Perceptions du personnel infirmier autorisé des services d’urgence concernant les troubles liés à l’utilisation de substances et les sites de consommation supervisée
DOI :
https://doi.org/10.29173/cjen234Mots-clés :
Réduction des méfaits, service des urgences, personnel infirmier des urgences, sites de consommation supervisée, troubles liés à l’utilisation de substancesRésumé
RÉSUMÉ
Contexte : Face à l’augmentation des méfaits liés à la consommation de drogues au Canada, l’accent a
été mis sur les stratégies de réduction des méfaits telles que les sites de consommation supervisée
(SCS).
La documentation sur la perception du personnel infirmier autorisé (IA) des services d’urgence à l’égard
des sites de consommation supervisée et des troubles liés à l’utilisation de substances (TUS) est
insuffisante, en particulier dans les villes canadiennes de petite et de moyenne taille.
Objectif : La présente étude descriptive visait à déterminer les perceptions des IA des urgences sur les
TUS et les SCS.
Méthodes : Une enquête comportant 27 questions a été diffusée auprès des IA travaillant actuellement
dans les services d’urgence du sud-ouest de l’Ontario par le biais d’un lien en ligne Qualtrics®. La
recherche a examiné les perceptions des IA des urgences sur les SCS et les TUS.
Résultats : Les résultats quantitatifs révèlent que les IA des urgences (n = 146) font preuve d’empathie à
l’égard de la consommation de drogues et des TUS, mais se montrent neutres envers les SCS. Ils ont fait
état des effets positifs et des préoccupations potentielles de la mise en œuvre des SCS. Malgré leurs
appréhensions, la plupart des IA des urgences ont indiqué le cas échéant leur volonté d’orienter leurs
patients vers de tels sites si ceux-ci étaient à disposition.
Discussion : Les résultats de la présente étude ont fourni des données récentes sur les perceptions des
IA des services d’urgence à l’égard des TUS et des SCS dans les villes canadiennes de petite et de
moyenne taille. Elle a également permis de déterminer les services que les SCS et leurs services
d’urgence devraient offrir du point de vue de l’IA du service d’urgence.
Conclusion : Cette étude à sites multiples offre la possibilité de comparer les perceptions d’autres
disciplines, de partager de nouvelles connaissances et d’améliorer les soins et la sécurité des patients.
Parmi les recommandations, un partenariat d’orientation vers la réduction des risques entre les services
d’urgence et les partenaires communautaires. Il est essentiel de pratiquer de manière réfléchie, de
réduire l’influence des stéréotypes et des décisions et soins fondés sur la stigmatisation, et d’encourager
la mise en place d’une législation soutenant les politiques et procédures éthiques qui augmentent
l’utilisation et l’accès aux SCS.
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© Aleksandra Ilievska, Gina Pittman, Jody Ralph 2025
Cette œuvre est sous licence Creative Commons Attribution 4.0 International.
The Canadian Journal of Emergency Nursing is published Open Access under a Creative Commons CC-BY 4.0 license. Authors retain full copyright.
