L’espace infirmier. Visions et divisions d’une profession

Abstract

Publié avec le soutien du Fonds national suisse de la recherche scientifique. Les Éditions Alphil bénéficient d'un soutien structurel de l'Office fédéral de la culture pour les années 2016-2020. Illustration de couverture : composée à partir d'une image issue de Shutterstock Couverture, maquette et réalisation : Nusbaumer-graphistes sàrl, www.nusbaumer.ch Ce livre est sous licence : Ce texte est sous licence Creative Commons : elle vous oblige, si vous utilisez cet écrit, à en citer l'auteur, la source et l'éditeur original, sans modifications du texte ou de l'extrait et sans utilisation commerciale. Responsables d'édition :

An Ambivalent Recognition: The Academisation of Nursing in Switzerland

“…Applying this definition to the nursing profession, I harnessed the notion of a "scientific elite" to characterize the specific resources which can help nurses to reach positions of power. Even though a master's degree may not seem a high-level diploma compared to the average level in the academic field, it thus means a lot within a profession where less than 2% of the nurses in Western Switzerland have it (Longchamp et al, 2020). 5 second phase consisted of a survey of nurses' practices and representations (N=2923), carried out in 2014.…”

“…5 second phase consisted of a survey of nurses' practices and representations (N=2923), carried out in 2014. These two phases showed what has been named a "nursing space" in which each fraction, based on volume and structure of a combination of capitals, is characterized by a specific image and set of practices, whether in relation to nursing practice, knowledge production, or the relationship between nursing and the medical profession (Longchamp et al, 2018(Longchamp et al, , 2020. To investigate a sub-fraction of the profession, a third phase took place in 2017, consisting of ten semi-structured interviews of nurses holding master's degrees awarded by the IUFRS.…”

“…In the 1990s, Feroni and Kober (1995) showed that because doctors had a monopoly on diagnosis, prescription, and making incisions into human bodies, nursing remained a "profession of limited autonomy" (p. 37). More recent research came to the same overall outcomes showing that social relations between doctors and nurses remain marked by different kinds of domination-notably legal, symbolic, and gender domination (Picot, 2005;Longchamp, Toffel, Bühlmann, & Tawfik, 2020).…”

“…The vertical and horizontal differentiation, which accelerated in recent years within the profession, begs questions about the definition of areas of knowledge and the care practices. Whereas the vertical differentiation (multiplication of training and career paths) to which more academic education contributes can generate tensions between different nursing profiles (Chaves, 2005;Ayala, Gerard, Vanderstraeten, & Bracke, 2014), horizontal differentiation (multiplication of institutions employing nurses due to the raise of ambulatory care) produces different conceptions of the profession, such as the varied means used in the struggle for its autonomy (Longchamp et al, 2020). These transformations are occurring within a context where professional borders are being redrawn under the influence of factors like increasing numbers of women doctors (Picot, 2005), shorter average lengths of hospital stay (Acker, 2005), and impregnated by neoliberal reforms of the healthcare sector in OECD countries (Pierru, 2008).…”

Ne pas dire la sexualité

“…La réalité est cependant loin de ces exhortations, en particulier du fait d'un flou normatif quant à la place de la sexualité dans la prise en charge infirmière. Si l'abord de cette thématique, eu égard au caractère holistique de l'approche globale, devrait théoriquement faire partie 2 Malgré la technicisation croissante de la profession qui fait écho à son académisation et au processus de spécialisation du champ médical, le versant relationnel demeure une valeur fondamentale de l'ethos infirmier (Longchamp et al, 2020). 3 Ce qui s'inscrit dans la lignée des textes séminaux de F. Nightingale (2019Nightingale ( [1859).…”