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

Viale Antonio Gramsci 42
50132 Florence
ITALY
+39 055 200 63 26
mj.caldes@meyer.it
http://www.meyer.it
Parallel Sessions
Parallel Sessions 2: Thursday, April 12, 2007, 14.15-15.45
Session 2-6:
Sustainable hospitals + hospital
waste management
Sustainable development in HPHs:
The psychoanalytic-systemic view on
conflict, taboo, ignorance and error
as support for a creative approach
within organisation development
Karl Purzner
Implementing sustainable development in a HPH is an ambitious
goal. The OWS in Vienna has been working on this issue
in cooperation with scientists for several years. In the process
and progress of the project it became quite clear, that a central
prerequisite for success is the responsive and coordinated
– and thus integrated – cooperation of at least the following
actors: managers and leaders together with their teams – and
within the teams generalists and specialists- supported by
internal and external consultants together with patient representatives
have to thrive towards the vision of the sustainable
HPH in tight relatedness and base all this on evidence, which
means that science and education as well as training plays a
big role.
Results of research – basic, field and action research in sociology,
ecology and economy in different forms of combination -
are essential in bringing forth rapid progress. Necessarily such
a complex social process is not easy to steer, but there is
conceptual support from several research traditions. The
“clinical approach” in organisation development by Edgar
Schein is one of them. Its accents lie on a theory of “organisational
health”, the necessity to coordinate different subculture
within the organisation and the information processes within
the “adaptive coping cycle”.
Fürstenau, a German author stresses on a psychoanalyticsystemic
view of the managerial tasks. He as well as the
Austrian authors Schindler and Rauch have pointed out the
importance of a specific form of group dynamics underlying
the role play of the above mentioned actors. In our own experience
it soon became clear, that a competent dealing with
conflict, taboo, ignorance and error is essential for success. A
constructive-creative way to manage these matters is quite a
challenge within change management. It exceeds the difficulties
of the traditional management cycle and by some authors
is called “syndromal management” to differentiate it clearly
from the functional management within the cycle. To sum it up:
the degree to which sustainable development happens within
the HPH depends highly on the degree of excellence in its
management!
Contact
Dr. Karl PURZNER
Otto Wagner Spital
Baumgartner Höhe 1
1145 Vienna
AUSTRIA
+43 1 910 601 13 02
karl.purzner@wienkav.at
Integrating health promotion and sustainable
development for the benefit
of hospital development. A relationship
with the future?
Willi Haas, Ulli Weisz, Jürgen M. Pelikan
In the last two decades, Health Promotion and Sustainable
Development have both become successful policies worldwide
and been applied for hospital development. As health is of
central importance as a result of as well as a prerequisite for
sustainable development, sustainable development strategies
and programs refer frequently to (public) health. On the other
hand, in health promotion there is less discussion of sustainability,
even if sustainable (in its narrow meaning of stability in
time) is accepted as one of seven guiding principles for health
promotion initiatives (Rootman et al. 2001). Even more rarely,
health promotion and sustainable development are discussed
together in a comparative manner. However, comparing health
promotion and sustainable development one can find remarkable
analogies and parallel developments. Due to this coherences
our contribution will focus on the following core questions:
� In what way can sustainable development policies and
initiatives enhance health promotion in hospitals? Are there
any areas of conflicting interests?
� What is the added value of sustainable development strategies
for the health-care system, in particular for health
promoting hospitals?
In order to answer these questions, we first will provide a
review of the links, analogies and differences between health
promotion and sustainable development, focussing on historical
(history of origins), theoretical and methodological issues
as well as on goals, criteria, strategies, claimed territories and
areas of implementation.
Second, we will discuss mutual support and added value by
using concrete examples including our own project experience
in the Otto Wagner hospital in Vienna. Finally, we offer some
hints where and how mutual collaboration could be of benefit
for both.
Contact
Willi HAAS
IFF - Fakultät für Interdisziplinäre Forschung und Fortbildung
Soziale Ökologie
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