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Abstracts
Résumé
Les mesures de contention et d’isolement (MCI) en centre de réadaptation pour jeunes en difficultés sont controversées et employées sur une base régulière. Bien que l’utilisation des MCI soit balisée par des lois, le stress ou la fatigue de l’éducateur est susceptible de teinter le processus décisionnel menant à leur application. Considérant les effets iatrogènes physiques et psychologiques pour le jeune et l’intervenant liés à cette pratique, il est pertinent d’approfondir la recherche à ce sujet. L’objectif de cette étude longitudinale prospective est d’examiner les liens associatifs entre le niveau de stress perçu, de fatigue aiguë, de fatigue chronique ainsi que la récupération des éducateurs et leurs recours aux contentions et isolements. Les 155 éducateurs composant l’échantillon final ont rempli des questionnaires à huit reprises sur une base hebdomadaire. Les données ont fait l’objet d’analyses en décalage croisé. Aucune des hypothèses n’a été confirmée. Les résultats ont toutefois révélé que le stress de l’éducateur était associé négativement aux MCI au temps subséquent. De plus, l’utilisation de MCI était associée positivement avec la fatigue aigüe, négativement avec la récupération et positivement à une utilisation de MCI dans les semaines suivantes.
Mots-clés :
- contention et isolement,
- éducateurs,
- centre de réadaptation,
- stress,
- fatigue
Abstract
Restraints and seclusions (R&S) in youth residential treatment centers (RTCs) are used regularly even though their use is controversial. Although R&S are meant to be used within a legal framework, their application in the day-to-day operations can be influenced by the caregiver’s stress and fatigue. Considering the physical and psychological iatrogenic effects of R&S for both youth and educators, it is highly relevant to widen the current knowledge on the matter. Our objective was to examine, via a prospective longitudinal design, the associative links between the level of perceived stress, acute fatigue, chronic fatigue and intershift recovery on the use of R&S in youth RTCs. Our sample of 155 educators working in RTCs completed eight weekly diaries and cross-lagged analyses were conducted. None of the hypothesis were confirmed. However, results showed that the educator’s stress was negatively associated with R&S at a later time. Moreover, the use of R&S was positively associated with acute fatigue, negatively with recovery and positively with a subsequent use of R&S.
Keywords:
- Restraint,
- seclusion,
- residential treatment center,
- educators,
- stress,
- fatigue
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Appendices
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