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Conception d’un processus de prévention et de régulation des risques psychosociaux : étude conduite en EHPAD

Abstract : Psychosocial risks are a public health issue and hospital staff are no exception. The evaluation of professional risks, including psychosocial risks, aims at setting up preventive actions in order to ensure a better protection of the employees. In recent years, this sector has seen major advances in taking action against RPS due to personnel who are particularly exposed to RPS. The prevention of PSR is regulated, but this does not suggest any particular methodology to carry out the action plan, despite the adoption of a participative approach for the hospital civil service.In this context, the thesis focuses on the design of a process for the prevention and regulation of PSR. We have developed an intervention process aimed at the prevention of PSR, based on a mixed approach, which combines diagnosis (qualitative method) with the development of an action plan produced during three working groups (qualitative methods). In this process, we also propose to conduct interviews upstream of the work groups in order to further circumscribe the real risk and establish a possible distance with the perceived risks. Each group is based on a particular form of animation: 1) an animation focused on causes and solutions by using reminders oriented on causes and then on solutions, 2) an animation focused on the search for solutions by using reminders oriented on solutions and 3) an animation for the validation of solutions enriched by the psychologist's expertise. The challenge is to characterize these animation methods and to study their impact on collective activity. Each meeting was filmed, the issued productions were transcribed and analyzed by means of a content analysis to study chronologically the actions carried out in the language productions and to assign them an operative function. We also carried out a structural analysis in order to identify the positioning of the contents. Finally, we use a cognitive-discursive analysis with the Tropes software; the objective here is to identify the different language indicators present and to identify the discursive style of these meetings. We observe that whatever the animation, the search for solutions, animated or not by the speaker, has been combined with the evocation of causes, arguments and counter-arguments, facts and anecdotes. The cognitive-discursive analysis shows whatever the meeting, the majority of participants adopted an argumentative style, characterized by an anchorage in the real through the majority use of state verbs. The average length of meetings is 1 hour and 40 minutes and the treatment of a risk of 56 minutes.The elaborated action plans, 96% validated by the "solutions-validation" groups, testify to the interest of these collective activities. Finally, it seems judicious to conduct individual interviews. This prerequisite allows them to proceed with co-constructions that are more anchored in the reality of the situations to be improved. This individual space for discussion seems to be an alliance and gives the employee a certain recognition.
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Submitted on : Wednesday, September 1, 2021 - 3:57:42 PM
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Nathalie Erudel. Conception d’un processus de prévention et de régulation des risques psychosociaux : étude conduite en EHPAD. Psychologie. Université de Lorraine, 2020. Français. ⟨NNT : 2020LORR0288⟩. ⟨tel-03331280⟩

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