French Context Research Articles

Women, gender and drugs: between research and action.

This article is part of Harm Reduction Journal's special issue on harm reduction research in the francophone context and specifically the Harm Reduction Network (HARENE). After highlighting the history and current context of harm reduction for women in France, we present the results of four research studies addressing the links between gender and drugs which were presented in the book Espaces genrés des drogues. Parcours dans la fête, l'intimité et la réduction des risques ('Gendered Spaces of Drugs. A journey of intimacy, party and harm reduction'). This article is divided into three parts, each addressing a specific space: the space of institutional care, the intimate marital space, and the urban festive space. We begin by describing gender inequalities within harm reduction and care structures, by demonstrating how single-sex spaces facilitate the care of women, and how care professionals can perpetuate unequal gender norms in their relationship with a woman in a situation of addiction expressing a desire for pregnancy. Concerning the marital space, we highlight the reproduction of gender norms within socially included heterosexual couples who use drugs and are socially included, particularly concerning the choice of the intimate partner, the distribution of tasks linked to the purchase and sale of drugs, and parenthood. Finally, concerning the festive space, the article highlights the differentiated strategies of men and women in urban festive places, and the maintenance of a gendered order of festive places and drug consumption. This leads us to discuss the current issues of stigmatization of women drug users, and the initiatives put in place in the French context to promote harm reduction for women who use drugs.

Engaging children in activities and interactions

Abstract In early childhood education and care (ECEC), children do not participate in the same way and to the same extent in various kinds of interactions. One of the challenges for educators is to succeed in involving every child in the proposed activities, thereby enabling them to benefit from these experiences for language acquisition. The present exploratory study was conducted through video recordings of educator-child interactions in French ECEC contexts. The analysis focused on sequences where one or more children either withdrew or stayed in the background of the ongoing activities. The sequences were categorised according to the type of activity, the educators’ language strategies, and their outcomes in terms of the children’s participation. By focusing on the role and impact of language practices, our discussion re-examines the notion of involvement/engagement, its achievements in ECEC, and the effects of the educators’ moves on child involvement.

Use of Prenatal Exome Sequencing: Opinion Statement of the French Federation of Human Genetics Working Group.

Prenatal whole exome sequencing (pES) is increasingly prescribed for fetuses with ultrasound anomalies. Starting from the local French prenatal medicine practice, healthcare system and legal landscape, we aimed to address the broad medical and ethical issues raised by the use of pES for women and couples as well as for prenatal care providers. The French Federation of Human Genetics established a working group composed of clinicians and biologists from all over France to discuss pES challenges. A literature review was also performed. We emphasize the importance of non-directive information that helps couples make a decision that is consistent with their personal values and ideas. We address the difficulty of obtaining informed consent that respects the couple's autonomy, despite the complexity of the information and regardless of their level of education and cultural background. We address whether variants of uncertain significance and unsolicited results should be reported. We emphasize the need for national harmonization of access to pES and the need for multidisciplinary meetings in complex situations. We point out that the specific French context of healthcare financing and the French law have a major influence on medical care organization and support for couples. The outcome of the working group is the development of 12 proposals. This opinion statement, dedicated to prenatal care providers worldwide although linked to the French context, will provide food for thought and assist them in understanding the complexity and implications of pES.

Construction and validation of the cognitive attitudes toward inclusive education scale among teachers and paraprofessionals in the French context

Construction and validation of the cognitive attitudes toward inclusive education scale among teachers and paraprofessionals in the French context

‘All naked at the gyno’: Psychosocial approach to the gynaecological examination from digital media in a French context

The gynaecological examination (GE) is a major public health issue, with bad experiences of this examination widely reported as a disincentive to cervical cancer screening. In France, a movement to denounce gynaecological and obstetrical violence is expressed through a massive publication of testimonies on social networks. Via a socio-representational approach and from a critical gender perspective, this article aims to explore how people use digital media to communicate about the GE, and to analyse the experiences related to the GE and the representation systems underlying them. Using an inductive strategy, a corpus of discussion from the Doctissimo forum, and testimonies and comments from the PayeTonGynéco Facebook pages and Tumblr was created and submitted to lexicographical analysis. Our results suggest that the GE is indicative of a broader social function. People seem to use digital media to cope with a form of social ignorance of women’s experience in gynaecology with a certain ambivalence regarding their liberating potential.

The French Debate over On the Jewish Question: From an Anachronistic Trial to the Crisis of Secularism

Abstract This article analyses the debate over an ‘antisemitic Marx’ in the French context. Since the republication of On the Jewish Question in the aftermath of the Six-Day War, the French intellectual field has seen continuous conflict between supporters of this ‘thesis’ (Mishari, Kaplan, Birnbaum) and their detractors, who are sometimes militant (J. Aron, Bensaïd) and sometimes academic (De Fontenay, Traverso), including those involved in the Grande édition Marx et Engels (Clochec). First, the article examines at length the French debate which spans over 50 years. Second, building on the insights garnered from this debate, it tackles the limits of materialist criticism of religious views. In light of the contemporary crisis of secularism in France, this problem forces Marxist and critical thinkers (Tosel, Meziane) to reassess the issue of religious minorities and their ‘assimilation’ to the ‘national majority’.

Les filles de Méliès: l’exception culturelle, analogue aesthetics and women filmmakers of le cinéma-monde

ABSTRACT This article examines transnational francophone films from writer-directors Marjane Satrapi and Chloé Mazlo, filmmakers who show how the politics of l’exception culturelle [the cultural exception] have made French cinema a multiply exceptional force in world cinema. The analogue effects in Poulet aux prunes/Chicken with Plums (2011) and Sous le ciel d’Alice/Skies of Lebanon (2020) mark an aesthetic resistance to the homogenising force of digital photorealism while also reflecting an approach to filmmaking pioneered by Georges Méliès, particularly his ground-breaking work in set design and cinematography. As women filmmakers, their reliance on practical aesthetics to present stories set outside l’Hexagone (mainland France) represent the French commitment to the diversity of cinéma-monde. This article argues that these filmmakers and their films have benefitted from policies rooted in l’exception culturelle while expanding the sense of ‘exception’ in a French context to mean films directed by women, films featuring analogue effects and films that reflect transnational identities and cross-cultural collaboration. Both Poulet aux prunes and Sous le ciel d’Alice frame an expanded logic for l’exception culturelle that has shaped more than three decades of contemporary French cinema.

Exploring identity building, language transmission and educational strategies for immigrant d/Deaf multilingual learners

ABSTRACT This article, grounded in sociolinguistics, examines the identity building, language transmission and educational strategies of immigrant d/Deaf multilingual learners (IDML). The scientific literature mainly focuses on a single pair of languages – the national spoken language and the national signed one. For example, Deaf Studies traditionally analyse the situation of the White Deaf user of English and American Sign Language (ASL). A major change has recently occurred with the emergence of multilingual, multicultural and inclusive Deaf Studies. At the same time, professionals and members of the school community regularly have to face the increasing diversity of d/Deaf students’ profiles. Qualitative data were collected on an IDML cohort residing in and attending primary or secondary schools in France from families who use a spoken or signed language other than French or French Sign Language (LSF) at home. The main results reveal how the building of d/Deaf identity depends on linguistic and cultural transmission within families and to what extent the diversity of IDML is considered in educational strategies at school. The goal of the present paper is to stress the urgent need for this new and crucial research area on IDML to be developed in the French context and beyond.

Doubly disenfranchised: the experience of paternal grief following medical termination in Jérémie Szpirglas’ Pater dolorosa

ABSTRACT The term ‘disenfranchised grief’ is increasingly being used to designate grief experiences that are overlooked by wider society. In the French context, this term has overwhelmingly been applied to perinatal loss. Focusing on medical termination (IMG), a somewhat liminal category of perinatal loss, this article considers the doubly disenfranchised experience of paternal grief in such circumstances. While IMG-related grief is, in itself, disenfranchised, not least because it lacks societal recognition, paternal grief following IMG is doubly so, since the male voice is seldom heard. Taking as its focus Pater dolorosa (2019), author and journalist Jérémie Szpirglas’ narrative of medical termination, this article will consider the value of the term ‘disenfranchised grief’ in naming the experience of grief to which Szpirglas’ text attests; the capacity of the text to give voice to that experience and to offer a textual transposition of it; and the role of male grief writing following medical termination in beginning to carve out an alternative space for the sharing of a grief experience that defies established social norms. The article will therefore suggest, in line with Rita Felski’s argument, that ‘a literary text could know as much, or more, than a theory’, particularly when it comes to individual experiences of grief.

Pragmatic sociology and the economics of convention: Introducing a ‘novel’ approach to English-speaking education research

This special issue brings together current work in education research that engages with a pragmatic, yet critical theoretical tradition sprung from the French context during the 1980s. Based on a particular understanding of existence, perception, reality and the dynamics of social life, this theoretical tradition has continuously been developed over the past four decades in a variety of fields, such as law, economic studies, political sciences, education research and sociology. Despite its rich history, this approach has until recently only garnered limited attention from English-speaking research communities. Consequently, our aim is to introduce the approach to the European Education Research Journal readership and demonstrate the tradition’s richness and range of use for education research. By showing the many ways in which this perspective can be utilised in education research, we hope to inspire more scholars who publish in English-speaking contexts to engage with us and explore what insights this ‘novel’ perspective can bring to our research field. In this editorial, we briefly explain the perspective’s base assumptions and key features, discuss the potential relevance of this approach for education research, and introduce the articles of the special issue. First, however, we want to address the issue of naming.

Screening race, streaming Frenchness: Women of colour on French Netflix

ABSTRACT This article builds on the emerging scholarship on Netflix productions and French series to analyse questions of racial visibility and feminine representation in two series: Dix pour cent/Call My Agent! (France Télévisions/Netflix, 2015–2020) and Plan cœur/The Hook-Up Plan (Netflix, 2018–2022). The first section focuses on Dix pour cent’s Sofia Leprince, a mixed-race receptionist and aspiring actress, and the ways in which she serves to highlight the lack of Black actors in French cinema. The second section analyses Plan cœur’s Charlotte Ben Smires, a young woman at a career crossroads who offers a paradoxical perspective on the place of Maghrebi descendants in – and their relationship with – France. Overall, the authors examine how Dix pour cent and Plan cœur, two series featuring strong women of colour, navigate racial visibility in universalist French contexts. These series speak back to a striking historical absence of actors of colour – especially women – from French television screens, yet they are nonetheless circumscribed in persistent norms of republican universalism and thus racial colour-blindness. This article examines this paradox to determine whether these successful contemporary series can truly offer ‘narrative renewal’ within the confines of republican representation norms.

Life cycle assessment of limestone calcined clay concrete: Potential for low-carbon 3D printing

Limestone calcined clay cement is being promoted throughout the construction industry as a way to considerably reduce the cement proportion in concrete mixtures. At the same time, concrete 3D printing could save resources by placing concrete material only where its functionalities are maximized. This study addresses the need for a quantification of the environmental impacts related to the material acquisition phase regarding a low-clinker 3D printing material.Compared to a 30 MPa 3D printing material from the literature, a 3D printable LC3-based concrete with low clinker content in the Quebec context displays a 36 % climate change score reduction with the same compressive strength (46 % reduction in the French context). A small impact shift is noticed in 6 out of 16 midpoint indicators (5 in the French case), mainly due to the calcined clay production. However, it is offset by the significant reduction in other indicators when considering an endpoint assessment. When considering different sourcing scenarios, a global warming potential variability of up to 15 % is observed.LC3 remains a viable solution for the mitigation of greenhouse gas emissions in the context of concrete 3D printing as it provides mechanical strength and enhanced structuration rate for low-clinker materials. However, a specific attention should be accorded to the calcined clay plant locations, especially when the calcined clay content is higher than the value used in this study. As a perspective, a mix design tool could allow the optimization of environmental impacts depending on expected fresh and hardened properties.

Early childcare and developmental delay risk at 3.5 years: Insights from the French ELFE cohort.

We tested the association between early childcare attendance in the first three years of life and child development at age 3.5years in the French context, where early childcare is subsidized. In the ELFE (Étude Longitudinale Français depuis l'Enfance) birth cohort study set in metropolitan France, children's development was reported by parents at age 3.5years (n = 11,033) via the Child Development Inventory (CDI) questionnaire. CDI scores were transformed into a development quotient (DQ), with a DQ < 90 corresponding to possible and a DQ < 85 corresponding to a probable developmental delay. Inverse probability weighted multivariable regression models were used to analyse whether early childcare in the first three years of life (centre-based, childminder, informal or parental care) was associated to development delay. Compared to children in exclusive parental care, those in centre-based childcare (CBC) or with a childminder prior to school entry were significantly less likely to experience possible (OR = 0.56, [95% CI = 0.51-0.61] for CBC and OR = 0.77, [95% CI = 0.72-0.83] for childminder attendance) and probable developmental delay (OR = 0.62, [0.58-0.67] for CBC and OR = 0.80 [0.76-0.83] for childminder). Informal childcare attendance was not significantly associated with children's possible nor probable developmental delay ((OR = 0.97, [0.84-1.12]) and (OR = 0.97, [0.82-1.15]), respectively). Conclusions: Overall, our findings add to the existing scientific literature, showing that in the French context, where childcare can start as early as 3months of age, early childcare attendance can contribute to child's development. What's Known on This Subject: • Studies on early childcare attendance and child development have shown mixed results, associations with better psychomotor development mainly being observed in Nordic countries, while some studies in other countries such as the USA showed no or negative associations. What This Study Adds: • In a country with broad and subsidized access to childcare such as France, access to early childhood education can positively contribute to children's psychomotor development. However, we found that access to childcare does not appear to reduce social inequalities in children's psychomotor development.

Contribution of Coordination Theories to the Determination of Human Factors Associated With Operating Room Perceived Performance.

The efficient and fluid organization of surgical interventions in an operating room (OR) and operating suite (OS) is important as these are among the most expensive units to run in medical-surgical facilities. The complexity of OS organization requires careful coordination, defined here as the directing of individuals' efforts toward achieving common and explicitly recognized goals. There is currently sparse literature on OS coordination, especially in the French context. This study aimed to respond to this gap by reporting on the coordination mechanisms associated with the perceived performance of OS across 4 facilities in an urban setting in France. We used a qualitative comparative case study based on ethnographic methodology to explore 4 facilities (2 teaching, 1 general, and 1 private). Several investigation techniques were used for data collection (semistructured interviews, participant and nonparticipant observations, and informal interviews) in the OR, the OS, the regulation council (dedicated to adapting the necessary resources to specific procedures and patients' health status), and the OS council (dedicated to strategic and operational OS transformations and adaptations, and responsible for finding solutions to organizational problems). Analysis was guided by Okhuysen and Bachky's theoretical framework on coordination and multi-team systems theory. Data were compared across the 4 facilities and triangulated using the different techniques to ensure coherence and accuracy. Overall, 48 interviews with health care providers and hospital managers and 200 hours of direct observations were performed. The OR exhibited a high degree of coordination, whereas improved perception of performance in the OS depended on managerial competency, trust, and authority. Perceived performance in the regulation council and OS council, on the other hand, depended on the identification of formal objectives by all stakeholders and the development of common understanding (developing agreement, direct information sharing, creating common perspective, substitution, bringing groups together, and storing of knowledge). Based on existing literature on multi-team systems (as represented in the OS organization), this study identifies success factors influencing OS coordination. These include the OS manager's leadership skills; the identification of formal system objectives; and professional differentiation between stakeholders (absence/decrease of a sense of belonging to a multi-team system). This differentiation was related to the high degree of specialization within OS teams, each bringing different norms, cultures, and contingencies that induce dissonance in organization and task performance. Interventions targeting these success factors might improve coordination, and thus performance, in the OS.

Determinants of quality of life in French nursing home residents across cognitive levels: a comparative study using convergent mixed-methods

BackgroundThe quality of life (QoL) of nursing home residents is multifaceted and influenced by relationships, health, and activities, as per research in international literature. However, studies exploring QoL predictors considering varying cognitive impairment levels are limited in the French context. This study examined the impact of sociodemographic factors and cognitive impairment on the QoL in Alzheimer’s Disease Nursing Homes (QoL-AD NH) scale scores among French nursing home residents. It further identified predictors through responses to qualitative semi-structured interviews. These elements were integrated and compared to understand more comprehensively the multifaceted determinants influencing residents’ QoL.MethodsThis mixed methods study used a cross-sectional convergent design, and quantitative and qualitative studies were carried out simultaneously. Using a generalised linear model and Kruskal–Wallis tests, the quantitative strand (N = 151) measured QoL with the QoL-AD NH scale and examined sociodemographic predictors of QoL. The qualitative strand (N = 78) involved semi-structured interviews with residents across four levels of cognitive functioning (no, mild, moderate, and severe impairment) and explored their QoL determinants through thematic analysis. Both strands were then integrated and analysed.ResultsMild cognitive impairment and depression negatively predicted QoL-AD NH scores. For specific items, residents with mild cognitive impairment had lower “Ability to keep busy daily” and “Current life in general” scores than residents without cognitive impairment. Qualitatively, family relationships were indispensable for QoL across groups, but those with mild cognitive impairment complained about a lack of activities in nursing homes. The analysis identified convergent predictors and enriched our understanding of daily occupation. Theory comparisons revealed assessment limitations in psychological well-being.ConclusionsA mixed approach provided a nuanced understanding of QoL, highlighting vulnerable groups and areas for improving assessment. Combining the results from standardised instruments with semi-structured interviews allowed us to capture a fuller range of experiences. The findings suggest a need to reconsider QoL assessment tools for nursing home residents and policies to address their needs regardless of their cognitive levels. They highlight the value of mixed methods for researching this multifaceted field.

Creepypasta and “the Fabrègues Affair”: Imitation and aggression in a recent case of youth violence

This article offers a critical analysis of “the Fabrègues Affair” (2022), a case of youth violence in which two twelve-year-old girls carried out a series of stabbings, resulting in the death of one of their fathers. What was initially viewed as a simple “family tragedy [ drame intrafamilial]” ballooned into a national conversation when the girls claimed, after their arrest, that their violent act had been inspired by “creepypasta,” crowdsourced online horror fictions and videos. While the crime, in its purported relation to digital forms of storytelling, appears eminently specific to the present moment, and while news coverage consistently emphasized the girls’ femininity and sexual orientation in an apparent attempt to further sensationalize their act, the conventional wisdom, as it appears in media coverage of the case, exposes a striking reliance among commentators on outdated psychoanalytic models that do not attend to the specificities of the moment, or to questions of gender and sexuality. This article explores how theories of the relationship between imitation and aggression have been applied in “the Fabrègues Affair” before proposing alternative feminist approaches to understanding the social phenomenon of violent behaviors among girls who appear to draw inspiration from imaginary monsters. In doing so, it aims to contribute new perspectives, drawn from feminist theory and horror studies, to girlhood and childhood studies in the contemporary French context.

Identifying innovations produced by primary health care centers and evaluating their scalability: the SPRINT Occitanie cross-sectional study in France

BackgroundPractice-based research is one of the levers identified by the World Health Organization (WHO) to strengthen primary health care. The scaling of health and social care innovations has the potential to reduce inequities in health and to expand the benefits of effective innovations. It is now rapidly gaining the attention of decision-makers in health and social care, particularly in high-income countries.To meet the challenge of declining numbers of primary care physicians in France, Multi-professional Healthcare Centers (MHC) were created to bring together medical and paramedical professionals. They are a source of innovation in meeting the health challenges facing our populations.Specific methodology exists to identify health innovations and assess their scalability. A working group, including end-users and specialists, has adapted this methodology to the French context and the University department of general practice of Montpellier-Nîmes (France) launched a pilot study in Occitanie, a French region.ObjectiveTo identify and evaluate the scalability of innovations produced in pluri-professional healthcare centers in the Occitanie region.MethodsA pilot, observational, cross-sectional study was carried out. The SPRINT Occitanie study was based on a questionnaire with two sections: MHC information and the modified Innovation Scalability Self-Administered Questionnaire (ISSaQ), version 2020. The study population was all 279 MHC in the Occitanie region.Results19.3% (54) of MHC in the Occitanie region, responded fully or incompletely to the questionnaire. Four out of 5 U-MHCs were represented. Five MHC presented multiple innovations. The average per MHC was 1.94 (± 2.4) innovations. 26% of them (n = 9) had high scalability, 34% (n = 12) medium scalability and 40% (n = 14) low scalability. The main innovation represented (86%) were healthcare program, service, and tool.ConclusionsIn our cross-sectional study, a quarter of the innovations were highly scalable. We were able to demonstrate the importance of MHC teams in working on primary care research through the prism of innovations. Primary-care innovations must be detected, evaluated, and extracted to improve their impact on their healthcare system.

Talent management in small and medium-sized enterprises: towards an integrative multilevel approach in the French context

PurposeThis research seeks to unveil an integrative perspective on talent management (TM) in small and medium-sized enterprises (SMEs), particularly through a multilevel approach and within the French context. Drawing on dynamic capability theory and focusing on French SMEs as a rich domain for multilevel studies, the research aims to elucidate how these enterprises operationalize TM while addressing and integrating their distinct capabilities and requirements, internal dynamics and challenges.Design/methodology/approachThrough an integrative study based on a qualitative approach, we collect data from 15 French SMEs. In total, 20 semi-structured interviews with individuals from different levels, managing and working in SMEs, were conducted and analyzed thematically to identify patterns across all SMEs. Companies and interviewees represented a variety of sectors such as telecommunication, high-tech, circular economy, etc.FindingsWe present an integrative multilevel approach through TM in French SMEs, describing how SMEs operationalize TM. Across three main levels (organizational, collective and individual) and key SMEs’ capabilities, our results underscore the significance of top management commitment capabilities and SMEs' assessment capabilities, the involvement of line managers in facilitating strategic agility and cultivating the talent ecosystem and the outcomes of TM in driving SMEs' reconfiguration, extending beyond mere TM-level integrations and articulations. We address these findings for foreign SMEs intending to enter the French context and SMEs’ actors on the importance of contextual issues and level articulations while calling for future research focusing on group-level and managers’ roles in TM.Originality/valueThis article moves the TM research towards an integrative multilevel view in SMEs as a fertile ground for studying multilevel TM. As part of recent studies on TM in French SMEs within the broader European competitive context, it expands the integrative approach in SMEs by accommodating the unique requirements, the multilevel dynamics and the challenges that they encounter with TM, especially when compared to multinational enterprises (MNEs).

Investigating influences on pet attachment in France: Insights from the adaptation of the French Lexington Attachment to Pets Scale

Abstract This study aimed to assess the French version of the Lexington Attachment to Pets Scale (LAPS) and to explore the factors influencing the attachment between French pet owners and their cats and dogs. Given the absence of a French tool to evaluate pet attachment, LAPS was translated into French using a rigorous back-translation method. An online survey was developed to assess LAPS scores, socio-demographic data, and owner characteristics, resulting in 1872 eligible responses. The French LAPS demonstrated strong reliability as well as good internal consistency and repeatability. Median LAPS scores were higher for dog owners (58.5) compared with cat owners (52.0), while individuals who owned both species showed significantly higher scores for their dogs than for their cats. Factors associated with higher attachment scores for owners of both species included the female gender of the owner, living without children, and lower educational background. This study reinforces the existing body of evidence about gender and pet type differences in terms of attachment and highlights the potential influence of social desirability bias. It provides valuable insights into the complexities of human-animal bonds in the French context and shows the influence of social standards on pet attachment.

Advanced practice nursing implementation in France: A mixed-method study.

To describe advanced practice nursing (APN) in the French healthcare landscape and to provide insights on how the role is defined and implemented and how the role is perceived by physicians. A mixed-method approach incorporating qualitative and quantitative data to offer a global understanding of APN implementation in France was used. Data were collected through questionnaires and interviews with APNs and physicians in diverse healthcare settings in France. The questionnaire assessed the roles, relationships with physicians and patients and the perceived implementation success of APNs. In-depth interviews explored experiences, definitions, challenges and perspectives of APNs. A thematic analysis was applied to the qualitative data to complete the quantitative exploration. Descriptive analyses were performed for quantitative data. A total of 41 APNs and 12 physicians were involved in this study between December 2022 and March 2023. The findings underscore APN as a pivotal, independent profession integrating advanced clinical expertise and interprofessional skills. The challenges encountered by APNs include role ambiguity, ongoing resistance and the need to address institutional barriers. Despite the fact that 73.2% of APNs reported that their role was well implemented, only 17.1% had clearly defined roles at the outset. This study revealed the dynamic and evolving nature of APN in France, highlighting its challenges and opportunities. Despite facing role ambiguity and resistance, APNs play a crucial role in the healthcare system. The results highlight the need for specific interventions to tackle challenges and facilitate successful integration of APN. These insights lay a foundation for future research and interventions aimed at boosting the impact and acceptance of APN in France, potentially influencing policy modifications and professional development. Problem Addressed: The study aimed to enhance comprehension of the implementation and role of advanced practice nursing (APN) in France. It focused on defining APN in the French context, identifying barriers and facilitators to its implementation and evaluating its impact. The study revealed that APN in France is evolving with expanded competencies and clinical autonomy, but faces challenges like role ambiguity and professional resistance. Key findings include the successful integration of APNs in healthcare settings, positive relationships with medical doctors and patient satisfaction. However, the study also highlighted the necessity to resolve role ambiguity and to improve the understanding and acceptance of APN roles among healthcare professionals for successful APN integration. Impact of the research: This research will primarily impact healthcare systems and policy-making in France, guiding the future development and integration of APN roles. It is also relevant for healthcare professionals, particularly nurses and physicians, by providing information about the evolving nature of APN and its benefits in patient care. Globally, the study contributes to the broader discourse on APN, offering insights that could inform APN implementation strategies in other countries facing similar healthcare challenges. COREQ-STROBE. No patient or public contribution.