::Rete Regionale HPH:: - Home Page - Psychoemotional standards … · 2013-06-10 · alliance with...
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Program Team: 8 Local Health Units participating in the HPH NetProgram Team: 8 Local Health Units participating in the HPH NetProgram Team: 8 Local Health Units participating in the HPH NetProgram Team: 8 Local Health Units participating in the HPH Network of Friuli work of Friuli work of Friuli work of Friuli VeneziaVeneziaVeneziaVenezia Giulia (Italy)Giulia (Italy)Giulia (Italy)Giulia (Italy)
CoordinatingCoordinatingCoordinatingCoordinating Center HPH Network of Friuli Venezia Giulia: Aguzzoli Cristina,Center HPH Network of Friuli Venezia Giulia: Aguzzoli Cristina,Center HPH Network of Friuli Venezia Giulia: Aguzzoli Cristina,Center HPH Network of Friuli Venezia Giulia: Aguzzoli Cristina, Bertoli Marco, Giacomini Luisa, Calucci Bertoli Marco, Giacomini Luisa, Calucci Bertoli Marco, Giacomini Luisa, Calucci Bertoli Marco, Giacomini Luisa, Calucci FulvioFulvioFulvioFulvio
ParticipantsParticipantsParticipantsParticipants: Sara SANSON, Mario ROBOTTI, Anna DELLA VEDOVA Maria PERESSON, Daniele RIVA, Raffaele ZORATTI, Patrizia PORTOLAN, Virginio BEACCO, Silvia MASCI, Rossana CIANO, Luisa DUDINE, Stefano RUSSIAN, Livia BICEGO, Marco RIZZO, Carlo FAVARETTI
Health promoting healthcare in a changing world:Innovation in service provision, healthcare managem ent and health system design
Particular thanks to Dr.Carlo Favaretti , for his continuous supportand for his expert advice
Psychoemotional standards for self assessment in workplace: experience in Friuli Venezia Giulia HPH network
HEALTH PROMOTING HOSPITALS & HEALTH SERVICES Ospedali e Servizi Sanitari per la Promozione della Salute
HPH Una Rete dell’OMS
Regione Autonoma Friuli Venezia Giulia Speaker
Dr.Raffaele Zoratti
Medice,cura te
ipsum
IndexStress-distress
Resilience
Psycho-emotional well being
Self Assessment in 8 HealthServices Friuli Venezia Giulia Network
Results
Psycho-emotional standardsas training tool forimprovement plans
Management policy actions
Stress and distress
According to natural selection , if
you don’t succeed in getting
over the distress conflict - or
you are not able to accept the
temporary inability - you
perish ……
""""Life Life Life Life existsexistsexistsexists bybybyby maintainingmaintainingmaintainingmaintaining a a a a complexcomplexcomplexcomplex dynamicdynamicdynamicdynamic equilibriumequilibriumequilibriumequilibrium or or or or
homeostasishomeostasishomeostasishomeostasis, , , ,
whichwhichwhichwhich isisisis constantlyconstantlyconstantlyconstantly challengedchallengedchallengedchallenged bybybyby
intrinsicintrinsicintrinsicintrinsic or or or or extrinsicextrinsicextrinsicextrinsic adverseadverseadverseadverse forcesforcesforcesforces
or or or or StressorsStressorsStressorsStressors" (" (" (" (ChrousosChrousosChrousosChrousos, 1998). , 1998). , 1998). , 1998).
Cortisol levels during human aging predict hippocampal atrophy
and memory deficits
Sonia J. Lupien et al. Nature Neuroscience 1,
69 - 73 (01 May 1998)
Self Assessment and Improvement plans
PRIORITY: to Identify areas for well being at
work implementation
Serenity Prayer""""FatherFatherFatherFather, , , , givegivegivegive usususus couragecouragecouragecourage totototo changechangechangechange whatwhatwhatwhat
mustmustmustmust bebebebe alteredalteredalteredaltered, , , , serenityserenityserenityserenity totototo acceptacceptacceptaccept whatwhatwhatwhat
cannotcannotcannotcannot bebebebe helpedhelpedhelpedhelped, and the , and the , and the , and the insightinsightinsightinsight totototo knowknowknowknow
the one the one the one the one fromfromfromfrom the the the the otherotherotherother."."."."
Reinhold Niebhur, american theologian
The psychobiology of resilience
Although adverse environments are well known to be a risk factor for psychopathology, many individuals respond adaptively to such environments. There is growing interest in the underlying mechanisms involved in such resilience. Several cognitive-affective processes may be involved, and these may be mediated by particular neuronal circuits and neurochemical systems. This article summarizes some of the relevant work on the role of fear conditioning, reward processing, and social behavior in resilience.
Stein DJ, CNS Spectr. 2009 Feb;14(2 Suppl 3):41-7.
essess
Personality Life styleLife styleLife styleLife style
Communication
RESILIENCE
MISSION AND VISION: aimsof organization
Decree withForce of law 81/2008Occupational physician programs
Awareness aboutdistress level and relaxationtechniques
Setting Smoke freeHealthy FoodWellness programs
ProceduresWhoWhatWhenWhy
ForumIntranetHouse organ
CommunicationTraining
MISSION AND VISION:individualdevelopment
Enjoy projectsHealthyworkplace
Life skillsTraining : PBL
ORGANIZATIVE LEVEL INDIVIDUAL LEVEL
Standard Management PolicyPromoting a Healthy WorkplaceFocus on psycho-emotional wellbeing
the evaluation in a flexible system , the resiliency o f the system and of the people -
1.4 The organization identifies the responsabilities for the health operators’ psycho-emotional well-being
1.5 Professional profile and job description
1.6 Communication within the company : accountability between the company and the operators.
4.4 Environment : safety4.5 Environment : comfort4.6 Environment : the balance-space4.7 Professional profile4.8 Human profile 4.9 Monitoring and updating4.10 Assessment of chronobiology,
care models and health impacts. The clinical risk managementand the relation with work-related stress.
2009 – 2010 Analysis
First step: � self assessment for Standard
1 “Management Policy “ and Standard 4 “PromotingHealthy workplace”+ “Psycho-emotional wellbeing standards”
� 8 Hospitals and HealthServices of Friuli Venezia Giulia HPH network
� the point of view of management area
Second step : self assessment in Assistential areaspsychiatric,oncologic patients
How self assessment works in our reality
yes partly no
ASS 2 13% 72% 16%
BENESSERE ST 1 Regione fvg
13%
72%
16%
25%19%
56%
25%
13%
63%
13%
56%
31%
19%
75%
6% 6%
25%
69%
50%
31%
19%
0%
10%
20%
30%
40%
50%
60%
70%
80%
ASS 2 ASS 1 AOPN AOUD CRO Burlo ASS 6
STANDARD 1 psychoemotional wellbeing 2010
yes
partly
no
ASS 2 20% 47% 33%ASS 1 60% 7% 33%AOPN 36,5% 23,5% 40%AOUD 7% 60% 33%CRO 40% 40% 20%Burlo 27% 33% 40%ASS 6 27% 53% 20%
20%
47%
33%
60%
7%
33%
36,5%
23,5%
40%
7%
60%
33%
40%40%
20%
27%
33%
40%
27%
53%
20%
0%
10%
20%
30%
40%
50%
60%
ASS 2 ASS 1 AOPN AOUD CRO Burlo ASS 6
STANDARD 4 psychoemotional 2010
yes
partly
no
N°Operators 31 december 2009 TOT = 15.608
ASS2= 2.079 AOUTS=3.011 BURLO= 763
ASS1= 1.309 AOUD= 3.896 CRO= 674
ASS6= 1.886 AOPN = 1.990
Operators 2010: - 409
SELF ASSESSMENT AS A TOOL FOR WELL BEING TRAINING
Training/Information 30 operators
MultiprofessionalManagers MD Nurses
Technicians
Identification of a DepartmentReferent forOrganizativeWellbeing
Identification of a DepartmentReferent forOrganizativeWellbeing
FIRST CYCLE
1-3 february 2011
SECOND CYCLE
1-3 march 2011
9 meetings – may-september 2010 in a Health Service 19 operators set up training on well-being analysis / improvement plans
1st SESSION- ORGANIZATIVE EMPOWERMENT
2nd SESSION- ENVIRONMENTAL EMPOWERMENT
3rd SESSION- INDIVIDUAL EMPOWERMENT Training/Information
30 operators
MultiprofessionalManagers MD Nurses
Technicians
RESULTS 2011: PRELIMINARY NEEDS
Operators of MANAGEMENT AREAdebriefing paths to face distress(4.10.2)Operators of SURGICAL AREAdebriefing paths to face distress (4.10.2)Operators of MEDICAL AREAempowerment communicationtarget medical doctors new employees (1.6.1)Operators of EMERGENCY AREAaccountability for improvement communicationbetween operators and HPH steering group(1.6.3)Operators of HEALTH SERVICES AREAempowerment on life skills (4.8.3) and debriefing paths(4.10.2)
Self Assessment STANDARD 1 and 4 and Pshyco-emotional wellbeing
2012 IMPLEMENTATION
EVERY SERVICE IS PUTTING IN ACTION A SPECIFIC PROGRAMStandard 1.4.2
TO RESUME…..RESILIENCE OF AN ORGANIZATION
PERSONALITY : Mission of Health Service1. From Plan to Action: Plan of Prevention 2010-2012 and
alliance with HPH network2. The committment of managers towards HPH : 3rd Regional
HPH Conference – 5 May 2011 –3. The commitment on annual planning goals 20124. The commitment of Coordinating Center : XV National
HPH Conference 2012
STRESS :Link between HPH and Health Regionale and National programs
1. Stress related work risk evaluation2. Risk management 3. Gender discrimination and mobbing committees4. Accreditation systems
LIFESTYLES : healthy workplace for physical activity, healthy food, smoke free setting, alcol free strategies, balance spaces
DECISION MAKING : Deming cycle for procedures, self evaluation tools for management (HSE)
COMMUNICATION: Accountability tools, Forum, Training Plans…
RESILIENCE OF EMPLOYEES
PERSONALITY :Human development, Life purposeand purpose on job development
STRESS : Awareness of stress distress signals, Enjoy Relaxation techniques- Occupationalphysicians programs
LIFESTYLES : Enjoy Lifestyles projects
DECISION MAKING: Take part of Training forHuman profile (life skills, coping), training on prioritizing system
COMMUNICATION : Sharing Training Communication
THANKS FOR YOUR ATTENTION!
www.retehphfvg.it
HEALTH PROMOTING HOSPITALS & HEALTH SERVICES Ospedali e Servizi Sanitari per la Promozione della Salute
HPH Una Rete dell’OMS
Regione Autonoma Friuli Venezia Giulia
8 november 2012 TRIESTE - ITALY
XV National HPH Conference
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