Travail de nuit en 12 heures : un « scénario de travail » élaboré par les infirmiers dans un service de réanimation

The 2x12 is massively deployed in hospital settings but is not without risks for the quality of care. To take into account their vigilance and the care they must give, the nurses use regulation strategies in their activity. This essentially means studying the quality of care from the nurses’ point o...

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Main Authors: Marlène Cheyrouze, Béatrice Barthe
Format: Article
Language:English
Published: Association Recherche et Pratique sur les Activités 2018-04-01
Series:Activités
Subjects:
Online Access:https://journals.openedition.org/activites/3073
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author Marlène Cheyrouze
Béatrice Barthe
author_facet Marlène Cheyrouze
Béatrice Barthe
author_sort Marlène Cheyrouze
collection DOAJ
description The 2x12 is massively deployed in hospital settings but is not without risks for the quality of care. To take into account their vigilance and the care they must give, the nurses use regulation strategies in their activity. This essentially means studying the quality of care from the nurses’ point of view and looking to understand how regulating their activity might contribute to its stability. The study concerns solely the work of nurses on 12-hour night shifts in a medical reanimation. First, 18 nurses are observed. In exploratory interviews, 12 nurses are then questioned about their personal conceptions of the quality of care given and their regulation strategies. From these talks, we established three questionnaires. At four different times throughout their night shifts, nurses are asked to evaluate their vigilance, the quality of care given and to indicate their regulation strategies. They are also continually observed. After every test period, we asked them to comment on their answers in an individual interview. The results show that the nurses feel less and less vigilant as the night goes on, although their view on the quality of care given remains positive at all times. It is their “work scenario”, developed early in the night that enables them to maintain a satisfactory level of quality. This scenario allows them to enhance the reliability of their care,, increase their work load and organise break times.
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spelling doaj-art-0b939a62703f49b0a5eedd8dd6cb61ea2025-08-20T02:33:05ZengAssociation Recherche et Pratique sur les ActivitésActivités1765-27232018-04-0115110.4000/activites.3073Travail de nuit en 12 heures : un « scénario de travail » élaboré par les infirmiers dans un service de réanimationMarlène CheyrouzeBéatrice BartheThe 2x12 is massively deployed in hospital settings but is not without risks for the quality of care. To take into account their vigilance and the care they must give, the nurses use regulation strategies in their activity. This essentially means studying the quality of care from the nurses’ point of view and looking to understand how regulating their activity might contribute to its stability. The study concerns solely the work of nurses on 12-hour night shifts in a medical reanimation. First, 18 nurses are observed. In exploratory interviews, 12 nurses are then questioned about their personal conceptions of the quality of care given and their regulation strategies. From these talks, we established three questionnaires. At four different times throughout their night shifts, nurses are asked to evaluate their vigilance, the quality of care given and to indicate their regulation strategies. They are also continually observed. After every test period, we asked them to comment on their answers in an individual interview. The results show that the nurses feel less and less vigilant as the night goes on, although their view on the quality of care given remains positive at all times. It is their “work scenario”, developed early in the night that enables them to maintain a satisfactory level of quality. This scenario allows them to enhance the reliability of their care,, increase their work load and organise break times.https://journals.openedition.org/activites/3073régulationergonomiehôpitalqualité des soinstravail de nuit
spellingShingle Marlène Cheyrouze
Béatrice Barthe
Travail de nuit en 12 heures : un « scénario de travail » élaboré par les infirmiers dans un service de réanimation
Activités
régulation
ergonomie
hôpital
qualité des soins
travail de nuit
title Travail de nuit en 12 heures : un « scénario de travail » élaboré par les infirmiers dans un service de réanimation
title_full Travail de nuit en 12 heures : un « scénario de travail » élaboré par les infirmiers dans un service de réanimation
title_fullStr Travail de nuit en 12 heures : un « scénario de travail » élaboré par les infirmiers dans un service de réanimation
title_full_unstemmed Travail de nuit en 12 heures : un « scénario de travail » élaboré par les infirmiers dans un service de réanimation
title_short Travail de nuit en 12 heures : un « scénario de travail » élaboré par les infirmiers dans un service de réanimation
title_sort travail de nuit en 12 heures un scenario de travail elabore par les infirmiers dans un service de reanimation
topic régulation
ergonomie
hôpital
qualité des soins
travail de nuit
url https://journals.openedition.org/activites/3073
work_keys_str_mv AT marlenecheyrouze travaildenuiten12heuresunscenariodetravailelaboreparlesinfirmiersdansunservicedereanimation
AT beatricebarthe travaildenuiten12heuresunscenariodetravailelaboreparlesinfirmiersdansunservicedereanimation