Transcript analysis of health needs of a hospital staff

ANALYSIS OF HEALTH NEEDS OF
A HOSPITAL STAFF
M. Muller, Ch. Vandoorne, Ph. Mairiaux
University of Liège, School of Public Health,
Occupational Health and Health Education unit
Research made possible through a grant from the government
of the French community of Belgium
Introduction
• Three university hospitals members of the
Belgian French community HPH network
• Importance of involving the staff into a health
promotion process
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Objectives
• Identify health needs among different categories
of the staff
• Proceed to their hierarchical classification
• Compare perceptions of the employees and the
managerial staff
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Material And General Methods
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Total staff : 2.200 people
13 occupational categories
Group interviews for employees (19 groups)
Individual interviews for managerial staff
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Group Interviews
Definition of Occupational Categories
• Nursing staff in normal care units
• Nursing staff in intensive care
units
• Nursing staff in operating rooms
• Stretcher operators and social
workers
• Medical staff (specialists)
• Medical staff (residents)
• Policlinic staff
• Pharmacy and sterilisation staff
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• Technical staff (maintenance,
safety, security, data processing,
...)
• Cleaning, laundry and material
handling staff
• Administrative staff in contact
with patients
• Administrative staff in contact
with physicians (medical
secretaries)
• Other administrative staff
Group Interviews : Methods
• Method : metaplan and some adjustments from
montis' "social diagnosis" method
• Starting question and written answer
• Expression to the rest of the group
• Written expression of all experiences and their
grouping in general themes
• Hierarchical classification of the themes by each
participant
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Data Analysis
• In each group :
– Scoring of each theme :
• Number of participants
• Mean rank of priority
• On the whole population
– Definition of keywords
– Scoring of each keyword
• Absolute and relative frequency of quoting in priorities
• Mean rank of priority
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Example of Results :
Priorities in an Intensive Care Nursing Group
Lack of concern in continuing education
5
Mean rank of priority
Communication between nursing units
Occupational health and safety
officers' effectiveness
3
Lack of skills
of some physicians
Management of work increase
and missing staff Nursing philosophy
in the hospital
Troubles
Shift work
about mourning Relationships with managerial staff
Relationships with patients
and families
Ethical attitudes of some doctors
1
0
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3
Number of quotings in priorities
6
Results :
Main Keywords Defined As Priorities
Co-ordination between units
Temperature
(4) (2)
Humaneness
(1) Relationships with patients
Quality of work
(3)
Explanations
Rooms without daylight
Inadequate
equipment
to the patients
Lack of staff
Work
Ventilation
Work planning
Work load
organizing
Odours
Profitability
Noise
Mean rank of priority
3,0
2,5
2,0
1 = Urgency in the work
2 = Working schedules
3 = Administrative work load
4 = Team understanding
1,5
1,0
0
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10
20
30
40
50
Number of quotings as priorities
60
70
Results : Summary
Main priorities organised along 2 axes :
• Material conditions at work inducing physical
discomfort
• Factors affecting the workload
– Negative factors
– Positive factors or resilience factors
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Conclusions Of The Study
• Health needs are mainly in relation with daily life
at work
– Material factors
– Psychosocial factors
• Few strictly biomedical factors
• Among priorities, consideration must be required
for factors affecting workload
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Continuation
• Thinking over work load and work organization
in the hospital in a participatory approach
• Validating a questionnaire about health needs of
the staff built from all the opinions expressed by
the participants
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