La mobilité soignante non choisie discutée depuis l'activité managériale du cadre de santé débutant.

ABSTRACT

Introduction  At the beginning of 2020, a state of health emergency was declared in France following the emergence of the COVID-19 pandemic.Context  Entrepreneurial management of health institutions requires internal nursing mobility to compensate for unexpected absenteeism.Reference framework  Based on the clinic of activity, the aim of this study was to analyze the reality of early-career health managers’ work in order to understand how, in a constrained environment, they are able to manage this mobility when not chosen by the substitute caregiver.Method  An indirect qualitative method—“instructions to the double”—combined two successive co-analysis sessions with four junior health managers  an individual session with the researcher and a collective session with the peers who participated in the study.Results  Data triangulation revealed three axes  the issues at stake for these managers ; their compromises made to transform compulsory nursing mobility into voluntary mobility ; the development of their power to act.Discussion  These results raise various issues related to the psychological and social resources of the occupational health of junior health managers as well as to the organization of work.