Hospitals and faculties together for prosperous and scientific based healthcare (ProCare)

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Hospitals and faculties together for prosperous and scientific based healthcare (ProCare)

Razpisodajalec : ERASMUS +, Action KA2

Številka / oznaka projekta : 601092-EPP-1-2018-1-SI-EPPKA2-KA

Trajanje projekta: november 2018 - april 2022

Nosilec projekta: FZAB

Partnerji projekta: University of Alicante, University of Udine, University of Limerick, University of Maribor - Faculty of organizational science, General Hospital Jesenice, Clinica Vistahermosa, Clinica Udine

Odgovorna oseba: doc. dr. Sanela Pivač, red. prof. dr. Brigita Skela Savič, znanstvena svetnica

Kratek opis projekta

Fakulteta za zdravstvo Angele Boškin se je uspešno prijavila na mednarodni razpis v sklopu programa Erasmus+, kjer je pridobila projekt z naslovom Hospitals and faculties together for prosperous and scientific based healthcare (ProCare). Namen projekta ProCare je vzpostaviti in izboljšati povezanost in sodelovanje med izobraževalnimi institucijami in kliničnimi okolji, kar bo prispevalo k nadaljnji uveljavitvi znanstveno utemeljene zdravstvene nege.

FZAB je nosilka triletnega projekta, pri katerem bodo kot partnerji sodelovali še Fakulteta za organizacijske vede Univerze v Mariboru, Splošna bolnišnica Jesenice, Universidad de Alicante, Hospital Clínica Vistahermosa, Università degli Studi di Udine, Policlinico Città di Udine in University of Limerick.

Cilji

The overall aim of this project is to enhance the research alliance between partner hospitals and HEIs, to raise the profile of research in nursing and thus improve patient outcomes. This project aims also to encourage such alliances across Europe via freely available learning programme and a guidance document on developing Nursing research as example of good practice of the knowledge triangle implementation in nursing research development.

The project has 5 objectives, modified from CMFT, 2015:

1. to build infrastructure with research leadership that will support a research active environment

· Study & analyse nursing work environment and enablers/barriers in facilitating nurses to do research

· Develop, nurture & sustain a Nurse researcher role

· Identify research mentors within the hospitals & linked HEIs to support researchers.

· To set up nursing research groups that could strengthen links with other research networks

2. to improve access to research training & support opportunities (developing);

A significant barrier to nurses generating research is a perceived lack of knowledge and skills.

· Developing innovative online learning programme that address skills/ knowledge deficit in research (Potential researchers who could participate in research group will be identified via such education).

· Provide access to research training programme and learning materials (within accredited nursing postgraduate courses in HEI or as continuing lifelong education provided by HEIs, freely available learning materials on WordPress and learning programme on EDU2.0 platform)

· Setting up journal clubs in hospitals to facilitate critical thinking, appraisal and learning around research.

· Identify research mentors within hospitals and HEIs to support researchers (e.g. teachers, PhD students).

· Encouraging the increase in numbers of RNs on postgraduate programmes which provide research training - RN who finish our programme within a continuing education, will be awarded ECTS (by HEI who will provide this training)

3. to identify research priorities in practice and link in with HEI to address them jointly - such knowledge exchange and discussion will create new knowledge and conditions to make practice improvements

4. to encourage intra-disciplinary, multi-disciplinary & inter-agency research collaborations (research group establishment; journal clubs); In contemporary healthcare such research collaborations are crucial. The aim is to promote nursing research but they must link with the inter-disciplinary research landscape.

5. to raise the profile of research conducted by nurses to internal and external organisations by encouraging nurses to submit abstracts to conferences and to develop skills and confidence in writing abstracts and presenting at conferences.

Project consists of 8 work packages (WP):

WP1: Identifying various aspects of the nursing work environment

WP1 Lead: P1 – Fakulteta za zdravstvo Angele Boškin; responsible person: Associate Professor, Research Councillor Dr Brigita Skela Savič

WP 2: Linking higher education, research and hospitals for nursing research development

WP2 Lead: P4 – University of Limerick; responsible person: Associate Professor Dr Fiona Murphy

WP 3: Development of online learning materials

WP3 Lead: P2 – Universidad de Alicante responsible person: Associate Professor Dr Manuel Lillo-Crespo

WP 4: Creation of an online learning platform for the learning materials designed

WP4 Lead: P5 – Fakulteta za organizacijske vede, Univerza Maribor; responsible person: Associate Professor Dr Uroš Rajkovič

WP 5: Online learning programme implementation and evaluation

WP5 Lead: P1 – Fakulteta za zdravstvo Angele Boškin; odgovorna oseba: Sanela Pivač, MSc (Nursing), Senior Lecturer

WP 6: Dissemination and sustainability

WP6 Lead: P2 – Universidad de Alicante; responsible person: Associate Professor Dr Manuel Lillo-Crespo

WP 7: Project management

WP7 Lead: P1 – Fakulteta za zdravstvo Angele Boškin; odgovorna oseba: Sanela Pivač, MSc (Nursing), Senior Lecturer

WP 8: Quality assurance

WP8 Lead: P3 – Universita degli studi di Udine; responsible person: Associate Professor Dr Alvisa Palese

Projektne aktivnosti

Več o projektu (v angleščini):

This project addresses an important EU issue, t.i. poor links between HEIs and hospitals. HEIs are perceived as theoretical institutions that do not understand practice. As a rule, the relationship is based on necessity and there is no search for opportunities for joint development. Employees, studying at the master or PhD level, claim that they receive very little support for research work in the hospitals that employ them. It is up to HEIs and hospitals to look for suitable approaches to forge research alliances in order to solve challenges, implement changes and ultimately, improve patients outcomes.

In contemporary healthcare, nurses need to be users and generators of evidence to underpin their practice. As users of evidence they need to be able to locate evidence and critically appraise it. As generators of evidence nurses need to be able to research their own practice and translate those findings into practice. The overall aim of this project is to raise the profile of research in nursing by increasing both research capacity and capability and to enhance cooperation between higher education institution (HEIs) and hospitals. This has the ultimate aim to provide care to patients and families consistent with the best available evidence thereby improving patient outcomes (CMFT 2015).

2011 EU document on the Modernisation Agenda for Higher Education states that Europe needs experts and researchers, adequate quality higher education structures that respond to society needs and international cooperation to share and combine knowledge and experiences. Such connection between education, research and business sector, on which this project is built, is of crucial importance to provide long-term holistic solutions in society.

Education and Training 2020 states that a systematic cooperation is needed between HEIs and labour market to meet the requirements of today’s working world. Two ET 2020 objectives, that this project addresses as well, are to improve the quality and efficiency of education and training and to enhance creativity and innovation at all levels of education and training.

Key needs/challenges addressed by this project:

1. poor links between HEIs and hospitals - the need to enhance cooperation between higher education institution (HEIs) and hospitals and to facilitate exchange, flow & co-creation of knowledge

2. the need to introduce the innovative teaching & learning through new technologies - open learning resources

3. the need to improve nursing research and evidence based knowledge among nurses

4. the need for nurses to be users and generators of evidence to underpin their practice

5. missing structural conditions in hospitals to implement research, use of of evidence based practice (EBP) and continuing education - the need to increase nurses research capacity and capability

to provide broader social environment with quality and safe health care - the need to provide care using the best available evidence to improve patient outcomes

V slovenskih bolnišnicah izvajamo raziskavo RN4CAST oz. »Presečno raziskavo pogojev dela v zdravstveni negi«, ki so jo izvedli že v večini evropskih držav, globalno pa v 38 državah. Je ena največjih raziskav delovne sile v zdravstveni negi in je pripomogla k izboljšanju natančnosti modelov napovedovanja in ustvarila nove pristope k učinkovitejšemu upravljanju virov v zdravstveni negi v Evropi in svetu. Ta raziskava ima velik pomen za Slovenijo, ker bomo raziskali povezave med delovnim okoljem izvajanja prakse zdravstvene nege in specifičnimi rezultati pri pacientih na internističnih in kirurških oddelkih v slovenskih splošnih bolnišnicah in kliničnih centrih.

RN4CAST je ena največjih raziskav delovne sile v zdravstveni negi, ki je bila kdaj izvedena v več kot 30 državah v Evropi in izven in je pripomogla k izboljšanju natančnosti modelov napovedovanja in ustvarila nove pristope k učinkovitejšemu upravljanju virov v zdravstveni negi v Evropi in svetu (Aiken et al., 2017). Rezultati raziskave so dali izjemen prispevek k izboljšanju zdravja evropskih državljanov s poudarki na številu in izobrazbi medicinskih sester, pogojih dela v zdravstveni negi, uspešnostjo dela in varnostjo pacientov (Papastavrou & Andreou, 2016). Dejstvo je, da so trenutni modeli načrtovanja človeških virov v zdravstveni negi nezanesljivi in neučinkoviti, ker upoštevajo le obseg dela, vendar zanemarjajo učinke na kakovost oskrbe pacientov. RN4CAST preučuje, kako organizacijske značilnosti bolnišnične zdravstvene obravnave vplivajo na zaposlovanje medicinskih sester, zadrževanje medicinskih sester na delovnih mestih ter izide obravnave pri pacientih. Dosedanje ugotovitve kažejo tudi naprimer, da povečanje delovne obremenitve medicinskih sester pri enem pacientu poveča verjetnost, da pacient umre v 30 dneh po sprejemu za 7 %, in da je vsakih 10 % povečanja števila diplomiranih medicinskih sester povezano z zmanjšanjem te verjetnosti za 7 % (Aiken, et al., 2014). Aiken s sodelavci (2012) navaja, da se z vsakim dodatnim pacientom na medicinsko sestro povečuje verjetnost, da bo le ta poročala o slabi kakovosti oskrbe ter da bo varnost pacientov ocenila kot slabo oz. v upadanju. V letih 2009 –2010 so najprej pričeli z raziskavo v 12 evropskih državah, od takrat je več držav ponovilo raziskavo, izvedle pa so se tudi nove nacionalne študije (Sermeus & Aiken, n.d.). Slovenija žal ni bila vključena. Slednje čutimo kot negativno posledico, saj se soočamo z velikim odlivom negovalnega kadra, ki je v delovnih okoljih preobremenjen in slabo plačan. Ker nismo izvedli ocene stanja kadra v zdravstveni negi, tudi nismo sprejeli nobenih ukrepov za preprečevanje fluktuacije.

Namen raziskave, na katero smo se začeli pripravljati že v začetku leta 2019, izvajati pa v začetku 2020, je raziskati povezave med delovnim okoljem izvajanja prakse zdravstvene nege in specifičnimi rezultati pri pacientih na internističnih in kirurških oddelkih v slovenskih splošnih bolnišnicah. Raziskava se izvaja z namenom, da se ustvari jasna slika razmerja med načrtovanjem kadrovanja v zdravstveni negi in varnostjo pacientov.

Vodstva slovenskih splošnih bolnišnic in univerzitetnih kliničnih centrov so prejela vabilo k sodelovanju. Za sodelovanje se je odločilo 8 splošnih bolnišnic in oba klinična centra. Uporabljena je kvantitativna eksplorativna presečna raziskovalna metoda. Podatki za to raziskavo se zbirajo iz 4 virov: podatki o medicinskih sestrah in podatki o stališčih pacientov o oskrbi, ki so jo pred kratkim prejeli v bolnišnici se zbirajo z uporabo validiranih strukturiranih vprašalnikov, minimalni nabor bolnišničnih podatkov bomo pridobili iz uradnih evidenc Nacionalnega inštituta za javno zdravje ter podatke o zdravstveni ustanovi od vodstev teh ustanov.

Vsem, ki so si in si še bodo vzeli dragocen čas za sodelovanje v tej raziskavi, se najlepše zahvaljujemo.

The European Commission's support for the production of this report does not constitute an endorsement of the contents, which reflect the views only of the authors, and the Commission cannot be held responsible for any use which may be made of the information contained therein.

Več o projektu