Résumés
Résumé
Cette recherche identifie les interventions infirmières bénéfiques selon la perspective des adolescents à risque pour suicide. Quoique les infirmières du milieu hospitalier aient un niveau de contact direct, élevé et continu auprès du patient, il n’existe aucune recherche sur les interventions thérapeutiques offertes par ces dernières. Cette étude qualitative a pour but d’avancer nos connaissances quant au rôle de l’infirmière dans le rétablissement des adolescents suicidaires lors une hospitalisation psychiatrique. Neuf patients, de 15 à 18 ans, ont participé à des entrevues individuelles semi-structurées. Les résultats réaffirment la valeur thérapeutique d’un accompagnement personnalisé offert lors d’une relation d’aide collaborative et orientée vers les forces et potentiels du jeune et sa famille. Selon les répondants, les interventions bénéfiques sont réalisées pendant des expériences de vie ordinaires (tels que les événements de tous les jours) ainsi que pendant les périodes de crise ou de souffrance La création d’un milieu thérapeutique est soulignée de même que son impact sur la santé et rétablissement du jeune.
Abstract
This qualitative study explores “helpful” nursing care from the perspective of adolescents at risk for suicide. While hospital-based nurses have a high level of direct and continuous contact with suicidal teens, little is known about the nursing care offered to this population. The purpose of this research is to explore the perceptions of suicidal adolescents regarding helpful nursing care during hospital treatment on a mental health unit. Nine patients, aged 15-18 years, participated in individualized, semi-structured interviews. Results affirm the importance of personalized, human caring interactions combined with nurse accompaniment across situations of daily living as well as during acute crisis, illness and suffering. The nurse’s role and contribution in creating a therapeutic milieu is described, and the impact of a health-promoting hospital environment on patient care and recovery is highlighted.
Parties annexes
Bibliographie
- Allen, F. M., Warner, M., 2002, A developmental model of health and nursing, Journal of Family Nursing, 8, 2, 96-135.
- Anthony, W. A., 1993, Recovery from mental illness : The guiding vision of the mental health service system in the 1990’s, Psychosocial Rehabilitation Journal, 16, 4, 1-23.
- Burnard, P., 1991, A method of analyzing interview transcripts in qualitative research, Nurse Education Today, 11, 6, 461-466.
- Butler, K., Stachura, M., Montreuil, M., Gros, C., 2012, Exploring Helpful Nursing Care in Pediatric Mental Health Settings : The Perceptions of Children with Suicide Risk Factors & Their Parents, Unpublished protocol, Montreal, Ingram School of Nursing, McGill University.
- Cardell, R., Pitula, C. R., 1999, Suicidal inpatients’ perceptions of therapeutic and nontherapeutic aspects of constant observation, Psychiatric Services, 50, 8, 1066-1070.
- Cudrasov, N., Gros, C. P., Gelinas, C., 2012, Patient Perceptions of Nursing Interventions during Suicide Risk : Content Validation and Refinement of the “Helpful Nursing Care” Questionnaire, Unpublished protocol, Montreal, Ingram School of Nursing, McGill University.
- Cutcliffe, J. R., Barker, P., 2002, Considering the care of the suicidal client and the case for ‘engagement and inspiring hope’ or ‘observations’, Journal of Psychiatric and Mental Health Nursing, 9, 611-621.
- Cutcliffe, J. R., Stevenson, C., 2008, Feeling our way in the dark : The psychiatric nursing care of suicidal people — A literature review, International Journal of Nursing Studies, 45, 942-953.
- Dijkstra, K., Pieterse, M., Pruyn, A., 2006, Physical environmental stimuli that turn healthcare facilities into healing environments through psychologically mediating effects : a systematic review, Journal of Advanced Nursing, 56, 2, 166-181.
- Duffy, D., 1995, Out of the shadows : a study of the special observation of suicidal psychiatric in-patients, Journal of Advanced Nursing, 21, 944-950.
- Farand, L., Renaud, J., Chagnon, F., 2004, Adolescent suicide in Quebec and prior utilization of medical services, Canadian Journal of Public Health, 95, 357-360.
- Feeley, N., Gottlieb, L., 2000, Nursing approaches to working with family strengths and resources, Journal of Family Nursing, 6, 1, 9-24.
- Fletcher, R. F., 1999, The process of constant observation : Perspectives of staff and suicidal patients, Journal of Psychiatric and Mental Health Nursing, 6, 9-14.
- Gottlieb, L. N., 2013, Strengths-Based Nursing Care, Springer, New York.
- Gottlieb, L.N., Gottlieb, B., 2007, The developmental/health framework within the McGill Model of Nursing : The laws of nature guiding whole person care, Advances in Nursing Science, 30, 1, 43-57.
- Gottlieb, L. N., Feeley, N., 2005, The Collaborative Partnership Approach to Care : A Delicate Balance, Elsevier-Mosby, Toronto.
- Gottlieb, L. N., Ezer, H., Eds, 1997, A Perspective on Health, Family, Learning and Collaborative Nursing : A Collection of Writings on the McGill Model of Nursing, McGill University School of Nursing, Montreal.
- Gros, C., Wright, D., Mulvogue, T., Jarvis, S., 2011, Les interventions infirmières bénéfiques : le point de vue des patients à risque de suicide, La Gérontoise, 22, 2, 3-11.
- Gros, C. P., Young, L., 2007, Teaching the McGill Model of Nursing and client-centered care : Collaborative strategies for staff education and development, in L.E. Young and B.L. Patterson, eds., Teaching Nursing : Developing a Student Centered Learning Environment, Lippincott, Williams and Wilkins, Philadelphia, 190-221.
- Jones, J., Ward, M., Welman, N., Hall, J., Lowe, T., 2000, Psychiatric inpatients’ expérience of nursing observation. A United Kingdom perspective, Journal of Psychosocial Nursing and Mental Health Services, 38, 12, 10-20.
- Kirmayer, L. J., 2012, Changing patterns in suicide among young people, CMAJ, 184, 9, 1015-1016.
- Krol, P., Legault, A., 2008, Mieux comprendre l’apprentissage du caring, une nécessité pour préserver l’approche humaniste au coeur des soins, L’Infirmière clinicienne, 5, 1, 35-41.
- Lakeman, R., Fitzgerald, M., 2008, How people live with or get over being suicidal : a review of qualitative studies, Journal of Advanced Nursing, 64, 2, 114-126.
- Mayeroff, M., 1971, On Caring, Perennial Library, New York.
- McGowan, P., Sasaki, A., D’Alessio, A., Dymov, S., Labonte, B., Szyf, M., Turecki, G., Meaney, M., 2009, Epigenetic regulation of the glucocorticoid receptor in human brain associates with childhood abuse, Nature Neuroscience, 12, 342-348.
- Mulvogue, T., Jarvis, S., Gros, C. P., 2011, Nursing Hospitalized Adolescents at Risk for Suicide : Patient Experiences and Perceptions of Helpful Care, Unpublished Master’s Study, McGill University, April, 2011.
- Nightingale, F., 1969/1860, Notes on Nursing : What it is and what it is not, Dover Publications, Mineola, NY.
- Pless, I. B., Dougherty, G., Willard, B., Feeley, N., Gottlieb, L., Rowat, K., 1994, A Randomized Trial of a Nursing Intervention to Promote the Adjustment of Children with Chronic Physical Disorders, Pediatrics, 94, 70-75.
- Polit, D. F., Beck, C. T., 2008, Nursing Research : Generating and Assessing Evidence for Nursing Practice, 8 ed., Lippincott Williams and Wilkins, Philadelphia.
- Registered Nurses’ Association of Ontario (AIIAO), 2008, Assessment and Care of Adults at Risk for Suicidal Ideation and Behaviour, Registered Nurses’ Association of Ontario (RNAO), Toronto, Disponible à http://www.rnao.org/bestpractices
- Santé Canada, 1997, Supporting Self-Care : The Contribution of Nurses and Physicians, Health Promotions and Programs Branch, Ottawa.
- Skinner, R., Mcfaull, S., 2012, Suicide among children and adolescents in Canada : trends and sex differences 1980-2008, CMAJ, 184, 9, 1029-1034.
- Stewart, D., Bilgin, H., Bowers, L., 2010, Special Observation in Psychiatric Hospitals : A literature review, Report from the Conflict and Containment Reduction Research Programme, London Institute of Psychiatry at the Maudsley, November, 2010.
- Townsend, M. C., 2012, Psychiatric Mental Health Nursing : Concepts of Care in Evidence-Based Practice, 7e édition, FA Davis, Philadelphia, 573-74.
- Watson, J., 2009, Caring science and human caring theory : Transforming personal and Professional practices of nursing and health care, Journal of Health and Human Services Administration, 31, 4, 466-482.
- Watson, J., 2008, Nursing : The Philosophy and Science of Caring, University Press, Boulder, Colorado.
- Weaver, I., Cervoni, N., Champagne, F., D’alessio, A., Sharma, S., Seckl, J., Dymov, S., Szyf, M., Meaney, M., 2004, Epigenetic programming by maternal behaviour, Nature Neuroscience, 7, 847−854