Des protocoles « quand on en a besoin… » : l’assimilation des contraintes comme enjeu professionnel en milieu hospitalier

This article analyzes the adaptation’s strategies of healthcare professionals in the context of rationalizing care caused by the reforms of the French health-care system. Based on an ethnographic investigation conducted in three intensive care units (ICUs), it shows how nurses and nursing-auxiliarie...

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Bibliographic Details
Main Author: Thomas Denise
Format: Article
Language:fra
Published: Association Internationale des Sociologues de Langue Française 2020-04-01
Series:Sociologies
Subjects:
Online Access:http://journals.openedition.org/sociologies/13567
Description
Summary:This article analyzes the adaptation’s strategies of healthcare professionals in the context of rationalizing care caused by the reforms of the French health-care system. Based on an ethnographic investigation conducted in three intensive care units (ICUs), it shows how nurses and nursing-auxiliaries assimilate management procedures according to their own normative categorizations. Far from opposing the "conduct of change", they adopt attitudes of assent, dissent and simulation of recommendations, protocols, and managerial procedures. In this way, they try to maintain the "professionalism from within".
ISSN:1992-2655