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&#8220;Organization&#8221;,<br \/>\n        &#8220;name&#8221;: &#8220;DYNSEO&#8221;,<br \/>\n        &#8220;url&#8221;: &#8220;https:\/\/www.dynseo.com\/&#8221;<br \/>\n      },<br \/>\n      &#8220;publisher&#8221;: {<br \/>\n        &#8220;@type&#8221;: &#8220;Organization&#8221;,<br \/>\n        &#8220;name&#8221;: &#8220;DYNSEO&#8221;,<br \/>\n        &#8220;url&#8221;: &#8220;https:\/\/www.dynseo.com\/&#8221;<br \/>\n      },<br \/>\n      &#8220;image&#8221;: &#8220;https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Autisme-en-etablissement-Accompagnement-Global-5-1.jpg&#8221;<br \/>\n    },<br \/>\n    {<br \/>\n      &#8220;@type&#8221;: &#8220;FAQPage&#8221;,<br \/>\n      &#8220;mainEntity&#8221;: [<br \/>\n        {<br \/>\n          &#8220;@type&#8221;: &#8220;Question&#8221;,<br \/>\n          &#8220;name&#8221;: &#8220;Combien de temps faut-il pour suivre la formation ?&#8221;,<br \/>\n          &#8220;acceptedAnswer&#8221;: {<br \/>\n            &#8220;@type&#8221;: &#8220;Answer&#8221;,<br \/>\n            &#8220;text&#8221;: &#8220;Environ quatre heures au total pour les 4 modules et les 16 le\u00e7ons, plus un quiz de synth\u00e8se. Les le\u00e7ons \u00e9tant courtes, de onze \u00e0 vingt minutes chacune, la plupart des apprenants \u00e9talent le parcours sur deux \u00e0 quatre semaines, \u00e0 raison de deux courts cr\u00e9neaux par semaine. L&#8217;acc\u00e8s reste ensuite ouvert de fa\u00e7on illimit\u00e9e : on peut revenir sur une le\u00e7on pr\u00e9cise au moment o\u00f9 une situation de refus se pr\u00e9sente sur le terrain, ce qui en fait une ressource durable et pas seulement une formation ponctuelle.&#8221;<br \/>\n          }<br \/>\n        },<br \/>\n        {<br \/>\n          &#8220;@type&#8221;: &#8220;Question&#8221;,<br \/>\n          &#8220;name&#8221;: &#8220;La formation donne-t-elle un acc\u00e8s illimit\u00e9 et un certificat ?&#8221;,<br \/>\n          &#8220;acceptedAnswer&#8221;: {<br \/>\n            &#8220;@type&#8221;: &#8220;Answer&#8221;,<br \/>\n            &#8220;text&#8221;: &#8220;Oui. L&#8217;acc\u00e8s est imm\u00e9diat apr\u00e8s l&#8217;inscription et illimit\u00e9 dans le temps : le contenu reste disponible aussi longtemps que vous le souhaitez, sur ordinateur, tablette ou smartphone. \u00c0 l&#8217;issue du parcours, chaque apprenant re\u00e7oit une attestation de fin de formation nominative. Il s&#8217;agit d&#8217;une attestation de participation \u00e0 une action de formation, exploitable dans le dossier individuel et la d\u00e9marche qualit\u00e9 de l&#8217;\u00e9tablissement, et non d&#8217;un dipl\u00f4me d&#8217;\u00c9tat ni d&#8217;une qualification r\u00e9glement\u00e9e.&#8221;<br \/>\n          }<br \/>\n        },<br \/>\n        {<br \/>\n          &#8220;@type&#8221;: &#8220;Question&#8221;,<br \/>\n          &#8220;name&#8221;: &#8220;La formation peut-elle \u00eatre prise en charge par l&#8217;employeur ?&#8221;,<br \/>\n          &#8220;acceptedAnswer&#8221;: {<br \/>\n            &#8220;@type&#8221;: &#8220;Answer&#8221;,<br \/>\n            &#8220;text&#8221;: &#8220;C&#8217;est envisageable : DYNSEO est un organisme de formation certifi\u00e9 Qualiopi (N\u00b0 11757351875), condition g\u00e9n\u00e9ralement requise pour une prise en charge au titre du plan de d\u00e9veloppement des comp\u00e9tences ou par un op\u00e9rateur de comp\u00e9tences. Les r\u00e8gles, plafonds et proc\u00e9dures varient selon les pays, les branches et les financeurs, et aucun montant ne peut \u00eatre garanti \u00e0 l&#8217;avance. La d\u00e9marche fiable : faites valider le programme et le devis par votre service RH ou votre organisme financeur avant l&#8217;achat.&#8221;<br \/>\n          }<br \/>\n        },<br \/>\n        {<br \/>\n          &#8220;@type&#8221;: &#8220;Question&#8221;,<br \/>\n          &#8220;name&#8221;: &#8220;Peut-on inscrire toute une \u00e9quipe ?&#8221;,<br \/>\n          &#8220;acceptedAnswer&#8221;: {<br \/>\n            &#8220;@type&#8221;: &#8220;Answer&#8221;,<br \/>\n            &#8220;text&#8221;: &#8220;Oui. Chaque professionnel dispose de son propre compte apprenant et de son attestation nominative, ce qui permet de verser les justificatifs aux dossiers individuels. C&#8217;est m\u00eame l&#8217;usage recommand\u00e9 pour ce sujet : face au refus de soins, la coh\u00e9rence de toute l&#8217;\u00e9quipe compte autant que la comp\u00e9tence de chacun. Pour un d\u00e9ploiement sur plusieurs postes ou un devis \u00e0 l&#8217;\u00e9chelle d&#8217;un \u00e9tablissement, passez par la page contact du site : une proposition adapt\u00e9e au nombre d&#8217;apprenants peut \u00eatre \u00e9tablie.&#8221;<br \/>\n          }<br \/>\n        },<br \/>\n        {<br \/>\n          &#8220;@type&#8221;: &#8220;Question&#8221;,<br \/>\n          &#8220;name&#8221;: &#8220;Quel accompagnement ou support en cas de question ?&#8221;,<br \/>\n          &#8220;acceptedAnswer&#8221;: {<br \/>\n            &#8220;@type&#8221;: &#8220;Answer&#8221;,<br \/>\n            &#8220;text&#8221;: &#8220;La formation est un parcours en ligne \u00e0 suivre en autonomie, mais vous n&#8217;\u00eates pas livr\u00e9 \u00e0 vous-m\u00eame : l&#8217;\u00e9quipe DYNSEO reste joignable via la page contact du site pour toute question technique ou administrative li\u00e9e \u00e0 l&#8217;acc\u00e8s, au compte apprenant ou \u00e0 l&#8217;attestation. Pour les questions cliniques rencontr\u00e9es sur le terrain \u2014 douleur, \u00e9tat de sant\u00e9, d\u00e9cision de soin \u2014, la formation renvoie syst\u00e9matiquement au professionnel de sant\u00e9 r\u00e9f\u00e9rent, seul habilit\u00e9 \u00e0 poser un diagnostic et \u00e0 d\u00e9cider de la conduite \u00e0 tenir.&#8221;<br \/>\n          }<br \/>\n        }<br \/>\n      ]<br \/>\n    }<br \/>\n  ]<br \/>\n}<\/p>\n<div class=\"dbi-art-591f26\">\n<!--\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\nDYNSEO \u2014 SEO\/GEO ARTICLE TEMPLATE  \u00b7  v1.0\nDo not modify class names: the script generer-articles.py\nand all previously published articles depend on it.\n\nThe script generer-articles.py injects, in order: the colored header,\nthe training or tool box, the written body, and then the structured data.\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n--><\/p>\n<div class=\"dyn-article\">\n<header class=\"dyn-pagehead dyn-pagehead--eau\">\n  <span class=\"dyn-pagehead__cat\">Professionals \u00b7 Behavioral disorders<\/span><\/p>\n<h1>Training \u201cRefusal of care: understanding, negotiating and respecting \u2014 a gentle and ethical approach\u201d: program, content and who it is for<\/h1>\n<pee class=\"dyn-pagehead__lead\">\u201c&nbsp;She grits her teeth as soon as I approach with the glove&nbsp;\u201d, \u201c&nbsp;he pushes away the tray without a word&nbsp;\u201d, \u201c&nbsp;she says no to everything, even to what she liked before&nbsp;\u201d. In the reports, the refusal of care almost always comes through these little phrases. Three accurate observations, three doors that seem to close \u2014 and, behind each, a need, a fear or a story that has not yet been understood.<\/pee>\n<ul class=\"dyn-pagehead__meta\">\n<li>\u23f1\ufe0f 13 min read<\/li>\n<li>\ud83d\udc65 For professionals<\/li>\n<li>\ud83d\udd04 Updated in August 2026<\/li>\n<\/ul>\n<\/header>\n<section class=\"dynen dynen-inarticle\" data-dynen=\"inarticle\"><pee class=\"dynen-h\">Dans cet article<\/pee><pee class=\"dynen-sub\">La formation associ\u00e9e<\/pee><a class=\"dynen-form\" href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\"><\/p>\n<div class=\"dynen-form__img\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Autisme-en-etablissement-Accompagnement-Global-5-1.jpg\" alt=\"\" loading=\"lazy\"><\/div>\n<div class=\"dynen-form__body\"><span class=\"dynen-tag dynen-tag--quali\">Formation Qualiopi<\/span><b>Refus de soins : comprendre, n\u00e9gocier et respecter \u2014 une approche douce et \u00e9thique<\/b><span class=\"dynen-go\">D\u00e9couvrir la formation \u2192<\/span><\/div>\n<p><\/a><pee class=\"dynen-sub\">Les ressources cit\u00e9es<\/pee>\n<div class=\"dynen-grid dynen-grid--ico\"><a class=\"dynen-ico dynen-dom--emotions\" href=\"https:\/\/www.dynseo.com\/en\/our-tools\/emotion-thermometer\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/plugins\/dynseo-enrichment\/assets\/tools\/thermometre-des-emotions.svg\" alt=\"\" width=\"56\" height=\"56\" loading=\"lazy\"><b>Thermom\u00e8tre des \u00e9motions<\/b><span class=\"dynen-go\">D\u00e9couvrir \u2192<\/span><\/a><a class=\"dynen-ico dynen-dom--autonomie\" href=\"https:\/\/www.dynseo.com\/en\/our-tools\/facial-expression-decoder\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/plugins\/dynseo-enrichment\/assets\/tools\/decodeur-dexpressions-faciales.svg\" alt=\"\" width=\"56\" height=\"56\" loading=\"lazy\"><b>D\u00e9codeur d&#039;Expressions Faciales<\/b><span class=\"dynen-go\">D\u00e9couvrir \u2192<\/span><\/a><a class=\"dynen-ico dynen-dom--langage\" href=\"https:\/\/www.dynseo.com\/en\/our-tools\/conversation-cards\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/plugins\/dynseo-enrichment\/assets\/tools\/cartes-de-conversation.svg\" alt=\"\" width=\"56\" height=\"56\" loading=\"lazy\"><b>Cartes de conversation<\/b><span class=\"dynen-go\">D\u00e9couvrir \u2192<\/span><\/a><a class=\"dynen-ico dynen-dom--langage\" href=\"https:\/\/www.dynseo.com\/en\/our-tools\/voice-scale\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/plugins\/dynseo-enrichment\/assets\/tools\/echelle-de-la-voix.svg\" alt=\"\" width=\"56\" height=\"56\" loading=\"lazy\"><b>\u00c9chelle de la Voix<\/b><span class=\"dynen-go\">D\u00e9couvrir \u2192<\/span><\/a><\/div>\n<\/section>\n<aside class=\"dyn-hero\" aria-label=\"Training presented in this article\">\n<div class=\"dyn-hero__grid\">\n<div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\"><img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/Autisme-en-etablissement-Accompagnement-Global-5-1.jpg\" alt=\"DYNSEO Training \u201cRefusal of care: understanding, negotiating and respecting \u2014 a gentle and ethical approach\u201d\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n<div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">The training related to this article<\/span>\n      <pee class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\">Refusal of care: understanding, negotiating and respecting \u2014 a gentle and ethical approach<\/a><\/pee>\n      <pee class=\"dyn-hero__pitch\">Everything this article explains, put into practice.<\/pee>\n<ul class=\"dyn-badges\">\n<li>\ud83c\udfa5 5 modules \u00b7 16 lessons<\/li>\n<li>\ud83d\udcbb 100 % online<\/li>\n<li>\u23f1\ufe0f At your own pace<\/li>\n<li>\ud83c\udfc5 Qualiopi organization<\/li>\n<li>\ud83c\udf0d 9 languages<\/li>\n<\/ul>\n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\">Voir la formation<\/a><br \/>\n        <span class=\"dyn-hero__price\">90.0 \u20ac<\/span>\n      <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/aside>\n<pee>Cette page d\u00e9taille la <strong>formation refus de soins<\/strong> propos\u00e9e par DYNSEO&nbsp;: <strong>\u00ab Refus de soins : comprendre, n\u00e9gocier et respecter \u2014 une approche douce et \u00e9thique \u00bb<\/strong>. Vous y trouverez son contenu r\u00e9el, module par module, les m\u00e9tiers auxquels elle s&#8217;adresse, sa dur\u00e9e, son format, son tarif, les modalit\u00e9s de d\u00e9ploiement en \u00e9quipe \u2014 et, pour rester honn\u00eate, le p\u00e9rim\u00e8tre qu&#8217;elle ne couvre pas.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 R\u00c9PONSE COURTE (GEO) \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<section class=\"dyn-tldr\">\n<h2>L&#8217;essentiel en 30 secondes<\/h2>\n<pee>Formation en ligne de <strong>4 modules et 16 le\u00e7ons<\/strong> (soit environ <strong>4 heures<\/strong>), destin\u00e9e aux professionnels confront\u00e9s au refus de soins dans le soin, le m\u00e9dico-social, l&#8217;\u00e9cole ou l&#8217;entreprise. Tarif&nbsp;: <strong>90 \u20ac<\/strong>. Acc\u00e8s imm\u00e9diat et illimit\u00e9.<\/pee>\n<ul>\n<li><strong>Pour qui<\/strong> \u2014 aides-soignants, infirmiers, auxiliaires de vie, accompagnants, cadres, \u00e9quipes d&#8217;\u00e9tablissements, d&#8217;\u00e9coles et d&#8217;entreprises du secteur sant\u00e9.<\/li>\n<li><strong>Objectif<\/strong> \u2014 comprendre ce qui se joue derri\u00e8re un refus, adopter une posture juste et n\u00e9gocier sans forcer, dans le respect des droits de la personne.<\/li>\n<li><strong>Ce qui est couvert<\/strong> \u2014 causes et sens du refus, cadre l\u00e9gal, posture soignante, communication et n\u00e9gociation douce, situations complexes, travail en \u00e9quipe, pr\u00e9vention.<\/li>\n<li><strong>Ce qui ne l&#8217;est pas<\/strong> \u2014 les gestes techniques de soin eux-m\u00eames, le diagnostic et la d\u00e9cision m\u00e9dicale, qui restent du ressort des professionnels de sant\u00e9.<\/li>\n<li><strong>Organisme<\/strong> \u2014 DYNSEO, certifi\u00e9 Qualiopi (N\u00b0 11757351875), attestation de fin de formation d\u00e9livr\u00e9e.<\/li>\n<\/ul>\n<\/section>\n<nav class=\"dyn-toc\" aria-label=\"Sommaire\">\n  <pee>Au sommaire<\/pee>\n<ol>\n<li><a href=\"#dyn-probleme\">Le probl\u00e8me qu&#8217;elle r\u00e9sout sur le terrain<\/a><\/li>\n<li><a href=\"#dyn-pourqui\">\u00c0 qui s&#8217;adresse la formation refus de soins<\/a><\/li>\n<li><a href=\"#dyn-programme\">Le programme&nbsp;: 4 modules, 16 le\u00e7ons<\/a><\/li>\n<li><a href=\"#dyn-format\">Format et organisation<\/a><\/li>\n<li><a href=\"#dyn-competences\">Ce que vous saurez faire \u00e0 la fin<\/a><\/li>\n<li><a href=\"#dyn-qualiopi\">Qualiopi, attestation et financement<\/a><\/li>\n<li><a href=\"#dyn-equipe\">D\u00e9ployer la formation dans une \u00e9quipe<\/a><\/li>\n<li><a href=\"#dyn-tarif\">Tarif et inscription<\/a><\/li>\n<li><a href=\"#dyn-limites\">Ce que cette formation n&#8217;est pas<\/a><\/li>\n<li><a href=\"#dyn-faq\">Questions fr\u00e9quentes<\/a><\/li>\n<\/ol>\n<\/nav>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 1 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-probleme\">Le probl\u00e8me qu&#8217;elle r\u00e9sout sur le terrain<\/h2>\n<pee>Le refus de soins n&#8217;est pas un caprice, ni une attaque personnelle contre le professionnel. C&#8217;est un message. Une personne qui refuse la toilette peut avoir froid, avoir mal, avoir honte, ne pas reconna\u00eetre la personne qui l&#8217;approche, ou ne plus comprendre ce qu&#8217;on attend d&#8217;elle. Le m\u00eame geste \u2014 dire \u00ab&nbsp;non&nbsp;\u00bb, d\u00e9tourner la t\u00eate, serrer les m\u00e2choires \u2014 recouvre des r\u00e9alit\u00e9s tr\u00e8s diff\u00e9rentes.<\/pee>\n<pee>Le droit au refus est d&#8217;ailleurs inscrit dans la loi fran\u00e7aise&nbsp;: la loi du 4 mars 2002 relative aux droits des malades pose le principe du consentement, et la loi Claeys-Leonetti de 2016 r\u00e9affirme le respect de la volont\u00e9 de la personne. Le professionnel n&#8217;est donc pas face \u00e0 un simple probl\u00e8me d&#8217;organisation, mais \u00e0 un \u00e9quilibre d\u00e9licat entre le respect d&#8217;un droit et son devoir de prot\u00e9ger et de soigner.<\/pee>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Ce qui est observ\u00e9 et transmis<\/th>\n<th>Interpr\u00e9tation fr\u00e9quente<\/th>\n<th>Ce dont il s&#8217;agit souvent<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Refuse la toilette du matin<\/td>\n<td>Mauvaise volont\u00e9, opposition<\/td>\n<td>Douleur au mouvement, pudeur, peur de l&#8217;eau<\/td>\n<\/tr>\n<tr>\n<td>Repousse le plateau-repas<\/td>\n<td>Manque d&#8217;app\u00e9tit<\/td>\n<td>Fausses routes redout\u00e9es, fatigue, textures inadapt\u00e9es<\/td>\n<\/tr>\n<tr>\n<td>Serre les dents devant le soin<\/td>\n<td>Agressivit\u00e9<\/td>\n<td>Douleur anticip\u00e9e, incompr\u00e9hension, sentiment d&#8217;intrusion<\/td>\n<\/tr>\n<tr>\n<td>Dit \u00ab&nbsp;non&nbsp;\u00bb \u00e0 toute proposition<\/td>\n<td>Caract\u00e8re difficile<\/td>\n<td>Besoin de garder un contr\u00f4le sur sa vie<\/td>\n<\/tr>\n<tr>\n<td>Se fige et ne r\u00e9pond plus<\/td>\n<td>Bouderie, indiff\u00e9rence<\/td>\n<td>Surcharge, angoisse, trouble de la compr\u00e9hension<\/td>\n<\/tr>\n<tr>\n<td>Accepte le matin, refuse le soir<\/td>\n<td>Incoh\u00e9rence<\/td>\n<td>Fatigue de fin de journ\u00e9e, rythme non respect\u00e9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<pee>Chaque ligne de ce tableau repr\u00e9sente un ajustement possible&nbsp;: une phrase reformul\u00e9e, un moment d\u00e9cal\u00e9, une explication donn\u00e9e autrement. C&#8217;est pr\u00e9cis\u00e9ment l&#8217;objet de cette formation&nbsp;: passer de l&#8217;observation au d\u00e9codage juste, puis \u00e0 une r\u00e9ponse qui respecte \u00e0 la fois la personne et la n\u00e9cessit\u00e9 du soin. On ne cherche pas \u00e0 \u00ab&nbsp;faire c\u00e9der&nbsp;\u00bb, mais \u00e0 comprendre pour trouver ensemble un chemin acceptable.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 2 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-pourqui\">\u00c0 qui s&#8217;adresse la formation refus de soins<\/h2>\n<pee>Le refus de soins traverse tous les lieux d&#8217;accompagnement. La formation a \u00e9t\u00e9 pens\u00e9e pour des professionnels aux m\u00e9tiers vari\u00e9s, r\u00e9unis par une m\u00eame question&nbsp;: comment continuer \u00e0 prendre soin quand la personne dit non&nbsp;?<\/pee>\n<div class=\"dyn-cards\">\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\uddd1\u200d\u2695\ufe0f<\/span><\/p>\n<h3>Aides-soignants<\/h3>\n<pee>Toilette, repas, transferts&nbsp;: les moments les plus expos\u00e9s au refus, o\u00f9 la posture et les mots employ\u00e9s font toute la diff\u00e9rence.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udc89<\/span><\/p>\n<h3>Infirmiers<\/h3>\n<pee>Soins techniques, prises de traitement, pansements&nbsp;: comment articuler s\u00e9curit\u00e9, urgence et respect du refus exprim\u00e9.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfe0<\/span><\/p>\n<h3>Auxiliaires de vie et aide \u00e0 domicile<\/h3>\n<pee>Souvent seuls au domicile, sans \u00e9quipe imm\u00e9diate. La formation donne des rep\u00e8res pour d\u00e9samorcer et pour savoir quand alerter.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udd1d<\/span><\/p>\n<h3>Accompagnants et \u00e9ducateurs<\/h3>\n<pee>En \u00e9tablissement m\u00e9dico-social comme en \u00e9cole, face \u00e0 des personnes qui refusent une activit\u00e9, un repas, un soin d&#8217;hygi\u00e8ne.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfe2<\/span><\/p>\n<h3>\u00c9quipes d&#8217;\u00e9tablissements et d&#8217;entreprises<\/h3>\n<pee>R\u00e9sidences, EHPAD, structures sp\u00e9cialis\u00e9es&nbsp;: un socle commun pour harmoniser les pratiques et apaiser les situations r\u00e9currentes.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udcca<\/span><\/p>\n<h3>Cadres et responsables qualit\u00e9<\/h3>\n<pee>Un contenu partag\u00e9 par toute une \u00e9quipe, avec attestations individuelles \u00e0 verser au dossier de formation.<\/pee>\n  <\/div>\n<\/div>\n<h3>Faite pour vous \/ pas faite pour vous<\/h3>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Votre situation<\/th>\n<th>Cette formation\u2026<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Vous \u00eates confront\u00e9 \u00e0 des refus r\u00e9p\u00e9t\u00e9s et vous vous sentez d\u00e9muni<\/td>\n<td><span class=\"dyn-oui\">\u2714 Convient parfaitement<\/span><\/td>\n<\/tr>\n<tr>\n<td>Votre \u00e9quipe r\u00e9agit de fa\u00e7on h\u00e9t\u00e9rog\u00e8ne et vous cherchez un socle commun<\/td>\n<td><span class=\"dyn-oui\">\u2714 Convient<\/span> \u2014 c&#8217;est l&#8217;usage le plus fr\u00e9quent<\/td>\n<\/tr>\n<tr>\n<td>Vous voulez mieux comprendre le cadre l\u00e9gal du refus<\/td>\n<td><span class=\"dyn-oui\">\u2714 Convient<\/span> \u2014 module 1 d\u00e9di\u00e9<\/td>\n<\/tr>\n<tr>\n<td>Vous cherchez \u00e0 apprendre les gestes techniques de soin eux-m\u00eames<\/td>\n<td><span class=\"dyn-non\">\u2718 Non<\/span> \u2014 la formation porte sur la relation, pas sur la technique de soin<\/td>\n<\/tr>\n<tr>\n<td>Vous cherchez un protocole m\u00e9dical de contention ou de s\u00e9dation<\/td>\n<td><span class=\"dyn-non\">\u2718 Non<\/span> \u2014 ces d\u00e9cisions rel\u00e8vent du m\u00e9decin<\/td>\n<\/tr>\n<tr>\n<td>Vous cherchez un dipl\u00f4me d&#8217;\u00c9tat ou une qualification r\u00e9glement\u00e9e<\/td>\n<td><span class=\"dyn-non\">\u2718 Non<\/span> \u2014 il s&#8217;agit d&#8217;une attestation de fin de formation<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 3 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-programme\">Le programme&nbsp;: 4 modules, 16 le\u00e7ons<\/h2>\n<pee>Le parcours suit une progression logique&nbsp;: comprendre d&#8217;abord ce qui se joue et ce que dit la loi, travailler ensuite sa propre posture, acqu\u00e9rir des techniques de communication et de n\u00e9gociation, puis affronter les situations les plus complexes et ancrer les acquis dans le collectif. Les le\u00e7ons sont courtes&nbsp;: de onze \u00e0 vingt minutes environ chacune.<\/pee>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">1<\/div>\n<h3 class=\"dyn-module__title\">Comprendre le refus de soins \u2014 causes, significations et droit<\/h3>\n<\/p><\/div>\n<ul>\n<li>Le refus de soins, qu&#8217;est-ce que c&#8217;est vraiment&nbsp;?<\/li>\n<li>Les causes du refus de soins<\/li>\n<li>Le cadre l\u00e9gal \u2014 droit au refus et obligations du soignant<\/li>\n<li>Le refus de soins chez la personne avec troubles cognitifs<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">2<\/div>\n<h3 class=\"dyn-module__title\">La posture soignante face au refus<\/h3>\n<\/p><\/div>\n<ul>\n<li>Ne pas vivre le refus comme un \u00e9chec personnel<\/li>\n<li>L&#8217;\u00e9coute active comme premier outil<\/li>\n<li>Respecter le refus tout en assurant la s\u00e9curit\u00e9<\/li>\n<li>G\u00e9rer ses \u00e9motions face aux refus r\u00e9p\u00e9t\u00e9s<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">3<\/div>\n<h3 class=\"dyn-module__title\">Techniques de communication et de n\u00e9gociation douce<\/h3>\n<\/p><\/div>\n<ul>\n<li>Reformuler la proposition de soin<\/li>\n<li>S&#8217;appuyer sur la relation et les pr\u00e9f\u00e9rences de la personne<\/li>\n<li>L&#8217;approche Montessori et les techniques issues des soins centr\u00e9s sur la personne<\/li>\n<li>Quand le soin est urgent et le refus persiste<\/li>\n<\/ul>\n<\/div>\n<div class=\"dyn-module\">\n<div class=\"dyn-module__head\">\n<div class=\"dyn-module__num\">4<\/div>\n<h3 class=\"dyn-module__title\">Situations complexes, travail en \u00e9quipe et pr\u00e9vention<\/h3>\n<\/p><\/div>\n<ul>\n<li>Les situations de refus les plus fr\u00e9quentes et comment les aborder<\/li>\n<li>Le refus de soins en fin de vie \u2014 une dimension particuli\u00e8re<\/li>\n<li>Les outils DYNSEO pour r\u00e9duire l&#8217;anxi\u00e9t\u00e9 et recr\u00e9er la confiance<\/li>\n<li>Construire une culture d&#8217;\u00e9tablissement autour du refus de soins<\/li>\n<\/ul>\n<\/div>\n<pee>Le parcours se termine par un quiz de synth\u00e8se qui reprend les points-cl\u00e9s des quatre modules, utile pour v\u00e9rifier ses acquis avant de recevoir l&#8217;attestation.<\/pee>\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Deux le\u00e7ons que les \u00e9quipes citent le plus souvent<\/strong>\n  <pee>\u00ab&nbsp;<strong>Ne pas vivre le refus comme un \u00e9chec personnel<\/strong>&nbsp;\u00bb (module 2) et \u00ab&nbsp;<strong>Reformuler la proposition de soin<\/strong>&nbsp;\u00bb (module 3). La premi\u00e8re change le regard&nbsp;: le refus cesse d&#8217;\u00eatre une d\u00e9faite pour devenir une information. La seconde donne des mots concrets, imm\u00e9diatement r\u00e9utilisables au chevet ou \u00e0 domicile, pour transformer un \u00ab&nbsp;non&nbsp;\u00bb en une n\u00e9gociation possible.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA MILIEU \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<div class=\"dyn-cta\">\n<h3>Transformer les refus du quotidien en dialogue<\/h3>\n<pee>4 modules, 16 le\u00e7ons, environ 4 heures, acc\u00e8s illimit\u00e9 et attestation nominative. Une m\u00e9thode douce et \u00e9thique, applicable d\u00e8s la prochaine prise de poste.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\">D\u00e9couvrir la formation \u2014 90 \u20ac<\/a>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 4 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-format\">Format et organisation<\/h2>\n<div class=\"dyn-tablewrap\">\n<table>\n<thead>\n<tr>\n<th>Crit\u00e8re<\/th>\n<th>D\u00e9tail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Format<\/td>\n<td>100 % en ligne, le\u00e7ons vid\u00e9o courtes<\/td>\n<\/tr>\n<tr>\n<td>Contenu<\/td>\n<td>4 modules \u00b7 16 le\u00e7ons \u00b7 1 quiz<\/td>\n<\/tr>\n<tr>\n<td>Dur\u00e9e<\/td>\n<td>Environ 4 heures au total<\/td>\n<\/tr>\n<tr>\n<td>Rythme<\/td>\n<td>Libre, sans date de fin impos\u00e9e<\/td>\n<\/tr>\n<tr>\n<td>Support<\/td>\n<td>Ordinateur, tablette, smartphone<\/td>\n<\/tr>\n<tr>\n<td>Acc\u00e8s<\/td>\n<td>Imm\u00e9diat apr\u00e8s inscription, illimit\u00e9 dans le temps<\/td>\n<\/tr>\n<tr>\n<td>Niveau requis<\/td>\n<td>Tous niveaux, aucun pr\u00e9requis<\/td>\n<\/tr>\n<tr>\n<td>Validation<\/td>\n<td>Attestation de fin de formation<\/td>\n<\/tr>\n<tr>\n<td>Tarif<\/td>\n<td>90 \u20ac par apprenant<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<pee>Le format asynchrone r\u00e9pond \u00e0 une contrainte propre au terrain&nbsp;: on ne peut pas immobiliser une \u00e9quipe enti\u00e8re une journ\u00e9e enti\u00e8re. Les quatre heures se r\u00e9partissent en s\u00e9quences de quinze \u00e0 vingt minutes, sur les temps disponibles, sans d\u00e9sorganiser un planning. Chacun avance \u00e0 son rythme, revient sur une le\u00e7on quand une situation se pr\u00e9sente, et reprend l\u00e0 o\u00f9 il s&#8217;\u00e9tait arr\u00eat\u00e9. Le contenu reste accessible ensuite&nbsp;: c&#8217;est une ressource dans laquelle on peut piocher au fil des mois.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 5 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-competences\">Ce que vous saurez faire \u00e0 la fin<\/h2>\n<div class=\"dyn-cards\">\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udd0e<\/span><\/p>\n<h3>D\u00e9coder un refus<\/h3>\n<pee>Rep\u00e9rer ce qui se cache derri\u00e8re un \u00ab&nbsp;non&nbsp;\u00bb&nbsp;: douleur, peur, pudeur, fatigue, incompr\u00e9hension \u2014 et adapter la r\u00e9ponse en cons\u00e9quence.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u2696\ufe0f<\/span><\/p>\n<h3>Situer le cadre l\u00e9gal<\/h3>\n<pee>Comprendre le droit au refus et les obligations du soignant, pour agir dans le respect des droits de la personne.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udee7<\/span><\/p>\n<h3>Garder une posture juste<\/h3>\n<pee>Ne plus vivre le refus comme un \u00e9chec, r\u00e9guler ses propres \u00e9motions et rester disponible m\u00eame apr\u00e8s plusieurs refus.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udcac<\/span><\/p>\n<h3>N\u00e9gocier en douceur<\/h3>\n<pee>Reformuler une proposition, s&#8217;appuyer sur les pr\u00e9f\u00e9rences de la personne, proposer un choix plut\u00f4t qu&#8217;imposer un soin.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udea8<\/span><\/p>\n<h3>R\u00e9agir quand le soin est urgent<\/h3>\n<pee>Distinguer ce qui peut attendre de ce qui ne peut pas, appliquer les consignes et alerter le professionnel de sant\u00e9 au bon moment.<\/pee>\n  <\/div>\n<div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udc65<\/span><\/p>\n<h3>Faire \u00e9quipe<\/h3>\n<pee>Transmettre ce qui a fonctionn\u00e9, construire une r\u00e9ponse coh\u00e9rente et contribuer \u00e0 une culture d&#8217;\u00e9tablissement apais\u00e9e.<\/pee>\n  <\/div>\n<\/div>\n<h3>Des mots et des gestes concrets<\/h3>\n<pee>La formation ne se contente pas de principes. Elle propose des formulations pr\u00e9cises et des attitudes \u00e0 adopter. Par exemple, plut\u00f4t que d&#8217;insister avec \u00ab&nbsp;il faut faire votre toilette&nbsp;\u00bb, on apprend \u00e0 proposer un choix&nbsp;: \u00ab&nbsp;Vous pr\u00e9f\u00e9rez qu&#8217;on commence par le visage ou par les mains&nbsp;?&nbsp;\u00bb. Plut\u00f4t que de rester plant\u00e9 face \u00e0 la personne, on apprend \u00e0 se mettre \u00e0 sa hauteur, \u00e0 annoncer chaque geste avant de le faire, \u00e0 laisser un temps de r\u00e9ponse.<\/pee>\n<div class=\"dyn-alerte\">\n  <pee><strong>\u274c \u00c0 \u00e9viter&nbsp;:<\/strong> forcer, faire \u00e0 la place \u00ab&nbsp;pour aller plus vite&nbsp;\u00bb, hausser le ton, ou parler de la personne \u00e0 la troisi\u00e8me personne devant elle (\u00ab&nbsp;elle ne veut jamais&nbsp;\u00bb). Ces r\u00e9actions, tr\u00e8s humaines quand on est press\u00e9 ou fatigu\u00e9, renforcent le refus et ab\u00eement la relation de confiance. La formation aide justement \u00e0 rep\u00e9rer ces automatismes et \u00e0 leur substituer des r\u00e9ponses plus apaisantes.<\/pee>\n<\/div>\n<pee>En cas de doute sur une douleur, un changement d&#8217;\u00e9tat ou un refus qui persiste face \u00e0 un soin n\u00e9cessaire, la r\u00e8gle reste toujours la m\u00eame&nbsp;: observer, noter, signaler et renvoyer au professionnel de sant\u00e9, seul habilit\u00e9 \u00e0 poser un diagnostic et \u00e0 d\u00e9cider de la conduite \u00e0 tenir. En situation qui menace la vie, on contacte sans attendre les services d&#8217;urgence de votre pays.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 6 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-qualiopi\">Qualiopi, attestation et financement<\/h2>\n<pee>DYNSEO est un organisme de formation certifi\u00e9 <strong>Qualiopi<\/strong>, enregistr\u00e9 sous le num\u00e9ro de d\u00e9claration d&#8217;activit\u00e9 <strong>11757351875<\/strong>. La certification porte sur la qualit\u00e9 du processus&nbsp;: objectifs p\u00e9dagogiques d\u00e9finis, adaptation aux publics, qualification des intervenants, recueil des appr\u00e9ciations et am\u00e9lioration continue.<\/pee>\n<pee>Chaque apprenant re\u00e7oit une <strong>attestation de fin de formation<\/strong> nominative, \u00e0 verser au dossier individuel et exploitable dans le cadre de la d\u00e9marche qualit\u00e9 de l&#8217;\u00e9tablissement. Ce n&#8217;est ni un dipl\u00f4me d&#8217;\u00c9tat ni une qualification r\u00e9glement\u00e9e&nbsp;: c&#8217;est une attestation de participation \u00e0 une action de formation.<\/pee>\n<pee>C\u00f4t\u00e9 financement, la certification Qualiopi est la condition qui permet \u00e0 un employeur d&#8217;envisager une prise en charge au titre du plan de d\u00e9veloppement des comp\u00e9tences ou par son op\u00e9rateur de comp\u00e9tences. Les r\u00e8gles, les plafonds et les proc\u00e9dures varient selon les pays, les branches et les op\u00e9rateurs&nbsp;: la seule d\u00e9marche fiable consiste \u00e0 faire valider le devis et le programme par le service RH ou l&#8217;organisme financeur <em>avant<\/em> l&#8217;achat. Aucun montant de prise en charge ne peut \u00eatre garanti \u00e0 l&#8217;avance.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 7 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-equipe\">D\u00e9ployer la formation dans une \u00e9quipe<\/h2>\n<pee>Le format en ligne facilite le d\u00e9ploiement collectif, \u00e0 condition de ne pas se contenter d&#8217;envoyer un lien. Le refus de soins est un sujet o\u00f9 la coh\u00e9rence de l&#8217;\u00e9quipe compte autant que la comp\u00e9tence individuelle&nbsp;: si l&#8217;un force l\u00e0 o\u00f9 l&#8217;autre n\u00e9gocie, la personne accompagn\u00e9e perd ses rep\u00e8res.<\/pee>\n<ol class=\"dyn-steps\">\n<li><strong>Fixez un objectif observable.<\/strong> Par exemple&nbsp;: r\u00e9duire les toilettes v\u00e9cues comme des affrontements sur un secteur donn\u00e9 d&#8217;ici trois mois. Sans objectif, la formation reste une case coch\u00e9e.<\/li>\n<li><strong>Bloquez le temps.<\/strong> Deux cr\u00e9neaux de vingt minutes par semaine sur le planning valent mieux qu&#8217;une consigne de \u00ab&nbsp;faire quand vous pouvez&nbsp;\u00bb.<\/li>\n<li><strong>D\u00e9signez un r\u00e9f\u00e9rent.<\/strong> Une personne qui avance un module en avance et anime cinq minutes de reprise en r\u00e9union d&#8217;\u00e9quipe.<\/li>\n<li><strong>Faites atterrir chaque module dans le r\u00e9el.<\/strong> Apr\u00e8s le module 2, \u00e9changez sur une situation de refus v\u00e9cue comme un \u00e9chec. Apr\u00e8s le module 3, testez ensemble une reformulation sur un cas concret.<\/li>\n<li><strong>Archivez les attestations<\/strong> au fur et \u00e0 mesure, dans le dossier de formation, avec la date d&#8217;ach\u00e8vement.<\/li>\n<li><strong>Pr\u00e9voyez un point \u00e0 trois mois.<\/strong> Qu&#8217;est-ce qui a r\u00e9ellement chang\u00e9 dans les pratiques&nbsp;? C&#8217;est ce qui distingue une formation utile d&#8217;une formation consomm\u00e9e.<\/li>\n<\/ol>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 8 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-tarif\">Tarif et inscription<\/h2>\n<pee>La formation est propos\u00e9e \u00e0 <strong>90 \u20ac<\/strong> par apprenant. Le prix s&#8217;affiche dans la devise du visiteur selon le pays de connexion. L&#8217;acc\u00e8s est imm\u00e9diat et illimit\u00e9 dans le temps.<\/pee>\n<ol class=\"dyn-steps\">\n<li>Ouvrez la <a href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\">page de la formation<\/a> et ajoutez-la au panier.<\/li>\n<li>Cr\u00e9ez le compte apprenant, ou connectez-vous, puis validez le paiement.<\/li>\n<li>L&#8217;acc\u00e8s est imm\u00e9diat&nbsp;: la formation appara\u00eet dans l&#8217;espace apprenant et la premi\u00e8re le\u00e7on d\u00e9marre aussit\u00f4t.<\/li>\n<\/ol>\n<pee>Pour un d\u00e9ploiement sur plusieurs postes ou un devis \u00e0 l&#8217;\u00e9chelle d&#8217;un \u00e9tablissement, la page contact du site permet d&#8217;obtenir une proposition adapt\u00e9e. Le <a href=\"https:\/\/www.dynseo.com\/en\/our-training-courses\/\">catalogue des formations DYNSEO<\/a> r\u00e9unit par ailleurs d&#8217;autres parcours pour les professionnels du soin et du m\u00e9dico-social.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 9 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-limites\">Ce que cette formation n&#8217;est pas<\/h2>\n<ul>\n<li><strong>Elle n&#8217;enseigne pas les gestes techniques de soin.<\/strong> Elle porte sur la relation, la posture et la communication autour du refus, pas sur la r\u00e9alisation des soins eux-m\u00eames.<\/li>\n<li><strong>Elle ne remplace pas l&#8217;avis m\u00e9dical.<\/strong> Le diagnostic, l&#8217;\u00e9valuation de la douleur et toute d\u00e9cision th\u00e9rapeutique \u2014 y compris une \u00e9ventuelle mesure de protection \u2014 rel\u00e8vent du professionnel de sant\u00e9.<\/li>\n<li><strong>Elle ne propose aucun protocole prescriptif.<\/strong> Pas de dose, pas de texture impos\u00e9e, pas de technique de contention&nbsp;: la formation apprend \u00e0 observer, signaler et appliquer les consignes.<\/li>\n<li><strong>Ce n&#8217;est pas un dipl\u00f4me.<\/strong> L&#8217;attestation atteste d&#8217;une participation, pas d&#8217;une qualification r\u00e9glement\u00e9e.<\/li>\n<li><strong>Ce n&#8217;est pas une formation pr\u00e9sentielle.<\/strong> Il n&#8217;y a pas de formateur en direct ni d&#8217;\u00e9changes en groupe&nbsp;: c&#8217;est un parcours vid\u00e9o asynchrone.<\/li>\n<\/ul>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 S\u00c9RIE \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2>Pour aller plus loin<\/h2>\n<div class=\"dyn-serie\">\n  <a href=\"#dyn-guide-refus-de-soins\"><span>Background Guide<\/span>Refusal of care: the complete guide to understanding what is at stake<\/a><br \/>\n  <a href=\"#dyn-situations-refus-de-soins\"><span>Everyday Situations<\/span>Refusal of care: 10 difficult situations and how to respond<\/a><br \/>\n  <a href=\"#dyn-outils-refus-de-soins\"><span>Toolbox<\/span>Refusal of care: activities, resources, and concrete arrangements<\/a><br \/>\n  <a href=\"#dyn-posture-refus-de-soins\"><span>Professional Stance<\/span>Refusal of care: posture, teamwork, and skill development<\/a>\n<\/div>\n<pee>Several free DYNSEO tools directly complement this training to restore dialogue and reduce anxiety: the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/emotion-thermometer\/\">emotion thermometer<\/a> and the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/facial-expression-decoder\/\">facial expression decoder<\/a> to better read what the person feels, the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/choice-wheel-dynseo-training-tools\/\">choice wheel<\/a> and the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/conversation-cards\/\">conversation cards<\/a> to suggest rather than impose, and the <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/voice-scale\/\">voice scale<\/a> to adjust one&#8217;s tone. The <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">complete catalog<\/a> is freely accessible, just like the <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">cognitive tests<\/a>. Finally, the cognitive stimulation applications <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a> (seniors, Alzheimer&#8217;s disease, Parkinson&#8217;s) and <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a> (adults) serve as concrete supports to recreate moments of shared pleasure and soothe the relationship.<\/pee>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FAQ \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<h2 id=\"dyn-faq\">Frequently Asked Questions<\/h2>\n<div class=\"dyn-faq\">\n<h3>How long does it take to complete the training&nbsp;?<\/h3>\n<pee>About four hours in total for the 4 modules and 16 lessons, plus a summary quiz. The lessons being short, ranging from eleven to twenty minutes each, most learners spread the course over two to four weeks, with two short slots per week. Access remains open indefinitely&nbsp;: you can return to a specific lesson when a refusal situation arises in the field, making it a sustainable resource and not just a one-time training.<\/pee>\n<h3>Does the training provide unlimited access and a certificate&nbsp;?<\/h3>\n<pee>Yes. Access is immediate after registration and unlimited in time&nbsp;: the content remains available as long as you wish, on computer, tablet, or smartphone. At the end of the course, each learner receives a personalized completion certificate. This is a certificate of participation in a training action, usable in the individual file and quality approach of the establishment, and not a state diploma or a regulated qualification.<\/pee>\n<h3>Can the training be covered by the employer&nbsp;?<\/h3>\n<pee>This is possible&nbsp;: DYNSEO is a training organization certified Qualiopi (N\u00b0 11757351875), a condition generally required for coverage under the skills development plan or by a skills operator. The rules, ceilings, and procedures vary by country, sector, and funders, and no amount can be guaranteed in advance. The reliable approach&nbsp;: have the program and the quote validated by your HR department or your funding organization before purchase.<\/pee>\n<h3>Can an entire team be registered&nbsp;?<\/h3>\n<pee>Yes. Each professional has their own learner account and their personalized certificate, which allows for the submission of documents to individual files. This is even the recommended practice for this topic&nbsp;: in the face of care refusal, the coherence of the entire team is as important as the competence of each individual. For deployment across multiple positions or a quote at the scale of an establishment, go through the contact page of the site&nbsp;: a proposal adapted to the number of learners can be established.<\/pee>\n<h3>What support is available in case of questions&nbsp;?<\/h3>\n<pee>The training is an online course to be followed independently, but you are not left to your own devices&nbsp;: the DYNSEO team remains reachable via the contact page of the site for any technical or administrative questions related to access, the learner account, or the certificate. For clinical questions encountered in the field \u2014 pain, health status, care decision \u2014 the training systematically refers to the referring healthcare professional, who is the only one authorized to make a diagnosis and decide on the course of action.<\/pee>\n<\/div>\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f General information<\/strong>\n  <pee>This page describes the content of a training action. Funding conditions and training obligations vary by country and employers&nbsp;: check with your HR department or your funding organization. This content does not constitute medical advice&nbsp;: in case of doubt about a person&#8217;s health status, consult a healthcare professional, and in case of a life-threatening emergency, contact the emergency services in your country.<\/pee>\n<\/div>\n<p><!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA FINAL \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 --><\/p>\n<div class=\"dyn-cta\">\n<h3>Responding differently to refusal of care<\/h3>\n<pee>The <strong>refusal of care training<\/strong> from DYNSEO: 4 modules, 16 lessons, about 4 hours, unlimited access and a personalized certificate for each professional. A gentle and ethical approach, to understand, negotiate, and respect.<\/pee>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/en\/courses\/refusal-of-care-understanding-negotiating-and-respecting-a-gentle-and-ethical-approach-en\/\">Discover the training \u2014 90 \u20ac<\/a>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>.dbi-art-591f26 .dyn-article { &#8211;dyn-bleu:#5e5ed7; &#8211;dyn-bleu-fonce:#5268c9; &#8211;dyn-vert:#a9e2e4; &#8211;dyn-jaune:#ffeca7; &#8211;dyn-rose:#e73469; &#8211;dyn-encre:#1d1d2e; &#8211;dyn-gris:#5c5c72; &#8211;dyn-fond:#f6f6fd; &#8211;dyn-ombre:0 6px 24px rgba(29,29,46,.08); &#8211;dyn-ombre-forte:0 12px 34px rgba(94,94,215,.22); &#8211;dyn-radius:18px; font-family:&#8221;Inter&#8221;,&#8221;Segoe UI&#8221;,system-ui,-apple-system,&#8221;Helvetica Neue&#8221;,Arial,sans-serif; color:var(&#8211;dyn-encre); line-height:1.68; font-size:clamp(16px,1.05vw + 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soins : comprendre, n\u00e9gocier et respecter \u2014 une approche douce et \u00e9thique \u00bb : programme, contenu et \u00e0 qui elle s'adresse\",\n      \"inLanguage\": \"fr\",\n      \"author\": {\n        \"@type\": \"Organization\",\n        \"name\": \"DYNSEO\",\n        \"url\": \"https:\/\/www.dynseo.com\/\"\n      },\n      \"publisher\": {\n        \"@type\": \"Organization\",\n        \"name\": \"DYNSEO\",\n        \"url\": \"https:\/\/www.dynseo.com\/\"\n      },\n      \"image\": \"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/04\/Autisme-en-etablissement-Accompagnement-Global-161-pdf.jpg\"\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Combien de temps faut-il pour suivre la formation ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Environ quatre heures au total pour les 4 modules et les 16 le\u00e7ons, plus un quiz de synth\u00e8se. Les le\u00e7ons \u00e9tant courtes, de onze \u00e0 vingt minutes chacune, la plupart des apprenants \u00e9talent le parcours sur deux \u00e0 quatre semaines, \u00e0 raison de deux courts cr\u00e9neaux par semaine. L'acc\u00e8s reste ensuite ouvert de fa\u00e7on illimit\u00e9e : on peut revenir sur une le\u00e7on pr\u00e9cise au moment o\u00f9 une situation de refus se pr\u00e9sente sur le terrain, ce qui en fait une ressource durable et pas seulement une formation ponctuelle.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"La formation donne-t-elle un acc\u00e8s illimit\u00e9 et un certificat ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Oui. L'acc\u00e8s est imm\u00e9diat apr\u00e8s l'inscription et illimit\u00e9 dans le temps : le contenu reste disponible aussi longtemps que vous le souhaitez, sur ordinateur, tablette ou smartphone. \u00c0 l'issue du parcours, chaque apprenant re\u00e7oit une attestation de fin de formation nominative. Il s'agit d'une attestation de participation \u00e0 une action de formation, exploitable dans le dossier individuel et la d\u00e9marche qualit\u00e9 de l'\u00e9tablissement, et non d'un dipl\u00f4me d'\u00c9tat ni d'une qualification r\u00e9glement\u00e9e.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"La formation peut-elle \u00eatre prise en charge par l'employeur ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"C'est envisageable : DYNSEO est un organisme de formation certifi\u00e9 Qualiopi (N\u00b0 11757351875), condition g\u00e9n\u00e9ralement requise pour une prise en charge au titre du plan de d\u00e9veloppement des comp\u00e9tences ou par un op\u00e9rateur de comp\u00e9tences. Les r\u00e8gles, plafonds et proc\u00e9dures varient selon les pays, les branches et les financeurs, et aucun montant ne peut \u00eatre garanti \u00e0 l'avance. La d\u00e9marche fiable : faites valider le programme et le devis par votre service RH ou votre organisme financeur avant l'achat.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Peut-on inscrire toute une \u00e9quipe ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Oui. Chaque professionnel dispose de son propre compte apprenant et de son attestation nominative, ce qui permet de verser les justificatifs aux dossiers individuels. C'est m\u00eame l'usage recommand\u00e9 pour ce sujet : face au refus de soins, la coh\u00e9rence de toute l'\u00e9quipe compte autant que la comp\u00e9tence de chacun. Pour un d\u00e9ploiement sur plusieurs postes ou un devis \u00e0 l'\u00e9chelle d'un \u00e9tablissement, passez par la page contact du site : une proposition adapt\u00e9e au nombre d'apprenants peut \u00eatre \u00e9tablie.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Quel accompagnement ou support en cas de question ?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"La formation est un parcours en ligne \u00e0 suivre en autonomie, mais vous n'\u00eates pas livr\u00e9 \u00e0 vous-m\u00eame : l'\u00e9quipe DYNSEO reste joignable via la page contact du site pour toute question technique ou administrative li\u00e9e \u00e0 l'acc\u00e8s, au compte apprenant ou \u00e0 l'attestation. Pour les questions cliniques rencontr\u00e9es sur le terrain \u2014 douleur, \u00e9tat de sant\u00e9, d\u00e9cision de soin \u2014, la formation renvoie syst\u00e9matiquement au professionnel de sant\u00e9 r\u00e9f\u00e9rent, seul habilit\u00e9 \u00e0 poser un diagnostic et \u00e0 d\u00e9cider de la conduite \u00e0 tenir.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n<div class=\"dbi-art-591f26\">\n<!--\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\nDYNSEO \u2014 SEO\/GEO ARTICLE TEMPLATE  \u00b7  v1.0\nDo not modify class names: the script generer-articles.py\nand all previously published articles depend on it.\n\nThe script generer-articles.py injects, in order: the colored header,\nthe training or tool box, the written body, and then the structured data.\n\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\n-->\n\n<div class=\"dyn-article\">\n\n\n\n<header class=\"dyn-pagehead dyn-pagehead--eau\">\n  <span class=\"dyn-pagehead__cat\">Professionals \u00b7 Behavioral disorders<\/span>\n  <h1>Training \u201cRefusal of care: understanding, negotiating and respecting \u2014 a gentle and ethical approach\u201d: program, content and who it is for<\/h1>\n  <p class=\"dyn-pagehead__lead\">\u201c&nbsp;She grits her teeth as soon as I approach with the glove&nbsp;\u201d, \u201c&nbsp;he pushes away the tray without a word&nbsp;\u201d, \u201c&nbsp;she says no to everything, even to what she liked before&nbsp;\u201d. In the reports, the refusal of care almost always comes through these little phrases. Three accurate observations, three doors that seem to close \u2014 and, behind each, a need, a fear or a story that has not yet been understood.<\/p>\n  <ul class=\"dyn-pagehead__meta\">\n    <li>\u23f1\ufe0f 13 min read<\/li>\n    <li>\ud83d\udc65 For professionals<\/li>\n    <li>\ud83d\udd04 Updated in August 2026<\/li>\n  <\/ul>\n<\/header>\n\n<aside class=\"dyn-hero\" aria-label=\"Training presented in this article\">\n  <div class=\"dyn-hero__grid\">\n    <div class=\"dyn-hero__media\"><a href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\"><img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/04\/autism-en-etablissement-Accompagnement-Global-161-pdf.jpg\" alt=\"DYNSEO Training \u201cRefusal of care: understanding, negotiating and respecting \u2014 a gentle and ethical approach\u201d\" width=\"1920\" height=\"1080\" loading=\"lazy\"><\/a><\/div>\n    <div class=\"dyn-hero__body\">\n      <span class=\"dyn-hero__eyebrow\">The training related to this article<\/span>\n      <p class=\"dyn-hero__title\"><a href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\">Refusal of care: understanding, negotiating and respecting \u2014 a gentle and ethical approach<\/a><\/p>\n      <p class=\"dyn-hero__pitch\">Everything this article explains, put into practice.<\/p>\n      <ul class=\"dyn-badges\">\n        <li>\ud83c\udfa5 5 modules \u00b7 16 lessons<\/li>\n        <li>\ud83d\udcbb 100 % online<\/li>\n        <li>\u23f1\ufe0f At your own pace<\/li>\n        <li>\ud83c\udfc5 Qualiopi organization<\/li>\n        <li>\ud83c\udf0d 9 languages<\/li>\n      <\/ul>\n<div class=\"dyn-hero__actions\">\n        <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\">Voir la formation<\/a>\n        <span class=\"dyn-hero__price\">90.0 \u20ac<\/span>\n      <\/div>\n    <\/div>\n  <\/div>\n<\/aside>\n\n<p>Cette page d\u00e9taille la <strong>formation refus de soins<\/strong> propos\u00e9e par DYNSEO&nbsp;: <strong>\u00ab Refus de soins : comprendre, n\u00e9gocier et respecter \u2014 une approche douce et \u00e9thique \u00bb<\/strong>. Vous y trouverez son contenu r\u00e9el, module par module, les m\u00e9tiers auxquels elle s'adresse, sa dur\u00e9e, son format, son tarif, les modalit\u00e9s de d\u00e9ploiement en \u00e9quipe \u2014 et, pour rester honn\u00eate, le p\u00e9rim\u00e8tre qu'elle ne couvre pas.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 R\u00c9PONSE COURTE (GEO) \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<section class=\"dyn-tldr\">\n  <h2>L'essentiel en 30 secondes<\/h2>\n  <p>Formation en ligne de <strong>4 modules et 16 le\u00e7ons<\/strong> (soit environ <strong>4 heures<\/strong>), destin\u00e9e aux professionnels confront\u00e9s au refus de soins dans le soin, le m\u00e9dico-social, l'\u00e9cole ou l'entreprise. Tarif&nbsp;: <strong>90 \u20ac<\/strong>. Acc\u00e8s imm\u00e9diat et illimit\u00e9.<\/p>\n  <ul>\n    <li><strong>Pour qui<\/strong> \u2014 aides-soignants, infirmiers, auxiliaires de vie, accompagnants, cadres, \u00e9quipes d'\u00e9tablissements, d'\u00e9coles et d'entreprises du secteur sant\u00e9.<\/li>\n    <li><strong>Objectif<\/strong> \u2014 comprendre ce qui se joue derri\u00e8re un refus, adopter une posture juste et n\u00e9gocier sans forcer, dans le respect des droits de la personne.<\/li>\n    <li><strong>Ce qui est couvert<\/strong> \u2014 causes et sens du refus, cadre l\u00e9gal, posture soignante, communication et n\u00e9gociation douce, situations complexes, travail en \u00e9quipe, pr\u00e9vention.<\/li>\n    <li><strong>Ce qui ne l'est pas<\/strong> \u2014 les gestes techniques de soin eux-m\u00eames, le diagnostic et la d\u00e9cision m\u00e9dicale, qui restent du ressort des professionnels de sant\u00e9.<\/li>\n    <li><strong>Organisme<\/strong> \u2014 DYNSEO, certifi\u00e9 Qualiopi (N\u00b0 11757351875), attestation de fin de formation d\u00e9livr\u00e9e.<\/li>\n  <\/ul>\n<\/section>\n\n<nav class=\"dyn-toc\" aria-label=\"Sommaire\">\n  <p>Au sommaire<\/p>\n  <ol>\n    <li><a href=\"#dyn-probleme\">Le probl\u00e8me qu'elle r\u00e9sout sur le terrain<\/a><\/li>\n    <li><a href=\"#dyn-pourqui\">\u00c0 qui s'adresse la formation refus de soins<\/a><\/li>\n    <li><a href=\"#dyn-programme\">Le programme&nbsp;: 4 modules, 16 le\u00e7ons<\/a><\/li>\n    <li><a href=\"#dyn-format\">Format et organisation<\/a><\/li>\n    <li><a href=\"#dyn-competences\">Ce que vous saurez faire \u00e0 la fin<\/a><\/li>\n    <li><a href=\"#dyn-qualiopi\">Qualiopi, attestation et financement<\/a><\/li>\n    <li><a href=\"#dyn-equipe\">D\u00e9ployer la formation dans une \u00e9quipe<\/a><\/li>\n    <li><a href=\"#dyn-tarif\">Tarif et inscription<\/a><\/li>\n    <li><a href=\"#dyn-limites\">Ce que cette formation n'est pas<\/a><\/li>\n    <li><a href=\"#dyn-faq\">Questions fr\u00e9quentes<\/a><\/li>\n  <\/ol>\n<\/nav>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 1 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-probleme\">Le probl\u00e8me qu'elle r\u00e9sout sur le terrain<\/h2>\n\n<p>Le refus de soins n'est pas un caprice, ni une attaque personnelle contre le professionnel. C'est un message. Une personne qui refuse la toilette peut avoir froid, avoir mal, avoir honte, ne pas reconna\u00eetre la personne qui l'approche, ou ne plus comprendre ce qu'on attend d'elle. Le m\u00eame geste \u2014 dire \u00ab&nbsp;non&nbsp;\u00bb, d\u00e9tourner la t\u00eate, serrer les m\u00e2choires \u2014 recouvre des r\u00e9alit\u00e9s tr\u00e8s diff\u00e9rentes.<\/p>\n\n<p>Le droit au refus est d'ailleurs inscrit dans la loi fran\u00e7aise&nbsp;: la loi du 4 mars 2002 relative aux droits des malades pose le principe du consentement, et la loi Claeys-Leonetti de 2016 r\u00e9affirme le respect de la volont\u00e9 de la personne. Le professionnel n'est donc pas face \u00e0 un simple probl\u00e8me d'organisation, mais \u00e0 un \u00e9quilibre d\u00e9licat entre le respect d'un droit et son devoir de prot\u00e9ger et de soigner.<\/p>\n\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Ce qui est observ\u00e9 et transmis<\/th><th>Interpr\u00e9tation fr\u00e9quente<\/th><th>Ce dont il s'agit souvent<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Refuse la toilette du matin<\/td><td>Mauvaise volont\u00e9, opposition<\/td><td>Douleur au mouvement, pudeur, peur de l'eau<\/td><\/tr>\n    <tr><td>Repousse le plateau-repas<\/td><td>Manque d'app\u00e9tit<\/td><td>Fausses routes redout\u00e9es, fatigue, textures inadapt\u00e9es<\/td><\/tr>\n    <tr><td>Serre les dents devant le soin<\/td><td>Agressivit\u00e9<\/td><td>Douleur anticip\u00e9e, incompr\u00e9hension, sentiment d'intrusion<\/td><\/tr>\n    <tr><td>Dit \u00ab&nbsp;non&nbsp;\u00bb \u00e0 toute proposition<\/td><td>Caract\u00e8re difficile<\/td><td>Besoin de garder un contr\u00f4le sur sa vie<\/td><\/tr>\n    <tr><td>Se fige et ne r\u00e9pond plus<\/td><td>Bouderie, indiff\u00e9rence<\/td><td>Surcharge, angoisse, trouble de la compr\u00e9hension<\/td><\/tr>\n    <tr><td>Accepte le matin, refuse le soir<\/td><td>Incoh\u00e9rence<\/td><td>Fatigue de fin de journ\u00e9e, rythme non respect\u00e9<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<p>Chaque ligne de ce tableau repr\u00e9sente un ajustement possible&nbsp;: une phrase reformul\u00e9e, un moment d\u00e9cal\u00e9, une explication donn\u00e9e autrement. C'est pr\u00e9cis\u00e9ment l'objet de cette formation&nbsp;: passer de l'observation au d\u00e9codage juste, puis \u00e0 une r\u00e9ponse qui respecte \u00e0 la fois la personne et la n\u00e9cessit\u00e9 du soin. On ne cherche pas \u00e0 \u00ab&nbsp;faire c\u00e9der&nbsp;\u00bb, mais \u00e0 comprendre pour trouver ensemble un chemin acceptable.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 2 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-pourqui\">\u00c0 qui s'adresse la formation refus de soins<\/h2>\n\n<p>Le refus de soins traverse tous les lieux d'accompagnement. La formation a \u00e9t\u00e9 pens\u00e9e pour des professionnels aux m\u00e9tiers vari\u00e9s, r\u00e9unis par une m\u00eame question&nbsp;: comment continuer \u00e0 prendre soin quand la personne dit non&nbsp;?<\/p>\n\n<div class=\"dyn-cards\">\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\uddd1\u200d\u2695\ufe0f<\/span>\n    <h3>Aides-soignants<\/h3>\n    <p>Toilette, repas, transferts&nbsp;: les moments les plus expos\u00e9s au refus, o\u00f9 la posture et les mots employ\u00e9s font toute la diff\u00e9rence.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udc89<\/span>\n    <h3>Infirmiers<\/h3>\n    <p>Soins techniques, prises de traitement, pansements&nbsp;: comment articuler s\u00e9curit\u00e9, urgence et respect du refus exprim\u00e9.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfe0<\/span>\n    <h3>Auxiliaires de vie et aide \u00e0 domicile<\/h3>\n    <p>Souvent seuls au domicile, sans \u00e9quipe imm\u00e9diate. La formation donne des rep\u00e8res pour d\u00e9samorcer et pour savoir quand alerter.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udd1d<\/span>\n    <h3>Accompagnants et \u00e9ducateurs<\/h3>\n    <p>En \u00e9tablissement m\u00e9dico-social comme en \u00e9cole, face \u00e0 des personnes qui refusent une activit\u00e9, un repas, un soin d'hygi\u00e8ne.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83c\udfe2<\/span>\n    <h3>\u00c9quipes d'\u00e9tablissements et d'entreprises<\/h3>\n    <p>R\u00e9sidences, EHPAD, structures sp\u00e9cialis\u00e9es&nbsp;: un socle commun pour harmoniser les pratiques et apaiser les situations r\u00e9currentes.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udcca<\/span>\n    <h3>Cadres et responsables qualit\u00e9<\/h3>\n    <p>Un contenu partag\u00e9 par toute une \u00e9quipe, avec attestations individuelles \u00e0 verser au dossier de formation.<\/p>\n  <\/div>\n<\/div>\n\n<h3>Faite pour vous \/ pas faite pour vous<\/h3>\n\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Votre situation<\/th><th>Cette formation\u2026<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Vous \u00eates confront\u00e9 \u00e0 des refus r\u00e9p\u00e9t\u00e9s et vous vous sentez d\u00e9muni<\/td><td><span class=\"dyn-oui\">\u2714 Convient parfaitement<\/span><\/td><\/tr>\n    <tr><td>Votre \u00e9quipe r\u00e9agit de fa\u00e7on h\u00e9t\u00e9rog\u00e8ne et vous cherchez un socle commun<\/td><td><span class=\"dyn-oui\">\u2714 Convient<\/span> \u2014 c'est l'usage le plus fr\u00e9quent<\/td><\/tr>\n    <tr><td>Vous voulez mieux comprendre le cadre l\u00e9gal du refus<\/td><td><span class=\"dyn-oui\">\u2714 Convient<\/span> \u2014 module 1 d\u00e9di\u00e9<\/td><\/tr>\n    <tr><td>Vous cherchez \u00e0 apprendre les gestes techniques de soin eux-m\u00eames<\/td><td><span class=\"dyn-non\">\u2718 Non<\/span> \u2014 la formation porte sur la relation, pas sur la technique de soin<\/td><\/tr>\n    <tr><td>Vous cherchez un protocole m\u00e9dical de contention ou de s\u00e9dation<\/td><td><span class=\"dyn-non\">\u2718 Non<\/span> \u2014 ces d\u00e9cisions rel\u00e8vent du m\u00e9decin<\/td><\/tr>\n    <tr><td>Vous cherchez un dipl\u00f4me d'\u00c9tat ou une qualification r\u00e9glement\u00e9e<\/td><td><span class=\"dyn-non\">\u2718 Non<\/span> \u2014 il s'agit d'une attestation de fin de formation<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 3 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-programme\">Le programme&nbsp;: 4 modules, 16 le\u00e7ons<\/h2>\n\n<p>Le parcours suit une progression logique&nbsp;: comprendre d'abord ce qui se joue et ce que dit la loi, travailler ensuite sa propre posture, acqu\u00e9rir des techniques de communication et de n\u00e9gociation, puis affronter les situations les plus complexes et ancrer les acquis dans le collectif. Les le\u00e7ons sont courtes&nbsp;: de onze \u00e0 vingt minutes environ chacune.<\/p>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">1<\/div>\n    <h3 class=\"dyn-module__title\">Comprendre le refus de soins \u2014 causes, significations et droit<\/h3>\n  <\/div>\n  <ul>\n    <li>Le refus de soins, qu'est-ce que c'est vraiment&nbsp;?<\/li>\n    <li>Les causes du refus de soins<\/li>\n    <li>Le cadre l\u00e9gal \u2014 droit au refus et obligations du soignant<\/li>\n    <li>Le refus de soins chez la personne avec troubles cognitifs<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">2<\/div>\n    <h3 class=\"dyn-module__title\">La posture soignante face au refus<\/h3>\n  <\/div>\n  <ul>\n    <li>Ne pas vivre le refus comme un \u00e9chec personnel<\/li>\n    <li>L'\u00e9coute active comme premier outil<\/li>\n    <li>Respecter le refus tout en assurant la s\u00e9curit\u00e9<\/li>\n    <li>G\u00e9rer ses \u00e9motions face aux refus r\u00e9p\u00e9t\u00e9s<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">3<\/div>\n    <h3 class=\"dyn-module__title\">Techniques de communication et de n\u00e9gociation douce<\/h3>\n  <\/div>\n  <ul>\n    <li>Reformuler la proposition de soin<\/li>\n    <li>S'appuyer sur la relation et les pr\u00e9f\u00e9rences de la personne<\/li>\n    <li>L'approche Montessori et les techniques issues des soins centr\u00e9s sur la personne<\/li>\n    <li>Quand le soin est urgent et le refus persiste<\/li>\n  <\/ul>\n<\/div>\n\n<div class=\"dyn-module\">\n  <div class=\"dyn-module__head\">\n    <div class=\"dyn-module__num\">4<\/div>\n    <h3 class=\"dyn-module__title\">Situations complexes, travail en \u00e9quipe et pr\u00e9vention<\/h3>\n  <\/div>\n  <ul>\n    <li>Les situations de refus les plus fr\u00e9quentes et comment les aborder<\/li>\n    <li>Le refus de soins en fin de vie \u2014 une dimension particuli\u00e8re<\/li>\n    <li>Les outils DYNSEO pour r\u00e9duire l'anxi\u00e9t\u00e9 et recr\u00e9er la confiance<\/li>\n    <li>Construire une culture d'\u00e9tablissement autour du refus de soins<\/li>\n  <\/ul>\n<\/div>\n\n<p>Le parcours se termine par un quiz de synth\u00e8se qui reprend les points-cl\u00e9s des quatre modules, utile pour v\u00e9rifier ses acquis avant de recevoir l'attestation.<\/p>\n\n<div class=\"dyn-note\">\n  <strong>\ud83d\udca1 Deux le\u00e7ons que les \u00e9quipes citent le plus souvent<\/strong>\n  <p>\u00ab&nbsp;<strong>Ne pas vivre le refus comme un \u00e9chec personnel<\/strong>&nbsp;\u00bb (module 2) et \u00ab&nbsp;<strong>Reformuler la proposition de soin<\/strong>&nbsp;\u00bb (module 3). La premi\u00e8re change le regard&nbsp;: le refus cesse d'\u00eatre une d\u00e9faite pour devenir une information. La seconde donne des mots concrets, imm\u00e9diatement r\u00e9utilisables au chevet ou \u00e0 domicile, pour transformer un \u00ab&nbsp;non&nbsp;\u00bb en une n\u00e9gociation possible.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA MILIEU \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<div class=\"dyn-cta\">\n  <h3>Transformer les refus du quotidien en dialogue<\/h3>\n  <p>4 modules, 16 le\u00e7ons, environ 4 heures, acc\u00e8s illimit\u00e9 et attestation nominative. Une m\u00e9thode douce et \u00e9thique, applicable d\u00e8s la prochaine prise de poste.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\">D\u00e9couvrir la formation \u2014 90 \u20ac<\/a>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 4 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-format\">Format et organisation<\/h2>\n\n\n<div class=\"dyn-tablewrap\">\n<table>\n  <thead>\n    <tr><th>Crit\u00e8re<\/th><th>D\u00e9tail<\/th><\/tr>\n  <\/thead>\n  <tbody>\n    <tr><td>Format<\/td><td>100 % en ligne, le\u00e7ons vid\u00e9o courtes<\/td><\/tr>\n    <tr><td>Contenu<\/td><td>4 modules \u00b7 16 le\u00e7ons \u00b7 1 quiz<\/td><\/tr>\n    <tr><td>Dur\u00e9e<\/td><td>Environ 4 heures au total<\/td><\/tr>\n    <tr><td>Rythme<\/td><td>Libre, sans date de fin impos\u00e9e<\/td><\/tr>\n    <tr><td>Support<\/td><td>Ordinateur, tablette, smartphone<\/td><\/tr>\n    <tr><td>Acc\u00e8s<\/td><td>Imm\u00e9diat apr\u00e8s inscription, illimit\u00e9 dans le temps<\/td><\/tr>\n    <tr><td>Niveau requis<\/td><td>Tous niveaux, aucun pr\u00e9requis<\/td><\/tr>\n    <tr><td>Validation<\/td><td>Attestation de fin de formation<\/td><\/tr>\n    <tr><td>Tarif<\/td><td>90 \u20ac par apprenant<\/td><\/tr>\n  <\/tbody>\n<\/table>\n<\/div>\n\n<p>Le format asynchrone r\u00e9pond \u00e0 une contrainte propre au terrain&nbsp;: on ne peut pas immobiliser une \u00e9quipe enti\u00e8re une journ\u00e9e enti\u00e8re. Les quatre heures se r\u00e9partissent en s\u00e9quences de quinze \u00e0 vingt minutes, sur les temps disponibles, sans d\u00e9sorganiser un planning. Chacun avance \u00e0 son rythme, revient sur une le\u00e7on quand une situation se pr\u00e9sente, et reprend l\u00e0 o\u00f9 il s'\u00e9tait arr\u00eat\u00e9. Le contenu reste accessible ensuite&nbsp;: c'est une ressource dans laquelle on peut piocher au fil des mois.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 5 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-competences\">Ce que vous saurez faire \u00e0 la fin<\/h2>\n\n<div class=\"dyn-cards\">\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udd0e<\/span>\n    <h3>D\u00e9coder un refus<\/h3>\n    <p>Rep\u00e9rer ce qui se cache derri\u00e8re un \u00ab&nbsp;non&nbsp;\u00bb&nbsp;: douleur, peur, pudeur, fatigue, incompr\u00e9hension \u2014 et adapter la r\u00e9ponse en cons\u00e9quence.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\u2696\ufe0f<\/span>\n    <h3>Situer le cadre l\u00e9gal<\/h3>\n    <p>Comprendre le droit au refus et les obligations du soignant, pour agir dans le respect des droits de la personne.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83e\udee7<\/span>\n    <h3>Garder une posture juste<\/h3>\n    <p>Ne plus vivre le refus comme un \u00e9chec, r\u00e9guler ses propres \u00e9motions et rester disponible m\u00eame apr\u00e8s plusieurs refus.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udcac<\/span>\n    <h3>N\u00e9gocier en douceur<\/h3>\n    <p>Reformuler une proposition, s'appuyer sur les pr\u00e9f\u00e9rences de la personne, proposer un choix plut\u00f4t qu'imposer un soin.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udea8<\/span>\n    <h3>R\u00e9agir quand le soin est urgent<\/h3>\n    <p>Distinguer ce qui peut attendre de ce qui ne peut pas, appliquer les consignes et alerter le professionnel de sant\u00e9 au bon moment.<\/p>\n  <\/div>\n  <div class=\"dyn-card\">\n    <span class=\"dyn-card__icon\">\ud83d\udc65<\/span>\n    <h3>Faire \u00e9quipe<\/h3>\n    <p>Transmettre ce qui a fonctionn\u00e9, construire une r\u00e9ponse coh\u00e9rente et contribuer \u00e0 une culture d'\u00e9tablissement apais\u00e9e.<\/p>\n  <\/div>\n<\/div>\n\n<h3>Des mots et des gestes concrets<\/h3>\n\n<p>La formation ne se contente pas de principes. Elle propose des formulations pr\u00e9cises et des attitudes \u00e0 adopter. Par exemple, plut\u00f4t que d'insister avec \u00ab&nbsp;il faut faire votre toilette&nbsp;\u00bb, on apprend \u00e0 proposer un choix&nbsp;: \u00ab&nbsp;Vous pr\u00e9f\u00e9rez qu'on commence par le visage ou par les mains&nbsp;?&nbsp;\u00bb. Plut\u00f4t que de rester plant\u00e9 face \u00e0 la personne, on apprend \u00e0 se mettre \u00e0 sa hauteur, \u00e0 annoncer chaque geste avant de le faire, \u00e0 laisser un temps de r\u00e9ponse.<\/p>\n\n\n<div class=\"dyn-alerte\">\n  <p><strong>\u274c \u00c0 \u00e9viter&nbsp;:<\/strong> forcer, faire \u00e0 la place \u00ab&nbsp;pour aller plus vite&nbsp;\u00bb, hausser le ton, ou parler de la personne \u00e0 la troisi\u00e8me personne devant elle (\u00ab&nbsp;elle ne veut jamais&nbsp;\u00bb). Ces r\u00e9actions, tr\u00e8s humaines quand on est press\u00e9 ou fatigu\u00e9, renforcent le refus et ab\u00eement la relation de confiance. La formation aide justement \u00e0 rep\u00e9rer ces automatismes et \u00e0 leur substituer des r\u00e9ponses plus apaisantes.<\/p>\n<\/div>\n\n<p>En cas de doute sur une douleur, un changement d'\u00e9tat ou un refus qui persiste face \u00e0 un soin n\u00e9cessaire, la r\u00e8gle reste toujours la m\u00eame&nbsp;: observer, noter, signaler et renvoyer au professionnel de sant\u00e9, seul habilit\u00e9 \u00e0 poser un diagnostic et \u00e0 d\u00e9cider de la conduite \u00e0 tenir. En situation qui menace la vie, on contacte sans attendre les services d'urgence de votre pays.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 6 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-qualiopi\">Qualiopi, attestation et financement<\/h2>\n\n<p>DYNSEO est un organisme de formation certifi\u00e9 <strong>Qualiopi<\/strong>, enregistr\u00e9 sous le num\u00e9ro de d\u00e9claration d'activit\u00e9 <strong>11757351875<\/strong>. La certification porte sur la qualit\u00e9 du processus&nbsp;: objectifs p\u00e9dagogiques d\u00e9finis, adaptation aux publics, qualification des intervenants, recueil des appr\u00e9ciations et am\u00e9lioration continue.<\/p>\n\n<p>Chaque apprenant re\u00e7oit une <strong>attestation de fin de formation<\/strong> nominative, \u00e0 verser au dossier individuel et exploitable dans le cadre de la d\u00e9marche qualit\u00e9 de l'\u00e9tablissement. Ce n'est ni un dipl\u00f4me d'\u00c9tat ni une qualification r\u00e9glement\u00e9e&nbsp;: c'est une attestation de participation \u00e0 une action de formation.<\/p>\n\n<p>C\u00f4t\u00e9 financement, la certification Qualiopi est la condition qui permet \u00e0 un employeur d'envisager une prise en charge au titre du plan de d\u00e9veloppement des comp\u00e9tences ou par son op\u00e9rateur de comp\u00e9tences. Les r\u00e8gles, les plafonds et les proc\u00e9dures varient selon les pays, les branches et les op\u00e9rateurs&nbsp;: la seule d\u00e9marche fiable consiste \u00e0 faire valider le devis et le programme par le service RH ou l'organisme financeur <em>avant<\/em> l'achat. Aucun montant de prise en charge ne peut \u00eatre garanti \u00e0 l'avance.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 7 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-equipe\">D\u00e9ployer la formation dans une \u00e9quipe<\/h2>\n\n<p>Le format en ligne facilite le d\u00e9ploiement collectif, \u00e0 condition de ne pas se contenter d'envoyer un lien. Le refus de soins est un sujet o\u00f9 la coh\u00e9rence de l'\u00e9quipe compte autant que la comp\u00e9tence individuelle&nbsp;: si l'un force l\u00e0 o\u00f9 l'autre n\u00e9gocie, la personne accompagn\u00e9e perd ses rep\u00e8res.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li><strong>Fixez un objectif observable.<\/strong> Par exemple&nbsp;: r\u00e9duire les toilettes v\u00e9cues comme des affrontements sur un secteur donn\u00e9 d'ici trois mois. Sans objectif, la formation reste une case coch\u00e9e.<\/li>\n  <li><strong>Bloquez le temps.<\/strong> Deux cr\u00e9neaux de vingt minutes par semaine sur le planning valent mieux qu'une consigne de \u00ab&nbsp;faire quand vous pouvez&nbsp;\u00bb.<\/li>\n  <li><strong>D\u00e9signez un r\u00e9f\u00e9rent.<\/strong> Une personne qui avance un module en avance et anime cinq minutes de reprise en r\u00e9union d'\u00e9quipe.<\/li>\n  <li><strong>Faites atterrir chaque module dans le r\u00e9el.<\/strong> Apr\u00e8s le module 2, \u00e9changez sur une situation de refus v\u00e9cue comme un \u00e9chec. Apr\u00e8s le module 3, testez ensemble une reformulation sur un cas concret.<\/li>\n  <li><strong>Archivez les attestations<\/strong> au fur et \u00e0 mesure, dans le dossier de formation, avec la date d'ach\u00e8vement.<\/li>\n  <li><strong>Pr\u00e9voyez un point \u00e0 trois mois.<\/strong> Qu'est-ce qui a r\u00e9ellement chang\u00e9 dans les pratiques&nbsp;? C'est ce qui distingue une formation utile d'une formation consomm\u00e9e.<\/li>\n<\/ol>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 8 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-tarif\">Tarif et inscription<\/h2>\n\n<p>La formation est propos\u00e9e \u00e0 <strong>90 \u20ac<\/strong> par apprenant. Le prix s'affiche dans la devise du visiteur selon le pays de connexion. L'acc\u00e8s est imm\u00e9diat et illimit\u00e9 dans le temps.<\/p>\n\n<ol class=\"dyn-steps\">\n  <li>Ouvrez la <a href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\">page de la formation<\/a> et ajoutez-la au panier.<\/li>\n  <li>Cr\u00e9ez le compte apprenant, ou connectez-vous, puis validez le paiement.<\/li>\n  <li>L'acc\u00e8s est imm\u00e9diat&nbsp;: la formation appara\u00eet dans l'espace apprenant et la premi\u00e8re le\u00e7on d\u00e9marre aussit\u00f4t.<\/li>\n<\/ol>\n\n<p>Pour un d\u00e9ploiement sur plusieurs postes ou un devis \u00e0 l'\u00e9chelle d'un \u00e9tablissement, la page contact du site permet d'obtenir une proposition adapt\u00e9e. Le <a href=\"https:\/\/www.dynseo.com\/nos-formations\/\">catalogue des formations DYNSEO<\/a> r\u00e9unit par ailleurs d'autres parcours pour les professionnels du soin et du m\u00e9dico-social.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 9 \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-limites\">Ce que cette formation n'est pas<\/h2>\n\n<ul>\n  <li><strong>Elle n'enseigne pas les gestes techniques de soin.<\/strong> Elle porte sur la relation, la posture et la communication autour du refus, pas sur la r\u00e9alisation des soins eux-m\u00eames.<\/li>\n  <li><strong>Elle ne remplace pas l'avis m\u00e9dical.<\/strong> Le diagnostic, l'\u00e9valuation de la douleur et toute d\u00e9cision th\u00e9rapeutique \u2014 y compris une \u00e9ventuelle mesure de protection \u2014 rel\u00e8vent du professionnel de sant\u00e9.<\/li>\n  <li><strong>Elle ne propose aucun protocole prescriptif.<\/strong> Pas de dose, pas de texture impos\u00e9e, pas de technique de contention&nbsp;: la formation apprend \u00e0 observer, signaler et appliquer les consignes.<\/li>\n  <li><strong>Ce n'est pas un dipl\u00f4me.<\/strong> L'attestation atteste d'une participation, pas d'une qualification r\u00e9glement\u00e9e.<\/li>\n  <li><strong>Ce n'est pas une formation pr\u00e9sentielle.<\/strong> Il n'y a pas de formateur en direct ni d'\u00e9changes en groupe&nbsp;: c'est un parcours vid\u00e9o asynchrone.<\/li>\n<\/ul>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 S\u00c9RIE \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2>Pour aller plus loin<\/h2>\n\n\n<div class=\"dyn-serie\">\n  <a href=\"#dyn-guide-refus-de-soins\"><span>Background Guide<\/span>Refusal of care: the complete guide to understanding what is at stake<\/a>\n  <a href=\"#dyn-situations-refus-de-soins\"><span>Everyday Situations<\/span>Refusal of care: 10 difficult situations and how to respond<\/a>\n  <a href=\"#dyn-outils-refus-de-soins\"><span>Toolbox<\/span>Refusal of care: activities, resources, and concrete arrangements<\/a>\n  <a href=\"#dyn-posture-refus-de-soins\"><span>Professional Stance<\/span>Refusal of care: posture, teamwork, and skill development<\/a>\n<\/div>\n\n<p>Several free DYNSEO tools directly complement this training to restore dialogue and reduce anxiety: the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/thermometre-des-emotions\/\">emotion thermometer<\/a> and the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/decodeur-dexpressions-faciales\/\">facial expression decoder<\/a> to better read what the person feels, the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/roue-des-choix\/\">choice wheel<\/a> and the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/cartes-de-conversation\/\">conversation cards<\/a> to suggest rather than impose, and the <a href=\"https:\/\/www.dynseo.com\/nos-outils\/echelle-de-la-voix\/\">voice scale<\/a> to adjust one's tone. The <a href=\"https:\/\/www.dynseo.com\/nos-outils\/\">complete catalog<\/a> is freely accessible, just like the <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\">cognitive tests<\/a>. Finally, the cognitive stimulation applications <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\">SCARLETT<\/a> (seniors, Alzheimer's disease, Parkinson's) and <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a> (adults) serve as concrete supports to recreate moments of shared pleasure and soothe the relationship.<\/p>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 FAQ \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<h2 id=\"dyn-faq\">Frequently Asked Questions<\/h2>\n<div class=\"dyn-faq\">\n\n  <h3>How long does it take to complete the training&nbsp;?<\/h3>\n  <p>About four hours in total for the 4 modules and 16 lessons, plus a summary quiz. The lessons being short, ranging from eleven to twenty minutes each, most learners spread the course over two to four weeks, with two short slots per week. Access remains open indefinitely&nbsp;: you can return to a specific lesson when a refusal situation arises in the field, making it a sustainable resource and not just a one-time training.<\/p>\n\n  <h3>Does the training provide unlimited access and a certificate&nbsp;?<\/h3>\n  <p>Yes. Access is immediate after registration and unlimited in time&nbsp;: the content remains available as long as you wish, on computer, tablet, or smartphone. At the end of the course, each learner receives a personalized completion certificate. This is a certificate of participation in a training action, usable in the individual file and quality approach of the establishment, and not a state diploma or a regulated qualification.<\/p>\n\n  <h3>Can the training be covered by the employer&nbsp;?<\/h3>\n  <p>This is possible&nbsp;: DYNSEO is a training organization certified Qualiopi (N\u00b0 11757351875), a condition generally required for coverage under the skills development plan or by a skills operator. The rules, ceilings, and procedures vary by country, sector, and funders, and no amount can be guaranteed in advance. The reliable approach&nbsp;: have the program and the quote validated by your HR department or your funding organization before purchase.<\/p>\n\n  <h3>Can an entire team be registered&nbsp;?<\/h3>\n  <p>Yes. Each professional has their own learner account and their personalized certificate, which allows for the submission of documents to individual files. This is even the recommended practice for this topic&nbsp;: in the face of care refusal, the coherence of the entire team is as important as the competence of each individual. For deployment across multiple positions or a quote at the scale of an establishment, go through the contact page of the site&nbsp;: a proposal adapted to the number of learners can be established.<\/p>\n\n  <h3>What support is available in case of questions&nbsp;?<\/h3>\n  <p>The training is an online course to be followed independently, but you are not left to your own devices&nbsp;: the DYNSEO team remains reachable via the contact page of the site for any technical or administrative questions related to access, the learner account, or the certificate. For clinical questions encountered in the field \u2014 pain, health status, care decision \u2014 the training systematically refers to the referring healthcare professional, who is the only one authorized to make a diagnosis and decide on the course of action.<\/p>\n\n<\/div>\n\n<div class=\"dyn-note\">\n  <strong>\u2139\ufe0f General information<\/strong>\n  <p>This page describes the content of a training action. Funding conditions and training obligations vary by country and employers&nbsp;: check with your HR department or your funding organization. This content does not constitute medical advice&nbsp;: in case of doubt about a person's health status, consult a healthcare professional, and in case of a life-threatening emergency, contact the emergency services in your country.<\/p>\n<\/div>\n\n<!-- \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 CTA FINAL \u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550\u2550 -->\n<div class=\"dyn-cta\">\n  <h3>Responding differently to refusal of care<\/h3>\n  <p>The <strong>refusal of care training<\/strong> from DYNSEO: 4 modules, 16 lessons, about 4 hours, unlimited access and a personalized certificate for each professional. A gentle and ethical approach, to understand, negotiate, and respect.<\/p>\n  <a class=\"dyn-btn\" href=\"https:\/\/www.dynseo.com\/courses\/refus-de-soins-comprendre-negocier-et-respecter-une-approche-douce-et-ethique\/\">Discover the training \u2014 90 \u20ac<\/a>\n<\/div>\n\n\n\n<\/div>\n\n<\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"categories":[3582,2915],"tags":[],"class_list":["post-759542","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-advice-from-our-coaches","category-les-conseils-des-coachs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Training &#039;Refusal of Care: Understanding, Negotiating and Respecting - A Gentle and Ethical Approach&#039;: Program, Content and Who It Is For - DYNSEO - Educational apps &amp; brain training apps for all<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dynseo.com\/en\/training-refusal-of-care-understanding-negotiating-respecting-gentle-ethical-approach-program-content-who-it-is-for\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Training &#039;Refusal of Care: Understanding, Negotiating and Respecting - A Gentle and Ethical Approach&#039;: Program, Content and Who It Is For - DYNSEO - Educational apps &amp; 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