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

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Parallel Sessions Parallel Sessions 2: Thursday, April 12, 2007, 14.15-15.45 vices. This change is intended to reduce the stigma associated with psychiatric diagnosis, and therefore contribute to improved treatment outcomes. As part of the effort to enhance treatment outcomes, service user satisfaction with services has become one of the most frequently used criteria for evaluating programmes or treatment outcomes (Rosenheck et al. 1997). Service users perceptions of quality are the major detriments of service excellence that drive clinical activities to achieve optimal patient outcomes (Urden L.D. 2002). The current national health strategy ‘Quality and Fairness’ stresses the importance of involving service users in their care and treatment This paper investigated service users satisfaction with Psychiatric service . Specific aims were to determine service users level of satisfaction with care delivery, their level of involvement in their treatment plan, and to identify areas for quality improvement Contact Catherine MC MANUS Mental Health Dept of Psychiatry Midland Regional Hospital Portlaoise Nil Nil Portlaoise, Laois IRELAND +353 057 869 29 65 maryt.redmond@mailq.hse.ie http://marytredmond@yahoo.com A network for mental health: Building up a social resources agency Antonino Mastroeni, Ornella Kauffmann, Carla Bellotti, Davide Bianchi, Isabella Cardani, Andrea Catelli, Claudio Cetti; Tiziana Ferrario; Gianmaria Formenti, Francesco Galletti, Vito Gasparro, Corrado Girgi, Elena Lai, Esterina Pellegrini, Marianna Portelli, Silvana Radici, Annamaria Sammarco, Matilde Trinca, Vito Tummino Introduction The program reflects the philosophy of the regional mental health project of Lombardy and of the Como mental health department policy. Users (both relatives and patients) associations, local authorities, and non profit organizations in the community are called to participate in policy definition, starting from each particular mission and role. This allows every single association or institution to have their needs accepted and understood if not actually met and to take their own responsibility in policy making. Aim of the project The program aims to build up a partnership network between health system and welfare resources (both private and public) to enhance mental health care in the community. Another fundamental aspect of the program is to use public money (a defined budget) to partially reimburse users and activities of non profit organizations. The third important issue is to create a toll free number for psychosocial needs to simplify access to both health and welfare services. The toll free number is going to become a powerful stimulus to improve the comprehensive organization of health and social services even when different aspects are provided by different public and private agencies. This model has proven to be effective in allowing the provision of comprehensive and integrated psychiatric services in the Como area. Contact Antonino MASTROENI, MD Director of Mental Health Service Azienda Ospedaliera S. Anna Via Napoleona, 60 22100 Como ITALY +39 031 585 53 70 antonio.mastroeni@hsacomo.org http://www.hsacomo.org Hospital care as support in posttraumatic stress disorder (PTSD) Luigina Cenci Post-traumatic stress disorder (PTSD) is a mental disease due to traumatic exposure that implies a threat for survival or for individual physical integrity. Symptoms of PTSD can show up within a few hours, days or months. The disorder is considered chronic if it lasts longer than one month. PTSD is a rapidly emerging problem in our society, so we tried to analyse the present situation and to organize an immediate practical support to answer to child and youth psychological needs following a traumatic stress exposure (acute, sub-acute or chronic period). This approach is applied during emergency hospital admission or outpatient examination, trying to avoid care delay. Our team is multidisciplinary and includes a paediatric neuropsychiatrist, a psychologist, a paediatrist, a welfare officer, a nurse, etc. These professionals are trained to provide help in trauma, so they are able to coordinate and implement the correct actions for each individual condition, debrief and get mutual support relationships to prevent staff burn-out. After hospital discharge they cooperate with primary health services, schools, sports facilities, leisure time organizations, and others involved in care. This paper describes the relevant structures and processes to current practice based on multidisciplinary teamwork. By our experience we noticed three essential points for psychiatric health care for children and adolescents: 1) early diagnosis; 2) 34
Parallel Sessions Parallel Sessions 2: Thursday, April 12, 2007, 14.15-15.45 specific therapeutic treatment including parental support, considering the family as one of the most important resources for recovery; 3) prompt and continous communication between team members through simplified and effective strategies in current practice. Connex to HPH Multidisciplinary support-groups, coordinated by a hospital, can guarantee proper, complete and prompt approach to the needs of children and teenagers after a traumatic experience. The present hospital approach allows us to collect certain data about PTSD impact, analyse them in order to obtain an earlier recognition and provide effective care. Another qualitative result consists in hospital-territorial network strenghtening. Our next goal in this matter will be to promote a complete and multidisciplinary outpatient treatment vs. an inappropriate hospitalization. Contact Dr. Luigina CENCI Medical Doctor Ospedali Riuniti Ancona- Presidio Ospedaliero di alta Specializzazione G. Salesi S.O.D. Neuropsichiatria Infantile Via Corridoni, 11 Ancona ITALY +39 071 596 24 87 cenci.luigina@libero.it Session 2-3: Projects and interventions to promote the health of hospital staff Workplace health promotion through implementing the HPH-experiences from one community hospital in Taiwan Jin-Tang Chen, Shu-Chin Tung, Hisao-Ling Huang, Vea-Wen Lin The aim of the study was to assess the needs of health promotion (HP) activities from both organizational and individual perspectives and to develop action plans for hospital employees in one community hospital in Taiwan. Data were collected through two types of questionnaires: “The Self-Assessment Tool of Health Promotion” which evaluated the scope of HP initiatives and “The HP Needs Assessment among Hospital Employees” developed by the authors. On the basis of the information gathered, HP action plans and strategies were established. There are several key findings. From the organizational aspect, the concept of HP had already embedded into hospital administrative plans and quality management. However, there was limited information with respect to auditing and disseminating HP facilities. In addition, there was a shortage of representatives from the employees attending the decision making process. The mental and physical health of staff, respectively, was average, and the majority of them lacked exercises. 99% of the employees conducted a health check-up. 57% were interested in a health agenda related to psychological issues such as communication skills, relaxation facilities and stress management. 37% were willing to participate in planning HP programs, and 47.5% would be prepared to pay fees when attending HP activities. This implies that hospital employees would like to invest their health. Currently, the case hospital is in the process of establishing HPH. Members of staff are invited to assist in developing the HPH health agenda based on the needs assessment, action plans for HP activities will be planned. The healthy workplace of the case hospital is anticipated in the near future. Contact Dr. Hsiao-Ling HUANG Taiwan Health Promoting Hospital Research and Development Center Yuanpei University 306, Yuanpei Street Hsinchu TAIWAN hlhuang@mail.ypu.edu.tw Workplace health promotion in healthcare organizations: The need for an ecological approach Robert Bilterys, Nicole Dedobbeleer The working conditions of the healthcare professionals are disturbing, especially among nurses. Their workplaces are very demanding. Health problems such as stress, burnout, resulting in absenteeism, resignations and shortage are prevalent. This situation negatively affects the organizational performance and the quality of care. Therefore, the healthcare organizations have an important role to play in order to improve nurses’ health. The workplace is seen by the Jakarta Declaration (1997) as a key setting for health promotion. To our knowledge, no extensive literature review has yet been conducted about health promoting workplaces in the context of nursing. However, nurses constitute the main professional group in any hospital and are essential to ensure a good quality of care. We systematically searched key electronic databases (Embase, ERIC, Medline and Sociological Abstracts) and reviewed articles discussing interventions designed to promote health in the workplace. Particular attention was paid to the effectiveness of the interventions, implemented in the healthcare organizations and designed for nurses. The four dimensions of a health promoting workplace were explored: occupational health and safety, healthy life habits, changes in the physical and social environment, employee participation and empowerment. Results showed that interven- 35
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