Conceptual clarification of the enabling environments approach: An asset for professional development and the action decision-making process for paramedics[Clarification conceptuelle de l’approche des environnements capacitants : un atout pour le développement professionnel et le processus de prise de décision de l’action pour les paramédicaux]

The complexity of hospital organisations linked to new health needs and the current health context can have an impact on the power to act and decision-making of paramedics. The enabling environment approach seems to us to be an interesting line of thought for managers who wish to encourage new actions in the direction of the professional development of healthcare workers. In this article, we propose a conceptual clarification of this approach in which the process of capability, thanks to the factors of conversion and choice, facilitates the passage from the ability to act to the power to act. It is completed by a summary infographic which details this professional development process in a didactic and pedagogical manner, in six points. The whole of this production, through an ecosystemic perspective, highlights, for health care professionals and management, the value of this approach in the decision-making process of the action.