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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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
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spelling doaj-875422e50800402cb8cdf549a07cbb6a2020-11-25T03:27:20ZfraAssociation Internationale des Sociologues de Langue FrançaiseSociologies1992-26552020-04-01Des protocoles « quand on en a besoin… » : l’assimilation des contraintes comme enjeu professionnel en milieu hospitalierThomas DeniseThis 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".http://journals.openedition.org/sociologies/13567rationalizationcaretreatment protocolsadaptation strategieshospitalhealth workers
collection DOAJ
language fra
format Article
sources DOAJ
author Thomas Denise
spellingShingle Thomas Denise
Des protocoles « quand on en a besoin… » : l’assimilation des contraintes comme enjeu professionnel en milieu hospitalier
Sociologies
rationalization
care
treatment protocols
adaptation strategies
hospital
health workers
author_facet Thomas Denise
author_sort Thomas Denise
title Des protocoles « quand on en a besoin… » : l’assimilation des contraintes comme enjeu professionnel en milieu hospitalier
title_short Des protocoles « quand on en a besoin… » : l’assimilation des contraintes comme enjeu professionnel en milieu hospitalier
title_full Des protocoles « quand on en a besoin… » : l’assimilation des contraintes comme enjeu professionnel en milieu hospitalier
title_fullStr Des protocoles « quand on en a besoin… » : l’assimilation des contraintes comme enjeu professionnel en milieu hospitalier
title_full_unstemmed Des protocoles « quand on en a besoin… » : l’assimilation des contraintes comme enjeu professionnel en milieu hospitalier
title_sort des protocoles « quand on en a besoin… » : l’assimilation des contraintes comme enjeu professionnel en milieu hospitalier
publisher Association Internationale des Sociologues de Langue Française
series Sociologies
issn 1992-2655
publishDate 2020-04-01
description 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".
topic rationalization
care
treatment protocols
adaptation strategies
hospital
health workers
url http://journals.openedition.org/sociologies/13567
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