Changements « portés par la base » : les préparateurs dans les unités de soins ; perspectives sociologiques sur le travail hospitalier

Recurrent ideological discourses on hospital are significative of what is expected from it and even further than its therapeutical fonction: its very symbolic fonctions for society. Nominative registered delivery of drugs in the care units by pharmaceutical assistants is a specific organisation of hospital work. The aim of this paper is to assess within a sociological perspective the consequences of this organization on the pharmaceutical assistants and on the hospital more broadly. Based on a qualitative inquiry, this work is constructed on semi-structured interviews and daily observations registered during our six-months presence in the units. One first result is that this organization of the pharmaceutical work helps the pharmaceutical assistants to integrate in the hospital and strengthens their focus on the work. Another result, less expected, is the way this work helped spread new discourses about hospital ressources management. In the end, this work points out the interest of a “bottum-up” changing practice model compared to the regular “top down” mangement.