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Travail féminin en milieu hospitalier: un facteur de dépression? Une étude pilote

Published online by Cambridge University Press:  28 April 2020

Q. Debray ,
M. Estryn-behar ,
E. Guillibert ,
S. Azoulay  and
N. Bonnet
Q. Debray
Affiliation:
Service de psychiatrie (Pr Y. Pélicier), Hôpital Necker, 149, rue de Sèvres, 75015Paris
M. Estryn-behar
Affiliation:
Mission Études et Information Santé-Travail, Ergonomie, Direction du personnel, Hôtel-Dieu, 1, place du Parvis-Notre-Dame, 75004Paris, France
E. Guillibert
Affiliation:
Service de psychiatrie (Pr Y. Pélicier), Hôpital Necker, 149, rue de Sèvres, 75015Paris
S. Azoulay
Affiliation:
Mission Études et Information Santé-Travail, Ergonomie, Direction du personnel, Hôtel-Dieu, 1, place du Parvis-Notre-Dame, 75004Paris, France
N. Bonnet
Affiliation:
Mission Études et Information Santé-Travail, Ergonomie, Direction du personnel, Hôtel-Dieu, 1, place du Parvis-Notre-Dame, 75004Paris, France
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Résumé

Quarante-cinq femmes, membres du personnel infirmier de l’Assistance publique, ont été interrogées après une de leurs journées de travail. L’entretien, semi-structuré, comprenait 6 questions portant sur la fatigue, les satisfactions, les contrariétés, les entraves au travail normal, les déceptions, la tristesse. Les sentiments négatifs sont majoritaires (82,4%). Ils comportent au premier plan: la fatigue (20,4%), l’includence (21,1%), la solitude (12%), les soucis techniques (9,2%), le sentiment de désorganisation (8,5%). Les sentiments positifs sont rares (8,5%). Les gratifications proviennent des malades (49%) et des collègues (32,7%). Les souhaits, peu exprimés, vont dans le sens d’une meilleure communication avec les supérieurs. L’ensemble de ces éléments évoque un état d’esprit dépressif. Cette situation paraît liée à l’isolement du personnel et au manque de renforcement des tâches. Des solutions sont proposées: information et coordination plus attentives, reconnaissance du travail accompli au sein des équipes.

Summary

Summary

Forty-five female members of the nursing staff of the “Assistance publique” were interviewed at the end of a working day. The semistructured interview induded 6 questions about fatigue, satisfactions, annoyances, hindrances in normal work, disappointments and sadness. Negative feelings were predominant (82,4%). These consisted of: fatigue (20,4%), burn-out syndrome (21,1%), loneliness (12%), technical concerns (9,2%), disorganization (8,5%). Positive feelings were unfrequent (8,5%). Gratifications originated from patients (49%) and colleagues (32,7%). Few expressed the wish for better communication with superiors. Taken altogether, these elements evoke a depressed state of mind, linked to staff isolation and lack of reinforcement for the tasks performed. Proposed solutions are to increase information, to pay more attention to the coordination and enhance the recognition for the work accomplished within the team.

Keywords

travail infirmieranxiétéstressculpabilitéincludencedépressionsurmenagerenforcement positifnursing workanxietystressburn-outdepressionoverworkpositive reinforcement
Type
Article original
Information
Psychiatry and Psychobiology , Volume 3 , Issue 6 , 1988 , pp. 389 - 399
Copyright
Copyright © European Psychiatric Association 1988

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References

Références

Beetschen, A. (1978) Action psychothérapique et milieu hospitalier. Psychothérapie et hôpital général. Quelques exemples en gynécologie obstétrique. In: Psychothérapies Médicales, 2 (Guyotat, J., ed.), Masson, Paris, pp. 19–30Google Scholar
Brook, A. (1973) Mental stress at work. Practitioner 210, 500–506Google ScholarPubMed
Cherniss, C. (1980) Staff Burn oui : Job Stress in the Human Services, Sage, Beverly Hills, CAGoogle Scholar
Chickerella, B.G. & Lutz, W.J. (1981) Professional nurturance: perceptorships for undergraduate nursing students. Am. J. Nurs. 81, 107CrossRefGoogle ScholarPubMed
Claus, K. & Bailey, J. (1980) Living with Stress and Promoting Well Being. Mosby, St LouisGoogle Scholar
Cludy, L.François, P.Lehman, A.Morisi, J.Rainbault, R.Saragoussi, S. & Ullmo-Brun, D. (1980) Différentes modalités de sensibilisation et de formation psychologiques des personnels hospitaliers dans un centre anticancéreux. Communication au Congrès «Psychologie et Cancer», Marseille, 10-11 décembre 1980Google Scholar
Cronin-Stubbs, D. & Velsorfriedrich, B. (1981) Professional and Personal stress: a survey. Nurs. Leadership 4, 19Google ScholarPubMed
Dejours, C. (1980) Travail: Usure Mentale. Essai de Psychopathologie du Travail. «Médecine Humaine», Le CenturionGoogle Scholar
Estryn-Behar, M. & Mascolo, I. (1983) Psychopathologie du travail des professions paramédicales dans un service de réanimation médicale. Psychol. Med. 15, 2, 289–294Google Scholar
Estryn-Behar, M.Kaminski, M.Peigné, E.Fouillot, J.P. & Debray, Q. (1988) Concevoir une architecture et une organisation pour la santé et la sécurité à l’hôpital. Seminar «Building for people in hospital: workers and consumers», Dublin (in press)Google Scholar
French, J.R.P. & Caplan, R.D. (1970) Psychosocial factors in coronary heart disease. Ind. Med. 39, 383–397Google ScholarPubMed
Gentry, W.Foster, S. & Froehline, S. (1972) Psychologie responses to situational stress in intensive and non intensive nursing. Heart & Lung 1, 793Google Scholar
Goldenberg, S.E. (1981) Psychiatrie, psychanalyse et cancer. Deux ans de travail «psy» dans un service de pneumologie. Mémoire pour le CES de psychiatrie, CréteilGoogle Scholar
Huckabay, L. & Jagla, B. (1979) Nurses’ stress factors in the intensive care unit. J. Nurs. Admin. 9, 21Google ScholarPubMed
Jacobson, S. (1978) Stressful situations for neonatal intensive care unit nurses. MCN 3, 144Google Scholar
Jacobson, S. (1981) Coping strategies of neonatal intensive care nurses, in responding to stress: Community Mental Health in the 80s. National League for Nursing, n° 52 1870, New York, PP. 54–64Google Scholar
Jacobson, S.F. & Mac Grath, H.M. (1983) Nurses under Stress. A Wiley Medical Publication, John Wiley & Sons, New YorkGoogle Scholar
Kaminski, M.Estryn-Behar, M.Peigné, E.Bonnet, N.Vaichere, E.Gozlan, C.Azoulay, S. & Giorgi, M. (1988) Stress at work and mental health status among female hospital workers. 6e International Symposium Epidemiology in Occupational Health, Stockholm (in press)Google Scholar
Kasl, S.V. (1973) Mental health and the work environnment. J. Occup. Med. 15, 6, 509–518Google Scholar
Kornfeld, D.S. (1969) Psychiatric view of the intensive care unit. Br. Med. J. 1, 108–110CrossRefGoogle ScholarPubMed
Lazarus, R.S. (1966) Psychological Stress and the Coping Proeess, Mc Graw-Hill, New YorkGoogle Scholar
Leppanen, R.A. & Olkinuora, M.A. (1987) Psychological stress experienced by health care personnel. Scand. J. Work. Environ. Health 13, 1–8CrossRefGoogle ScholarPubMed
Margolis, B.L.Kroes, W.H. & Quinn, R.P. (1974) Jobstress: an unlisted occupational hazard. J. Occup. Med. 16, 10, 654–661Google Scholar
Maslach, C. & Pines, A. (1977) The burn out syndrome in the day care center. Child Care Quarterly 6, 100CrossRefGoogle Scholar
Price, T.R. & Bergen, B.J. (1977) The relationship to death as a source of stress for nurses on a coronary care unit. Omega 8, 3, 229–238CrossRefGoogle Scholar
Quinn, R.P.Seashore, S. & Mangione, I. (1971) Survey of Working Conditions, US Government Printing OfficeGoogle Scholar
Ryan, W. (1971) Blaming the Victim. Pantheon, New YorkGoogle Scholar
Schroeder, H.G. (1969) Br. Med. J. 1, 312CrossRefGoogle Scholar
Sebag-Lanoe, R., Viguie, C.L. & Cazas, A (1982) Le travail en équipe en gériatrie: un apprentissage indispensable pour le médecin. Med. Hyg. 40, 1842–1846Google Scholar
Simon, N.M. & Whitely, S. (1977) Psychiatrie consultation with MICU nurses: the consultation conference as a working group. Heart Lung 6, 497Google Scholar
Storlie, F. (1979) Burn out : the elaboration of concept. Am. J. Nurs. 79, 2, 108Google Scholar
Tellenbach, H. (1979) La Mélancolie. Collection «Psychiatrie Ouverte», PUFGoogle Scholar
Tomlin, P.J (1977) Psychological problems in intensive care. Br. Med. J. 2, 441–443CrossRefGoogle ScholarPubMed
Vachon, M.L.S.Lyall, W.A. & Freeman, S.H.F. (1978) Measurement and management of stress in health professional working with advanced cancer patients. In: Death Education, Mensusphere Publishing Corporation, pp. 365–375Google Scholar
Wardwell, W.I.Hyman, M. & Bahson, C.B. (1964) Stress and coronary disease in three field studies. J. Cron. Dis. 17, 73–84CrossRefGoogle ScholarPubMed
Zittoun, R. (1986) Une communauté pour en parler. In: Entretiens avec E. Hirsch, Partir. L'Accompagnement des Mourants. Ed. Cerfed, ParisGoogle Scholar
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