At Vinatier, the déCLIC method makes it possible to deploy l’Evidence base nursing (EBN) by questioning daily practices in the field. Objective: support an evolution of practices anchored in the reality of care.
In psychiatry, many care practices are built and then transmitted based on experience, team habits and professional culture. If this clinical wealth is precious, it nevertheless deserves to be questioned, compared to the literature then consolidated by a shared method. It is in this perspective that Vinatier was born CLICK *, a resource group designed to help nurses connect their daily practices to evidence, based on concrete situations and field questions. The objective is to support an evolution of practices anchored in the reality of care, as close as possible to the needs of patients and professionals.
The starting point chosen was revealing: it involved questioning the intramuscular injection technique (1). The performance of this routine treatment, often considered to be mastered, in reality remains inconsistent across teams and professionals. From this act, a systematized method of implementing l’Evidence base nursing (EBN)was therefore implemented: questioning of practice, review of the literature, team translation of data from the literature into practice methods adapted to the field, support for change, then Evaluation of professional practices (EPP) and readjustment.
The interest of this system lies as much in the subject worked as in the method, which is easily transferable to other treatments and other establishments. CLICK thus offers a structured way of working on nursing practices in psychiatry from the field. The first topics covered also concerned clinical assessment based on measurement (2), the corpus of assessment scales and standardized questionnaires (3), the individualized follow-up plan (4), the nomenclature of nursing diagnoses, psychoeducation, anxiety management and even the reduction of the use of isolation, among others.
The nursing decree of December 24, 2025 relating to the activities and skills of the nursing profession (5) gives this dynamic a new scope by including evidence among the foundations of nursing care (6). If this development opens up a concrete work space for teams, we still need to have simple, practical formats adapted to the reality of services. CLICK is part of this logic of systemic deployment and thus proposes, based on a common method, to circulate questions of practice, feedback and evaluation dynamics between teams and between sites.
At this stage why not consider deploying CLICK in other psychiatric establishments in order to build a community of practice on evidence in nursing?
Contact : deCLIC@ch-le-vinatier.fr
Brian Levoivenel – Director of COPSY – CSS at Vinatier ; Sandy Mathieu – IPA PAPV/ DQSH – Vinatier ; Julien Cornier – IPA HDJ Pussin – Vinatier; Claire David – IDE project manager for the Care Department
- https://www.santementale.fr/2026/02/implanter-levidence-based-nursing-en-psychiatrie-retour-dexperience-a-partir-de-linjection-intramusculaire/
- https://www.santementale.fr/2025/01/ameliorer-levaluation-clinique-en-equipe-mobile/
- https://www.santementale.fr/2024/10/des-supports-pour-la-clinique-infirmiere/
- https://www.santementale.fr/2025/02/quand-le-plan-de-suivi-individualise-permet-dajuster-loffre-de-soins/
- Decree No. 2025-1306 of December 24, 2025 relating to the activities and skills of the nursing profession
- Art. R. 4311-2. (from the decree of 12/24/2025) – “To carry out the missions defined in II of article L. 4311-1, the nurse carries out nursing actions and care taking into account the scientific and technical evolution of practices, conclusive data (…)”
*under the aegis of the head of innovation, Brian Levoivenel, and the care coordinator, Pierre Hubert Ducharme
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