EA 7505 Éducation, Ethique, Sante, Université François-Rabelais, 37020 Tours, France.
Haute École Libre Mosane, Département Social, Laboratoire D'anthropologie Sociale et Culturelle (LASC), Université de Liège, 4000 Liege, Belgium.
Int J Environ Res Public Health. 2022 Feb 16;19(4):2214. doi: 10.3390/ijerph19042214.
A The COVID-19 pandemic has had a considerable impact on the organization of psychiatric care. The present study examines how care professionals experienced this period and faced these new constraints weighing on their professional practices. Based on a qualitative research methodology, 13 group interviews with healthcare professionals working in psychiatric wards were conducted in five countries in western Europe. To complement this, 31 individual interviews were carried out in Belgium and France. Public health measures hindered certain therapeutic activities, jeopardized communication, and obliged healthcare professionals to modify and adapt their practices. Confronted with a transformation of their usual roles, healthcare professionals feared a deterioration in the quality of care. Impossible to continue in-person care practices, they resorted to online videoconferencing which went against their idea of care in which the encounter holds an essential place. The lockdown contradicted efforts to co-build care pathways toward readaptation, social reintegration, and recovery, thus reviving the perception of psychiatric hospitalization based on isolation.
新型冠状病毒肺炎疫情对精神科医疗服务的组织产生了重大影响。本研究旨在探讨医护人员如何应对这一时期,以及他们如何应对这些对其专业实践产生影响的新限制。本研究采用定性研究方法,在西欧五个国家进行了 13 次与精神科病房医护人员的小组访谈,并在比利时和法国进行了 31 次个人访谈。公共卫生措施阻碍了某些治疗活动,危及沟通,并迫使医护人员修改和调整他们的实践。面对其常规角色的转变,医护人员担心护理质量下降。由于无法继续进行面对面的护理实践,他们转而采用在线视频会议,但这与他们认为的以会面为核心的护理理念背道而驰。封锁措施违背了共同制定康复、社会融合和恢复的护理途径的努力,从而重新引发了基于隔离的对精神病住院治疗的看法。