The Bulle: Support and prevention of psychological decompensation of healthcare workers during the trauma of the COVID-19 epidemic.
Identifieur interne : 000492 ( Main/Exploration ); précédent : 000491; suivant : 000493The Bulle: Support and prevention of psychological decompensation of healthcare workers during the trauma of the COVID-19 epidemic.
Auteurs : Hervé Lefèvre [France] ; Chantal Stheneur [France] ; Charlotte Cardin [France] ; Lola Fourcade [France] ; Christine Fourmaux [France] ; Elise Tordjman [France] ; Marie Touati [France] ; Flore Voisard [France] ; Sevan Minassian [France] ; Pauline Chaste [France] ; Marie Rose Moro [France] ; Jonathan Lachal [France]Source :
- Journal of pain and symptom management [ 1873-6513 ] ; 2020.
Abstract
The COVID-19 pandemic presents unprecedented challenges for the healthcare system. The pressure on healthcare staff continues to intensify, accentuated by the confinement (lockdown) of the population and the unprecedented duration of this emergency. Separately and especially together, overwork, degraded conditions of care due to the never-ending emergency, and the risk of exposure to the virus can lead to acute psychological distress or signs of burnout. This original program was developed at Cochin Hospital in Paris, France, to prevent these potentially dramatic psychological consequences, support the medical staff, and identify those most affected to offer them specific care. A program and a space for relaxation and support for hospital caregivers by hospital caregivers, the Port Royal Bulle (the Bubble) offers these workers help in decompression and relaxation. It combines a warm and caring welcome that promotes attention, listening, conversations, and exchanges as needed, empathetic support, and the ability to participate in soothing, relaxing, or low-impact physical activities. It takes care of caregivers. The Bubble is a program that is simple to set up and that appears to meet professionals' expectations. Making it permanent and enlarging its scale, as a complement to existing programs, might help to support healthcare personnel in their work.
DOI: 10.1016/j.jpainsymman.2020.09.023
PubMed: 32961219
Affiliations:
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Université de Paris, PCPP, F-92100 Boulogne-Billancourt, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université de Paris, PCPP, F-92100 Boulogne-Billancourt, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Villejuif</settlement></placeName></affiliation></author><author><name sortKey="Stheneur, Chantal" sort="Stheneur, Chantal" uniqKey="Stheneur C" first="Chantal" last="Stheneur">Chantal Stheneur</name><affiliation wicri:level="3"><nlm:affiliation>Fondation Santé des Etudiants de France, Centre Varennes Jarcy, 91480 Varennes Jarcy, France; UVSQ, F78000, Versailles, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Fondation Santé des Etudiants de France, Centre Varennes Jarcy, 91480 Varennes Jarcy, France; UVSQ, F78000, Versailles</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Versailles</settlement></placeName></affiliation></author><author><name sortKey="Cardin, Charlotte" sort="Cardin, Charlotte" uniqKey="Cardin C" first="Charlotte" last="Cardin">Charlotte Cardin</name><affiliation wicri:level="3"><nlm:affiliation>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Fourcade, Lola" sort="Fourcade, Lola" uniqKey="Fourcade L" first="Lola" last="Fourcade">Lola Fourcade</name><affiliation wicri:level="3"><nlm:affiliation>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Fourmaux, Christine" sort="Fourmaux, Christine" uniqKey="Fourmaux C" first="Christine" last="Fourmaux">Christine Fourmaux</name><affiliation wicri:level="3"><nlm:affiliation>Fondation Santé des Etudiants de France, Centre Varennes Jarcy, 91480 Varennes Jarcy, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Fondation Santé des Etudiants de France, Centre Varennes Jarcy, 91480 Varennes Jarcy</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Varennes Jarcy</settlement></placeName></affiliation></author><author><name sortKey="Tordjman, Elise" sort="Tordjman, Elise" uniqKey="Tordjman E" first="Elise" last="Tordjman">Elise Tordjman</name><affiliation wicri:level="3"><nlm:affiliation>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Touati, Marie" sort="Touati, Marie" uniqKey="Touati M" first="Marie" last="Touati">Marie Touati</name><affiliation wicri:level="3"><nlm:affiliation>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Voisard, Flore" sort="Voisard, Flore" uniqKey="Voisard F" first="Flore" last="Voisard">Flore Voisard</name><affiliation wicri:level="3"><nlm:affiliation>Fondation Santé des Etudiants de France, Centre Varennes Jarcy, 91480 Varennes Jarcy, France; APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Fondation Santé des Etudiants de France, Centre Varennes Jarcy, 91480 Varennes Jarcy, France; APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Minassian, Sevan" sort="Minassian, Sevan" uniqKey="Minassian S" first="Sevan" last="Minassian">Sevan Minassian</name><affiliation wicri:level="3"><nlm:affiliation>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Villejuif</settlement></placeName></affiliation></author><author><name sortKey="Chaste, Pauline" sort="Chaste, Pauline" uniqKey="Chaste P" first="Pauline" last="Chaste">Pauline Chaste</name><affiliation wicri:level="3"><nlm:affiliation>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France; Université de Paris, F75005, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France; Université de Paris, F75005, Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Moro, Marie Rose" sort="Moro, Marie Rose" uniqKey="Moro M" first="Marie Rose" last="Moro">Marie Rose Moro</name><affiliation wicri:level="3"><nlm:affiliation>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université de Paris, PCPP, F-92100 Boulogne-Billancourt, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université de Paris, PCPP, F-92100 Boulogne-Billancourt, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Villejuif</settlement></placeName></affiliation></author><author><name sortKey="Lachal, Jonathan" sort="Lachal, Jonathan" uniqKey="Lachal J" first="Jonathan" last="Lachal">Jonathan Lachal</name><affiliation wicri:level="3"><nlm:affiliation>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université de Paris, PCPP, F-92100 Boulogne-Billancourt, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France. Electronic address: jonathan.lachal@gmail.com.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université de Paris, PCPP, F-92100 Boulogne-Billancourt, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Villejuif</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of pain and symptom management</title><idno type="eISSN">1873-6513</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The COVID-19 pandemic presents unprecedented challenges for the healthcare system. The pressure on healthcare staff continues to intensify, accentuated by the confinement (lockdown) of the population and the unprecedented duration of this emergency. Separately and especially together, overwork, degraded conditions of care due to the never-ending emergency, and the risk of exposure to the virus can lead to acute psychological distress or signs of burnout. This original program was developed at Cochin Hospital in Paris, France, to prevent these potentially dramatic psychological consequences, support the medical staff, and identify those most affected to offer them specific care. A program and a space for relaxation and support for hospital caregivers by hospital caregivers, the Port Royal Bulle (the Bubble) offers these workers help in decompression and relaxation. It combines a warm and caring welcome that promotes attention, listening, conversations, and exchanges as needed, empathetic support, and the ability to participate in soothing, relaxing, or low-impact physical activities. It takes care of caregivers. The Bubble is a program that is simple to set up and that appears to meet professionals' expectations. Making it permanent and enlarging its scale, as a complement to existing programs, might help to support healthcare personnel in their work.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32961219</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-6513</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Sep</Month><Day>19</Day></PubDate></JournalIssue><Title>Journal of pain and symptom management</Title><ISOAbbreviation>J Pain Symptom Manage</ISOAbbreviation></Journal><ArticleTitle>The Bulle: Support and prevention of psychological decompensation of healthcare workers during the trauma of the COVID-19 epidemic.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">S0885-3924(20)30755-7</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jpainsymman.2020.09.023</ELocationID><Abstract><AbstractText>The COVID-19 pandemic presents unprecedented challenges for the healthcare system. The pressure on healthcare staff continues to intensify, accentuated by the confinement (lockdown) of the population and the unprecedented duration of this emergency. Separately and especially together, overwork, degraded conditions of care due to the never-ending emergency, and the risk of exposure to the virus can lead to acute psychological distress or signs of burnout. This original program was developed at Cochin Hospital in Paris, France, to prevent these potentially dramatic psychological consequences, support the medical staff, and identify those most affected to offer them specific care. A program and a space for relaxation and support for hospital caregivers by hospital caregivers, the Port Royal Bulle (the Bubble) offers these workers help in decompression and relaxation. It combines a warm and caring welcome that promotes attention, listening, conversations, and exchanges as needed, empathetic support, and the ability to participate in soothing, relaxing, or low-impact physical activities. It takes care of caregivers. The Bubble is a program that is simple to set up and that appears to meet professionals' expectations. Making it permanent and enlarging its scale, as a complement to existing programs, might help to support healthcare personnel in their work.</AbstractText><CopyrightInformation>Copyright © 2020. Published by Elsevier Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lefèvre</LastName><ForeName>Hervé</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université de Paris, PCPP, F-92100 Boulogne-Billancourt, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stheneur</LastName><ForeName>Chantal</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Fondation Santé des Etudiants de France, Centre Varennes Jarcy, 91480 Varennes Jarcy, France; UVSQ, F78000, Versailles, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cardin</LastName><ForeName>Charlotte</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fourcade</LastName><ForeName>Lola</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fourmaux</LastName><ForeName>Christine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Fondation Santé des Etudiants de France, Centre Varennes Jarcy, 91480 Varennes Jarcy, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tordjman</LastName><ForeName>Elise</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Touati</LastName><ForeName>Marie</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Voisard</LastName><ForeName>Flore</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Fondation Santé des Etudiants de France, Centre Varennes Jarcy, 91480 Varennes Jarcy, France; APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Minassian</LastName><ForeName>Sevan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chaste</LastName><ForeName>Pauline</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>APHP, Hôpital Necker, Department of Child and Adolescent Psychiatry, F-75015 Paris, France; Université de Paris, F75005, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Moro</LastName><ForeName>Marie Rose</ForeName><Initials>MR</Initials><AffiliationInfo><Affiliation>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université de Paris, PCPP, F-92100 Boulogne-Billancourt, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lachal</LastName><ForeName>Jonathan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>APHP, Hôpital Cochin, Maison de Solenn, F-75014 Paris, France; Université de Paris, PCPP, F-92100 Boulogne-Billancourt, France; Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, F-94807, Villejuif, France. Electronic address: jonathan.lachal@gmail.com.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Pain Symptom Manage</MedlineTA><NlmUniqueID>8605836</NlmUniqueID><ISSNLinking>0885-3924</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19 pandemic</Keyword><Keyword MajorTopicYN="N">Psychosocial risks</Keyword><Keyword MajorTopicYN="N">healthcare workers</Keyword><Keyword MajorTopicYN="N">professional burnout</Keyword><Keyword MajorTopicYN="N">work-related stress</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>09</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>09</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>22</Day><Hour>20</Hour><Minute>16</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32961219</ArticleId><ArticleId IdType="pii">S0885-3924(20)30755-7</ArticleId><ArticleId IdType="doi">10.1016/j.jpainsymman.2020.09.023</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li><li>Varennes Jarcy</li><li>Versailles</li><li>Villejuif</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Lefevre, Herve" sort="Lefevre, Herve" uniqKey="Lefevre H" first="Hervé" last="Lefèvre">Hervé Lefèvre</name></region><name sortKey="Cardin, Charlotte" sort="Cardin, Charlotte" uniqKey="Cardin C" first="Charlotte" last="Cardin">Charlotte Cardin</name><name sortKey="Chaste, Pauline" sort="Chaste, Pauline" uniqKey="Chaste P" first="Pauline" last="Chaste">Pauline Chaste</name><name sortKey="Fourcade, Lola" sort="Fourcade, Lola" uniqKey="Fourcade L" first="Lola" last="Fourcade">Lola Fourcade</name><name sortKey="Fourmaux, Christine" sort="Fourmaux, Christine" uniqKey="Fourmaux C" first="Christine" last="Fourmaux">Christine Fourmaux</name><name sortKey="Lachal, Jonathan" sort="Lachal, Jonathan" uniqKey="Lachal J" first="Jonathan" last="Lachal">Jonathan Lachal</name><name sortKey="Minassian, Sevan" sort="Minassian, Sevan" uniqKey="Minassian S" first="Sevan" last="Minassian">Sevan Minassian</name><name sortKey="Moro, Marie Rose" sort="Moro, Marie Rose" uniqKey="Moro M" first="Marie Rose" last="Moro">Marie Rose Moro</name><name sortKey="Stheneur, Chantal" sort="Stheneur, Chantal" uniqKey="Stheneur C" first="Chantal" last="Stheneur">Chantal Stheneur</name><name sortKey="Tordjman, Elise" sort="Tordjman, Elise" uniqKey="Tordjman E" first="Elise" last="Tordjman">Elise Tordjman</name><name sortKey="Touati, Marie" sort="Touati, Marie" uniqKey="Touati M" first="Marie" last="Touati">Marie Touati</name><name sortKey="Voisard, Flore" sort="Voisard, Flore" uniqKey="Voisard F" first="Flore" last="Voisard">Flore Voisard</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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