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Approche sociologique de l'intervention éducative dans le monde de la santé. Analyse des pratiques effectives des formateurs en éducation thérapeutique du patient

Abstract : Therapeutic patient education (TPE) questions the learning conditions to be met forpeople with chronic illnesses to acquire knowledge and know-howmake appropriate decisions regarding the management of their disease. In a French context aimed at the development of TPE, health professionals are increasingly invited to analyse their practices by questioning the knowledge at stake, the position of the trainer and the potential effects of the educational practices developed. Building on the educational sciences and more specifically on the concept of educational intervention as a theoretical construct of practice, but also on the work relating to teaching practices, this research aims to characterize the activity by studying it from two complementary angles: 1- What happens in a learning context (by observing the practices of the trainers); 2- What happens to the practices declared before and after the Teaching-learning situations-TPE (TLS-TPE). The analysis of 42 TLS-TPE observed in France in 4 regions, 4 types of health structures and 10 different chronic pathologies makes it possible to identify“practice organisers” which correspond to practice invariants specific to the TPE. By remaining more focused on the knowledge to be transmitted rather than on an education in selfmanagement, by being structured by the temporalities of the educational intervention, the practices « en-soignantes » are characterized here, in contrast to teaching practices, between permanence and singularity. The dynamic created by highlighting these contrasts allows us to consider new possibilities for adjusting TPE pratices, particularly in the training context of health professionals.
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  • HAL Id : tel-02501538, version 2

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Delphine Ballet. Approche sociologique de l'intervention éducative dans le monde de la santé. Analyse des pratiques effectives des formateurs en éducation thérapeutique du patient. Education. Université de la Réunion, 2019. Français. ⟨NNT : 2019LARE0038⟩. ⟨tel-02501538v2⟩

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