Programme details

Oral sessions 4
from abstracts received & symposia by HPH task forces & conference workshops Friday, April 14, 2017 16:15-17:45

O4.01

Reorienting health services

Venue: Hörsaal 42

One Stop Service for survey of diabetic complications

Chung Sen CHEN, Kuo Meng LIAO, Pi-Sung CHENG

Self-help friendly hospitals: Reorienting health care services through professionalized self-help groups?

Daniela ROJATZ, Julia FISCHER, Siegfried WALCH, Rudolf FORSTER

Organizing Network Platform of Community Health Promotion to link Continuous Long-term Care System

Ta-Chuan HUNG, Tsu-Hsueh HUANG, Ching-Yao WEI, Hung-I YEH

United States vs Sweden: Health counselling service in primary care

Lars WEINEHALL, Helene JOHANSSON, Paul JENKINS, Jim DALTON, Lars JERDÉN, Julie SORENSEN,

A Five Year Journey: Strengthening Prevention at Alfred Health

Kirstan CORBEN

Establishing HPH Project in Afghanistan: Challenges and Opportunities

Maihan ABDULLAH, Silke GRAISER

O4.02

Physical activity and healthy lifestyle

Venue: Hörsaal 31

Ethical and existential aspects of lifestyle changes

Jan ARLEBRINK

Moving Generations – Evaluation of an intergenerational health promotion program based on psychomotricity

Erika MOSOR, Karin WALDHERR, Ursula HÜBEL, Veronika PINTER-THEISS, Tanja STAMM

Outpatient heart sports club - beyond physical activity

Klaus HÜLLEMANN

Holistic Care with Tai Chi Exercise can maintain the function of balance and allevating Depression in Patients with Spinocerebellar Degeneration Disease – Pilot Study

Chin San LIU, Chung-Min CHIU

O4.03

Tobacco cessation

Venue: Hörsaal 7

Factors associated with adolescent cigarette smoking in Northern Taiwan

Chih-Dao CHEN, Yu-Chun YEH

Smoking and clinical aggression in a large health service: can we do better?

Emma DEAN, Michelle ANANDA-RAJAH, Kirstan CORBEN, Steve MARUM

Will cancer patients stop smoking and drinking alcohol in relation to major bladder cancer surgery?

Susanne Vahr LAURIDSEN, Thordis THOMSEN, Peter THIND, Hanne TØNNESEN

Quit rates after a perioperative pharmacist-led brief smoking cessation intervention in a pre-admission clinic

Emma DEAN, Thuy BUI, Vanessa INSERRA, Paul MYLES, Justin BURKE, Kirstan CORBEN, Stuart YOUNIE, Michael DOOLEY

Effectively Enhancing the Smoking Cessation Success Rate Through Case Management

Chih-Ling CHENG, Yi-Feng CHENG, Shu-Chuan YU, Pai-Mei CHAO, Yi-Chih CHEN, Ling-Yu HUNG, Jhi-Chyun TSOU

O4.04

Equity in health promoting health care

Venue: Hörsaal 33

Adapting Equity Healthcare Standards in At-Risk Local Context in Spain: Lessons Learned and Future Challenges

Manuel GARCIA RAMIREZ, Carlos CAMACHO, Rocio GARRIDO

Equity assessment: our health prevention and promotion programmes reach EVERYONE?

Benedetta RIBOLDI, Antonio CHIARENZA, Annamaria FERRARI

Compliance to tuberculosis screening in irregular immigrants: The success of a model centered on case-holding

Carmen CASONI, Francesca BONVICINI, Lucia MONICI, George Josselin WAMBA, Jenny FOSCHIERI, Rossano FORNACIARI

Targeting tuberculosis elimination: A combined screening strategy in a population of irregular immigrants

Francesca BONVICINI, Lucia MONICI, Marina GRECI, Loredana GUIDI, Carmen CASONI, Rossano FORNACIARI

Health Promotion at the Least Expected Setting -- Health-Promoting Hospitals for Healthy Prisons

Michael S. CHEN, Chiachi B. LEE

O4.05

Improving patient care

Venue: Hörsaal 32

Limiting the use of Physical Restraint: A Guide for Healthcare Professionals

Paula LANE, Layla HUGHES

The efficacy of physical therapy in the head and neck cancer patients with trismus

Ling-Zhen LIAO, Chao-Chen HUNG, Dian-Kun LI, Yi-Fan CHOU, Hung-Pin WU, Sou-Hsin CHIEN

Applying the method of root cause analysis to reduce the infusion error of chemotherapy.

Yen-Fei WU, Chao-Chen HUNG, Chi-Chen HSU, Dian-Kun LI, Kuan-Po HUANG, Ching-Hsuan LO, Sou-Hsin CHIEN

Enhance the proficiency of nursing integrity on quality care for urgent gastrointestinal bleeding patients

Ya-Chieh HU, Ying-Husn WANG, Wen-Chuan HSU, Rui-Hsiang LIN

A Study on Clinical Pharmacy Service of Adverse Drug Reaction in a Regional Hospital in Northern Taiwan:Analysis of Examinations and Improvement Strategies

Po-Jen SHIH, Yu-Wen LIN, Nan-Ping YANG, Ching-Feng LIN

Effectiveness of BSRS-5 in high suicide risk patient care for medical social worker-An example for Taipei TzuChi Hospital

Chu-Yueh CHEN, Chia-Te LIN, Fang-Chien WU, You-Chen CHAO

O4.06

WORKSHOP: Standards and Tools for improving children's health

Venue: Hörsaal 23

Standards and Tools for improving children's health

Ilaria SIMONELLI, Coordinator of the HPH Task Force on Health Promotion with Children & Adolescents (ITA)

Abstract summary:

See program

Introduction

The Task Force is composed  by 26 members working on Health Promotion for Children and Adolescents in Hospitals and health services.  Among its working areas there is the  mapping and evaluation of current health promotion practices for empowering children and adolescents; the realization of a community of practice;  the exchange of knowledge; the drafting of tools for measuring the respect of children's rights and their level of well-being with particular attention to their participation as well.

Contents

As part of the promotion of child and adolescent health, the Task Force HPH-CA has recently started setting specific standards taking into account: 

  • The general framework divided into 5 areas (Management Policy, Patient Assessment, Patient information and Intervention, Promoting a healthy Workplace, Continuity and Co-operation);
  • The address of the Ottawa Charter (WHO, 1986), the Child Rights-based Approach developed by UN agencies (WHO, UNICEF, UNESCO) with particular regard to the child's right to health (article 24 of the Convention on the rights of the child, 1989), the child-friendly health care guidelines approved by the Council of Europe (2010);
  • International experiences such as Child Friendly health care, EACH Charter, Child friendly health care (Council of Europe), Baby-friendly hospitals initiative (1991);
  • The experience carried out by the Task Force HPH-CA on the respect of children's rights of self-assessment standards in the hospital (Self Evaluation Model and Tool, SEMT, 2009-ongoing). 

The Workshop will focus on the participation process as key cross-cutting dimension and on concrete tools implementing standards such as SEMT.  

Conclusions

As expected from the General Comment of the Committe on the Rights of the Child (OHCHR) number 15, relating to the right of the child to achieve the highest attainable standard of health, which highlights how the right to health should be supported and made concrete,  it is necessary to define health promotion standards for Hospitals and health services in order to improve quality of care but also accountability levels. Given the Task Force experience in tools  and standards drafting for promoting children's rights and health, it seems useful to compare experiences in order to focus on children's , families and caregivers needs. Measuring and Participating are dimensions that should be taken into account and highlighted in order to have a clearer vision on how planning effective and responsive healthcare services for children and adolescents. The Worshop expected result is to update on the general situation on the application of standards and on the implementation of useful tools. 

O4.07

WORKSHOP on Age-friendly Health Services Management- Identifying Challenges & the Supports that Work for YOU

Venue: Elise-Richter-Saal

Workshop on Age-friendly Health Services Management- Identifying Challenges & the Supports that Work for YOU

Prof. Shu-Ti CHIOU, Chair of Task Force on Health Promoting Hospitals and Age-friendly Health Care (TWN)

Abstract summary:

Background

As proposed in the WHO's "World Report on Ageing and Health" & in WHO's "Global Strategy and Action Plan on Ageing and Health" approved by the 69th World Health Assembly, the challenges of global population ageing needs to be addressed by multisectoral action for a life course approach to healthy ageing, and the health system needs to be aligned to the needs of older populations by orienting health systems around intrinsic capacity and functional ability, developing and ensuring affordable access to quality older person-centered and integrated clinical care, and ensuring a sustainable and appropriately trained, deployed and managed health workforce. 

However, there are many challenges faced by nowadays health service organizations. They usually have to handle rapidly growing workload with budget and workforce shortage. Chronic diseases are just too difficult to manage. Communication with patients are sometimes frustrating. In addition, frontline personnel were often neglected of their voices and could not change the system they worked within. So, how can "orienting health systems around intrinsic capacity and functional ability" really happen? What are the approaches that work at the organizational level and the department level?

The International Framework of Age-friendly Hospitals and Health Services was developed with the aim to help healthcare organizations adapt their structures, cultures, decisions & processes to support their staff in delivering older person-centered and integrated care to promote active & healthy ageing. It took into account the WHO Age-friendly principles for health care, the WHO HPH Standards and some contents from the world’s pioneering hospitals. The four standards of this framework well address the key areas for action on healthy aging in aligning health systems to the needs of older populations raised in the above mentioned WHO reports on healthy ageing. It was validated for use of self-assessment and external recognition, tailored to all types of health services, and translated into English, German, Estonian, Greek, etc. Up to as many as 211 healthcare organizations including 153 hospitals, 25 primary health center and 33 long-term care institutes have been recognized as age-friendly by May of 2016. 

Aim

To examine the challenges and share experiences and strategies that work in such process of organizational adaptation in introducing age-friendly healthcare initiative to promote healthy ageing and improve quality of older person-centered healthcare.

Methods & Brief Agenda

This workshop will put participants’ needs and wisdom at the center, and work together to examine the challenges & solutions in introducing age-friendly healthcare initiative. The agenda contains four parts- brief presentations, group discussions, group reports, open discussion. Each group will be assigned a topic for discussion.  

 

Time

Activites

by

16:15-16:18

Opening

Shu-Ti Chiou

16:18-16:27

Presentation: Age-friendly management policy & physical environments in health care

Dr. Wei Chen, Director, Department of Community Health, Chiayi Christian Hospital, Taiwan

16:27-16:36

Presentation: Age-friendly management policy & social environments in health care

Dr. Ming-Yueh Chou, Director, Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, Taiwan

16:36-16:45

Presentation: Implementation of age-friendly health care processes in hospitals

Dr. Jongmin Lee, Professor & Chairman, Department of Rehabilitation Medicine, Konkuk University Medical Center

16:45-17:15

Group discussions

Prof. Shu-Ti Chiou & all speakers

17:15-17:30

Group report

Prof. Shu-Ti Chiou & all speakers

17:30-17:45

Open discussions & wrap-up

Prof. Shu-Ti Chiou & all speakers

 

Topics for presentation & discussion 

  • How to work on Standard 1 & 4 (management policy & physical environments) - this will elaborate leadership & management issues in introducing age-friendly healthcare initiative, such as why is it important to engage the top leader and how, what are the difficulties and gains, does it cost a lot of money and time, how does the framework help to launch the initiative, the role of recognition, the structure and operation of the steering committee & coordinator, etc. 
  • How to work on Standard 1 & 2 (management policy & social environments), with a special focus on staff buy-in, multi-disciplinary collaboration and cultural change issues, such as training and education, how to engage and persuade the other sectors, innovation from the frontline, the role of volunteers, etc.
  • How to work on Standard 3 (care processes, including patient assessment, intervention and management, community partnership & continuity of care) - (care processes, including patient assessment, intervention and management, community partnership & continuity of care)- this will examine the priority core areas in promoting active ageing and look at how to integrate these areas into clinical practices, the difficulties & successes, etc.

The contributions of this workshop to HPH are 

  • shaping the leading role of HPH in healthcare delivery reform for population aging, 
  • supporting HPH members in combating organizational inertia, 
  • sharing applicable wisdom and momentum from frontline in this filed.

O4.08

WORKSHOP: Working Group on HPH and Health Literate Health Care Organizations

Venue: Hörsaal 30

Working Group on HPH and Health Literate Health Care Organizations

Jürgen M. PELIKAN, Christina C. WIECZOREK, WHO Collaborating Centre for Health Promotion in Hospitals and Health Care (AUT)

Abstract summary:

In the last decade, health literacy (HL), a core concept of health promotion, has been understood as an individual- and system-related concept. HL can thus be measured for both aspects, and interventions to improve HL can address individuals as well as organizations or systems. Accordingly, the Institute of Medicine (IOM) in the United States of America defined "Ten Attributes of Health Literate Healthcare Organizations" to focus on and observe organizational HL. 

The WHO Collaborating Centre for Health Promotion in Hospitals and Health Care took up these Ten Attributes and developed the "Vienna Concept of a Health-Literate Healthcare Organization" (V-HLO). V-HLO expands the concept of IOM by (a) introducing specific aspects relevant to the settings approach of HPH, (b) using the "Five standards" published by WHO/Euro and the "18 HPH core strategies", and (c) making explicit referral to concepts of quality management. In detail, V-HLO specifies how health care organizations and systems can make health related information better accessible, understandable, appraisable, and applicable to the three (HPH) target groups: patients, staff, and citizens. 

In order to make the concept of V-HLO applicable to health care practice, an organizational self-assessment tool for hospitals was developed following criteria of the ISQua process. The self-assessment tool consists of 9 standards, 22 sub-standards and 160 measurable elements. To investigate the feasibility of the self-assessment tool, nine Austrian hospitals piloted the tool. Based upon the outcomes of the feasibility study, a revised version of the tool and a toolbox with interventions in relation to each of the 9 standards was prepared in German language. In the meantime, the self-assessment tool was translated into English. Researchers and health care practitioners from other countries have shown interest in applying the tool. To facilitate the promotion and implementation of the V-HLO and the tool, the HPH Governance Board has approved the working group on "HPH and Health Literate Health Care Organizations (HPH & HLO)" in December 2016.

The aim of the working group on HPH & HLO is to discuss the applicability of the V-HLO model and the self-assessment tool for other countries and, in particular, for HPH members. Moreover, the aim of the WG is to adapt and translate the concept and tools into other languages. In line with this, the workshop will comprise:

 

  1. A presentation on the existing concept and tools by the initiating members of the working group 
  2. Initiating a first discussion on necessary adaptations and translations
  3. An agreement on the action plan and time schedule
  4. Discussion of next steps.

 

 

O4.09

WORKSHOP: Healthy Food and Wellbeing

Venue: Erika-Weinzierl-Saal

Healthy Food and Wellbeing

Grazia CIOCI, Health Care Without Harm Europe, BEL

Abstract summary:

Food is our primary source of energy, and the food we consume can be seen as an indicator of our health and wellbeing. Yet quite a few hospitals and healthcare settings (e.g. home care centres) give enough attention to the quality of the food they serve. Although food is vital in the process of patients’ recovery, patients too often end up not eating or not finishing their meals. This is due mainly to the food not being tasty and not reflecting patients’ preferences.

However, hospitals and healthcare settings have the responsibility to provide the right food and in the right amount to patients, in view of meeting patients’ preferences, avoiding malnutrition and facilitating a fast recovery. In this way hospitals will also decrease food wastage and achieve considerable savings.  Finally, food is not only important for patients, but also for healthcare employees as it also contributes to the health and wellbeing of hospitals’ staff.

A few steps have to be taken by the healthcare sector to improve the wellbeing of patients and staff in relation to the food that is served:

 

  1. Procure fresh, sustainable and, whenever possible, organic food to provide tasty and high quality food to patients and staff.
  2. Organise roundtables with patients and staff to allow them to identify different menu.
  3. Allow patients to choose their meals and the size of the portions from a menu.
  4. Improve communication between patients and kitchen staff, to be aware of patients’ choices and preferences.
  5. Provide protected mealtimes for patients, to allow them to take their time to finish their meals.
  6. Assist patients while eating, if assistance is needed.
  7. Monitor food intake.
  8. Improve meal presentation. 

 

In addition, healthcare professionals need to be aware of the barriers to food intake and understand the mechanisms necessary to create a patient-centred care around nutrition.  In addition, having nutrition classes in the training of healthcare professionals would be an asset and this knowledge could be transferred to patients and their families before discharge.

Description of the session

This session will discuss how the healthcare sector can provide healthy and sustainable food and improve the nutrition and the well being of their patients and employees.  Two keynote speakers, who will share their best practices from their healthcare institutions, will present priorities, challenges and opportunities linking healthy food and wellbeing. After the presentations, an open and constructive group debate will take place where all participants will be welcome to showcase their experiences. Main conclusions and next steps will be drawn from the outcome of the group debate.

Facilitator

Grazia Cioci (Facilitator) (Deputy Director of Health Care Without Harm (HCWH) Europe) – a European NGO whose mission is to transform healthcare worldwide so that it reduces its environmental footprint, it becomes a community anchor for sustainability, and a leader in the global movement for environmental health and justice.

O4.10

CHPS Symposium for Junior Researchers: How do I present my HPH research? - A hands on session on presentation technique for junior researchers

Venue: Hörsaal 27

CHPS Symposium for Junior Researchers: How do I present my HPH research? - A hands on session on presentation technique for junior researchers

Thor Bern JENSEN, Jeff Kirk SVANE, WHO Collaborating Centre for Evidence-based Health Promotion (DNK)

Abstract summary:

Anyone can present, but presenting something well is a science that takes practice. In this short session, junior researchers can work with the topics of: 

  • defining the intention of their presentations
  • identifying, structuring, formulating presentation of content
  • remembering and "performing" their presentations on stage
  • the presentation situation and the audience 

Presenting your results is an important part in most research projects, and a good presentation is important for delivering your messages effectively and convincingly. However, presenting research results can be daunting for students and junior (even senior) researchers, and presenting results in the best way possible can be challenging without the right tools and know-how. Drawing on WHOCC's curricula for PhD student courses, this CHPS session will give the participants a condensed crash course on planning, making and performing oral presentations of research results. The participants will be introduced to basic tools and theory, practical tips and helpful pointers.