L'universitarisation de la formation de sage-femme et ses conséquences pour les structures de formation : entre dynamique de professionnalisation et remaniements de l'identité des ensignants en maïeutique

Abstract : Seizing the opportunity of the Bologna Process to strive for the integration of their professional training into University, the midwives now hope for the acknowledgment of their specific knowledge from both the general population and public authorities. However, this “universitarisation process” has highlighted a contrast between the situation that was initially expected and a reality that does not meet expectations. As part of the medical school, midwife teachers are now facing a dynamic of professionalization that questions their vocational identity and tries to deal, on the one hand, with the medical identity claim of midwives and, on the other hand, with the specific nature.Does the “universitarisation process” of the midwifery training participate in the reinforcement of the dual identity of midwife teachers, split between being affiliate to medical practitioners and being differentiated from them?In order to consider this issue, a survey was carried out among several midwife schools in France: 102 questionnaires were collected from teachers and 22 targeted interviews were conducted with midwife teachers, Heads of midwife schools, midwife practitioners and doctors.Analyses show that, to achieve an integration into University, a renegotiation of individual and collective values is necessary. The shift from an affiliation to hospital facility to an affiliation to University seems, paradoxically, to emphasize the significance of medical clinic. However, the required certification of teachers contributes to a recast of the teaching profession. Indeed, this evolution has direct consequences on a professional community that has been built up on a specific profession: loss of recognition of experience for some, better appreciation of a specific knowledge for others, and a difference between generations. In the framework of these conclusions, professionals must try to find a meaning for this ongoing transformation taking into consideration that the stress triggered by this situation leads either to acceptance or to protestation and “resistance”. Contrary to the deeply-rooted identity of the midwife, the great versatility of the workforce is not likely to facilitate the emergence of clear identity for the teaching staff, also strongly linked nowadays to the identity of the researcher. Eventually, the study shows that the shift in the characterization of the midwife teacher, from the prevalence of the medical field to the prevalence of the teacher-researcher, will be only possible with significant adjustments of the professional ethos.
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Isabelle Vaast. L'universitarisation de la formation de sage-femme et ses conséquences pour les structures de formation : entre dynamique de professionnalisation et remaniements de l'identité des ensignants en maïeutique. Education. Université Charles de Gaulle - Lille III, 2017. Français. ⟨NNT : 2017LIL30043⟩. ⟨tel-01880616⟩

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