Dialogue résident-famille-institution : clé du consentement à l’entrée en Ehpad (notice n° 652800)
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fixed length control field | 04011cam a2200325 4500500 |
005 - DATE AND TIME OF LATEST TRANSACTION | |
control field | 20250121185655.0 |
041 ## - LANGUAGE CODE | |
Language code of text/sound track or separate title | fre |
042 ## - AUTHENTICATION CODE | |
Authentication code | dc |
100 10 - MAIN ENTRY--PERSONAL NAME | |
Personal name | Angel, Ophélie |
Relator term | author |
245 00 - TITLE STATEMENT | |
Title | Dialogue résident-famille-institution : clé du consentement à l’entrée en Ehpad |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Date of publication, distribution, etc. | 2020.<br/> |
500 ## - GENERAL NOTE | |
General note | 5 |
520 ## - SUMMARY, ETC. | |
Summary, etc. | Malgré le besoin juridique d’un consentement libre et éclairé avant toute institutionnalisation, le consentement des personnes âgées est trop rarement recherché. Pourtant, la phase de dialogue entre les acteurs structurant l’entrée en Ehpad serait un facteur clé de réussite de cette institutionnalisation. L’objectif de cette étude est de comprendre comment l’obtention de ce consentement est perçue par les différents membres de la triade famille-résident-soignant.Des entretiens semi-structurés menés avec cinq résidents, leur aidant principal et l’équipe pluridisciplinaire ont permis d’obtenir une vision plurielle du vécu de l’institutionnalisation.Les entretiens (enregistrés et retranscrits, puis quantitativement et qualitativement analysés via le logiciel Tropes®), montrent que, si tous les résidents (consentants ou non consentants à l’entrée) rationalisent leur consentement, les résidents non consentants saturent émotionnellement plus négativement leurs propos que les résidents consentants. Les familles suivent le même schéma de résultat. Enfin, les équipes soignantes rapportent un mieux-être des résidents consentants plus important que pour les non-consentants. De plus, les éléments émotionnels du discours divergent entre les consentants et les non-consentants. Ces émotions peuvent renvoyer à la notion de liberté du consentement et devront être davantage prises en compte dans le processus de recherche du consentement, voire de l’assentiment de la personne en perte d’autonomie, lors de l’entrée en Ehpad. |
520 ## - SUMMARY, ETC. | |
Summary, etc. | Even though free and informed consent is legally required for a patient’s institutionalization, the consent of the elderly is rarely sought or obtained. However, the phase of dialogue between the central actors involved in a person’s entering a nursing home is a key factor in the success of this institutionalization. The purpose of this study is to understand how the obtaining of this consent is perceived by the different members of the family–resident–caregiver triad.Semi-structured interviews conducted with five residents, their primary caregiver, and nursing care staff have allowed us to gain a plural vision of the experience of institutionalization.The interviews (recorded and transcribed, then quantitatively and qualitatively analyzed using the software Tropes®) show that while all residents (whether or not they were consenting upon entering the nursing home) rationalize their consent decision, non-consenting residents imbue their words with more negative emotions than consenting residents. Families follow the same pattern. Finally, nursing care staff report better well-being among consenting residents than non-consenting residents. The emotional elements of the residents’ discourse differ between consenting and non-consenting residents. These emotions may relate to the notion of freedom of consent and should be taken into greater account in the institutionalization process. |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | triade famille-résident-soignant |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | vieillissement |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | consentement |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | émotion |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | Ehpad |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | nursing home |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | family–resident–nursing care staff triad |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | emotion |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | aging |
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
Topical term or geographic name as entry element | consent |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Bonardi, Christine |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Drouot, Cyril |
Relator term | author |
700 10 - ADDED ENTRY--PERSONAL NAME | |
Personal name | Corveleyn, Xavier |
Relator term | author |
786 0# - DATA SOURCE ENTRY | |
Note | Gérontologie et société | 42 / 163 | 3 | 2020-12-23 | p. 235-262 | 0151-0193 |
856 41 - ELECTRONIC LOCATION AND ACCESS | |
Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-gerontologie-et-societe-2020-3-page-235?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-gerontologie-et-societe-2020-3-page-235?lang=fr&redirect-ssocas=7080</a> |
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