demonstrated all three factors had a causal impact on people’s level of goal commitment. Both studies found an individual’s level of goal commitment was strongest when satisfaction and investments were high and the impact of alternatives was low.