Health Promoting Hospitals Veneto Region Network........ Veneto Region Network 13 th International...

HealthPromotingHospitals

Veneto Region Network

.

.

.

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Veneto

Region

Network

13th International Conference on HPHs - Dublin, May 18-20 , 2005

PATIENT CENTRED HOSPITAL ADMISSION: the HPH Project of Veneto Region Network

Anna Maria Rinolfi

Health Social Local Trust n.18 Rovigo (Italy)

Health

Promoting

Hospitals

Veneto

Region

Network

13th International Conference on Health Promoting Hospitals, May 18-20 2005, Dublin2



NORTH- EAST OF ITALY

4.5 MILLIONS OF INHABITANTS

MAIN TOWN VENICE

18,364 Km2

Veneto Region




HOSPITALS: 9 Hospitals of the Network were involved

1. Hospital of Feltre2. Hospital of Schio3 Hospital of Thiene4. Hospital of Chioggia5. Hospital of Este6. Hospital of Monselice7. Hospital of Trecenta8. Hospital of Rovigo9. Hospital of Bussolengo

THE PROJECT

ACTIONS: 1. Survey on 1,684 inpatients

2. Interventions (on the basis of survey results)




THE SURVEYObjectivesTo evaluate the type of admission received within 48 hours since the hospitalization

To analyse the admission modalities

To assess mood, sensitiveness and need of company

To survey the waits for a suitable admission




THE SURVEY

THE SURVEY INSTRUMENT

The operative instrument chosen for the analysis was a questionnaire, submitted to the patients within 48 hours since the hospitalization, both in case it was planned or it was a urgent hospitalization.




The questionnaire aims to evaluate:1. Information received by patients about:

-1.1 their health state-1.2 the diagnosis and the

examinations they were going to have

-1.3 The ward organization

THE SURVEY

2. Staff manners perceived by patients (courtesy)

3. Patients needs and expectations




N.1,684 inpatients56% female , 44 %% maleAverage age : 56 years41% were older than 65 years71% no more 8 years of school

26 % First hospital admission

Characteristics of the sample

THE SURVEY




The mood, the information, the Hospital organization didn’t cause a problem, due to the fact these inpatients had already experienced a hospitalization!

As a matter of fact experiences are not alike…………………

Therefore we wondered:




• MOOD DURING THE ADMISSION:Only the 36% of users declare their

mood is peaceful/quiet during the admission

The others: unpeacefulworried

very worried

Main results




…..this highlights the data we already know about the users:

frailty

during the hospital admission




It is natural and understandable that users are worried about their health conditions,

but this situation suggests to consider their mood and to communicate with them so

that to calm them

KEY ASPECT OF A

GOOD CARE




1.1 The Information about health state

Who gives this information ?

1. Who gives health state information ?

• By an ambulance doctor 1,2%• By an emergency care unit doctor 20,4%• By a ward doctor 47,7%• By a specialist 17%• Others (GPs,F-a) 3,0%• By a nurse 5,6%• By a relative 1,6%

• nobody 3,5%

Hospitals Doctors

83, 3 %

96,6 % Received information




1. The Information about health state

Was this information given respecting patients privacy ?

Was it conprehensible for the patients ?




Main results

96,4% of people received informationabout their health conditions according to privacy,while the 96% received them in a simple and understandable way




1.2 The Information about diagnosis and the examinations

How was it given in a prompt way ?

1.3 The information about ward organization




Comparing the three types of information received:

1. YES Information regarding the health conditions 96,5%

(83,3% hospital doctors)

2. Information regarding the therapies

YES 84,9% NO 15,1%

3. Organizational information of the Ward YES 49,7% NO 50,3%




Generally, the INFORMATION level is good, even if it is centred on the main issues concerning the health conditions, examinations, therapies.

POOR INFORMATION CONCERNINGTHE OPERATIVE PACES OF WARDSAND ORGANIZATION, WITHIN 48 HOURS SINCE THE HOSPITALIZATION




WHY is there POOR information regarding the organizational aspects?

Hypothesis:a) The operators provide these information after 48 hours…

b) Personnel consider these information not very important and think they are passed among the inpatients by word of mouth.




ALSO THE ORGANIZATION INFORMATION ARE

IMPORTANT, PARTICULARLY IF WE

CONSIDER THAT MOST OF INPATIENTS ARE

ELDERLY(difficult adaptability to a new

place)




2 Staff Manners

KINDNESS:YES among the 97% of the inpatiens




3 Patients needs and expectations

NEED OF A PERSON CLOSE TOTHEM: YES 70,2%

28,8% OF INPATIENTS DIDN’THAVE THIS NEED

ONLY THE 1% WASN’T ALLOWED




WHAT DOES A PATIENT EXPECT from the Hospital Admission?We surveyed the expectations

through the expressionof one’s own opinion

ALL THE RATE LEVELS ARE HIGHER

THAN THE REAL SATISFACTIONOF NEED




SUPPLIED WAIT

Kindness 97% 99.7%Information about thehealth conditions 91,9% 98,8%Organization information 49,7% 86,3%

KINDNESS= very important ORGANIZATIONAL ASPECTS = less important




Conclusions

Patients consider the hospital admission atricky moment

The information they wait for, are a true RIGHT: 1. to know their health conditions, examinations and possible operations2. to receive this kind of information by the DOCTOR WHO RECEIVE THEM




Information should be given by a qualified person, who knows the

hospitalization causesand the disease conditions

This should happen:

DURING THE HOSPITALIZATION




•To receive simple, understandable and respectful to privacy information

To receive information regarding a Ward customs and its organization

Other surveyed needs:

Where possible, to have a relative nearbyKind and available operators




What are we going to do?PLANNED INTEVENTIONS

A: To include “Admission” in the planning of doctors/nurses training activities

B: To do meetings with the Wards personnel

C: To define specific “Ward protocols” so that to include in the ordinary medical procedure the admission modalities of patients




D: duly updated ward posters, - as well as in hotels -containing the main information regarding food timetable, meetings with doctors and other daily activities

But never forget the importance of adirect spoken information




TO CARRY OUT THE PREMISES FOR A GOOD AND EFFECTIVE ADMISSION IS

EQUAL TO CONTRIBUTE TO THE PATIENT’S WELL-BEING:

1:be able to receive a “new-inpatient” in one’s own life experience

2:allow the free expression of options, values, human needs, according to

times and expressive modalities

Health Promoting Hospitals Veneto Region Network........ Veneto Region Network 13 th International...

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