The innovation in hyper-normalized environment. The case of the nursing assistants in the geriatric organizations in Quebec
The overall objective of this article is to question the methods of appropriation by nursing assistants of innovative programs for the improvement of their practices in geriatric context in Quebec. From the example of training in employment called AGIR, which promotes new skills in terms of assistance to residents, and after thirty interviews with nursing assistants, we show that the diffusion of formative innovations targeting agents individually do not necessarily cause, according to them, a real improvement of practices. We show that the reason for this failure lies in the non-inclusion of the collective dimension of the practice of employees in the construction and dissemination of innovation. We postulate that such a program would know best results if this dimension was included in the invention and diffusion of the innovation.