title: [Analyze skills and competencies in maternal and child health to drive and support change].
abstract: The purpose of this action-research is to help support the development of competencies for nineteen professionals from service units providing maternal and child health care (PMI) in the Côtes-d'Armor and to propose a frame of reference for skills developed through an analysis of their activities. In this study, the use of the self-confrontation method consists in organizing three 90 minute sequences of activity analysis, specifically to measure self-efficacy, before and after the action performed. According to socio-cognitive theory, the capacity to acquire competencies depends partly on achieving a high level of self-efficacy at work. The activity analysis led to the formulation of a reference framework of core skills and competencies assumed by and distributed to the various teams; it also led to higher scores in self-efficacy. The expected results from a managerial perspective are the remobilization of teams, collaboration between professionals, development of skills, professional autonomy and improved service quality. In the medical and social sector, activity analysis has found a new scope and field of application, with the purpose to promote professionalism and effective management of teams.
authors.affiliation: Ecole des hautes études en santé publique, Rennes, France. marc.nagels@free.fr
authors.forename: Marc
authors.initials: M
authors.lastname: Nagels
authors.forename: Anne
authors.initials: A
authors.lastname: Letoret
mesh_terms: D000328:Adult; D002648:Child; D002669:Child Welfare / Q000523:psychology*; D005260:Female; D005602:France; D006801:Humans; D008429:Maternal Welfare / Q000523:psychology; D008430:Maternal-Child Health Centers / Q000458:organization & administration* / Q000592:standards; D016743:Mental Competency; D010348:Patient Care Team; D020377:Self Efficacy; D012944:Social Support