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Communication Dans Un Congrès Année : 2023

Intervening in a social crisis context. How to create the conditions for a dialogue about work?

Résumé

For the past two decades, the French healthcare system has faced an increasing number of challenges, one of which is a financing system that doesn’t compensate some medical services up to their fair value (Or & Renaud, 2009), leading many public or non-profit sector hospitals to experience economic hardship. This paper is the result of a research-intervention carried out over 14 months in a healthcare institution facing not only large financial troubles, but also an acute social crisis, that affected its functioning. The managing association of the institution (the client) requested the intervention of ergonomists to understand this crisis and to support them with the development of action plans. This crisis consists of several historical markers (Pentecôte et al., 2022), including: negative financial results leading to the lay-off of the previous director and the arrival of a new one; disagreements between the new director and the medical team (physicians and midwives) on several strategic decisions leading to strikes, and the resignation of several doctors and of two presidents of the Hospital Medical Committee. All these elements contributed to a climate of distrust and feelings of insecurity among the staff, which led to a breakdown in dialogue between the director and the medical practitioners, which progressively extended to the entire staff, leading to organizational malfunctions (such as a department's shut down) and a deterioration of the social climate.
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Dates et versions

hal-04220930 , version 1 (28-09-2023)

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  • HAL Id : hal-04220930 , version 1

Citer

Baharak Pentecôte, Vanina Mollo, Irène Gaillard. Intervening in a social crisis context. How to create the conditions for a dialogue about work?. 14th Organizational Design and Management Conference: Societal transitions and transformation of work: Intervening in organizations and on the work of managers, Department of Ergonomics of Complex Systems of the National Polytechnic Institute of Bordeaux (Bordeaux-INP), Jul 2023, Bordeaux, France. ⟨hal-04220930⟩
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