[Understanding nursing care in hospitals].
In a context in which sanitary institutions have transparency obligations toward authorities and patients, quality management and best practices--defined according to scientific standards--have become major concerns with respect to in-house management. While protocols and prescriptions are necessary for orienting work, they don't apply by themselves. Given that these various documents provide standardized and stabilized work descriptions, they contribute to hide what workers effectively do in unstable and variable situations in which numerous, sometimes contradictory, elements need to be simultaneously considered. In the present work, we follow this claim held by the French ergonomics stream and we consider the serious and irreducible gap between "prescribed work" and "real effective work". Such an understanding based on research evidence appears more adapted to professional realities and provides (valued) resources in nursing education. Based on information collected in three work analysis studies conducted by our team in hospital settings, we deepen these notions and their implication for practice and education.
Laurence
L
Seferdjeli
Fabienne
F
Terraneo
D003299:Cooperative Behavior; D006801:Humans; D009732:Nursing Care / Q000458:organization & administration*; D015399:Nursing Research; D009741:Nursing Staff, Hospital; D019555:Physician-Nurse Relations