Professional paper
HEALTH PROMOTING HOSPITALS – SELF-ASSESSMENT OF HEALTH PROMOTION ACTIVITIES AT DEPARTMENT OF PSYCHIATRY, DR. TOMISLAV BARDEK GENERAL HOSPITAL, KOPRIVNICA
MIRNA ZAGRAJSKI BRKIĆ
orcid.org/0000-0002-5068-3220
; Dr. Tomislav Bardek General Hospital, Koprivnica, Croatia
SELMA ŠOGORIĆ
orcid.org/0000-0002-2314-2146
; University of Zagreb, School of Medicine, Andrija Štampar School of Public Health, Zagreb, Croatia
SANDRA LOVRIĆ
orcid.org/0000-0001-5809-0713
; Dr. Tomislav Bardek General Hospital, Koprivnica, Croatia
VESNA SERTIĆ
; Dr. Tomislav Bardek General Hospital, Koprivnica, University North, Nursing Department, Varaždin, Croatia
ANITA GALINEC
; Dr. Tomislav Bardek General Hospital, Koprivnica, Croatia
MLADEN TOMAS
; Dr. Tomislav Bardek General Hospital, Koprivnica, Croatia
MARKO MIKULAN
; Dr. Tomislav Bardek General Hospital, Koprivnica, Croatia
MIRJANA GAŠPARIĆ-SIKAVICA
; Dr. Tomislav Bardek General Hospital, Koprivnica, Croatia
DIETER MARKOVČIĆ
orcid.org/0000-0001-5798-4651
; Dr. Tomislav Bardek General Hospital, Koprivnica, Croatia
Abstract
In 2006, the World Health Organization (WHO) published the manual entitled Implementing Health Promotion in Hospitals: Manual and Self-Assessment Forms, which defi nes fi ve standards and related indicators, allowing systematic self-assessment of health promotion in hospitals. In 2014, the Bispebjerg University Hospital, Denmark, the WHO Collaboration Center for Evidence Based Health Promotion in Hospitals, launched an international research project that sought to explore the effectiveness of clinical health promotion (Recognition project). Department of Psychiatry, Dr. Tomislav Bardek General Hospital from Koprivnica took part in this research. The aim of this paper is to present self-assessment and integration of the clinical health promotion concept in daily work of a general hospital, exemplifi ed by Department of Psychiatry, Dr. Tomislav Bardek General Hospital from Koprivnica. Using the Health Promoting Hospitals DATA Model for Identifi cation of Health Promotion Needs, records on 50 patients (hospitalized in November 2014) were audited in December 2014 by the local research team. Methods: The following indicators were assessed: Standard 2 – patient assessment related to body weight, body mass index, appetite, metabolic disease, physical activity, smoking, and harmful alcoholic drinking; Standard 3.1.1 – patient needs and information on smoking, drinking alcohol, eating habits, physical inactivity, and psychosocial relationships; and Standard 5 – information in discharge summary including plan for rehabilitation, recommendations of interventions, and patient status. Results: Systematic audit of medical and nursing documentation on preventable health risks of hospitalized patients detected areas for improvement that would allow better planning of health promotion activities in clinical settings, i.e. improve treatment effi cacy and patient safety. Auditors found that patient needs and information provided were not recorded appropriately in medical documentation (nursing documentation was more clearly structured). Discharge letters had comprehensive description of patient status but scarce recommendations of interventions and rehabilitation plan (what to do after discharge from the hospital). Explanation can be found in disrupted continuity of care. There are weak formal communication channels between hospital and other (health, social welfare, nongovernmental organizations) care providers, institutions and community, so patients and their families cannot (automatically) be referred to other support programs and services. The use of standardized Manual and self-assessment forms allows systematic assessment of health promotion in hospitals. In addition, it can detect areas for improvement that will lead (fi nally) to the integration of the concept of clinical health promotion in daily work of the hospital. However, proper pursuit of the continuity of healthcare
is particularly important. Conclusion: In order to improve the quality of care for patients with chronic, long-term illnesses, clinical health promotion in hospitals should be built into a wider healthcare framework.
Keywords
self-assessment; clinical health promotion; quality of health care; medical and nursing documentation; patient information
Hrčak ID:
199539
URI
Publication date:
20.4.2018.
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