The management in the challenge of the stress of the professionals in nursing home[Le management au défi du stress des professionnels dans les établissements d’accueil des personnes âgées dépendantes]

Objective: The main objective of this article is to propose a management tool for perception of the job stress within medical and social structures and to analyze the results. This research was led within 26 elderly-care facilities for dependent persons throughout France. Method: The questionnaire was built from three experimental structures. Every scale was tested according to the alphas of Cronbach. The results were exploited via a multiple linear regression of the functions of different perceptions of the stress job. The research concerns 914 professionals who participated in this study. The questionnaire contains 42 questions concerning specific variables in the conditions of work and others more specific to the criteria identified during the phases of meadow make out a test. The alpha of Cronbach reveals a coefficient of .893, as for 13 relative questions in the conditions of work, and of .848 as for 21 questions specific to the stress identified in focus group. The results highlight 8 factors in connexion with the rhythm of the work, the clarity of the missions, the interruptions of the activities, the direction in the work, the contradictory orders and the general management. Conclusions: Some factors such as the relation with families do not intervene in the analysis of the causes of the stress, putting in front of the more marked organizational factors, which are real levers of actions for the management.