[Heart failure cooperation protocol: A new way of thinking about the care of heart failure patients]

To meet the care needs of heart failure patients, a nationwide cooperation protocol has been developed. This heart failure cooperation protocol (PCIC) enables nurses to acquire new skills by delegating medical acts.

[At the heart of care management, the relationship]

The prevalence of management concerns in hospitals and a highly normative conception of health care are converging today in a standardization of care. The latter is undoubtedly at the root of the current malaise among caregivers. Indeed, the New Public Management approach is encouraging them, despite themselves, to carry out their missions to the detriment of the values of care. A more appropriate form of management would, on the contrary, be based on a continuity to be sought between care values and management values, around the notion of support. This would mean reinstating concern for interpersonal relationships at the heart of care management missions.

[Nursing collaboration in the implementation of an ABI in psychiatric emergencies]

Since September 2021, at the Paris Psychiatry and Neurosciences University Hospital Group, an advanced practice nurse has been providing post-emergency consultations for people who were initially seen in the emergency department, for whom an indication for outpatient care was given and who had problems accessing care. Collaboration with the nursing team is an important element not to be neglected in the implementation of this new profession.

[Asalée cooperation protocol, personalized support for chronic diseases]

The permanent increase in the need for care and in the number of patients means that many general practitioners no longer have the time to accompany patients in need of therapeutic education. This is why the Asalée cooperation protocol has been developed in medical practices or health centres with nurses dedicated to this support. In addition to nursing skills in therapeutic education, the proper functioning of the protocol is based on the quality of the doctor-nurse pairing.

[Quality and safety in home care with the Vidaza cooperation protocol]

In a context of tense bed management in hospitals, the implementation of cooperation protocols between hospital services and home care providers has become necessary in recent years. The Albi hospital in the Tarn region has set itself the objective of developing care pathways in conjunction with the city in order to better structure the supply of care in the region and also to encourage exchanges between healthcare professionals. The "Vidaza (Azacitidine®) cooperation protocol for day hospital - home hospitalization" illustrates this approach in the field of oncology.

[Nurses at the heart of a cooperation protocol in rhythmology]

The cooperation protocol system allows healthcare professionals to engage in a cooperative approach to better meet patients' needs. The aim of these protocols is to offer a wider range of care by reducing access times and optimizing the patient's care pathway. Here is an example of an innovative approach taken in this context within a hospital rhythmology unit.

[The multiple perspectives of the multipurpose home care service]

The Cosi home nursing service (Ssiad), created in 2000, is committed to working in partnership, considering that cooperation and good coordination are at the origin of a sustainable and quality home care. With this in mind, the directors of Ssiad took over the management of a home assistance and support service in 2011 in order to offer personal assistance and care, and thus to provide comprehensive care. Now a multi-purpose home help and care service, Cosi continues to evolve to best meet the needs of users.

[The Covid-19 crisis as a gas pedal of change]

Like all health establishments, the Nanterre (92) hospital reception and care center had to reorganize itself during the COVID-19 health crisis in order to cope with the influx of patients. In spite of the difficulties encountered, the pandemic allowed closer links between the city and the hospital.

[Content and application of Icope step 2: feedback from nurses]

With the ICOPE programme, the nurses received specific, theoretical and practical, training, that enabled them to broaden their field of competence. This approach has enabled them to expand and consolidate professional cooperation networks and to consolidate their, crucial, position in prevention in the broad sense of the term with the elderly. The aim of the Icope programme is to offer long-term monitoring of the senior citizen, as part of his or her life project.

[The importance of ensuring long-lasting public-private cooperation]

The health crisis has led to real cooperation between the public and private health sector, for the benefit of the patients. This cooperation must not be restricted to certain circumstances but form a permanent part of a care provision regulated by equity, trust, transparency and recognition of the missions accomplished by healthcare workers.

[Cooperation between healthcare professionals, a renewed and simplified system]

To be part of a protocol of cooperation between health professionals aims to meet the needs of the population. The interlinking of medical and paramedical skills is based on an approach in which trust and expertise combine to guarantee quality and safety thanks to a defined framework. This cooperation system supports the need for coherent and sometimes innovative collective work. Renovated in 2019, it is now organized around two models of national or local experimental protocols.

[The political philosophy of care as a civilisational horizon]

This issue of Soins, focusing on the notion of time, is published in the midst of an unprecedented global health, social and economic crisis, due to the SARS-CoV-2 pandemic. This crisis highlights a multiplicity of dimensions and timescales and raises questions, in particular, about our era and our civilisational model.

[Time, a lever for change]

Race against time, interruptions, operating room tardiness, handover times… Expressions such as these show the significance of time in health professionals' everyday working lives. Health care facilities are no exception. In these structures, time is necessary to accomplish organisational transformation projects for the benefit of patients and users.

[In Canada, one hundred years of university teaching and consultation]

Education in nursing science began in Canadian universities in 1919. Thanks to inter-university groups, it has never stopped evolving, making it possible to delimit and define different nursing knowledge. All stakeholders work together to meet the complex socio-political issues that affect the profession.

[Addictology, promoting users' power to act]

The notion of risk reduction applies to all uses, drinking of alcohol and smoking including, addictions without drugs likewise. With regard to drugs, mentalities change. We now talk more of risks than fault or deviance. Following, collaboration between health professionals and users, sharing and cooperation are the conditions necessary to develop a modern humanist and social addictology approach.

[Telemedicine and new forms of cooperation between doctors and caregivers]

The development of telemedicine is accompanied by new forms of coordination and cooperation between doctors and paramedical caregivers. If we consider the work in terms of the way it is actually carried out in practice, we have a better understanding of the efforts made by practitioners to adapt, as well as the challenges associated with the integration of telemedicine systems. These effect the notions and the execution of 'good work'.

[Telepsychiatry and cooperation between professionnals in a mobile team]

Telepsychiatry in a mobile team uses advanced technology for the benefit of healthcare. It requires a high level of cooperation between the different players. In a nursing home, ilt provides patients with access to psyhiatric care despite the distance or the difficulties involved in travelling to an appointment.

[Telemedicine, cementing the nursing team]

Communication technologies have an impact on our healthcare system. We care for human beings in an environment which is now digital and which influences their experience, their treatment and their perception of their disease. Telemedicine will become a key tool for all caregivers. It has no bearing on nurses' skills, but changes the way care is organised, for the benefit of patients as well as healthcare professionals.

[A telemedicine consultation in the framework of a wound and wound healing network]

I: n Languedoc-Roussillon, the Domoplaies telemedicine project provides support to nurses experiencing difficulties with the treatment of a wound at home or in a health institute. Thanks to new communication and information technologies, doctors and nurses with expertise in wounds and wound healing can offer individualised care management.

[Doctor-nurse delegation of the insertion of central venous lines]

The Léon Bérard Cancer Centre treats the disease in all its complexity with numerous disciplines such as surgery, medicine, radiotherapy, palliative care, home care, etc. The insertion of a central venous line is an essential part of cancer care and the nursing profession. It enables patients to have their treatment administered in the best possible conditions and without risk.

["Working together" at hospital?]

Working well together at hospital depends on several factors, on the level of a team as well as that of the ministry in charge of health. How can we encourage and promote cooperation between caregivers? If the hospital is the reflection of society as a whole, an analysis of the functioning of this universe provides a better understanding of the challenges and the missions of each player for the benefit of the patient.