Emerging Voices From the Frontline: Perspectives of Advanced Practice Nurses and Peer‐Helpers in French Mental Health Settings.
Background: Globally, the emergence of advanced practice nurses (APNs) and Peer‐Helpers is transforming mental health systems by addressing workforce shortages and user‐centred care. In France, where mental health has recently been designated a national priority, the lived experiences and perception...
| Publicado en: | Perspectives in Psychiatric Care Vol. 2025; pp. 1 - 11 |
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| Autores principales: | , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
11/7/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189188173&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189188173 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00315990 22L jtl: Perspectives in Psychiatric Care issn: 00315990 maglogo: Y pubinfo: dt: 11/7/2025 vid: 2025 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 189188173 189188173 189188173 10.1155/ppc/9002919 189188173 ppf: 1 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Emerging Voices From the Frontline: Perspectives of Advanced Practice Nurses and Peer‐Helpers in French Mental Health Settings. aug: au: De Jesus, Nancy Croguennec, Damien Morgiève, Margot Sampaio, Francisco affil: INSERM–CERMES3,, Université Paris-Descartes,, 45 Rue des Saints-Pères, Paris, 75006,, France, univ-paris5.fr sug: subj: Professional Identity Advanced Practice Registered Nurses Psychosocial Factors Peer Group Mental Health Services France Advanced Practice Registered Nursing Organizations Life Experiences Human Male Female Adult Middle Age Descriptive Research Qualitative Studies Semi-Structured Interview France Funding Source Interprofessional Relations Workforce Social Behavior Social Justice Comparative Studies Thematic Analysis Videoconferencing Audiorecording Purposive Sample Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Globally, the emergence of advanced practice nurses (APNs) and Peer‐Helpers is transforming mental health systems by addressing workforce shortages and user‐centred care. In France, where mental health has recently been designated a national priority, the lived experiences and perceptions of these emerging professionals remain underexplored. This study investigates how APNs and Peer‐Helpers construct their professional identities and navigate the tensions and power dynamics surrounding their integration within mental healthcare settings. Aim: To comparatively explore the professional identities, lived experiences, and integration challenges of APNs and Peer‐Helpers within France's mental healthcare system. Design: Descriptive qualitative research using in‐depth data collection. Method: Semistructured interviews were conducted with six APNs and six Peer‐Helpers from diverse mental healthcare settings across France. Data were analysed using reflexive thematic analysis, identifying themes and patterns in participants' perspectives and lived experiences. Results: Participants described persistent barriers to legitimacy, including unclear scopes of practice, institutional resistance, and epistemic asymmetries within clinical teams. While APNs struggled with medical hierarchies, Peer‐Helpers faced symbolic inclusion coupled with structural marginalization. Despite these tensions, both roles developed forms of adaptive boundary work to assert relevance in team collaborations. Conclusion: The study reveals that professional integration is not a linear or neutral process but marked by role conflict, emotional labour and jurisdictional negotiation. These findings challenge normative assumptions about role innovation as purely technical solution and invite a more nuanced, practice‐based understanding of systemic change. Implications for the Profession and/or Patient Care: To our knowledge, this is the first comparative study of APNs and Peer‐Helpers in France. It shows that their complementary contributions, clinical expertise and experiential knowledge, remain underleveraged due to institutional inertia and entrenched hierarchies. Internationally, these findings urge policymakers and health leaders to reconsider professional integration not as a rigid implementation, but as contested labour that demands interpersonal trust, structural support and epistemic equity. Patient or Public Contribution: None. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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