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Charmillot Pierre-Alain

Chargé-e de cours - Vacataire

Main contract

Chargé-e de cours - Vacataire

Haute Ecole Arc - Santé
Rue de la Jeunesse 1, 2800 Delémont 2, CH

BSc HES-SO en Soins infirmiers - Haute Ecole Arc - Santé

2023

Perceptions of healthcare professional about the “PACE Steps to Success” palliative care program for long-term care :

Scientific paper ArODES

a qualitative study in Switzerland

Pierre-Alain Charmillot, Lieve Van den Block, Mariska Oosterveld-Vlug, Sophie Pautex

Nursing open, 2023

Link to the publication

Summary:

Aim: This study aimed to examine the healthcare professionals' perceptions after implementing the “PACE Steps to Success” program in the French-speaking part of Switzerland. Design: A qualitative descriptive study. Methods: Thematic analysis of semi-structured face-to-face and group interviews with health professionals, PACE coordinators, and managers purposely invited in the four long-term home facilities that had previously participated in the PACE cluster randomized clinical trial intervention group. Results: The PACE program implementation has improved communication with residents regarding end-of-life issues and helped identify patients' needs. The introduction of codified tools can complete internal tools and support decision-making. In addition, the training has promoted inter-professional collaboration, particularly in the case of care assistants, by defining each profession's specific responsibilities in providing care for older adults.

2021

Providing medical care at the end of life - A cross-sectional study of long-term care facilities in Switzerland

Scientific paper ArODES

Sophie Pautex, Pierre-Alain Charmillot, Catherine Bassal, Emilie Morgan de Pauly, François Herrmann, Claudia Gamondi, Tanja Fusi-Schmidhauser

Praxis, 2021, vol. 110, no. 15, pp. 831-838

Link to the publication

Summary:

The provision of high-quality palliative care in nursing homes (NHs) requires specific knowledge and skills among health professionals. The aims of the study were to assess quality of care during the dying process and quality of end-of-life of NH residents in the French and Italian parts of Switzerland. 90 residents died during the study period (mean age 88.7 years). Mean of the "End-of-Life in Dementia Scales - Comfort Assessment while Dying" score was 35.7 (theoretical range 14-42). Mean of the "Quality of Dying in LongTerm Care" score was 38.3 (theoretical range 11-55). In conclusion, the quality of dying and quality of end-of-life care in NH studied can be improved improved, in particular on the anticipation level.

Critères d’indication de la transition vers des soins palliatifs et perceptions des professionnels de la santé et du social

Scientific paper ArODES

Pierre-Alain Charmillot

Revue internationale de soins palliatifs, 2021, vol. 35, no. 4, pp. 153-162

Link to the publication

Summary:

The need for palliative care is increasing, 80% of which must be provided by frontline carers. Their role is to anticipate the transition to such care. The indication criteria of the Swiss National Strategy have been submitted to practitioners. All these elements are integrated in the clinical analysis, but several problems are identified.

2017

Jouer pour mieux accompagner la mort de l’autre est-ce bien sérieux ?

Scientific paper ArODES

Pierre-Alain Charmillot, Stéphane Gobron

Revue internationale de soins palliatifs, 2017, vol. 32, pp. 37-44

Link to the publication

Summary:

The needs for end-of-life assistance will increase dramatically in the coming decades; consequently, staff will need to be better trained to meet the palliative care needs of an aging population. Medical and social professionals—nurses in particular—are key elements in accompanying elderly people towards their death. This task calls for high-level interpersonal skills, which form the basis for quality care and which provide the professionals with psychological protection. Specialized end-of-life training turns out to be a real challenge for teachers, as it touches on intimate, sensitive, and complex issues. The programs in vocational training centers are lined with educational tools for developing interpersonal skills, favoring learning groups on a human scale. Nevertheless, by favoring only group activities with teachers present—figures of authority—little space remains for a more intimate approach. Using technology tested in other fields, Serious Game is a high-potential teaching tool geared toward the young people in training today. This experimental research centers on a scenario of relational interaction between a patient and a care-giver in an end-of-life situation, from which we plan to develop four different Serious Game prototypes. They will be tested on 120 undergraduate students in three health and social schools and 20 professionals specialized in palliative care. The aim is to: (1) determine what is/are the environment(s) best-suited for teaching relational skills in the context of end of life; (2) procure a better understanding of Serious Game’s impact according to which media and supports are used; (3) study the possibility of transferring it to an older population. The first phase has led to the creation of a Serious Game scenario and prototype based entirely on text and a few images that we tested on 50 undergraduate students. The results show a high level of interest in—and pleasure playing—this game. The students report that they are capable of drumming up relational skills they have already acquired, as well as an awareness of their own emotional load in respect of the Other’s death. These first results encourage us to develop the entire project.

Achievements