Plenary 1: The Hospital – A Staff Empowering ... - HPH-Conference

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Parallel Sessions Parallel Sessions 1: Thursday, April 12, 2007, 11.00-12.30 HPH and ENSH collaboration: East Tallinn Central Hospital's experience Tiiu Härm Tobacco remains the leading perventable cause of heart diseases and cancer. All HP hospitals and health care professionals should play a leading role in tobacco control and smoking cessation. These obligations include not only a smoke-free environment, but also an active counselling and support for smokers in their quitting process, concerning patients, hospital staff and community population. 45% of men and 19% of women are daily smokers in Estonia. In recent years the remarkable growth in smoking prevalence among schoolchildren and especially in young women needs to be mentioned. East Tallinn Central Hospital (ETCH) is part of the Estonian HPH Network since 2002. The ETCH has 560 beds and more than 1800 staff members and provides health care services for the population of Tallinn and Harju County. One of the main priorities in ETCH is to become a smoke-free hospital. Under protection of the New Tobacco Law, which will come into force in May 2007, the hospital managers together with personnel decided to prohibit smoking inside the hospital building from January 1, 2008. The HP activities of ETCH in the implementation of smoke-free hospital strategies are the following: 1) In the frame of National Strategy for Cardiovascular Diseases Prevention 2005-2020, ETCH provides smoking cessation counselling services for an adult population (since April 2005) and smoke-free maternity service for pregnant or breastfeeding women (since September 2006). Over the last 2 years about 355 smokers were counselled and supported in the quitting process. An average of 21% of quitters remain non-smoking after 1 year. 52 health professionals were trained as smoking cessation counsellors for Estonia by the ETCH Educational Centre. 2) To assess the smoking habits among hospital staff in the ETCH a survey was performed in November / December 2006, using the special questionnaire of the European Network of Smoke Free Hospitals (ENSH). The survey was considered as the first step in testing and evaluating the starting situation of tobacco control in the hospital. The questionnaire was distributed to all personnel. The response rate was 70.7%. From the responders, 9.5 % were men and 90.5% women, 15.7% were doctors, 37.4% nurses, 7.6% administrative, 23.2% other health professionals and 16.1% other non-health professionals. Smoking prevalence among the hospital staff was as follows: 61.9% were non-smokers, 10.7% ex-smokers, 21.0% daily smokers and 6.4% occasional smokers. 20.0% of women were daily smokers and 6.5% occasional smokers; 30.8% of men were daily smokers and 5.1%-occasional smokers. 15.7% of doctors were daily smokers and 3.4% occasional smokers; 20.8% of nurses were daily smokers and 7.3% occasional smokers; 25.2% of other health professionals were daily smokers and 7.9% occasional smokers. When comparing ETCH data with other hospitals belonging to the Estonian Smoke Free Hospitals Network, the smoking prevalence among staff in the other hospitals was remarkably lower: 7.0% of doctors and 13.4% of nurses are smokers. 3) ETCH is an active participant in WHO Health Days, as May, 31 – World No Tobacco Day or in September – World Heart Day etc. In the frame of the HELP campaign in 2006, 175 CO measurements were performed in the population. Conclusion The collaboration between the European HPH Network and the ENSH is very important in the development of strategies and support materials to assist hospitals in their efforts to become smoke-free environments. Contact Tiiu HÄRM, MD Smoking cessation counsellor and National Coordinator of Estonian Network Smoke Free Hospitals East Tallinn Central Hospital and National Institute for Health Development Ravi 18 10138 Tallinn ESTONIA +372 620 70 00 +372 659 39 81 tiiu.harm@tai.ee harm.tiiu@gmail.com http://www.tai.ee Supporting the integration of Health Promoting and Smoke-free Hospitals Pamela Fagan, John Sweeney, Ann O’Riordan “Health Promoting Hospitals – Why?” was a question asked in the 90’s and “A Smoke Free Hospital – Why?” the question in the early 2000’s. Do we really have to justify the importance of implementing these concepts? – I think not! Hospitals are now accepted as important settings for the promotion of health and implementing a Smoke Free Hospital is a key criterion for Health Promoting Hospitals. The question now being asked is – What are the standards for Health Promoting Hospitals and Smoke Free Hospitals and how are they being implemented and monitored? World Health Organisation (WHO) International Network of Health Promotion Hospitals (IHPHN) has established five standards that describe the principles and actions that should be part of care in every hospital. The WHO standards were developed in accordance with the international requirements of the ALPHA programme and so can complement the accreditation standards that apply to hospitals in many countries. At the same time, the European Network of Smoke Free Hospitals (ENSH) established a code and standards for the implementation of a smoke-free hospital. 20
Parallel Sessions Parallel Sessions 1: Thursday, April 12, 2007, 11.00-12.30 In Ireland as in many other countries, the network of smoke free hospitals is an integral part of the HPH Network. It seemed reasonable therefore to promote the implementation of both standard sets as an integral package and where possible to link key aspects into the Irish Acute Care Accreditation Scheme (ACAS) This paper will demonstrate the compatibility and relevance of linking the Smoke Free Standards (ENSH) with the WHO Standards, discuss how each individual measurable criterion is a linkage with the relevant ENSH standard(s) (note: in some cases there may be more than one ENSH standard linked with each HPH criterion) and how evidence of compliance is provided for the linkage of each ENSH standard to an HPH criterion. Connex to HPH The key link is that through partnership working and the integration of key activities within a single organisational change initiative, healthcare workers will be empowered and organisations/hospitals become more effective health promoting settings. Contact Ann ORIORDAN Director Irish HPH Network C/o Connolly Hospital Dublin 15 Blanchardstown IRELAND +353 164 650 77 info@ihph.ie http://www.ihph.ie An evaluation of the current smoke free status of staff in Cavan General Hospital Mary Gaffney, Jacinta Mc Aree-Murphy Rationale As members of the European Smoke Free Hospital initiative a yearly audit is carried out by the European HPH Network to determine our current smoke free hospital status. One issue that we were unable to address was the number of staff who smoke. This audit will address this anomaly. Aim To determine the number of staff who smoke in Cavan General Hospital. Objectives � To conduct an audit of the entire staff working in Cavan General Hospital. � To set up a working group to look at the feasibility of improving the smoke free status of the workers in an incremental manner using a partnership approach Methodology � Smoke free hospital committee convened. � One page audit form designed and agreed by partnership committee. � Anonymity of the staff protected. � Data analysed using QUASAR � Devised action plan for implementation taking into account the current climate of staff workloads and difficulty in releasing staff. � Compiled information presentation outlining the benefits and operational details of implementation (PowerPoint) � Launch of presentation to key staff to ensure commitment from management and relevant staff Outcome There is concrete evidence of the number of staff who smoke within the organisation and evidence to indicate that those smoking want to quit. An action plan is currently under development based on the results and will form the basis for ongoing development in reducing the number of staff smoking within the organisation. Conclusion An incremental, partnership approach is useful in order to achieve a realistic outcome for the implementation of an improvement in the smoke free status of our staff working in our hospital. Contact Jacinta MC AREE-MURPHY Health promotion Co-ordinator Cavan/Monaghan Hospitals Group C/o Monaghan General Hospital, High Street, N/A Monaghan IRELAND +353 047 388 32 jacinta.mcaree-murphy@maile.hse.ie Session I-4: Workshop: Mental health promotion in hospitals: Is there need for, and interest, in a working group? Christina Dietscher, Jürgen M. Pelikan „Health is a state of complete physical, mental and social wellbeing”, proclaims the WHO constitution. This definition has been revised later on, and health is today more understood as a resource than a status. But, especially in health care with a traditional focus on physical health, we are still far away from the holistic, somato-psycho-social approach towards health which is suggested in the WHO constitution – despite the fact that, according to epidemiological data, mental health problems already are, and will even more become one of the major public halth problems. This is why WHO and the European Commission emphasise mental health strategies: In 2005, WHO launched a Mental Health Action Plan in, and in the same year, the European Commission published a Green Paper on 21
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