ブックタイトルThe Journal of Humanitarian Studies

概要

The Journal of Humanitarian Studies

Journal of Humanitarian Studies Vol. 4, 2015to the preparation of clinical recommendations, before moving on to the clinical implementation andevaluation phases.Without a shadow of a doubt, Switzerland’s nursing community is destined to adopt ever more EBNapproaches, and nursing staff will have to back-up their decisions with sound arguments based on proofand expert consensus. Nevertheless, the EBN approach only came into use in 2002 when nursing teachingmoved to the university level; it is still some away from being widespread. Over the next ten years, EBNwill become a requirement and as such a challenge.Challenges for 2020At La Source, we believe that professional nursing staff in Switzerland will not only have to accept EBN,but will also have to take on board systematic physical and mental assessment. Furthermore, they will alsohave to acquire more tools for evaluating the diverse situations they deal with that involve risk (e.g. risksof bedsores, falling or confusion, and recognising pain and depression).One challenge that is taken particularly to heart at La Source is the creation of an inter-professional workculture, mainly between physicians and nurses. Our experience in the city of Lausanne (Switzerland) hasshown that despite the fact that these two professional groups have been working alongside each other for along time, this in no way implies that their collaboration or the balance between their complementary skillsis optimal. In fact, the significant reciprocal misunderstandings which exist not only generate inefficiencies,but can also reduce patient safety. Indeed, amongst the causes of critical incidents and errors during care,La Source has noted that poor collaboration between physicians and nurses represents a high risk factor.Faced with this, Lausanne’s schools of nursing sciences, Faculty of Medicine and University Hospital havecarried out a series of inter-professional teaching experiments with the goal of publishing a theoreticalmodel in 2015. These experiments involve medical students, student nurses and students in other universitylevelhealth fields. Some examples include:? a weekend introduction to inter-professionalism: over two days, 500 students from six health professionsare split into mixed groups and analyse clinical case studies, reflecting on the complementaritiesbetween their approaches? optional course modules, designed jointly by a professor of medicine and a professor of nursingsciences, and offered to mixed groups of students? community immersion courses abroad (in India) for pairs of students?one medical, one nursing?toexamine the risk factors and consequences of specific pathologies (e.g. diabetes, tuberculosis)? inter-profession courses conducted in a hands-on, healthcare simulation centre (using dummies andactors).Opening up to the worldIn conclusion, there is another challenge that should be mentioned: the issue of multiculturalism andopenness to the world. Migratory phenomena have imprinted a very noticeable cultural diversity onSwitzerland. Outside the country itself, it is little known that 25% of the population is made up of foreigners(it is more than 33% in Lausanne). Nursing must take all this into account in its provision of care, and thusthe concept of multiculturalism is embodied in nursing training from the beginning.Beyond that, Switzerland has a strong tradition of humanitarian action: it hosts the headquarters of theInternational Committee of the Red Cross (CICR/ICRC), amongst others. In recent years, there hasbeen a spectacular growth in the demand for healthcare professionals trained in humanitarian action andproviding care in situations of natural disaster or violent conflict. Switzerland should be setting an exampleby training a far greater number of specialised nursing professionals in this field.40人道研究ジャーナルVol. 4, 2015