Préoccupations éthiques des intervenants dans leur travail d'accompagnement auprès des aînés en fin de vie résidant en centre d'hébergement
The aim of this Bioethic thesis is to identify the intervening staff's ethical concerns in their support services beside elderlies living in Accommodation centre in the end of their lives. In the frame of an exploratory qualitative research, twelve semi-directed interview are carried out with members of the staff working directly with the clientele of such Accommodation centre. The originality of this thesis is to give a voice to the staff in direct interaction with the residents and to collect the concerns they have in mind while they perform their activities. The qualitative analysis of the content of these interviews allow expose many concerns of the staff in regard of différent elements of the environnement such as the Center as an organisation, the resident and the end of his life, the peers of the last, the associates of the staff such as families and co-workers, as much as much toward themselves in regard of their knowhow and how to be. Nonetheless, certain component limit its range such as : the choice of volunteers as participants, their small number particularly regarding the males staff and, the effect of social desirability that could have drawn the presentation of an improved vision of the reality. This thesis contribute to the advance of the knowledge in bioethics, demonstrating that the recourse at Ricœur's ethical thinking constitute a pertinent to use for the comprehension and analysis of the institutional functioning, the quality of life of the residents in end of life, as much as for the intervention of staff in their interventions in their accompaniment toward the residents and their families. In leaning on Ricœur's components of small ethics to set the bases of a program of end of life in Accommodation centre, this thesis shows also that the reference to Ricœur can constitute a valid resource to elaborate a response to the ministerial directive taking in account the staff's recommandations.
Ethics End of life Senior home Staff Senior Accompaniment Shared experience