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We define the magnet hospital and its organizational and managerial characteristics, present its virtuous effects as reported in the scientific literature, and consider the conditions for its transposition to the French hospital context., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)

The objective of this qualitative study was to highlight the facilitating measures and difficulties encountered in continuing breastfeeding when returning to work at the Brest Regional University Hospital. The eleven mothers interviewed were able to take advantage of the solidarity in the care services to carry out their project, but simple institutional measures are still possible to facilitate this conciliation., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

Night work is common in hospitals. Weight gain with its metabolic complications is one of its well known effects. The presented study reports that night shift workers have an average weight gain of 5kg compared to day shift workers. They also have an insufficient cardioprotective diet. Occupational health nurses have an important role to play in identifying this warning indicator and developing primary prevention actions., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

The senior paramedical staff is fully involved in the coordination of care over twenty-fourhours. To this end, regular exchanges with those professionnals are an integral part of the managerial organization. Relying on the necessity to involve them in institutional projects that have an impact on their practices, these managerial positions aim to support the dynamics of teamwork, based in particular on the collection of their opinions, their suggestions and their needs for training or reorganization., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)

In the continuity of institutional care, it is important to visualize the return home as a possible entry into a new institution, an interdepartmental transfer. This allows to position oneself in a logic of decompartmentalization of two worlds - the city and the hospital - that seem to be quite distinct until now whereas they are entirely part of a single pathway for the supported person. This change of place is the logical consequence of the acute episode of hospitalization., (Copyright © 2021. Publié par Elsevier Masson SAS.)

Like all health establishments, the Nanterre (92) hospital reception and care center had to reorganize itself during the COVID-19 health crisis in order to cope with the influx of patients. In spite of the difficulties encountered, the pandemic allowed closer links between the city and the hospital., (Copyright © 2021. Publié par Elsevier Masson SAS.)

Background: Percutaneous mitral valve repair (pMVR) is reimbursed in France for severe secondary mitral regurgitation (SMR), but French data regarding the hospitalization index stay are lacking., Aims: Our objectives were to describe the index hospitalization stay and to evaluate the cost of hospital stay for pMVR used in SMR., Methods: A secondary evaluation based on patients who were randomized to the intervention group of the MITRA-FR study was undertaken. The economic evaluation was conducted according to the French hospital perspective. Medical resource use was estimated using specific data collected from patients enrolled in the MITRA-FR study and non-specific data from national statistics., Results: The population was represented by 144 patients who underwent pMVR at 33 French centres. There was a mean±standard deviation of 7.9±1.5 hospital staff during procedures. The mean procedure duration was 154±68 minutes and increased with the number of implanted clips. Median total length of stay was 8 days. The occurrence of a serious adverse event was not associated with an increased risk of admission to the critical care unit, but was associated with an increased length of stay. The mean total cost was 28,025±3424€, which includes 21,547€ for the cost of medical devices used during pMVR and 6478±3424€ for other costs., Conclusion: The cost of pMVR is substantial for patients with SMR, which advocates for further efforts to identify the patients with SMR who are likely to derive a clear clinical benefit from the procedure., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)

How can we actively participate in sustainable development when we are nurses, orderlies or health care agents? Are nurses simply executors, users of equipment and consumers of products or, on the contrary, major contributors to the evolution towards more eco-responsible care practices? A shared reflection and a commitment from all hospital staff could encourage active participation in health establishments., (Copyright © 2021 Elsevier Masson SAS. All rights reserved.)

Available and voluntary, with ten years' experience in the intensive care unit, a nurse testifies to the reinforcement she brought to the Grand-Est region last April, when her nursing colleagues from the hospitals were facing the surge of patients struck by serious forms of COVID-19. A memorable experience., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)

Respectful care of a deceased patient. In their daily practice, nurses continue to provide care to patients after death has occurred. They perform the laying out which marks the end of their care and is a gesture of respect by the nursing teams towards the deceased person. Beyond the technical aspects, all nurses are faced with their own humanity when they carry out this procedure. Nursing teams were sorely tested during the COVID-19 health crisis in this regard., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)

While the placebo is a pharmacologically inert substance, the effect it can produce is undeniable and unquestioned and all hospitals use it. This article presents the results of a survey carried out with nurses from Dreux general hospital, aiming to assess the place of the placebo in their professional practices., (Copyright © 2019 Elsevier Masson SAS. All rights reserved.)

Restraint in geriatric care is not a trivial act. It must be regulated, performed in accordance with best practice guidelines and respect patients' fundamental rights. It requires initial evaluation as well as daily re-evaluation. An alternative must always be considered by the whole team, which should be mindful of its responsibility and its sense of ethics., (Copyright © 2018 Elsevier Masson SAS. All rights reserved.)

Cultural and ethnic diversities present in the hospital as well as within the nursing teams impact on the way of working. Observing them from the point of view of the caregivers based on experiences of team guidance and training highlights issues related to the way the hospital teams experience these differences. These differences also have an effect conveyed through tensions, conflicts or solidarity. The place and the role of the managers are an important lever for supporting their teams, notably with regard to racism which can sometimes be expressed in the social relations present in the workplace., (Copyright © 2018 Elsevier Masson SAS. All rights reserved.)

For healthcare financing to remain profitable and to continue to function, the care system must be innovative in terms of patient care. Work organisation has changed with the pricing system for medical acts. The system of enhanced recovery after surgery helps to reduce hospitalisation times and to reflect on organisation. Nurses are on the front line., (Copyright © 2017 Elsevier Masson SAS. All rights reserved.)

Objectives: By the Order of 6 April 2011, the pharmacist must validate all the prescriptions containing "high-risk drugs" or those of "patients at risk". To optimize this clinical pharmacy activity, we identified high-risk drugs., Method: A list of high-risk drugs has been established using literature, pharmacists' interventions (PI) performed in our hospital and a survey sent to hospital pharmacists. In a prospective study (analysis of 100 prescriptions for each high-risk drug selected), we have identified the most relevant to target., Results: We obtained a statistically significant PI rate (P<0.05) for digoxin, oral anticoagulants direct, oral methotrexate and colchicine., Conclusion: This method of targeted pharmaceutical validation based on high-risk drugs is relevant to detect patients with high risk of medicine-related illness., (Copyright © 2016 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.)

At Valenciennes general hospital, for some patients, the medicine use pathway is made secure through the use of computer systems which ensure named-patient daily dispensing. Secure cupboards are a complement to this main pathway., (Copyright © 2016. Publié par Elsevier Masson SAS.)

It has been a long road for complementary medicines from their use in secrecy just a few decades ago to the first University Congress for Complementary Medicines held in Nice in December 2015. Complementary medicines are now used in hospitals, have been granted a legal framework and recognised training. They are called for by patients., (Copyright © 2016 Elsevier Masson SAS. All rights reserved.)

The hospital is the last refuge for sick homeless people when their illness makes life on the street impossible. The teams often consider these patients as different, difficult and not easy to place in a specific type of care. In palliative care, fewer questions are raised as the patients are hospitalised for their terminal phase. The difficulties often lie in diagnosing the disease and recognising its seriousness and the patient's social situation., (Copyright © 2015 Elsevier Masson SAS. All rights reserved.)

Forty years after the decriminalisation of abortion, what is society's view of this hard-fought right of women? Do they finally have the freedom to control their own bodies? The sociological view put forward here questions the professional positioning of caregivers faced with women requesting an elective abortion., (Copyright © 2015 Elsevier Masson SAS. All rights reserved.)

Health care facilities more and more use 3D printing, including making their own medical devices (MDs). However, production and marketing of MDs are regulated. The goal of our work was to clarify what is the current French regulation that should be applied concerning the production of custom-made MDs produced by 3D printing in a health care facility. MDs consist of all devices used for diagnosis, prevention, or treatment of diseases in patients. Prototypes and anatomic models are not considered as MDs and no specific laws apply to them. Cutting guides, splints, osteosynthesis plates or prosthesis are MDs. In order to become a MD manufacturer in France, a health care facility has to follow the requirements of the 93/42/CEE directive. In addition, custom-made 3D-printed MDs must follow the annex VIII of the directive. This needs the writing of a declaration of conformity and the respect of the essential requirements (proving that a MD is secure and conform to what is expected), the procedure has to be qualified, a risk analysis and a control of the biocompatibility of the material have to be fulfilled. The documents proving that these rules have been respected have to be available. Becoming a regulatory manufacturer of MD in France is possible for a health care facility but the specifications have to be respected., (Copyright © 2015 Elsevier Masson SAS. All rights reserved.)

Since 1945, many legislative and regulatory texts have contributed to protecting patients' rights. This long road, alongside the development of patients' associations, has led to the rise of healthcare democracy. These rights need to take their place in everyday practice and enable citizen-patients to be seen as partners in constructing their healthcare and treatment pathway. The alliance is a necessity for this--now we need to bring it to life!, (Copyright © 2015 Elsevier Masson SAS. All rights reserved.)

It is mandatory for all hospitals to be prepared for the occurrence of a chemical biological, radiological or nuclear (CBRN) event. This preparation requires specific investment on the part of the hospital management, as well as from the nursing teams on the frontline. Teams from Lariboisière hospital in Paris have been working on these risks for several years., (Copyright © 2014 Elsevier Masson SAS. All rights reserved.)

Working well together at hospital depends on several factors, on the level of a team as well as that of the ministry in charge of health. How can we encourage and promote cooperation between caregivers? If the hospital is the reflection of society as a whole, an analysis of the functioning of this universe provides a better understanding of the challenges and the missions of each player for the benefit of the patient., (Copyright © 2014 Elsevier Masson SAS. All rights reserved.)