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              <p>The question of health and quality of life at work is a major issue for establishments for dependent elderly people. This article presents the results of an exploratory study conducted in two nursing homes. First, we describe a mutual commitment in favor of a risk prevention strategy which is based on the commitment of management in favor of a global strategy for the prevention of risks at work and on an engineering of spaces of participation. It allows both the discussion on the work and the consultation on the strategy to be carried out in the resolution of the difficulties. Then, we present the repertoires of shared actions on prevention allowing new room for maneuver in the field which include, on the one hand, the mobilization of good practices and, on the other hand, the agile resolution of problems. The challenges of the joint enterprise as a support for the power to act are to maintain internal animation in the communities in a context of degraded work and to reposition local management to sustainably protect the ability of employees to act. The systems go beyond the barriers of social dialogue by building a space for consultation fed by facilitators and sponsors and by creating new room for maneuver at multiple levels.</p>
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              <p>La question de la santé et de la qualité de vie au travail est un enjeu majeur pour les établissements d’hébergement pour personnes âgées dépendantes (EHPAD). Cet article présente les résultats d’une étude exploratoire menée auprès de deux EHPAD. D’abord, nous décrivons un engagement mutuel en faveur d’une stratégie de prévention des risques qui repose à la fois sur l’engagement des directions en faveur d’une stratégie globale de la prévention des risques au travail et sur une ingénierie des espaces de participation qui permet à la fois la discussion sur le travail et la concertation sur la stratégie à mener dans la résolution des difficultés. Ensuite, nous présentons les répertoires d’actions partagées sur la prévention permettant de nouvelles marges de manœuvre sur le terrain qui comprennent, d’une part, la mobilisation de bonnes pratiques et, d’autre part, la résolution agile des problèmes. Les enjeux de l’entreprise commune comme support du pouvoir d’agir sont la nécessité de garder une animation interne aux communautés afin de conserver l’élan participatif dans un contexte de travail dégradé et le besoin de repositionnement de l’encadrement de proximité pour protéger durablement la capacité d’agir des collaborateurs. Les dispositifs dépassent les entraves du dialogue social par la construction d’un espace de concertation et par la production de nouvelles marges de manœuvre multi-niveaux.</p>
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