Le bénéfice du tiers dans le « travail d’organisation » des cadres de santé (notice n° 1004650)
[ vue normale ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 04381cam a2200349 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250125134958.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Dujardin, Pierre-Philippe |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Le bénéfice du tiers dans le « travail d’organisation » des cadres de santé |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2018.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 22 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | L’organisation de la production de soins peut être considérée comme un travail d’organisation (TO) décomposé en trois niveaux, opérationnel, organisationnel et d’apprentissage. Le TO du cadre de santé (CdS) se concentre souvent au niveau opérationnel, au détriment des deux autres niveaux. Cette difficulté vient de l’organisation qui présente une rationalité politique, cognitive et pragmatique limitée.L’objectif de l’étude est d’identifier l’impact d’un tiers sur l’organisation et l’effet sur le TO du CdS. Un dispositif pédagogique met des étudiants cadres en position de tiers pour travailler un problème organisationnel délégué par un CdS. La recherche-intervention a suivi 17 projets sur une année.L’action de ces tiers a permis de légitimer le problème, reconnaître les difficultés des soignants, reconfigurer les relations dans une dimension politique. Les méthodes employées par le tiers ont réassuré le CdS et complété ses connaissances. Pour les CdS, les apprentissages de la démarche concernaient la méthodologie et la posture managériale. En pratique, le tiers a relancé le CdS dans son pouvoir d’agir et a synchronisé les interrelations autour du TO. Le tiers aide pour développer le TO et combler certaines limites de la rationalité politique, cognitive et pragmatique. Les difficultés à faire évoluer les pratiques au-delà de l’équipe soignante limite toutefois la portée de l’action.Il est préconisé une unité de soutien managérial pour apporter la structure et l’accompagnement au TO, de mettre à l’agenda collectif le TO et de développer des espaces de discussion sur le TO. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The organisation of production of care is a task that requires three different levels of competence: operational, structural and learning skills. The organisational requirements (OR) of the Head Nurse (HN) are often centered on the operational level, to the detriment of the other two levels. This difficulty is due to the organisation which presents limited political, cognitive and pragmatic levels of rationality.The aim of this study was to identify the impact of a third party in relation to the organisation and its effect on the HN’s OR. An educational device places HN students in the position of a third party to allow them to work on an organisational problem delegated by a HN. The research-intervention followed 17 projects over a period of one year.Intervention by a third party legitimised the problem by recognizing the difficulties in nursing and reconfiguring relations between healthcare professionals in a political dimension. The methods employed by the third party reassured the HN and completed their knowledge, placing particular focus on the importance of methodology and managerial posture. In practice, the third party supported the HN’s power to act and coordinate the various members of the team. The third party contributes to the development of the HN’s OR and completes certain limits of the HN’s rationality. Nevertheless, difficulties still remain in the development of practices outside the medical team, limiting the extension to other services.A unit managerial support, a collective schedule and open spaces of discussion are recommended to bring structure and support to the OR. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | management hospitalier |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | qualité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cadre de santé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | organisation du travail |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | organisation des soins |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | processus apprentissage |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | head nurse |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | quality |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | work organization |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hospital management |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | organization of care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | learning process |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Valette, Annick |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Reverdy, Thomas |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | François, Patrice |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Santé Publique | 30 | 1 | 2018-03-14 | p. 63-72 | 0995-3914 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-sante-publique-2018-1-page-63?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sante-publique-2018-1-page-63?lang=fr&redirect-ssocas=7080</a> |
Pas d'exemplaire disponible.
Réseaux sociaux