Lintegration Du Travailleur Social Par Lapproche Milieu De Vie En Centre Dhebergement De Soins De Longue Duree

Author : Malika Boudjémaa-Hellio
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (861 download)

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Download or read book Le point de vue des intervenants sur la mise en oeuvre de l'approche Milieu de vie en centres d'hébergement et de soins de longue durée written by Malika Boudjémaa-Hellio and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Introduction In order to humanize and respect societal standards of quality, in Québec there are a few transformations in the middle of the cozy accommodation for elderly frail people since recent decades. Different approaches have been applied in the institutions whose accommodation and long-term care (nursing home or CHSLD in Québec) to provide services in a more friendly and less rigid frame centers. The living environment (AMV) is a promising approach in the Ministry of Health and Social Services (MSHS) to move to the nursing home of alternative living as defined by the Act respecting health services and Social Services in 1991 (LSSS; 1991-C.42, art 83). Our subject research is in line with the concerns of the MSHS as regards the assessment visits and accreditation to assess the achievement of the AMV in the nursing home. To our knowledge, no evaluation, in addition to those made by the MSHS, have been conducted in nursing homes have implemented the AMV. Purpose of research Documenting the implementation of the AMV in nursing homes through the effects perceived by stakeholders. Methodology This study is qualitative, exploratory and descriptive kind. We have focused our efforts on stakeholders nearest residents, attendants in housekeeping or food service attendants, nurses and nurse assistants. Our research site is a nursing care located in Montreal, highly rated by the Ministry under the likes visits. Our sample includes 16 players. Data were collected by individual semi-structured interviews. We conducted a thematic content analysis according Paillé and Mucchielli. We choosed for our framework the Ministerial Guidelines 2003 and the theory of diffusion of innovations (Landry and al., 2007). The main results Respondents recognize improvements in the lives of residents with a relaxation in the hours of sunrise or sunset, opportunities for residents to express their wishes through programs "talks" and to plan interdisciplinary interventions (IIP), a wider range of leisure activities, and a host more humanized approach for the new residents. According to respondents, the families were move closer particularly with orderlies and nurses aids by the IIP and they consult further. In the words collected, we note that the majority of respondents did not distinguish between concept substitute living environment and living environment approach. In fact, the values of the approach are the same than theirs, they do not feel they have to change their practice to meet them. Let us underline that the attendants in housekeeping feel particularly excluded from this implementation: they can't participate for the meetings of unit life or in training. One factor that seems to have been favorable to bring changes to relate to training. However, they are considered insufficient and too focused on health care teams excluding the another stakeholders that are near from the residents by their functions. Also according to the respondents, unfavorable for the correct installation of the AMV factors are lack of consideration from the leadership about the increase in the customer base, lack of listening to the concerns of stakeholders on their terms work (do better with limited staff), the absence of a genuine participatory management that would give them greater say in short, the apparent inconsistency between managerial decisions and the approach. Discussion-Conclusion The management of this Health and social and services centre make an effort in the change but they do not lead to a general mobilization of all stakeholders. Thus, some of them don't appreciate that the working conditions are in the background in the quality of life for residents. We find here, in their words, thinking of authors like Alderson (2006). In fact, the active involvement of all staff, regardless of the functions is decisive from the start of the project to avoid the feeling of exclusion of some stakeholders. Finally, managers have to be on the ground they have to be multiplier agents to support the project : stakeholders need to feel valued and recognized in their functions and especially listened to suit their needs related to their tasks."