2.3-5: Mental health promotion in hospitals by - HPH

2.3-5: Mental health promotion in hospitals by - HPH

HHD
Human Health
Design
Mental health promotion in
hospitals by multi-professional
co-operation
15th International Conference on Health
Promoting Hospitals, HPH
Vienna, April 11-13, 2007
Institut für die
Optimierung von
Gesundheitssystemen
HHD
Human Health
Design
Project: Healthy Health Service
Sub-project – “Let it be”
Main Goals:
Improvement of the quality of work in health
care institutions like hospitals and nursing
homes
Analyzing the problems at system level
Finding solutions by using the knowledge and
highly developed competencies of all
professions
Institut für die
Optimierung von
Gesundheitssystemen
HHD
Human Health
Design
Project: Healthy Health Service
Sub-project – “Let it be”
Partial Goals:
Involve the participants actively in the change process developing strategies for their own institution.
Working group with all profession´s members:
physicians, nurses, hospital managers etc. (“hidden
agenda”)
Close cooperation with the top management - long
lasting effect.
Create a successful communication basis for the various
professions which are involved in the health care
process.
Institut für die
Optimierung von
Gesundheitssystemen
HHD
Human Health
Design
Project – milestones
1. Choosing partner-institutions (13 hospitals
and nursing homes)
2. Questionaire and interviews: present work
situation and change potentials
3. Implementation of project-groups in all 13
houses
4. Regular meetings of project-groups working
on different topics and evaluation
5. Supraregional exchange-process between
the 13 houses
Institut für die
Optimierung von
Gesundheitssystemen
6. Transnational partnership with 8 european
countries
HHD
Appreciative Inquiry - AI
= method we use during the whole project
Human Health
Design
Developed by David Cooperrider
Qualities of AI:
Not only problem-solving but supporting selforganizing change processes that flow from
new ideas.
A focus on how people think instead of what
people do and esteeming it.
Institut für die
Optimierung von
Gesundheitssystemen
Asking for positive experiences which could be
further developed – looking for hidden
potentials within an organization.
HHD
Human Health
Design
Topics of the working groups within
the hospitals and nursing homes
Interface management: Organization of daily clinical
operations; Optimization of operational sequences in
surgery and accident surgery; Coordinated patient
admission.
General organizational topics: Organization of the
production and administration of screening findings;
establishing honorary attendance services in nursing
homes.
Health promotion: Establishment of health circle
Teamwork: communication (service discussions, service
deliveries); process development in the team; cooperation between care and administration.
Institut für die
Optimierung von
Gesundheitssystemen
HHD
Human Health
Design
Example 1:
Coordinated patient admission
Hospital
Internal Client: first - administrative manager;
Then: medical leader and care directress
Project group: 2 phycisians (surgery department)
2 nurses, 1 portier, 1 administrative employee, 1
secretary, 1 radiology assistant
Characteristics: administrative manager
dismissed; boycott of survey; great distrust.
now: Example of Best-Practise for
multiprofessional cooperation!
Institut für die
Optimierung von
Gesundheitssystemen
HHD
Human Health
Design
Example 2:
Optimization of operational sequences in
surgery and accident surgery
Hospital
Internal Client: Medical department leader
Project group: second care directress, 3 nurses, 2 nurses in
a leading positon (department), 2 physicians, 1 quality
manager
Characteristics: Medical department leader originally very
enthusiastic; after presentation of survey results very
negative attitude which he transfered to his team
Project group worked on subjects – very frustraded about
their boss – stands not behind them – big dilemma!
Institut für die
Optimierung von
Gesundheitssystemen
But: Positive feedback from Medical department leader to
group empowered group
HHD
Human Health
Design
Institut für die
Optimierung von
Gesundheitssystemen
Specialities of multiprofessional teams in the
health care sector
Different professions don´t speak the same
language – definition process important!
External motivation necessary to bring different
professions together
Doctors always have good excuses not to come
to a meeting
Nurses often stick very closely together and
have a better team-climate than doctors
Work of Doctors and nurses is not targetoriented often they only react (emergency)
HHD
Human Health
Design
Institut für die
Optimierung von
Gesundheitssystemen
Specialities of multiprofessional teams in the
health care sector
Hierarchy and strong competition between
doctors
Working-group meetings rarely begin on time
Doctors „can´t“ switch off the mobile phone –
sometimes disappear during the meeting
Need some time at the beginning do complain...
Employees in hospitals are often very frustrated
Nursing homes: first impression = everything
o.k.
General agreement: we do things only if it´s for
the patient´s well-being
HHD
Human Health
Design
Institut für die
Optimierung von
Gesundheitssystemen
Positive Experiences of working
with multi-professional teams
Knowledge and ideas of all professions can be
used in a very fruitful way
They liked teamwork with other professions –
the structure of hospitals normally doesn´t
allow this
Mistrust between different professions could
partially be broken
Problems in communication could often be
solved very easily
Positive feedback from members of workinggroup and managment
Mental health promotion – people speak about
problems and felt accepted
HHD
Human Health
Design
Recommendation to
management
• The well-being of the employees should
become a central task of the management
• Needs and suggestions of the employees
should be regularly asked and taken
seriously!
• Creating „Areas “ for discussing working
processes and conditions – members of all
occupational groups!
• Neutral Motivator and moderator!
Institut für die
Optimierung von
Gesundheitssystemen
• Constructional management of errors
HHD
Human Health
Design
If you have further questions
don´t hesitate to conact me:
Mag. Alexandra Bautzmann
Tel. 0043 - 676 - 3121409
E-Mail: [email protected]
Institut für die
Optimierung von
Gesundheitssystemen
Thank you for listening!