6 months ago

Diplomatic World_nummer 56.


NURSING EMPOWERMENT IN MOSCOW Irena, a head nurse in a Moscow hospital, surprised us with an unexpected visit to the Sheba Medical Center. “I am so proud”, she said, “for the first time in my career I was permitted to develop a new program for the benefit of our patients”. Irena is one of 300 nurses who participated in SMC’s training program. Following a successful collaboration with the Ministry of Health of Moscow, Sheba International was asked to help identify the advantages of the Moscow health system which could be used in order to upgrade and promote the entire regional heath care system. The one strength which very clearly stood out very clearly was the quality of the nurses in Moscow. Very well educated and trained, highly qualified, smart and ambitious, Moscow’s nurses are an endless resource of wisdom, combined with aspiration and remarkable abilities, waiting only for the health system to appropriately use their capabilities. The main challenge in this case was the inherent cultural hospital working environment that inspired us to propose a dual plan — to simultaneously work with the clinical directors of the hospitals and to empower the nurses. This way, working both from top to bottom and from bottom to top, we doubled our chance of success and also shortened the time required to implement changes. nurses who participated in our program of training and continual guidance and support. In the words of Sheryl Sandberg, Chief Operating Officer of Facebook: “Motivation comes from working on things we care about. It also comes from working with people we care about.” (Sheryl Sandberg, Lean In: Women, Work, and the Will to Lead) The empowerment of Moscow’s nurses has stimulated and motivated them to make important and significant changes affecting the health and wellbeing of their community. 172 Over 300 senior nurses in Moscow undertook this training and empowerment program. Following the training sessions we continued meeting with the nurses every 4 to 6 months, to hear of their progress and to encourage them to continue to initiate and influence their working environment for the benefit of the patients and staff. The nurses have been able to initiate many new projects such as patient and staff satisfaction surveys, reorganization of the Intensive Care Unit, standards for patient’s privacy and dignity, guidelines to enable family members to accompany emergency room patients and even the establishment of a new bus line from the nearest Metro station to the 120 year old hospital. These are only some of the unbelievable accomplishments of the

A NEW GENERATION OF HOSPITAL MANAGERS IN MOSCOW Hearing a presentation by Ms. Michal Raviv Reisman, Director of Sheba International, was enough for the Deputy Minister of Health of Moscow to promise Michal — we will be in touch. Unlike many similar promises, the deputy minister kept her word and very soon afterwards the Sheba Medical Center and the Ministry of Health of Moscow signed an agreement of collaboration, focusing on the need to train the present and future generations of hospital managers. The changes that the Russian health system was pursuing required a major transformation of the hospital managers as their role and duties evolved. This included educational responsibilities, staff nurturing, economic, marketing and management skills in a competitive environment and an expectation to lead their hospitals to greatness, as opposed to the prevailing “holding the fortress” approach. Together, we developed various types of training sessions which took place both at Sheba in Israel and in Moscow, aimed at preparing the regional managers for their coming managerial role changes and for the new demands of their leadership positions. Many hundreds of directors and deputy directors joined the different programs and the success was translated into subsequent additional collaborations as well as the certificates of appreciation presented by the mayor of Moscow. © The Chaim Sheba Medical Center at Tel Hashomer 173