{"id":9732,"date":"2025-09-23T04:13:35","date_gmt":"2025-09-23T02:13:35","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/letude-revele-la-reponse-adaptative-du-personnel-dambulance-a-covid-19\/"},"modified":"2025-09-23T04:13:35","modified_gmt":"2025-09-23T02:13:35","slug":"letude-revele-la-reponse-adaptative-du-personnel-dambulance-a-covid-19","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/letude-revele-la-reponse-adaptative-du-personnel-dambulance-a-covid-19\/","title":{"rendered":"L’\u00e9tude r\u00e9v\u00e8le la r\u00e9ponse adaptative du personnel d’ambulance \u00e0 Covid-19"},"content":{"rendered":"
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Une \u00e9tude de l’Universit\u00e9 de Swansea a d\u00e9couvert la tension \u00e9motionnelle et op\u00e9rationnelle intense subie par le personnel d’ambulance d’urgence \u00e0 travers le Royaume-Uni pendant la pand\u00e9mie Covid-19.<\/p>\n

Faisant partie du projet Trim (quel mod\u00e8le de triage est le plus s\u00fbr et le plus efficace pour la gestion de 999 appelants avec un Covid-19 soup\u00e7onn\u00e9), cette derni\u00e8re recherche a \u00e9t\u00e9 men\u00e9e par le professeur de Swansea Helen Snooks, et met en lumi\u00e8re la fa\u00e7on dont les r\u00e9pondeurs de premi\u00e8re ligne se sont adapt\u00e9s \u00e0 un triage et \u00e0 la prise de d\u00e9cision sous pression extr\u00eame. L’\u0153uvre est publi\u00e9e dans le Journal de m\u00e9decine d’urgence<\/i>.<\/p>\n

Le Dr Alison Porter, professeur agr\u00e9g\u00e9 en recherche sur les services de sant\u00e9, a supervis\u00e9 les brins en se concentrant sur les services d’ambulance et ceux qui travaillent \u00e0 leurs c\u00f4t\u00e9s dans les services d’urgence, ce qui explique comment les \u00e9quipes ont chang\u00e9 leur fa\u00e7on de travailler pour g\u00e9rer 999 appels impliquant des cas suspects Covid-19 et explorer \u00e0 la fois les r\u00e9sultats cliniques et les exp\u00e9riences v\u00e9cues du personnel.<\/p>\n

D\u00e9velopp\u00e9 en collaboration avec des partenaires de participation des patients et du public, l’\u00e9tude s’appuie sur 25 entretiens \u00e0 distance avec du personnel, y compris les ambulanciers param\u00e9dicaux, les gestionnaires d’appels d’urgence d’ambulance et les cliniciens du service d’urgence travaillant dans quatre services d’ambulance du NHS et les h\u00f4pitaux r\u00e9gionaux correspondants.<\/p>\n

L’\u00e9tude a identifi\u00e9 quatre th\u00e8mes cl\u00e9s:<\/p>\n

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  • Soins prioris\u00e9s avec un contact limit\u00e9: les \u00e9quipes d’ambulance se sont concentr\u00e9es sur les cas les plus urgents tout en r\u00e9duisant les interactions en face \u00e0 face pour minimiser le risque d’infection.<\/li>\n
  • Passer au triage \u00e0 distance: les pratiques de traitement des appels ont subi des changements majeurs, les \u00e9valuations \u00e0 distance rempla\u00e7ant les \u00e9valuations traditionnelles en personne.<\/li>\n
  • Perturbation g\u00e9n\u00e9ralis\u00e9e du syst\u00e8me: des changements plus larges dans le paysage des soins de sant\u00e9 ont affect\u00e9 le flux du patient et une complexit\u00e9 suppl\u00e9mentaire aux op\u00e9rations d’ambulance.<\/li>\n
  • Souche mentale et \u00e9motionnelle: le personnel a navigu\u00e9 sur des protocoles en \u00e9volution, des dilemmes \u00e9thiques et une pression psychologique soutenue.<\/li>\n<\/ul>\n

    Le bilan \u00e9motionnel de la pand\u00e9mie \u00e9tait un objectif r\u00e9current tout au long des entretiens.<\/p>\n

    Un gestionnaire d’appels a partag\u00e9: \u00ab\u00a0C’\u00e9tait probablement la chose la plus difficile que j’ai jamais faite (\u2026), je rentrais \u00e0 la maison et que je me tenais dans le couloir enlevant mon uniforme et en courant sous la douche, et sanglotant mon c\u0153ur jour apr\u00e8s jour.\u00a0\u00bb<\/p>\n

    Malgr\u00e9 les immenses d\u00e9fis, l’\u00e9tude a \u00e9galement soulign\u00e9 un fort sentiment de fiert\u00e9 et de r\u00e9silience parmi le personnel des soins de sant\u00e9 d’urgence.<\/p>\n

    Un responsable des services d’ambulance a d\u00e9clar\u00e9: \u00ab\u00a0Je pense que nous avons relev\u00e9 le d\u00e9fi pendant Covid, et nous avons fait un travail absolument \u00e9tonnant. Et chaque clinicien sur le terrain (\u2026) les preneurs d’appels, les r\u00e9partiteurs, ont juste montr\u00e9 \u00e0 quel point et \u00e0 quel point nous sommes adaptables et r\u00e9silients en tant que service.\u00a0\u00bb<\/p>\n

    Le Dr Porter a d\u00e9clar\u00e9: \u00ab\u00a0Les services d’ambulance d’urgence op\u00e8rent dans des environnements \u00e0 enjeux \u00e9lev\u00e9s m\u00eame \u00e0 des temps normaux. Pendant le Covid-19, cette pression s’est intensifi\u00e9e rapidement.<\/p>\n

    \u00ab\u00a0Nos recherches r\u00e9v\u00e8lent la r\u00e9alit\u00e9 que le personnel de premi\u00e8re ligne est confront\u00e9 – un changement, un changement, une incertitude et des exigences \u00e9motionnelles \u00e9crasantes – tout en s’effor\u00e7ant de fournir des soins s\u00fbrs et efficaces.\u00a0\u00bb<\/p>\n

    Les id\u00e9es de l’\u00e9tude sont claires: les futurs services d’urgence devraient \u00eatre bas\u00e9s sur les fondements de la flexibilit\u00e9, de la compassion et du soutien psychologique. En apprenant des exp\u00e9riences de la pand\u00e9mie Covid-19, les syst\u00e8mes de sant\u00e9 peuvent mieux prot\u00e9ger le personnel de premi\u00e8re ligne et fournir des soins r\u00e9actifs et de haute qualit\u00e9 quand il est le plus important.<\/p>\n

    Le Dr Mike Brady (Ph.D.), directeur clinique adjoint des soins cliniques \u00e0 distance au Welsh Ambulance Service University NHS Trust, qui faisait partie de l’\u00e9quipe de recherche, a d\u00e9clar\u00e9: \u00ab\u00a0Les r\u00e9sultats de l’\u00e9tude de la TRIM r\u00e9v\u00e8lent l’intensit\u00e9 du personnel des op\u00e9rations d’urgence de souches \u00e9motionnelles et op\u00e9rationnelles au cours de la pandem, ainsi que leur adaptabilit\u00e9 remarquable dans les circonstances \u00e9volutes.<\/p>\n

    \u00ab\u00a0Ces id\u00e9es sont tr\u00e8s pertinentes aujourd’hui, car les services de sant\u00e9 britanniques subissent des transformations de mod\u00e8le clinique \u00e0 grande \u00e9chelle, des r\u00e9ponses de pr\u00e9paration hivernale et de futurs exercices de pr\u00e9paration \u00e0 la pand\u00e9mie. Ces r\u00e9sultats r\u00e9it\u00e8rent l’importance des services d’ambulance britannique contribuant \u00e0 des recherches de haute qualit\u00e9 et importantes.\u00a0\u00bb<\/p>\n

    <\/p><\/div>\n","protected":false},"excerpt":{"rendered":"

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