Parallel Session on Health Promotion for Children and Adolescents in HospitalsDublin, 20/5/2005

HEALTH PROMOTING HOSPITALS FOR CHILDREN AND ADOLESCENTS

(HPH-CA)

ABOUT THE HPH-CA PROJECT

- Mission

- Task force and related Working group

- Logical framework

HPH-CA BACKGROUND SURVEY

“to develop a project aiming to apply HPH principles and criteria to the specific issues of health promotion

for children and adolescents in hospitals,

providing an organic conceptual and operational framework as an authoritative scientific support”.

Source:

Task force’s Website: www.meyer.it/hph/hph-ca

HPH-CA Mission

MEYERTask force

European Associationfor Children in Hospital: EACH

Hospitals for Children:Amsterdam, Athens, Barcelona, Dublin, Edinburgh, Kaunas,

Kazan, Madrid, Nice, Odense,Tallinn, Vienna

WHOEuropean Office of Barcelona

University Research Units:

- RESO Louvain, - ‘L. Boltzmann’ Institute

HPH-CA Task force and Working group

HPH-CA Working Group

Austria: UNIVERSITÄTSKLINIK FÜR KINDER UND JUGENDHEILKUNDE - VIENNA I. Eichler

Austria: ‘L.BOLTZMANN’ INSTITUTE - VIENNA P. Novak

Belgium: UNITE’ D’EDUCATION POUR LA SANTE’ RESO UNIVERSITE’ CATHOLIQUE DE LOUVAIN I. Aujoulat

Denmark: ODENSE UNIVERSITY HOSPITAL H.Tønnesen

Estonia: TALLINN CHILDREN’S HOSPITAL L. Suurorg-T. Harm

France: NICE UNIVERSITY HOSPITAL L. Bentz

Greece: KYRIAKOY CHILDREN’S HOSPITAL ATHENS S.Tsitoura

Ireland: HPH NETWORK - DUBLIN C.Hannebry-A.O’Riordan

Lithuania: KAUNAS COUNTY HOSPITAL J. Kudzyte

Netherlands: EMMA CHILDREN’S HOSPITAL UNIVERSITY OF AMSTERDAM J.W. Hartog Dammer

Russian CHILDREN’S HOSPITAL OF Federation: KAZAN REPUBLIC OF TATARSTAN E.V. Karpukhin

Spain: HOSPITAL DE SANT JOAN DE DIEU ESPLUGUES DE LLOBREGAT M. del Castillo Rey

Spain: HOSPITAL UNIVERSITARIO NIŇO JESUS MADRID J. A. Dìaz Huertas

UK: ROYAL HOSPITAL FOR SICK CHILDREN LOTHIAN UNIVERSITY HOSPITALS NHS J. Robinson

EACH: EUROPEAN ASSOCIATION FOR CHILDREN IN HOSPITALS G.Filippazzi

HPH-CA Task force: Fabrizio Simonelli, Maria José Caldes Pinilla, Katalin Majer

For more information:

HPH-CA Website

www.meyer/hph/hph-ca

HPH-CA WEBSITE

HPH-CABACKGROUND

NEEDS

RIGHTS

GOODPRACTICES

RIGHTSSTANDARDS

EVIDENCECRITERIA,

STANDARDS,INDICATORS

RECOMMENDATIONSAND GUIDELINES

COMMUNITYOF PRACTICE

OPENNETWORK

WEBSITE, CONFERENCES, WORKSHOPS

Logical framework

TASK FORCE, WORKING GROUP

WORLD HEALTH ORGANIZATIONREGIONAL OFFICE FOR EUROPE

HEALTH PROMOTION FOR CHILDREN AND ADOLESCENTS IN HOSPITALS

BACKGROUND SURVEY

PRESENTATION, RESULTSFINAL COMMENTS AND RECOMMENDATIONS

PRESENTATIONOF THE HPH-CA BACKGROUND SURVEY

BACKGROUND SURVEY

• Children’s rights in hospitalsChildren’s rights in hospitals

• Adopted standardsAdopted standards on health promotion in hospitals

• Current practicesCurrent practices of health promotion in hospitals

• General situationGeneral situation (relating to health promotion issues in hospitals)

Legal situation, Education, Admission

OBJECTIVES:

to carry out a preliminary inquiry in the WHO European preliminary inquiry in the WHO European RegionRegion, in order to acquire information (which will integrate the theoretical work of the HPH-CA Working Group) in the following four areas:

BACKGROUND SURVEY

METHODOLOGY - THE QUESTIONNAIRE:

- the questionnaire has been elaborated byelaborated by the Task force and by some members of the Working group, defining the four areas above mentioned;

- an explanatory noteexplanatory note on the study, and a glossary of the main terms utilised with the correspondent meanings, introduced the questionnaire;

- questions were both open and closed formatopen and closed format.

METHODOLOGY - THE SAMPLE:

114 questionnaires114 questionnaires from hospitals belonging to 22 22 European countriesEuropean countries, of whom 31,58 % are members of the International HPH Network.

(This sample is not extensive nether statistically representative).

Health Promotion for Children and Adolescents in

Hospitals

Backgroundsurvey

questionnaire

Recognition of the

addressees:within June, 30

Distribution of the questionnaires

and their compilation:within August, 31

Collection of the questionnaires and

control of the information:

within September, 30

Elaboration of the information and

reporting:within December,

31

HPH Co-ordinators, WG

Members, EACH delegates

METHODOLOGY - DATA COLLECTION:

The hospitals participated on a voluntary basis. The hospitals participated on a voluntary basis. As the study was As the study was exploratory, the procedure for data collection was not designed to obtain exploratory, the procedure for data collection was not designed to obtain a representative samplea representative sample..

BACKGROUND SURVEY

METHODOLOGY - DATA ANALYSIS:

- quantitative point of view quantitative point of view - general criteria:

-reporting with descriptive method, without interpretation,-reporting according to the general criteria and principles of the HPH philosophy,-reporting according to the conceptual framework defined by the HPH-CA Working Group.

(Specific criteria for single areas of the report have been followed.)

- qualitative point of view:qualitative point of view:

-identification of the clusters (target groups, typology of standards and practices),-within these clusters data have been sorted and elaborated.

(Furthermore, a list with the examples of recognised health promotion practices has been inserted.)

RESULTS

RESULTS: HOSPITALS PARTICIPATING

114 QUESTIONAIRES COLLECTED FROM 22 EUROPEAN COUNTRIES

HPH Adhesions

CountriesQuestionnair

es N°

HPH

Members

N° YES

HPH

Members

% YES

HPH

Members

N° NO

HPH

Members

N° n.a.

A 16 12 4B 1 1BG 1 1CH 1 1D 4 1 25% 2 1E 1 1EST 2 2 100%F 14 4 28,58% 10GR 2 1 50% 1H 1 1I 12 12 100%IL 2 1 1IRL 13 10 76,90% 2 1KZ 1 1LT 1 1 100%NED 26 25 1PL 1 1 100%RUS 1 1 100%S 5 1 20% 2 2SF 1 1 100%SK 1 1UK 7 1 14,29% 6

114 36 31,58 63 15

16

1 1 1

4

1 2

14

2 1

12

2

13

1 1

26

1 1

5

1 1

7

0

5

10

15

20

25

30

A B BG CH D E EST F GR H I IL IRL KZ LT NED PL RUS S SF SK UK

RESULTS: CHILDREN’S RIGHTS

Summary

- 50 hospitals50 hospitals (44% of the sample) declare having officially adopted a charter on the rights of children in hospitals,

- 12 hospitals12 hospitals (11% of the sample) declare ‘work in progress’.

1.1 N.YES 50IN PROGRESS 12NO 51N.A. 1TOTAL 114

1.1

Yes44%

In progress11%

No44%

n.a.1%

RESULTS: ADOPTED STANDARDS - GENERAL DATA

Summary

- 35 hospitals35 hospitals (30,70% of the sample) declare to have a written policy for health promotion,

- 17 hospitals17 hospitals (14,90% of the sample) declare ‘work in progress’

2.1 N. %YES 35 30,70IN PRO G R ESS 17 14,91NO 55 48,25N.A. 7 6,14TOTAL 114 100,00

2.1

Yes31%

In progress15%

No48%

n.a.6%

RESULTS: ADOPTED STANDARDS - LIST FOR TYPOLOGY

S T A N D A R D S N . P ercen t1 M an ag em en t P o lic y 52 76 ,5 %2 P atien t A ssessm en t 0 0%3 P atien t In fo rm a tion and In te rven tion 5 7 ,3%4 P ro m o tin g a H ea lth y W o rk p lace 11 16 ,2 %5 C ontinu ity an d C o-ope ra tion 0 0%

T ota l 68 100%

2 .3

M anagem ent P o licy77%

P rom oting a H ea lthy

W orkp lace16%

P atien t In fo rm ation and

In te rven tion7%

Among the 33 hospitals33 hospitals which have declared some standards on health promotion, the distribution was the following:

RESULTS: CURRENT PRACTICES FOR HPH-CA TARGET GROUPS

H P H - C A t a r g e t g r o u p sA v e r a g e o f p r a c t ic e s

inH P H m e m b e r s

A v e r a g e o f p r a c t ic e sin

n o n - H P H m e m b e r sA F u t u r e p a r e n t s 1 , 0 5 0 , 8B P a r e n t s 2 , 7 1 , 6C H C a c u t e i l ln e s s e s 1 , 8 0 , 8D H A a c u t e i l ln e s s e s 2 0 , 9E H C s e v e r e / c h r o n i c i l l n e s s e s 3 , 9 2 , 5F H A s e v e r e / c h r o n i c i l l n e s s e s 4 , 1 2 , 6G H o s p i t a l s t a f f 1 , 0 5 0 , 2H C h i ld r e n v is i t o r s 0 , 6 0 , 3I C o m m u n i t y o f r e f e r e n c e 0 , 5 0 , 1

T o t a l 1 7 , 7 1 0 , 0

0

0 , 5

1

1 , 5

2

2 , 5

3

3 , 5

4

4 , 5

F u t u r e p a r e n t s P a r e n t s H C a c u t ei l l n e s s e s

H A a c u t ei l l n e s s e s

H Cs e v e r e / c h r o n ic

i l l n e s s e s

H As e v e r e / c h r o n ic

i l l n e s s e s

H o s p i t a l s t a f f C h i ld r e n v is i t o r s C o m m u n i t y o fr e f e r e n c e

3 . 1 A v e r a g e o f p r a c t i c e s in H P H m e m b e r s

A v e r a g e o f p r a c t i c e s in n o n - H P H m e m b e r s

FINAL COMMENTS

FINAL COMMENTS:

Charters on the rights of children in hospital:Charters on the rights of children in hospital:lack in the adoption of Charters (and lack of tools to assess the respect of the rights);

Health promotion standards: Health promotion standards: many different ways to intend the mean of standard for health promotion;

Current practices of health promotion:Current practices of health promotion: rich cultural and operative heritage exists;practices are addressed mainly to children and adolescents with severe/chronic diseases.

General information: General information: wide attention given to the right of the child to stay with his/her parents and relatives during hospitalisation, and to the adoption of rules and economical facilities; relevant differences exist in order to the application of the limits of children’s as regards the ordinary access to paediatrics hospitals or departments.

Comparison between hospitals which are HPH members and Comparison between hospitals which are HPH members and hospitals which are not members:hospitals which are not members:HPH members address generally more attention to the rights of children in hospitals and to the adoption of standards on health promotion; and they have described a relative higher number of current practices.

RECOMMENDATIONS

RECOMMENDATIONS:

This work highlights the needs to promote the scientific research, This work highlights the needs to promote the scientific research, culture and interventions based on the health promotion inside culture and interventions based on the health promotion inside

the hospital structures.the hospital structures.

On the basis of the results, this process calls forthis process calls for:

- increase of the adoption of charters on rightsincrease of the adoption of charters on rights of children in hospitals by children’s hospitals and paediatric departments of general hospitals, and also of the development of related tools for assess their related tools for assess their observanceobservance;

- elaboration and sharing by the health professionals and managers regarding the evidence of key concepts, means and reference modelskey concepts, means and reference models related to health promotion for children and adolescents in hospitals;

- description and dissemination of good practices and description and dissemination of good practices and development of standardsdevelopment of standards on health promotion for children and adolescents in hospitals;

- development of actions addressed to reduce the differences with actions addressed to reduce the differences with regard to accessibility/availability to health promotion activities in regard to accessibility/availability to health promotion activities in hospitalshospitals in the WHO European Region.