L'agir communicationnel comme outil de gestion du changement organisationnel : les "35 heures" dans les petits Établissements de Santé du Secteur Public : approche par une méthode de Recherche-Intervention

Abstract : This research applies the Communicative Action Theory to the problematic of leading organizational change, impulses by politics, in small public health care organizations. More precisely we focus on the impact of the "35 hours", a reform we consider as a management tool. That law can be seen as a double injunction for organizational change and for a participative approach which seemed to be inspired by Communicative Action Theory. We follow a instrumental and a comprehensive approach of our research object. The empirical data have been collected using the " Appui-Conseil", a specific appliance associated to the law, as real Interventions-Researches.Results related to the instrumental part of our research point out that the organizational goals have been reached. The comprehensive part shows that the "habermasian" approach of change has been followed in various ways : strongly within the health care organizations; weakly for the relationships between these organizations and their administrative supervision. We envisage the possibility of an evolution of organizational structure to a "innovative" model which can be mentioned as an "communicative hospital". This scenario depends on the mastery of several risks, "the professionalization of team-project" is one example. Contributions of this research is first at a theoretical level by building an organizational change approach inspired by Communicative Action. Methodological contributions consist on our specific use of the "Appui-Conseil" appliance, which point out the possibility of what can be called as a "Intervention-Research at a large scale". There is also practical contributions of that "habermasian translation" which can be seen as a new way of leading change. The efficiency of this new approach is strongly related to the definition of the stakeholder affected by a change.
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Theses
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http://docnum.univ-lorraine.fr/prive/BUG_T_2006_0002_DUCHAMP.pdf
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https://hal.univ-lorraine.fr/tel-01776650
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Submitted on : Tuesday, April 24, 2018 - 4:04:35 PM
Last modification on : Wednesday, April 25, 2018 - 1:32:08 AM

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David Duchamp. L'agir communicationnel comme outil de gestion du changement organisationnel : les "35 heures" dans les petits Établissements de Santé du Secteur Public : approche par une méthode de Recherche-Intervention. Gestion et management. Université Nancy 2, 2006. Français. ⟨NNT : 2006NAN22002⟩. ⟨tel-01776650⟩

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