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Qui veut laver ma blouse ? La légitimation collective d’activités teintes. Le cas des équipes de gestion de pôles

Abstract : French hospitals’ governance reform has, directly or not, created new roles: clinical directors, senior nurse assistants, business managers and executive managers. These roles are still recent and not yet legitimate within hospitals. Furthermore, they are associated with a strong social stigma in those organizations: care management. Our work aims at better understanding the way clinical directions’ teams consider their management activities as dirty work; and the strategies through which they try to legitimate these activities in front of their colleagues. We carried out a case study of 7 “Mother-Child” clinical directions’ teams in France, through a qualitative methodology (56 interviews, including 25 interviews with targeted actors; 20 observations of directorate meetings). Our results show that activity legitimization strategies vary depending on actors and teams. They are both organizationally based (delegation) and discursively based (reframing, recalibrating, audience diversifying). We specifically suggest that these strategies depend on clinical directions’ team organization. We discuss two layouts of strategies: strategies of clinical director’s delegation and those of collective commitment. Tinted roles’ legitimization thus depends on both individuals’ discursive resources (and places for discussions) and individual’s power within the organization (and hierarchical and functional relationships).
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Contributor : Naïla Louise-Rose Connect in order to contact the contributor
Submitted on : Tuesday, July 30, 2019 - 8:56:39 AM
Last modification on : Friday, August 5, 2022 - 2:54:51 PM



Franck Burellier, Sophia Gavault, Laetitia Laude, Nathalie Angele-Halgand, Christophe Baret, et al.. Qui veut laver ma blouse ? La légitimation collective d’activités teintes. Le cas des équipes de gestion de pôles. Journal de gestion et d’économie médicales, Editions ESKA, 2019, 2 (2), pp.177-195. ⟨10.3917/jges.192.0177⟩. ⟨halshs-02197072⟩



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