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Rapport au travail, mobilite professionnelle et parcours de vie : Le cas de jeunes infirmieres et infirmieres auxiliaires d'un centre de sante et de services sociaux.

机译:与工作,专业流动性和生活过程的关系:来自健康和社会服务中心的年轻护士和护理助理的案例。

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摘要

This doctoral thesis in applied social sciences first set out to address a very concrete problem, namely turnover among nurses and nursing assistants in the health and social services system. Along the way, however, it became apparent that there was a need to broaden our investigation to include the issue of young nurses' relationship with work so as to grasp the broader social dynamics behind some work-related decisions, including the nurses' decision to leave their jobs. This thesis therefore pursued two main goals. First, it sought to identify all the processes that lead young nurses to decide to leave their jobs. Second, it aimed to better understand how young nurses' relationship with work evolves over the course of their lives.;The theoretical perspective chosen was based on two complementary approaches, that is, the life course perspective and various streams of sociology of the individual which all place great importance on the social context and structural constraints as well as the autonomy of actors and their capacity to take action to influence their life course. These approaches proved to be particularly fruitful for our study because they made it possible to consider the complex relationships between the more general social context, the particular contexts involved in individuals' lives, and their employment behaviours. Thus, the relationship with work was conceptualized as a process that evolves over time and through which different aspects of individuals' lives and of the lives of their loved ones combine to guide their professional trajectories. Viewed from this perspective, the decision to leave one's job involves a process that is constructed over a relatively long period of time and involves several dimensions of one's life. The perspective adopted in this thesis addresses some gaps in this field since few studies have examined -- from the point of view of the actors themselves -- the various processes that shape individuals' relationship with work over time and lead to the decision to leave their jobs.;To meet the goals of this research, a qualitative study was conducted. Individual life-narrative interviews were carried out to investigate -- from their own point of view -- how the participants' relationship with work evolved and the processes that led them to leave their jobs. A case study was undertaken in a health and social services centre in the province of Quebec which had a particularly high turnover rate. It involved nurses and nursing assistants, a professional group affected by a high rate of turnover. In-depth interviews lasting from 2½ to 3 hours were conducted with 42 nurses and nursing assistants.;The study results were presented in three scientific articles. The first, Pour une comprehension dynamique du rapport au travail: la valeur heuristique de la perspective des parcours de vie (For a dynamic understanding of the relationship with work: the heuristic value of the life course perspective) aims to bring out the usefulness of the analytical principles associated with the life course perspective for the study of the relationship with work.;The second article, Rencontre entre l'idealtype de travailleur et l'ideal de travail: le cas de jeunes infirmieres en debut de vie professionnelle (Encounter between the ideal type of worker and the ideal of work: the case of young nurses at the start of their working lives) explores how nurses' expectations regarding work came up against the concrete realities of their work at a specific time in their professional trajectory, that is, their initial integration into the job and their first years on the job.;The third article, Comprendre le roulement comme un processus lie au cycle de la vie: le cas des infirmieres (Understanding turnover as a lifecycle process : the case of nurses), more specifically examines turnover among nurses. It presents four turnover trajectories with distinct characteristics related to the mismatch between the nurses' expectations regarding work and the realities of their work, the interaction between work and life outside of work and the way the nurses' decision to leave their jobs developed over time.;The contribution of this thesis to the advancement of knowledge mainly resides in its innovative way of examining the relationship with work and employee turnover, that is, by applying the life course perspective and sociology of the individual to these issues. Our approach aimed to grasp the social processes and many other aspects that need to be taken into consideration when examining young nurses' relationship with work and their decision to leave their jobs. It highlights the importance of considering the broader social context affecting all people in modern societies who must construct their identity over the course of their lives. (Abstract shortened by UMI.).
机译:该应用社会科学博士学位论文首先着手解决一个非常具体的问题,即卫生和社会服务体系中护士和护理助手的离职率。然而,在此过程中,很明显有必要扩大我们的调查范围,以涵盖年轻护士与工作的关系问题,以便掌握一些与工作有关的决定背后的广泛社会动力,包括护士做出的决定。离开他们的工作。因此,本论文追求两个主要目标。首先,它试图确定导致年轻护士决定离职的所有过程。其次,其目的是更好地了解年轻护士与工作的关系如何在他们的生活过程中发展。;选择的理论观点是基于两种互补的方法,即生命历程观点和个人的各种社会学流向。所有这些都非常重视社会背景和结构性约束,以及行为者的自主权以及他们采取行动影响其生活历程的能力。这些方法被证明对我们的研究特别有益,因为它们使我们可以考虑更一般的社会环境,个人生活所涉及的特殊环境及其就业行为之间的复杂关系。因此,与工作的关系被概念化为一个随时间变化的过程,个体生活和亲人生活的不同方面通过这种过程相结合来指导他们的职业发展轨迹。从这个角度来看,离职的决定涉及一个相对较长的过程,涉及一个人的一生。本文所采用的观点解决了该领域的一些空白,因为很少有研究从行为者自身的角度审查过各种形成个人与工作关系的过程,并导致决定离开他们的工作。为了满足本研究的目标,进行了定性研究。从他们自己的角度出发,进行了个人生活叙事访谈,以调查参与者与工作的关系如何演变以及导致他们离职的过程。在魁北克省一个卫生和社会服务中心进行了案例研究,该中心的离职率特别高。它涉及护士和护理助理,这是一个受高离职率影响的专业团体。对42位护士和护理助理进行了为时2.5至3个小时的深入访谈。;研究结果以三篇科学论文的形式发表。第一个是“从交往中汲取动力”:为动态理解与工作之间的关系:生命过程视角的启发性价值),旨在揭示对工作关系的动态理解。研究与工作关系的生命过程视角相关的分析原则。第二篇,《劳斯莱斯的理想类型》和《劳斯莱斯的理想概念》理想的工作人员类型和理想的工作:年轻护士在工作生涯开始时的案例)探讨了护士对工作的期望如何与特定时间在其职业轨迹上的具体现实相矛盾。 ,他们最初融入工作以及他们工作的头几年。;第三篇文章,《通过诉讼来解决诉讼》:《民事诉讼》体弱者(了解作为生命周期过程的离职率:护士的情况),更具体地检查护士之间的离职率。它提出了四个离职轨迹,其特征与护士对工作的期望与工作现实之间的不匹配,工作与工作以外的生活之间的相互作用以及护士决定随着时间的推移离开工作的方式有关。 ;本论文对知识进步的贡献主要在于其创新的方式来检验与工作和员工离职的关系,即通过将生命历程的观点和个人的社会学应用于这些问题。我们的方法旨在掌握社会过程以及许多其他方面,这些方面在检查年轻护士与工作的关系以及他们决定辞职时需要考虑的方面。它强调了考虑更广泛的社会环境影响现代社会中所有必须在其一生中树立身份的人们的重要性。 (摘要由UMI缩短。)。

著录项

  • 作者

    Cote, Nancy.;

  • 作者单位

    Universite de Montreal (Canada).;

  • 授予单位 Universite de Montreal (Canada).;
  • 学科 Sociology Individual and Family Studies.;Psychology Industrial.
  • 学位 Ph.D.
  • 年度 2014
  • 页码 285 p.
  • 总页数 285
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 肿瘤学;
  • 关键词

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