ANALYSIS OF HEALTH NEEDS OF A HOSPITAL STAFF

1. 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

2. 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

3. 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

4. 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

5. Group InterviewsDefinition 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 • 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 STES-HPH-99113mml

6. 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

7. 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

8. Example of Results :Priorities in an Intensive Care Nursing Group STES-HPH-99113mml

9. Results :Main Keywords Defined As Priorities STES-HPH-99113mml

10. 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

11. 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

12. 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