Analyser les compétences en protection maternelle et infantile pour piloter le changement

Abstract

The purpose of this action-research is to help support the development of competencies for nineteen professionals from service units providing maternal and child health care (PMI) in the Côtes-d'Armor and to propose a frame of reference for skills developed through an analysis of their activities. In this study, the use of the self-confrontation method consists in organizing three 90 minute sequences of activity analysis, specifically to measure self-efficacy, before and after the action performed. According to socio-cognitive theory, the capacity to acquire competencies depends partly on achieving a high level of self-efficacy at work. The activity analysis led to the formulation of a reference framework of core skills and competencies assumed by and distributed to the various teams; it also led to higher scores in self-efficacy. The expected results from a managerial perspective are the remobilization of teams, collaboration between professionals, development of skills, professional autonomy and improved service quality. In the medical and social sector, activity analysis has found a new scope and field of application, with the purpose to promote professionalism and effective management of teams.

Réflexions critiques sur la conception d’un référentiel de compétences en éducationthérapeutique du patient

“…D'autres types de référentiels ont pu être construits (Coulet et Chauvigné, 2005 ;Nagels et Letoret, 2010). Ils reposent sur l'idée que l'activité est organisée par un schème (Pastré, Mayen et Vergnaud, 2006), ce schème pilote les routines professionnelles mais aussi les comportements visant à s'adapter aux situations rencontrées.…”