{"id":1806,"date":"2005-10-01T01:00:00","date_gmt":"2005-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/transfert-de-taches-et-de-competences-vers-des-infirmieres-cliniciennes-specialisee-en-hepato-gastro-enterologie-experimentation-au-ch-de-montelimar-pour-les-patients-atteints-dhepatite-c\/"},"modified":"2018-10-20T18:39:40","modified_gmt":"2018-10-20T16:39:40","slug":"transfert-de-taches-et-de-competences-vers-des-infirmieres-cliniciennes-specialisee-en-hepato-gastro-enterologie-experimentation-au-ch-de-montelimar-pour-les-patients-atteints-dhepatite-c","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/transfert-de-taches-et-de-competences-vers-des-infirmieres-cliniciennes-specialisee-en-hepato-gastro-enterologie-experimentation-au-ch-de-montelimar-pour-les-patients-atteints-dhepatite-c\/","title":{"rendered":"TRANSFERT DE TACHES ET DE COMPETENCES VERS DES INFIRMIERES CLINICIENNES SPECIALISEE EN HEPATO-GASTRO-ENTEROLOGIE. EXPERIMENTATION AU CH DE MONTELIMAR POUR LES PATIENTS ATTEINTS D\u2019HEPATITE C."},"content":{"rendered":"

2005<\/strong><\/p>\n

B. NALET , C. RIOU –
\nService de Gastro-ent\u00e9rologie – Centre Hospitalier – 26200 Mont\u00e9limar.<\/em><\/p>\n

Vie Professionnelle <\/strong>– \u00a02005-08-26 –\u00a0COS –<\/p>\n

________________________________<\/p>\n

En Octobre 2003, le rapport BERLAND sur la d\u00e9mographie m\u00e9dicale proposait un transfert de t\u00e2ches vers certaines professions para-m\u00e9dicales pour faire face en partie \u00e0 une diminution du nombre de m\u00e9decins. Ceci avait pour autre but d\u2019am\u00e9liorer la qualit\u00e9 des soins, d\u2019apporter une l\u00e9gitime reconnaissance \u00e0 certains professionnels et de r\u00e9organiser le syst\u00e8me de soins en fonction des qualifications et des comp\u00e9tences de chacun.<\/p>\n

De nombreuses exp\u00e9riences de consultations infirmi\u00e8res dans le domaine de l\u2019\u00e9ducation ont montr\u00e9 leur int\u00e9r\u00eat pour la prise en charge des patients atteints de maladie chronique. Aucune \u00e9valuation r\u00e9elle de ces pratiques n\u2019a \u00e9t\u00e9 r\u00e9alis\u00e9e.<\/p>\n

Le service de gastro-ent\u00e9rologie du Centre Hospitalier de Mont\u00e9limar s\u2019est inscrit dans le cadre de cette exp\u00e9rimentation qui a d\u00e9but\u00e9 en Octobre 2004 avec transfert de t\u00e2ches vers une infirmi\u00e8re pour les patients atteints d\u2019h\u00e9patite C.<\/p>\n

M\u00e9thode : L\u2019infirmi\u00e8re r\u00e9f\u00e9rente avait une responsabilit\u00e9 d\u2019\u00e9ducation depuis de nombreuses ann\u00e9es et un temps de 15 % pour s\u2019occuper des patients atteints d\u2019h\u00e9patite C et animait le r\u00e9seau local. Elle connaissait donc la pathologie et \u00e9tait form\u00e9e \u00e0 l\u2019\u00e9coute.
\nPour d\u00e9buter l\u2019exp\u00e9rimentation, il a fallu attendre la cr\u00e9ation du poste et \u00e9galement le d\u00e9cret permettant la d\u00e9rogation au d\u00e9cret de comp\u00e9tences infirmier.
\nL\u2019infirmi\u00e8re fait des consultations autonomes au moment du diagnostic de la maladie, pendant la dur\u00e9e du traitement et en dehors de celui-ci.
\nElle participe \u00e0 l\u2019initiation du traitement, \u00e9duque le patient \u00e0 l\u2019auto-injection , l\u2019informe sur la pathologie et les effets secondaires du traitement.
\nPendant le traitement, elle fait des consultations de suivi adaptant la posologie de la bith\u00e9rapie en fonction de protocoles. Elle peut d\u00e9livrer au patient des ordonnances pr\u00e9-\u00e9tablies pour la surveillance biologique et la gestion des effets secondaires les plus courants. En dehors des consultations programm\u00e9es elle est disponible pour des consultations suppl\u00e9mentaires notamment t\u00e9l\u00e9phoniques pour r\u00e9pondre aux besoins du patient.
\nDes outils sp\u00e9cifiques ont \u00e9t\u00e9 \u00e9labor\u00e9s : cahier d\u2019observation commun m\u00e9decin-infirmi\u00e8re, fiches d\u2019informations sur l\u2019exp\u00e9rimentation pour les patients, les m\u00e9decins traitants et les infirmiers lib\u00e9raux, fiche de recueil du consentement \u00e9crit du patient, recueil informatique exhaustif de l\u2019ensemble de l\u2019activit\u00e9 de l\u2019infirmi\u00e8re.
\nL\u2019exp\u00e9rimentation \u00e0 d\u00e9but\u00e9 en novembre 2004 . Au 15 juin elle a concern\u00e9 une file active de 70 patients dont 20 ont \u00e9t\u00e9 suivis pour un traitement.
\nAu terme de l\u2019exp\u00e9rimentation on \u00e9valuera :
\n– pour le patient : sa satisfaction et celle de son entourage, l\u2019observance th\u00e9rapeutique et les r\u00e9sultats d\u2019un \u00e9ventuel traitement ;
\n– pour l\u2019infirmi\u00e8re : l\u2019activit\u00e9 de consultations programm\u00e9es ou non programm\u00e9es, le temps moyen de consultations, les difficult\u00e9s rencontr\u00e9es\u2026
\n– pour le m\u00e9decin : la modification du nombre de consultations et le temps \u00e9pargn\u00e9\u2026
\nCette \u00e9valuation sera r\u00e9alis\u00e9e par une personne non impliqu\u00e9e dans l\u2019exp\u00e9rimentation. Les r\u00e9sultats seront rendus publiques au 1er trimestre 2006.<\/p>\n

Conclusion : Cette exp\u00e9rimentation permettra sans doute de valider des collaborations pr\u00e9-existantes dans d\u2019autres \u00e9tablissements. Elle ouvre la possibilit\u00e9 de promotion dans la carri\u00e8re infirmi\u00e8re sans s\u2019\u00e9carter de la dimension de soins. Cette collaboration entre les professions de sant\u00e9 est indispensable \u00e0 une bonne prise en charge des patients atteints de maladie chronique.<\/p>\n","protected":false},"excerpt":{"rendered":"

2005 B. NALET , C. RIOU – Service de Gastro-ent\u00e9rologie – Centre Hospitalier – 26200 Mont\u00e9limar. Vie Professionnelle – \u00a02005-08-26 –\u00a0COS – ________________________________ En Octobre 2003, le rapport BERLAND sur la d\u00e9mographie m\u00e9dicale proposait un transfert de t\u00e2ches vers certaines professions para-m\u00e9dicales pour faire face en partie \u00e0 une diminution du nombre de m\u00e9decins. Ceci […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[5],"tags":[16],"class_list":["post-1806","post","type-post","status-publish","format-standard","hentry","category-professionnel","tag-16"],"yoast_head":"\nTRANSFERT DE TACHES ET DE COMPETENCES VERS DES INFIRMIERES CLINICIENNES SPECIALISEE EN HEPATO-GASTRO-ENTEROLOGIE. 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