Comment conduire un projet de prévention primaire des RPS ? Les enseignements d’un projet déployé dans une pharmacie à usage intérieur d’un hôpital public

Given the high exposure of personnel to psychosocial risks (PSR) factors, hospitals are encouraged to deploy prevention projects. However, the steps taken are considered unsatisfactory given that they are part of individual and non-organizational approaches. They are mainly at the secondary (training of individuals to help them cope with the risks) and tertiary (medical or psychological support for people who are at risk) levels and not at the primary level (identification and treatment of organizational factors generating risks). The latter is considered to be the most effective but also the most complex to decline because it involves calling into question the organization of work. Faced with this problem, the literature overflows with lists of good practices falling within the primary level of prevention, but it remains relatively silent on the concrete methods which make it possible to enforce them operationally. It is with the aim of producing knowledge on the "how to" that we analyzed the deployment of a project for prevention of PSR carried out in a pharmacy for interior use of a public hospital in France. By adopting a research-intervention approach, we analyzed the 15 preventive actions proposed by the expression group as well as the support measures adopted by the intervenor to allow the group to take a step back and undertake an in-depth analysis of the work organization.