Nfhk2011 salla seppänen
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Transcript of Nfhk2011 salla seppänen
Model to Promote Health and Well-Being of
Unemployed Persons
Salla Seppänen MNSc, Head of Health Department
VOIMAVUODET
20.10.2011
Salla Seppänen MNSc, Head of Health Department
Marja-Liisa Laitinen, MSc.Health, Project Manager
Anne Ulmanen, MNSc, Senior Lecturer
Minna Männikkö, Occupational nurse, Well-being Service Center Elixiiri
20.10.2011Salla Seppänen
In co-operation with
� Mikkeli University of Applied Science ( co-ordinator)
� Town of Mikkeli, Service Center for Unemployed
Persons (Työvoimapalvelukeskus Reitti)
VOIMAVUODET
Persons (Työvoimapalvelukeskus Reitti)
� Vaalijala, federation of municipalities
� Society of Unemployed Persons in Mikkeli
� Office of Employment and Economic Development Office
20.10.2011 Salla Seppänen
• The number of unemployed persons has
increased in Eastern Finland after the
economical regression.
In the EU project “Years for Empowerment –
Purpose and Relevance
VOIMAVUODET
20.10.2011
In the EU project “Years for Empowerment –
Back to labour market” Mikkeli University of
Applied Sciences developed a model to promote
health and wellbeing of unemployed persons.
The project was supported by European Social
Fund and it lasted 04/2008 – 03/2011.
20.10.2011Salla Seppänen
The aim of project
� was to prevent social exclusion, increase social
activities and promote health of unemployed
persons
VOIMAVUODET
persons
� to facilitate professionals work with unemployed
persons by education
� the project focused on especially to unemployed
persons over 45 -years
20.10.2011 Salla Seppänen
Description of project activities
The model bases on Transtheoretical Stages of Change –
model including five interventions, which last 1-11/2 hours and
have special objectives and content:
1. General Health Assessment
2. Physical Condition and Living Habits
3. Supportive Social Relations and Social Network
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3. Supportive Social Relations and Social Network
4. Feedback and Further Plans for Self Care including
supervision to
use an electronic self care service (www.hyvis.fi)
5. Follow up and Evaluation after 6-12 months of the fourth
appointment.
20.10.2011 Salla Seppänen
Model to Promote Health and Well-Being of Unemployed Persons
VOIMAVUODET
20.10.201120.10.2011Salla Seppänen
Implementation
� The model was piloted with 122 unemployed
persons by nurse and social work students under
the supervision of the nurse teacher and the
occupational nurse
VOIMAVUODET
occupational nurse
� 64% of unemployed persons had all five
appointments
� 13 % had 4 appointments
� 23% three or less appointments.
20.10.2011 Salla Seppänen
Clients ’ profile
� Mean age 45.5 years, female 40%, male 60%
� Most of the clients had long history of being unemployed,
time of unemployment mean 3,3 years
� They had poor physical condition and a lot of risk factors
VOIMAVUODET
related to health, like alcohol abuse, smoking and
depression
� The main problem related to health was loneliness and
feeling of outsider. Among the male perons this feeling
was strongly related to alcohol abuse.
20.10.2011 Salla Seppänen
Clients’ feedback
� The measurement and evaluation of health was important.
� The athmosphere in health interventions was positive and
respecting of the client.
� The health information was appropriate and easy to adapt
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in everyday life.
� It was easier to talk with a student than a professional
� The feedback from the clients was positive (mean 8,3)
� They reported that the developed process model increased
their self-care skills and self-esteem
20.10.2011 Salla Seppänen
Evaluation
� Evaluator: The confident and unhurried discussions
encouraged the clients to self-care.
� The students reported that the project enabled them to
learn client-centered health and wellbeing assessment
VOIMAVUODET
and supportive interventions. The students also reported
that they had learned communication, supervising and
project management skills.
20.10.2011 Salla Seppänen
� ”The meetings with clients were proferssional,
appropriate and well-planned.”
� ”This project highlighted the co-operation and common
support between the multiprofessional group of students.
”
Students
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”
� ”All students: nurse, public health nurse, social work and
practical nurse were working as a team”
� The teacher’s role was very much the role of supervisior
of work. ”
20.10.2011 Salla Seppänen
Conclusions and Implications� The developed model is a process with five interventions to
assess and support health and wellbeing of unemployed
persons.
� The model supports the equality between employed and
unemployed persons to access preventive health services.
VOIMAVUODET
unemployed persons to access preventive health services.
� The developed model to promote health and wellbeing of
unemployed persons is possible to adapt to other clients
groups like senior citizens and caregivers.
� Beside this the model gives an excellent opportunity for
nurse and social work students to learn health promotion,
interaction and multi-professional team work.
20.10.2011 Salla Seppänen