La relation soignant-malade face au risque de la confiance

Haberey-Knuessi, Véronique; Obertelli, Patrick

doi:10.3917/sopr.035.0107

Cited by 5 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Informal visits by a health worker in the shoes of a friend or relative in the home constitute a ‘micro-culture’ in this sense. [ 13 ] It refers to a mix of knowledge and skills [ 14 ] in end-of-life care at home.…”

Section: Discussionmentioning

confidence: 99%

‘We had to be there, Present to Help Him’: Local Evidence on the Feeling of Safety in End-of-Life Care in Togo

Agbodjavou,

Mêliho,

Akpi

et al. 2024

IJPC

View full text Add to dashboard Cite

Objectives: For patients with diabetes and cancer at the end-of-life and their families, the safety sought in end-of-life care leads them to opt for home care. In developing countries where palliative care is not yet effectively integrated into public health policies, factors such as long distances to hospital referrals, lack of adequate infrastructure and shortage of specialised health professionals create a sense of insecurity for people seeking end-of-life care. The present study explored the factors that reinforce the feeling of security and insecurity of family members who have opted to accompany their relatives with diabetes and/or advanced cancer at the end-of-life at home in Togo. Materials and Methods: This was an ethnographic approach based on observations and in-depth semi-structured interviews with people with the following characteristics: family members (bereaved or not) with experience of caring for a patient with diabetes and cancer at home at the end-of-life. The data were analysed using content and thematic analysis. This was done to identify categories and subcategories using the qualitative analysis software Nvivo12. Results: The results show that of the ten relatives interviewed, eight had lived with the patient. Factors contributing to the feeling of security in the accompaniment of end-of-life care at home by the family members were, among others: ‘Informal support from health-care professionals,’ ‘social support’ from relatives and finally, attitudes and predispositions of the family members (presence and availability to the patient, predisposition to respect the patient’s wishes at the place of end-of-life care and predisposition to talk about death with the dying person). Conclusion: The ‘informal support of health-care professionals’, the ‘perception of the home as a safe space for end-of-life care’ and the ‘social support’ of family members contributed most to the feeling of safety among family members accompanying their diabetic and cancer patient family members at the end-of-life at home in Togo. Therefore, palliative and end-of-life care must be rethought in public health policies in Togo to orientate this care toward the home while providing families/caregivers with the knowledge and tools necessary to strengthen care.

show abstract

Section: Discussionmentioning

confidence: 99%

‘We had to be there, Present to Help Him’: Local Evidence on the Feeling of Safety in End-of-Life Care in Togo

Agbodjavou,

Mêliho,

Akpi

et al. 2024

IJPC

View full text Add to dashboard Cite

show abstract

Innovations en santé, dispositifs expérimentaux et changement social : un renouvellement par le bas de l’action publique locale de santé

Haschar-Noé¹,

Basson²

2019

Innovations

View full text Add to dashboard Cite

L’évolution des modes d’action publique en santé est réaffirmée dans la loi de 2016 et la Stratégie nationale de santé par la place importante accordée à l’innovation, l’expérimentation-évaluation et la démocratie sanitaire. Lauréate d’un appel à projets du Ministère portant sur l’accompagnement à l’autonomie en santé (2017-2021), La Case de Santé de Toulouse, composée d’un Centre de santé de premier recours et d’un Pôle Santé-Droits, met en œuvre des dispositifs et pratiques de médiation à même de cristalliser les problématiques sociales et sanitaires des populations les plus vulnérables. Les médiateur.trice.s contribuent à construire les conditions favorables à des innovations selon une dynamique ascendante, collective et participative ancrée dans son contexte local et une version démocratique de la santé. Ce faisant, ils.elles combinent une posture professionnelle fondée sur les critères éthiques de la médiation et un positionnement politique à visée de changement social construit sur un retournement de la commande institutionnelle. Codes JEL : I140

show abstract

La confiance, une notion complexe au fondement des soins

Haberey-Knuessi

2024

Jusqu’à La Mort Accompagner La Vie

Self Cite

View full text Add to dashboard Cite

La confiance s’exprime comme une réponse à la promesse d’un corps professionnel. Il s’agit d’une sorte de pari autour d’un crédit qui ne s’accorde généralement pas gratuitement immédiatement mais fait l’enjeu d’une évaluation cognitive qui se mêle à une dimension affective. Si les clauses de ce contrat tacite ne sont pas respectées, le patient a alors un sentiment de trahison, ou parfois même d’abus.

show abstract

La relation soignant-malade face au risque de la confiance

Cited by 5 publications

References 3 publications

‘We had to be there, Present to Help Him’: Local Evidence on the Feeling of Safety in End-of-Life Care in Togo

‘We had to be there, Present to Help Him’: Local Evidence on the Feeling of Safety in End-of-Life Care in Togo

Innovations en santé, dispositifs expérimentaux et changement social : un renouvellement par le bas de l’action publique locale de santé

La confiance, une notion complexe au fondement des soins

Contact Info

Product

Resources

About