A “Migrant Friendly Hospital” Initiative in Geneva, Switzerland: Evaluation of the Effects on Staff Knowledge and Practices

نویسندگان

  • Patricia Hudelson
  • Melissa Dominice Dao
  • Thomas Perneger
  • Sophie Durieux-Paillard
چکیده

BACKGROUND International migration poses important challenges to European health care systems. The development of "migrant friendly hospitals" has been identified as a priority in both Europe and Switzerland. METHODS A multi-pronged initiative was developed at Geneva University Hospitals (HUG) to improve staff knowledge and use of existing "migrant friendly" resources. A self-administered questionnaire was sent pre and post-intervention to random samples of 4 major professional groups with direct patient contact at the HUG. The questionnaire assessed staff knowledge, attitudes and reported practices regarding the care of migrant patients. RESULTS Overall response rate was 51% (N = 1460) in 2010 but only 19% (N = 761) in 2013 owing to an institutionally imposed change in survey method. Despite these difficulties, and after adjusting for sample differences, we found that respondents in 2013 were significantly more likely to have received training in how to organize an appointment with an interpreter, how to work with an interpreter and about health and social services available for migrant patients. Respondents were also significantly more likely to have used several Migrant Friendly structures at the HUG. Use of, preference for and perceived skill at working with professional interpreters all improved, and respondents were both more likely to be encouraged by their supervisors to use professional interpreters, and less likely to be encouraged to look for alternative solutions for communicating with non francophone patients. Finally, 2013 respondents encountered fewer difficulties caring for migrant patients, although lack of time and language barriers continued to be the most important sources of difficulty. CONCLUSION Our results suggest that an institution-wide information campaign may contribute to increased awareness and use of migrant friendly resources by clinical staff. Hospital commitment and financing, along with inter-departmental participation in all activities were important in creating and maintaining project visibility, and in contributing to a migrant friendly institutional culture.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A Cross-Sectional Study of Mother-Friendly Hospital Initiatives in Turkey: The Obstetricians and Midwives’ Views

Background & aim: Ministry of Health in Turkey has launched a mother-friendly hospital (MFH) initiative to reduce cesarean section rate, support evidence-based practices, and improve mother-baby friendly maternity care. This study aimed to investigate the views of the obstetricians and midwives using the MFH initiative and measure their job satisfaction levels. <...

متن کامل

Investigation of the Effect of Training on Promoting Breast-feeding at Baby-Friendly Hospital Case Study; Tohid Hospital in Jam, Bushehr

Background: The Baby-Friendly Hospital Initiative was launched in 1989 by World Health Organization and the United Nations Children's Fund for the promotion of breastfeeding. This program was implemented in many departments of gynecology and obstetrics and resulted in reduced malnutrition, infection, morbidity and mortality in children. This program has introduced 10 specific steps to support s...

متن کامل

Effects of baby-friendly hospital initiative on breast-feeding practices in sindh.

OBJECTIVE To determine changes in the breastfeeding practices of mothers after receiving counseling on 'Ten Steps to Successful Breastfeeding' as defined by the Baby Friendly Hospital Initiative comparing baby friendly hospitals (BFHs) and non-baby-friendly hospitals in Sindh, Pakistan. METHODS The observational study was conducted from June 2007 to June 2009 in randomly selected baby-friendl...

متن کامل

The Impact of Organizational Factors on the Effectiveness of Knowledge Management among Nurses

Background and Objectives: Knowledge Management (KM) has emerged as a pathway towards competitive advantage in current complex industrial environment. The aim of the present study was to explore the relationship between KM effectiveness and various organizational factors including social interactions (trust, communication and coordination), infrastructure factors (structure, information technol...

متن کامل

Health Priorities in French-Speaking Swiss Cantons

In Switzerland, the federal authorities, the cantons, and the communes share the responsibility of healthcare, disease prevention and health promotion policies. Yet, the cantons are in most health matters independent in their decisions, thus defining as a matter of fact their own health priorities. We examined and analysed the content of the disease prevention and health promotion plans elabora...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 9  شماره 

صفحات  -

تاریخ انتشار 2014