Parallel Sessions

informal caregivers

Church-based Volunteers in Community Care: Offering Sup­port to Informal Caregivers

Alexander Bischoff (CH)
25.10.2018, 14.30 - 15.00
This project aims at integrating church-based volunteers (CBV) in community care. CBV are trained to support informal caregivers who provide home care for patients with dementia, chronic illness or elderly frailty. The intended collaboration of CBV and informal caregivers is an untapped resource in times of scarce health system resources.

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IncuPA – A project incubator to optimize the support of informal caregivers (ICs) in French-spea­king Switzerland

Sandrine Pihet et al. (CH)
25.10.2018, 15.00 – 15.30
Optimizing the support provided to ICs is a public health priority involving diverse organizations, such as associations, authorities, professionals or researchers. IncuPA aims to stimulate innovation in the field of ICs support using a collaborative approach. In 2017, we conducted a feasibility study to evaluate the relevance of IncuPA.

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An approach to assess adequacy of the support offerings with the real needs of informal caregivers of persons suffering from mental illness

Kim Lê Van et al. (CH)
25.10.2018, 15.30 – 16.00
As a solution to the need for care in a context of healthcare professionals’ shortage, informal caregivers are at the heart of societal and political considerations. Considering the potential burden they are facing in adult psychiatry, the question arises: What approach for assessing (in)adequacy of the support offerings with informal caregivers’ needs?

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The contribution of state-run civilian and volunteer services to address long-term care shortages: The case of Swiss civilian service

Daniel Weyermann (CH)
25.10.2018, 16.30 – 17.00
The contribution of state-run civilian service to care offers an additional option to mitigate staff shortage in long-term care. The presentation outlines the basic functioning and current contribution of the Swiss civilian service to the care sector. It indicates how civilian service could support the proposed solutions to staff shortage in Switzerland.

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ENHANCING HEALTH PROFESSIONALS‘ RETENTION

Job satifsfaction of midwives

Susanne Grylka-Bäschlin et al. (CH)
25.10.2018, 14.30 - 15.00
Job satisfaction of midwives might be associated with their possibilities to use acquired competences. We are conducting a two-phase study using mixed methods to assess the working situation of midwives in the canton of Zurich and to develop, implement and evaluate an innovative midwifery-led model of care in one hospital.


Reasons for leaving care professions in the health and social sector – a mixed-method approach

Marianne Müller et al. (CH)
25.10.2018, 15.00 – 15.30
One reason for the labour market shortages in the health and social care sectors is the high proportion of skilled workers shifting out of the sector. Therefore it is important to know how employment conditions, combined with individual traits, affect the desire to leave the sector. Our three-part career study reveals the underlying determinants of career shift intentions so that preventive measures can be developed.


Working Conditions, Job Satisfaction, and Work-Life Balance Among Physicians and Nurses: An Institutional Perspective on a Swiss Acute Hospital

Carole Ammann et al. (CH)
25.10.2018, 15.30 – 16.00
This paper looks at a hospital’s strategies to gain and retain health care staff. We investigate the everyday rules which are implicitly constructed and bargained over and ask which factors contribute to job satisfaction. We also study how the health personnel reconciles work, family and leisure in a 24/7 operation.

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Continuing professional life after „second victi“-experience: insights from a qualitative metasynthesis

Cornel Schiess et al. (CH)
26.10.2018, 11.30 – 12.00
Involvement in adverse events can lead to the „second victim“-experience. Therefore, professional performance can be impaired, thereby endangering patient safety as well as leading to an early professional exit. Based on insights from a qualitative metasynthesis, continuing of professional life after „second victim“-experience will be discussed.

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Health workforce shortage in Italian-speaking Switzerland: What countermeasures might be most effective?

Stefan Kunz et al. (CH)
26.10.2018, 12.00 – 12.30
In 2016 the regional government of the Canton Ticino did set up a task force of experts to identify viable measures to contrast the current nursing workforce shortage. Its recommendations based on the international literature as well as on an online survey performed in 17 health care institutions will be presented in this parallel session.

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Interprofessional Collaboration

Identifikation “weicher Faktoren” gelingender interprofessioneller Zusammenarbeit bei komplexen Patienten und Überprüfung eines Mixed-Methods-Ansatzes zur Teamdiagnostik

Marion Huber et al. (CH)
25.10.2018, 14.30 - 15.00
"Soft"-factors are very important regarding succsessfull interprofessional collaboration. To identify these "soft"-factors a mixed-methods approach is used. Additionally this approach will be tested as a tool to diagnose teams and team functioning regarding these soft factors.

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Chancen interprofessioneller Fort- und Weiterbildung als Mittel zur Erhöhung von Arbeitszufriedenheit und Bindungsbereitschaft von Gesundheitsfachpersonen

Andrea Gurtner et al. (CH)
25.10.2018, 15.00 – 15.30
Health professionals job satisfaction and intention to leave of are more strongly connected to the perceived quality of interprofessional collaboration and working conditions than to individual interprofessional competencies. Thus, interprofessional education IPE could contribute to reducing staff shortage among health professionals by strengthening interprofessional practice IPP.

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Fördern interprofessioneller Zusammenarbeit – die Rolle von individuellen und organisationalen Einflussfaktoren

Miriam Wettstein et al. (CH)
25.10.2018, 15.30 – 16.00
The project investigates factors which influence the interprofessional cooperation of different professional groups in the health care system and how relevant these are perceived in different contexts. Finally, the question is answered whether individual and organizational factors influence the perceived interprofessionality and these in turn influence relevant result parameters such as team cohesion.

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Systematic review on perceptions of interprofessional collaboration in the Swiss healthcare context

Renata Josi et al. (CH)
25.10.2018, 16.30 – 17.00
The study presents the results of a review of literature on experiences and perceptions of interprofessional collaboration (IPC) in different Swiss health care settings. IPC constitutes a key element for the sustainability of the health system in the future. The study points out characteristics and outcomes of good IPC.

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HEALTH PROFESSIONALS‘ CAREERS & EDUCATION

Registered Nurse to Bachelor of Science in nursing programs: an offer to reduce workforce shortage among nursing

Carla Pedrazzani et al. (CH)
26.10.2018, 11.00 – 11.30
Opportunities for enhancing skills and knowledge are important factors for supporting quality of care and nurses’ retention. Students underline the importance of Registered Nurse to Bachelor of Science in nursing programs to enhance a professional growth and consider it an opportunity to extend practice.

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Bachelor students in nursing and medicine in an interprofessional exchange – expectations and experiences in cooperation during their career entry

Ursina Baumgartner et al. (CH)
26.10.2018, 11.30 – 12.00
Career starters are exposed to many challenges in practical work. Injuries can disrupt cooperation and lead to a career end. Since 2017, students of nursing and medicine have exchanged expectations and experiences in cooperation. Role models and prejudices as well as experiences of harassment are discussed. There are differences in the concept of introduction: For nursing, there are competence catalogues - in medicine, expectations are not clear. Medical students experience harassment more frequently. In discussion, a 'kind' of solidarity emerges.

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Healthcare Assistant’s transition into higher education: The role of the training firm

Miriam Grønning et al. (CH)
26.10.2018, 12.00 – 12.30
We discuss why healthcare assistants who trained in hospitals are more likely to choose a tertiary education than those who trained in nursing homes. We find that both individual characteristics and training firm characteristics are important determinants of transition into higher education.

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Should I stay or should I go: Nursing careers in the first years after graduation

René Schaffert (CH)
26.10.2018, 13.45 – 14.15
Preliminary results of a longitudinal study of nurses six years after graduation reveal that in the German speaking part of Switzerland every fourth nurse is looking for another job. Although, intent to stay in the profession is high. But as a condition, working situations are expected to change.

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Bachelors entering their professional career - a long term study of health professionals graduating from a university of applied sciences in Switzerland

Thomas Bucher et al. (CH)
26.10.2018, 14.15 – 14.45
About 3000 bachelors answered an online questionnaire at the end of their studies. One year after graduation, they are questioned for the second time. Topics are competencies, professional expectations and health issues. We present first results.

Presentation


A comparison of transitions into tertiary nursing education in the french and german speaking part of Switzerland: What role do individual and educational characteristics of healthcare assistants (HCA) play?

Ines Trede et al. (CH)
26.10.2018, 14.45 – 15.15
The vocational careers of healthcare assistants (HCA) differ by language regions in Switzerland. We discuss possible reasons such as individual and educational characteristics in the German and French speaking part of Switzerland. We find that both the composition of apprentices as well as regional educational characteristics matter.

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TECHNOLOGY & ALTERNATIVE APPROACHES

„Welfare technology“ = Triple AAA Nursing (Assisted by Android Assistants)

Beat Sottas (CH)
26.10.2018, 11.00 – 11.30
Health professionals talk about working on exclusive relationships. But labour voracity exceeds efforts in education and training. Accordingly, digital change brings android assistants as new colleagues. This raises new questions on professionalism, professional ethos, interprofessionality, and quality of care.


Touchless Continuous Low-Acuity Monitoring to Counter Health Care Staff Shortage’

Kristina York et al. (AT)
26.10.2018, 11.30 – 12.00
Cubile is a continuous unobtrusive patient monitoring system. While placed under the mattress, the foam pad detects the patient’s slightest movements. This input is analyzed and then provided to the medical staff in real-time, including heart and breath rates, fever, and movement to leave the bed.

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Lean Healthcare to reduce workload and increase employee satisfaction – An application in the operating room

Tim Brand et al. (CH)
26.10.2018, 12.00 – 12.30
How the targeted implementation of the Lean Healthcare Philosophy in the operating room (OR) can improve patient care, increase efficiency and create a better work environment for the OR team.

 

HEALTH PROFESSIONALS AND COMPETENCES

Projekt “Kompetenz fördern, Pflege leben” – Personal in der Altenhilfe kompetenzorientiert entwickeln

Tina Quasdorf et al. (GER)
26.10.2018, 13.45 – 14.15
Facing the challenges coming along with staff shortage, the Diakonie Düsseldorf performs this project to position itself as an attractive employer and thus to commit employees long-term. Therefore HR-Management increasingly focuses on individual competencies of the employees. A competence model developed together with employees and leaders is the foundation for this process.

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Lernbedarf von PraktikerInnen der Logopädie, Ergo- und Physiotherapie für wissenschaftliche Inhalte und Methoden

Antje Schubert (GER)
26.10.2018, 14.15 – 14.45
Changes in society and health care pose new challenges for health professionals in Germany. Scientific qualification of professionally qualified therapists of speech therapy, occupational therapy and physiotherapy offers the opportunity to react to the increased demands in the health sector. Therapists show high learning needs for scientific knowledge and additional skills to complement their occupational skills.

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Förderung von Resilienz im Krankenhaus. Evaluation von Qualifizierungsmaßnahmen für Beschäftigte

Andrea Kleipoedszus
26.10.2018, 14.45 – 15.15
Many specialists in health care feel strongly challenged by the high workload. A training on the topic of resilience is intended to develop skills to deal constructively with stress and thus enable the staff to work longer and healthier in the clinic. An evaluation of this training assesses effectiveness and efficiency on three levels.

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NEW ROLE MODELS

Roles and Profiles of health professionals working in Swiss group practices

Renata Josi (CH)
26.10.2018, 13.45 – 14.15
The study describes staff composition, professional roles (also advanced practice) and education degrees in Swiss family medicine group practices, based on a nationwide online survey. Professional groups considered were – in addition to medical doctors – medical practice assistants and four professions with tertiary education: dieticians, nurses, occupational therapists, and physiotherapists.

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Enhancing Professional Perspectives: Development of Physiotherapy Advanced Practice Models in Switzerland

Irina Nast et al. (CH)
26.10.2018, 14.15 – 14.45
Advanced Practice (AP) models may improve access to cost-efficient care, add to professional career perspectives and probably increase job retention. This project aims to develop physiotherapy AP models in Switzerland: In a first step, it provides a comprehensive overview on experiences with AP in physiotherapy, nursing and other health professions.

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Direct Access to Physiotherapy in Switzerland: A Qualitative Study of Key Stakeholders’ Opinions, Barriers to and Facilitators of the Establishment of Direct Access

Sophie Karoline Brandt et al. (CH)
26.10.2018, 14.45 – 15.15
Despite positive effects of direct access to physiotherapy, patients still need referrals from physicians to gain access to physiotherapy treatment, while rising health costs and staff shortages endanger the health system. What are key stakeholders’ views on how direct access to physiotherapy could be established in Switzerland?

 

Workshops

Manpower planning: shaping future-compatible work arrangements

Beat Sottas et al. (CH)
25.10.2018, 14.30 – 16.00
The employee attitude survey showed dissatisfaction with manpower planning. The planners – as members of their team – are confronted with divergent expectations (generation 55+, Y&Z). Results will be discussed while reflecting methods of participatory and co-productive leadership and peer-learning.


More Nurse Practitioners instead of GPs!? Contributing to a blue print for health policy by reflecting task sharing, acceptance and billing

Beat Sottas et al. (CH)
26.10.2018, 13.45 – 15.15
While some fight for regulation its absence is a chance for testing and adjusting the practice of nurses with Master degrees in primary care. Settings and strategies may be compared, and added values discussed. Results of evaluations and focus groups provide evidence for sound measures in health policy.


EQUI – Grade-Mix and Diversity in Equilibrium

Iris Lipp (CH)
26.10.2018, 13.45 – 15.15
Among other things, the subproject «EQUI» examines which concepts/models are already being implemented in nursing practice, which focus on the efficient cooperation of nursing staff with different qualification levels (degrees), generations and cultures. «EQUI» is carried out in the field of long-term care in the German and French-speaking parts of Switzerland. Initial results will be presented at the workshop.

 

poster Presentations

The STRAIN Study ­­- assessing and reducing of work-related stress among health professionals in Switzerland - a study protocol

Karin Peter
26.10.2018, 13.15 - 13.45
The shortage of health professionals in Switzerland is triggered by work-related stress. Therefore, a cluster randomized controlled trial is carried out nationwide. The aim is to identify risks for work-related stress, stress reactions and long-term consequences among nurses, physicians, medical-technical and medical-therapeutic professions and to reduce those factors by an educational intervention for supervisors.

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EQUI - Grademix und Diversität im stabilen Gleichgewicht

Miriam Wettstein
26.10.2018, 13.15 - 13.45
Among other things, the subproject «EQUI» is investigating, which operational figures and quality indicators can be recommended for the grademix-related control of service quality and costs. «EQUI» is carried out in the field of long-term care in the German- and French-speaking part of Switzerland. First results will be shown on the poster.

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Integrating Family Caregivers· lnvolvement in Care Measures to Prevent Delirium in older inpatients for Orthopedic Surgery.

Christine Cohen
26.10.2018, 13.15 - 13.45
Orthopedic surgery units host a high percentage of older persons at risk of delirium that is associated with cognitive and functional decline, leading to longer hospital stays and high mortality. How family caregivers, who know well the person being cared for, could be integrated into care?

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The strategy of a multisite hospital to counter risks of nursing staff shortage

Annette Biegger
26.10.2018, 13.15 - 13.45
The Nursing Department at Ente Ospedaliero Cantonale (Ticino) adopted a systemic and multiple approach to counteract the latent risk of a shortage of nurses. The text describes some organizational and professional interventions (eg: relationship-based care; nurse-career path, professional motivation…) that have been implemented to involve nurses and increase their satisfaction.

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Ethical concerns among outpatients’ nurses, phyiotherapists and physicians: A scoping review

Tiziana Sala Defilippis
26.10.2018, 13.15 - 13.45
Nursing, physiotherapy and medicine are inherently morally loaded practices. This scoping review aims at investigating the ethical concerns mostly experienced among nurses, physicians and physiotherapists working in an outpatients' setting. Results suggest that all three professionals are exposed to similar concerns when addressing issues related to: patients and their families; collaborations with colleagues and other healthcare professionals; economics, insurances and stakeholders.

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