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Intérêt du système de l'infirmier (ère) de référence en réadaptation psychogériatrique du Centre Hospitalier de Wallonie Picard
Authors: --- --- ---
Year: 2015 Publisher: Bruxelles: UCL. Faculté de santé publique,

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Face à l'évolution de la psychogériatrie et au développement de la spécificité de l'infirmière, cette recherche vise à découvrir si la nouvelle prise en soin, qui émerge dans le service de réadaptation psychogériatrique du CHwapi, rencontre ou non les besoins et les attentes des soignants. Elle a également pour but de mettre en évidence ce que l'infirmière « gagne » à travers ce système de référence mais aussi de susciter « l'amélioration » de ce système en cours. Méthodologie : La méthode de recueil de données choisie est celle des questionnaires. Celle-ci permet en effet aux participants de s'exprimer anonymement et également de recueillir avec plus de facilité les données à deux reprises. En effet, en .décembre 2014, avant la mise en place du système de référence, un questionnaire a été transmis aux 19 infirmières ainsi qu'aux 8 paramédicaux (kinés, animatrice, ergo, logo, ...) qui composent l'équipe pluridisciplinaire. La même enquête a été distribuée en avril 2015 afin d'évaluer l'impact du système de référence sur l'appréhension de l'évolution du rôle de l'infirmière, plus particulièrement sur le thème du renforcement de la position de l'infirmière et sur le thème de la relation soignant-soigné. Résultats : Le premier constat qui s'impose à la lecture des résultats, est une amélioration constatée face au rôle et au développement des compétences de l'infirmière dans « la relation d'aide » à travers la relation avec le patient. De plus, nous constatons également une certaine motivation pour quelques infirmières à suivre une formation en thème avec la relation d'aide et à se spécialiser afin d'acquérir davantage de compétences. Ce premier constat est reconnu aussi bien par la majorité des infirmières que par la majorité des paramédicaux (qui évaluent celles-ci).Le deuxième constat qui s'impose à la lecture des résultats est un sentiment global plutôt négatif du côté des infirmières et paramédicaux face à « la position » de 1'infirmière auprès de l'équipe. Pourtant, nous nous attendions à d'autres résultats, car le fait d'être infirmière de référence permettrait à celle-ci d'obtenir une « position privilégiée » et apporterait une certaine cohésion au sein de l'équipe. En effet, dans la littérature, cette position privilégiée auprès de l'équipe apporte à l'infirmière un rôle plus prononcé dans la coordination du projet thérapeutique individualisé en concertation avec l'équipe. Pour aller plus loin, cela permettrait de favoriser la collaboration et, pourquoi pas, actualiser et valoriser la spécificité de fonction d'infirmière en psycho gériatrie. De manière générale, les résultats présentés se retrouvent dans différents avis et sont plus de l'ordre du sentiment perçu, du retour indirect que mesuré. L'utilité de la fonction de référence dans la prise en charge des patients et la continuité des soins n'est, en majorité, jamais remise en cause ni par les infirmières, ni par les paramédicaux, ni par la psychiatre et la direction (qui eux ont vivement conseillé d'y procéder).Cette recherche met en évidence toutes les difficultés de mettre en place un projet de qualité et le long travail à faire autour de son équipe pour instaurer le changement organisationnel. Différents éléments, relevés de cette enquête, doivent être pris en compte pour améliorer la mise en place, l'utilisation de ce système et pour donner une chance à ce système de persister. Pour ce faire, nous avons émis plusieurs pistes d'amélioration du système de référence préexistant, afin de permettre à celui-ci d'évoluer, de correspondre aux attentes des infirmières/paramédicaux, de permettre de l'utiliser dans le futur pour un suivi des patients en extrahospitalier...


Book
Dialogues in music therapy and music neuroscience : collaborative understanding driving clinical advances
Authors: --- ---
Year: 2017 Publisher: Frontiers Media SA

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Music is a complex, dynamic stimulus with an un-paralleled ability to stimulate a global network of neural activity involved in attention, emotion, memory, communication, motor co-ordination and cognition. As such, it provides neuroscience with a highly effective tool to develop our understanding of brain function, connectivity and plasticity. Increasingly sophisticated neuroimaging technologies have enabled the expanding field of music neuroscience to reveal how musical experience, perception and cognition may support neuroplasticity, with important implications for the rehabilitation and assessment of those with acquired brain injuries and neurodegenerative conditions. Other studies have indicated the potential for music to support arousal, attention and emotional regulation, suggesting therapeutic applications for conditions including ADHD, PTSD, autism, learning disorders and mood disorders. In common with neuroscience, the music therapy profession has advanced significantly in the past 20 years. Various interventions designed to address functional deficits and health care needs have been developed, alongside standardised behavioural assessments. Historically, music therapy has drawn its evidence base from a number of contrasting theoretical frameworks. Clinicians are now turning to neuroscience, which offers a unifying knowledge base and frame of reference to understand and measure therapeutic interventions from a biomedical perspective. Conversely, neuroscience is becoming more enriched by learning about the neural effects of ‘real world’ clinical applications in music therapy. While neuroscientific imaging methods may provide biomarking evidence for the efficacy of music therapy interventions it also offers important tools to describe time-locked interactive therapy processes and feeds into the emerging field of social neuroscience. Music therapy is bound to the process of creating and experiencing music together in improvisation, listening and reflection. Thus the situated cognition and experience of music developing over time and in differing contexts is of interest in time series data. We encouraged researchers to submit papers illustrating the mutual benefits of dialogue between music therapy and other disciplines important to this field, particularly neuroscience, neurophysiology, and neuropsychology. The current eBook consists of the peer reviewed responses to our call for papers.


Book
Dialogues in music therapy and music neuroscience : collaborative understanding driving clinical advances
Authors: --- ---
Year: 2017 Publisher: Frontiers Media SA

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Abstract

Music is a complex, dynamic stimulus with an un-paralleled ability to stimulate a global network of neural activity involved in attention, emotion, memory, communication, motor co-ordination and cognition. As such, it provides neuroscience with a highly effective tool to develop our understanding of brain function, connectivity and plasticity. Increasingly sophisticated neuroimaging technologies have enabled the expanding field of music neuroscience to reveal how musical experience, perception and cognition may support neuroplasticity, with important implications for the rehabilitation and assessment of those with acquired brain injuries and neurodegenerative conditions. Other studies have indicated the potential for music to support arousal, attention and emotional regulation, suggesting therapeutic applications for conditions including ADHD, PTSD, autism, learning disorders and mood disorders. In common with neuroscience, the music therapy profession has advanced significantly in the past 20 years. Various interventions designed to address functional deficits and health care needs have been developed, alongside standardised behavioural assessments. Historically, music therapy has drawn its evidence base from a number of contrasting theoretical frameworks. Clinicians are now turning to neuroscience, which offers a unifying knowledge base and frame of reference to understand and measure therapeutic interventions from a biomedical perspective. Conversely, neuroscience is becoming more enriched by learning about the neural effects of ‘real world’ clinical applications in music therapy. While neuroscientific imaging methods may provide biomarking evidence for the efficacy of music therapy interventions it also offers important tools to describe time-locked interactive therapy processes and feeds into the emerging field of social neuroscience. Music therapy is bound to the process of creating and experiencing music together in improvisation, listening and reflection. Thus the situated cognition and experience of music developing over time and in differing contexts is of interest in time series data. We encouraged researchers to submit papers illustrating the mutual benefits of dialogue between music therapy and other disciplines important to this field, particularly neuroscience, neurophysiology, and neuropsychology. The current eBook consists of the peer reviewed responses to our call for papers.


Book
Dialogues in music therapy and music neuroscience : collaborative understanding driving clinical advances
Authors: --- ---
Year: 2017 Publisher: Frontiers Media SA

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Abstract

Music is a complex, dynamic stimulus with an un-paralleled ability to stimulate a global network of neural activity involved in attention, emotion, memory, communication, motor co-ordination and cognition. As such, it provides neuroscience with a highly effective tool to develop our understanding of brain function, connectivity and plasticity. Increasingly sophisticated neuroimaging technologies have enabled the expanding field of music neuroscience to reveal how musical experience, perception and cognition may support neuroplasticity, with important implications for the rehabilitation and assessment of those with acquired brain injuries and neurodegenerative conditions. Other studies have indicated the potential for music to support arousal, attention and emotional regulation, suggesting therapeutic applications for conditions including ADHD, PTSD, autism, learning disorders and mood disorders. In common with neuroscience, the music therapy profession has advanced significantly in the past 20 years. Various interventions designed to address functional deficits and health care needs have been developed, alongside standardised behavioural assessments. Historically, music therapy has drawn its evidence base from a number of contrasting theoretical frameworks. Clinicians are now turning to neuroscience, which offers a unifying knowledge base and frame of reference to understand and measure therapeutic interventions from a biomedical perspective. Conversely, neuroscience is becoming more enriched by learning about the neural effects of ‘real world’ clinical applications in music therapy. While neuroscientific imaging methods may provide biomarking evidence for the efficacy of music therapy interventions it also offers important tools to describe time-locked interactive therapy processes and feeds into the emerging field of social neuroscience. Music therapy is bound to the process of creating and experiencing music together in improvisation, listening and reflection. Thus the situated cognition and experience of music developing over time and in differing contexts is of interest in time series data. We encouraged researchers to submit papers illustrating the mutual benefits of dialogue between music therapy and other disciplines important to this field, particularly neuroscience, neurophysiology, and neuropsychology. The current eBook consists of the peer reviewed responses to our call for papers.


Periodical
Psychiatry international
ISSN: 26735318 Year: 2020 Publisher: Basel, Switzerland MDPI

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Periodical
Psychiatry research communications.
ISSN: 27725987 Year: 2021 Publisher: [Amsterdam] : Elsevier B.V.,


Book
Digital therapeutics for mental health and addiction : the state of the science and vision for the future
Authors: --- ---
ISBN: 0323900453 0323885616 9780323885614 9780323900454 Year: 2022 Publisher: London, England ; San Diego, California ; Cambridge, Massachusetts : Academic press,

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Digital Therapeutics for Mental Health and Addiction: The State of the Science and Vision for the Future presents the foundations of digital therapeutics with a broad audience in mind, ranging from bioengineers and computer scientists to those in psychology, psychiatry and social work. Sections cover cutting-edge advancements in the field, offering advice on how to successfully implement digital therapeutics. Readers will find sections on evidence for direct-to-consumer standalone digital therapeutics, the efficacy of integrating digital treatments within traditional healthcare settings, and recent innovations currently transforming the field of digital therapeutics towards experiences which are more personalized, adaptable and engaging. This book gives a view on current limitations of the technology, ideas for problem-solving the challenges of designing this technology, and a perspective on future research directions. For all readers, the content on cultural, legal and ethical dimensions of digital mental health will be useful.


Periodical
Journal of Psychiatric Nursing
ISSN: 13093568 2149374X Publisher: Turkey KARE Publishing

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