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OSH ISSUES IN THE HEALTHCARE SECTOR AND STAFF EMPOWERMENT

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Title: OSH ISSUES IN THE HEALTHCARE SECTOR AND STAFF EMPOWERMENT


1
OSH ISSUES IN THE HEALTHCARE SECTOR AND STAFF
EMPOWERMENT
  • Sarah Copsey

2
The Agency www.agency.osha.eu.int
  • Provides information
  • Networking
  • Coordinates
  • Information services
  • Information projects
  • Agency website dissemination means

3
Why the health care sector?
  • European concern
  • Sector has been highlighted as a priority by the
    Member States
  • Common risks across Europe

4
Most frequently identified sectors at risk by
OSH Authorities (Agency 2000)
5
Healthcare sector greater risks of
  • Violence
  • Stress
  • Bullying
  • Work directed by social demands
  • Reproductive hazards
  • Biological infections
  • Heavy loads, poor postures
  • Occupational ill health/diseases
  • Sickness absence

6
Plenary 1 The hospital a staff empowering
workplace
Sarah Copsey
Thursday 19th May 2005
7
Health care sector other risk factors
  • Accidents
  • Chemicals
  • Shiftwork, hours
  • Work organisation
  • Content and forms of work
  • Report by the Dublin Foundation, Working
    conditions in hospitals in the European Union
    1995

8
Health care sector risks
  • Risks arise from
  • Physical conditions
  • Organisational restrictions
  • Social environment
  • 3 groups most at risk
  • Nursing staff includes assistents and students
  • Service and trade workers
  • Laboratory staff and anaesthetists
  • Report by the Dublin Foundation, Working
    conditions in hospitals in the European Union
    1995

9
Good practice examples
  • Violence prevention Dutch hospital
  • Violence Irish hospital
  • Stress prevention Spanish elderly care
  • Stress audit tool Irish hospital
  • Stress improving shift rotas, Finnish hospital
  • All EU languages

10
Safe care plan prevention of violence in
hospitals - Netherlands
  • Cooperation between hospital, regional police and
    Public Prosecutors Department
  • Cooperation between the management board and
    works council
  • Survey most incidents in reception, accident and
    emergency, psychiatry, evenings, nights and
    weekends
  • Working party from staff in at risk departments
    draw up risk inventory
  • On hospital room plan colour risk level -red
    high, yellow medium, green low
  • Measures based on discussion of risk inventory
  • Links to tripartite hospital
  • safety agreement

11
Safe Care Plan (2) No tolerance system
  • All incidents reported
  • Card system for serious aggression
  • Yellow card for serious threats, reported to
    police
  • Red card for physical violence reported to
    police and brought before public prosecutor
  • Posters about policy in public places and media
    to inform public
  • Police provide information/advance notice
  • Staff carry alarms, to alert security staff
  • Cameras linked to alarms

12
Safe Care Plan (3) supporting measures based on
risk analysis
  • Patient environment measures e.g. information
    about waiting times
  • Staff training about all aspects
  • On agenda of monthly management-staff consulting
    meetings, police invited
  • After incident counselling

13
Violence to hospital staff - Ireland
  • Visible management commitment
  • New report form, reporting positively encouraged,
    electronic database
  • Multidisciplinary working group and hs
    consultants --gt risk assessment and prioritised
    recommendations
  • Comprehensive framework - Measures covering
    anticipation, prevention, intervention, support
    and evaluation

14
Violence to hospital staff Ireland measures (1)
  • Safety of physical environment and work practices
  • Non-violent crisis intervention programme staff
    trained as trainers
  • Increased security presence
  • Alarm systems and better CCTV coverage
  • Closer working with the police. Police liaison
    officer to work with hospital
  • Prosecutions in serious cases
  • Information for staff, public awareness through
    local media

15
Violence to hospital staff Ireland measures (2)
  • Staff feedback system
  • Improvements for patients, e.g. waiting time
    information

16
Stress prevention in an old peoples home Spain
(1) how
  • Cooperation between management, trade unions and
    the local insurance organisation
  • Risk assessment of the work and a staff
    questionnaire
  • Problems found included
  • High work load
  • Lack of information
  • Lack of decision making responsibility
  • Little possibility of promotion
  • Unforeseen events/changes of plan
  • Physical work conditions and physical effort

17
Stress prevention in an old peoples home Spain
(2) solutions
  • Increase staffing levels during peak hours
  • Staff training to deal with emotional stress
  • Specifying functions and competencies of nursing
    assistants e.g drug dispensing
  • Communication protocol for risks
  • Increasing worker autonomy, discretion
  • Clear definitions of content of tasks and
    responsibilities, in an agreement
  • Providing lifting aids, hoists
  • Promoting worker participation

18
Stress prevention in an Irish hospital (1)
  • Problem identification
  • Workshops about stress and solutions
  • Anonymous questionnaire
  • Group discussions of the results
  • Problems included
  • Shifts and the starting time of shifts
  • Lack of showers and other facilities

19
Stress prevention in an Irish hospital (2)
  • Solutions
  • Change shift starting times
  • Consultation with an expert to establish a new
    shift system
  • Installation of showers in an unused area

20
Physiotherapists work rotas - Finland
  • Objective to increase employee control over
    their work rotas
  • Solution
  • Supervisor set a framework for rotas
  • Employees plan own rotas within framework
  • Training on the system and planning rotas
  • Result better compatibility with home- life,
    improved services for the hospital

21
Success factors in psychosocial risk prevention
initiatives
  • Adequate risk analysis
  • Thorough planning and a stepwise approach
  • Combination of measures covering anticipation,
    prevention, intervention, support and evaluation
    with main focus on collective prevention measures
  • Context-specific solutions
  • Experienced practitioners and evidence-based
    solutions
  • Social dialogue, partnership and workers
    involvement. Continuing staff feedback
  • Violence - liaison with external bodies police,
    judiciary, local community includes prosecution
  • Sustained prevention and top
  • management support and resources

22
Elements of empowerment in OSH processes
  • Informed and Trained
  • Involved through participation
  • Given control, responsibility
  • Supported
  • No-blame approach
  • Commitment to participation and prevention at
    source
  • Participatory arrangements
  • Involvement in identifying problems and
    solutions, implementation, monitoring
    and feedback

23
http//europe.osha.eu.int/good_practice/sector/hea
lthcare/
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