a report delivered, a plan expected

2023-06-09 13:47:45

We will still have to wait to find out the details of the plan to combat violence against caregivers promised by the government. By making public, Friday, June 9, a report on the subject, the Ministry of Health did not decide, promising measures for the beginning of July.

Three weeks after the death of a nurse stabbed by a man suffering from psychiatric disorders at the University Hospital of Reims (Marne), a tragedy which has put this subject back at the center of public debate, there is urgency. The report on the safety of health professionals, co-signed by Jean-Christophe Masseron, president of SOS Médecins, and Nathalie Nion, senior health manager at the Assistance Publique-Hôpitaux de Paris (AP-HP), provides an in-depth diagnosis of the phenomenon.

Its magnitude is no longer debated, in a “global context of rising violence in our society”, write the rapporteurs. About 20,000 reports of violence from health professionals go back each year to the National Observatory of Violence in Health. This represents 30,000 attacks on persons and 5,000 attacks on property. In hospitals, nurses are the first victims (47%), followed by other caregivers (45%), then doctors (8%). Caregivers are twice as likely as the working population to experience incivility and physical or verbal violence at work, can we read in the report. So much for the finding.

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To tackle it, the editors put forward forty-four proposals that go around the different dimensions of this violence: adapt the workforce to the care load; secure the building; equip professionals with protection and warning systems; labeling internship sites for students from all sectors… It is the whole prism of health that is scrutinized. With attention paid, among other things, to “determinants” violence.

CCTV and alert devices

The reception conditions for patients and their families are part of this. Some sectors are thus identified “at increased risk” : “The case of emergencies (adults or paediatrics), psychiatry, geriatrics deserve increased vigilance. » Maternity services too, with “a significant increase” observed, “potentially linked to a repercussion of domestic violence”underline the rapporteurs.

Other “tension and aggressiveness factor” highlighted: the overcrowding of care units. “The current emergency room congestion relief policy is a key point in securing these services”they write, echoing the promise of the President of the Republic to achieve this objective of decongestion by the end of 2024. “ The adaptation in the services of the ratios of staff to the care load “constitutes” a prerequisite “, can we read in the report.

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