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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 STES-HPH-99113mml Objectives • Identify health needs among different categories of the staff • Proceed to their hierarchical classification • Compare perceptions of the employees and the managerial staff STES-HPH-99113mml Material And General Methods • • • • Total staff : 2.200 people 13 occupational categories Group interviews for employees (19 groups) Individual interviews for managerial staff STES-HPH-99113mml 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 STES-HPH-99113mml • 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 STES-HPH-99113mml 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 STES-HPH-99113mml 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 STES-HPH-99113mml 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 STES-HPH-99113mml 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 STES-HPH-99113mml 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 STES-HPH-99113mml 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 STES-HPH-99113mml