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Master Thesis

Évaluation de la performance des visites périodiques en médecine du travail du personnel hospitalier : évaluation de la mise en place des entretiens infirmiers en santé au travail dans les services de MTPH du CHU de Bordeaux

Abstract : Since the Act of 20 July 2011, the role of the Occupational Health Nurse (IST) has changed. He can now make Interviews in Occupational Health Nursing (ESTI) alternating with the consultations conducted by the occupational Doctor. This cooperation, framed by protocols, is in place since 2012 at the CHU of Bordeaux. 
The objective of this thesis is the evaluation of the tool used in the ESTI versus periodic visit by the Doctor in the periodic monitoring of agents in the hospital occupational medicine at the CHU of Bordeaux. 
To evaluate the performance of ESTI versus periodic visits by Doctors we conducted a simulation study using the technique of standardized patient. This was done:
1. Development arbitrarily fictitious case with creating scenarios based on the most frequently encountered situations under periodic visits. We organised ESTI and periodic visits with occupational Doctors in the service for these fictitious cases.
2. Development of answers assessment criteria of IST and Occupational Doctors for each case from the regulations, expert opinions and recommendations of learned societies (SFMT, HAS, CNOM, INRS, CCLIN, IRSN). Validation of the criteria by experts outside the department. 
This study shows that the detection, the information but also the prescription of some additional tests and guidance if necessary from the person to the occupational Doctor are performed effectively during interviews with IST. This frees time for medical visits focused on more specific issues (back-to-work visits, occasional visits) that require the specialized skills of occupational Doctor.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01223901
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Friday, November 20, 2015 - 11:40:14 AM
Last modification on : Friday, November 8, 2019 - 6:19:09 PM
Long-term archiving on: : Friday, April 28, 2017 - 7:53:36 AM

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Laurie Querrioux. Évaluation de la performance des visites périodiques en médecine du travail du personnel hospitalier : évaluation de la mise en place des entretiens infirmiers en santé au travail dans les services de MTPH du CHU de Bordeaux. Médecine humaine et pathologie. 2015. ⟨dumas-01223901⟩

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