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Tensions between Healh care workers' professional and personal norms: A story of ordinary resistance in the health care services for elderly patients
[Tensions entre normes professionnelles et personnelles des personnels soignants : Histoire d'une résistance ordinaire dans la relation de service aux patients âgés]

Author

Listed:
  • Abdelmajid Amine

    (IRG - Institut de Recherche en Gestion - UPEM - Université Paris-Est Marne-la-Vallée - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12)

  • Audrey Bonnemaizon

    (IRG - Institut de Recherche en Gestion - UPEM - Université Paris-Est Marne-la-Vallée - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12)

  • Margaret Josion-Portail

    (IRG - Institut de Recherche en Gestion - UPEM - Université Paris-Est Marne-la-Vallée - UPEC UP12 - Université Paris-Est Créteil Val-de-Marne - Paris 12)

Abstract

*Université Paris-Est, IRG (EA 2354) Place de la Porte des Champs, route de Choisy, 94010 Créteil Cedex Résumé : Cette recherche a pour objectif d'explorer une relation de service encore mal connue : la prestation de soins aux patients en milieu hospitalier. Au travers d'une étude qualitative menée auprès du personnel soignant d'un service de gériatrie en Ile de France, nous mettons à jour un phénomène de résistance ordinaire aux normes prescrites, né de deux niveaux de tensions : tensions entre le temps du patient et le temps de l'organisation, d'une part, et entre prescription du pouvoir d'agir du patient et la perception de sa vulnérabilité limitant potentiellement ses capacités à agir. Cette résistance ordinaire s'exprime dans du bricolage et des ruses amenant les soignants à hybrider leurs pratiques quotidiennes pour assurer leur mission de soins. Au fil du temps, ces pratiques hybridées se diffusent et s'institutionnalisent. Abstract: This research aims at exploring an unfamiliar service relationship: healthcare services to hospitalized elderly patients. A qualitative study is conducted through interviews of healthcare workers in the geriatric ward of a French hospital. Our results uncover an ordinary resistance to prescribed standards, as a result of two levels of tensions: tensions between the time of the patient and the time of the organization, on the one hand; and tensions between a will to protect elderly patients' decision-making ability, and a perception of their physical and cognitive limitations, on the other hand. Bricolage and tricks are used by health care workers to fulfill their care mission, leading to the creation of hybrid practices which gradually disseminate in the organization.

Suggested Citation

  • Abdelmajid Amine & Audrey Bonnemaizon & Margaret Josion-Portail, 2017. "Tensions between Healh care workers' professional and personal norms: A story of ordinary resistance in the health care services for elderly patients [Tensions entre normes professionnelles et pers," Post-Print hal-01684180, HAL.
    • Handle: RePEc:hal:journl:hal-01684180
    Note: View the original document on HAL open archive server: https://hal.science/hal-01684180
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