[Who wants to wash my white coat? Collective management of tinted activities. The case of clinical direction’s teams]

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

Franck Burellier (), Sophia Gavault (), Laetitia Laude (), Nathalie Angele-Halgand (), Christophe Baret (), Michel Louazel, Jacques Orvain () and Caroline Ruiller ()
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Franck Burellier: CREM - Centre de recherche en économie et management - UNICAEN - Université de Caen Normandie - NU - Normandie Université - UR - Université de Rennes - CNRS - Centre National de la Recherche Scientifique
Sophia Gavault: LEST - Laboratoire d'Economie et de Sociologie du Travail - AMU - Aix Marseille Université - CNRS - Centre National de la Recherche Scientifique
Laetitia Laude: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité
Nathalie Angele-Halgand: LARJE - Laboratoire de Recherches Juridique et Economique - UNC - Université de la Nouvelle-Calédonie, LEMNA - Laboratoire d'économie et de management de Nantes Atlantique - IEMN-IAE Nantes - Institut d'Économie et de Management de Nantes - Institut d'Administration des Entreprises - Nantes - UN - Université de Nantes
Christophe Baret: LEST - Laboratoire d'Economie et de Sociologie du Travail - AMU - Aix Marseille Université - CNRS - Centre National de la Recherche Scientifique
Michel Louazel: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, EHESP - École des Hautes Études en Santé Publique [EHESP], IDM - Institut du Management - EHESP - École des Hautes Études en Santé Publique [EHESP]
Jacques Orvain: EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité, EHESP - École des Hautes Études en Santé Publique [EHESP], IDM - Institut du Management - EHESP - École des Hautes Études en Santé Publique [EHESP]
Caroline Ruiller: CREM - Centre de recherche en économie et management - UNICAEN - Université de Caen Normandie - NU - Normandie Université - UR - Université de Rennes - CNRS - Centre National de la Recherche Scientifique

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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).

Keywords: Dirty work; Legitimization; Clinical directions; Hospital; Pôles d'activité; Sale boulot; Hôpital; Légitimation (search for similar items in EconPapers)
Date: 2019
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Published in Journal de gestion et d’économie médicales, 2019, 2 (2), pp.177-195. ⟨10.3917/jges.192.0177⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:halshs-02197072

DOI: 10.3917/jges.192.0177

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