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>> eHospital
e-learning opportunitiesfor adult patients
during hospitalisationin health-care institutions
FEPI Conference 2007Cavtat, 25-28 September 2007
eHospital
A project funded by the European Commission‘sSocrates / Grundtvig programme
Duration:1.10 2005-30.9.2008
e-learning opportunities for adult patientsduring hospitalisation in health-care institutions
eHospital partners
die Berater, Austria
(Coordinator)
Donau-Universität Krems, Austria
Bildungswerk der
Sächsischen Wirt- schaft, Germany
Academy of
Management Łodzi,Poland
CESGA, Spain
Universidade de Santiago de Compostela, Spain
ORT France
Ynternet.org, Switzerland(associated
partner)
die Berater
• Training and consulting company
• 400 members of staff
• around 50 branches in Austria
• ca. 16.000 participants per year
• 15.500 m² training facilities
• tailor-made seminars
Some facts
Our competences
• Soft skills trainings
• IT trainings
• Language courses
• Coaching
• Outplacement
• Consulting
• Job seeker seminars
• EU projects
Our approach
• The person is most important
• Fair Play
• Social responsibility
Learning while at hospital?
Lifelong learning for all is a declared policy aim of the European Union and its member states.
One group of adults has been denied access to learning, though:Patients who are forced to spend a longer period at hospital due to severe or chronic illness. However, the potential benefits of learning activities during hospitalisation are undisputable…
Learning at hospital can
• help coping with isolation• open a window to the outside
world• ease reintegration into normal life • and thus potentially contributes to
patients‘ mental and physical convalescence.
Why e-learning?
Computer-assisted learning has a great potential in this specific educational context.
Hospital patients are restricted in their mobility and can therefore profit from being independent on the time-space coordinates of conventional face-to-face learning. Social interaction and joint learning activities with peers become possible with the help of virtual tools.
The starting point of eHospital
A successful national project which started at a children‘s hospital in Viennaand is now implemented in several hospitals all-over Austria
ECDL for children suffering from cancer
eHospital: Corner stones
1. Experience from the ECDL projects with young cancer patients:Learning can produce an enormous emotional boost for long-term patients.
2. In many European countries there are hospital schools for school-age children, but there are no learning provisions for adult patients.
3. Transfer of the experience from the ECDL projects to• other age groups (adults)• other patients groups • other learning topics• other countries
4. Investigation of the potential of e-learning for patient education
5. Academic evaluation of the learning activities by two universities
What the eHospital project is doing
• Desk research:Valuable lessons can be learned from the experience gained in successful e-learning projects at hospital schools for children: This existing experience is examined and adapted to the learning needs of adult patients.
• Pilot courses:Local e-learning courses for different groups of patients have been designed and tested in Austria, Germany, Poland, Spain, France, and Switzerland.
• Evaluation:The adequacy of the e-learning tools used and the effects of the courses on the patients are carefully evaluated.
• Guidance for trainers:For the first time guidance materials for adult educators who wish to work in hospitals will be developed.
• Dissemination:The project results will be presented at an international dissemination conference in spring 2008.
The main activities of the project between October 2005 and September 2008:
Project framework
Analysis:State of the Art of pat-ient
education in Europe
Planning and implementation of local e-
learning projects in 5 countries
Best Practice
Tools for e-learning in hospitals
e-learning platforme-learning content
Handbook for educators
Recommendations, Methodologies and examples
of e-learning activities in hospitals
Evaluation
eHospital: The Austrian course
• In cooperation with AKH Vienna
• 15-25 year-old patients of neuro-oncology, neuro-paediatrics, epilepsy, cardiology, dialysis
• Patients after brain surgery with severe cognitive impairments (reduced memory, short attention span)
• Long periods of hospitalisation or day patients
• Disrupted school education and / or vocational training
• No educational offers in hospital after end of compulsory school
• Challenge: Entry into labour market
Topic: Job Perspectives
• What is e-learning?
• Career decisions
• Work: labour market, unemployment, job-hunting…
• Job application training
• Soft Skills: Personal strengths and weaknesses, defining aims, communication…
eHospital: The other courses
Alzheimer patients
Basic IT and internet skills
Patients with spinal cord injuries
Digital literacy for re-entry in the labour market
Patients in soft psychiatric
treatment The art of profiling on the
web
Patients with lung diseases
Languages for travelling
Information management
Elderly patients
Maintaining physical and mental mobility
Patients with temporary mental health problems
History of art &creativity
Patient groups
&topics
What eHospital offers to you• Are you an adult educator or e-
learning facilitator?
• Do you want to develop and offer learning activities for hospital patients?
• Or are you a health professional and do you want to introduce educational activities in your hospital?
• A research report on the state of the art of educational activities in European hospitals
• A documentation of successful e-learning projects in hospitals
• A learning management system and course content adapted to the needs of e-learning in hospital
• A guidance publication for adult educators wishing to work in hospitals (2008)If you answer one of these questions
positively eHospital may have interesting products for you:
Please visit our website:www.ehospital-project.net
First evaluation results
• The diverse learning offers were very much appreciated by all patient groups and hospital staff involved:E-learning for hospital patients is wanted and accepted!
• The personal relationship between patient learner and tutor is crucial.E-learning in hospitals needs frequent and intensive face-to face contacts:Only blended learning can be a successful e-learning strategy.
• “Learning achievements“ can occur at different levels:acquisition of new skills improving employability – learning for personal fulfilment – increase of motivation and mental strength – activity diverting attention from illness.Each type of learning achievement is equally valuable!
First evaluation results
• Learning provisions must be extremely flexible and individualised with regard to
• content• duration• intensity of the course offered.
Keys to flexibility are IT-supported learning and modularisation.
• Close cooperation between e-learning providers / tutors and hospital staff is necessary.Various groups of staff are concerned: medical – nursing- psychological – educational – administrative - technical.Hospital staff has an important role in selecting and motivating patients, organising learning times, supporting learners, giving information and feedback to tutors.
E-learning in Hospitals: critical points
• It is crucial that the top management of the hospital fully sup-ports the learning project: A formalised cooperation contract and the appointment of contact persons within the hospital are useful.
• Staff in hospitals often work under extreme pressure of time and emotional strain. This needs to be taken into account when planning the cooperation. Necessary meetings ought to be integrated in the existing hospital routine and should not produce additional strains. Feasible communication channels should be defined early.
• The average duration of hospitalisation is decreasing due to financial restraints of the health system. To engage in e-learning makes only sense if patients
• are hospitalised for at least two weeks or• return for short spells or as day patients within a longer
period of time
E-learning in Hospitals: critical points
• Providing tailor-made blended learning to hospital patients is rather expensive because of
• High fluctuation of patients and• Therefore usually small numbers of participants at a given
point of time• the need for individualisation and• Intensive face-to-face contacts
• Different financing models appear possible in different contexts• Sponsoring through patients’ associations or companies• Public funding• Funding by hospital in order to increase its attractiveness• Fees paid by patients
Arguments for e-learning in Hospitals
The idea of e-learning in hospitals is still new and needs active promotion among stakeholders of the health system!
Arguments
Distinction from
competitors
Image and reputationof hospital
High patientsatisfaction
Support ofconvalescence
Emotional wellbeing
Enhancement ofemployability
Entertainment & fun
Best use of time
Newcompetences
Contact
Holger BIENZLEHead EU Departement
die BeraterWipplingerstrasse 32A-1010 ViennaTel.: +43/1/7324545-1162Fax: +43/1/7324545-1145e-mail: [email protected]
www.ehospital-project.net