[Accompanying the apprenticeship of clinical reasoning in nurses]

The nurses' professionalisation is something difficult to situate between an historical model, the recognition of competences and the assertion of the health care service autonomy part. The requests and conditions sanitary needs evolutivity of the French population, the constant progresses of medicine, the economic context put nurses in the heart of tensions between the demand of quality and the continuity of the cares, the professional polyvalency and the health savings. The situations of cares, more and more complex, require a nearly permanent adaptation of the nurses. One of the stakes of the nursing college is to develop their health training model which integrates the development of competences in reference to prevailing professional situations. The clinical reasoning, a competence in the heart of the nurses' job, goes through all the situations of cares. It takes part of the cares adaptation processes. The professional didactic develops our understanding of professional situations and gives us training prospects linked to competences.