Introduktion til  Coaching 2 Selfcare


Navn: Britta Hørdam
 


  Seniorforsker, PH.D(medicin)

  Sygeplejerske, Cand.Cur.

Diplomuddannelse som sygeplejelærer.

Autorisation som sygeplejerske



International pris for "Best Practice Certificate" fra "European Public Service Award (EPSA) 2019".

Gennem to år har et hold "tyvstartere" arbejdet med COI's Spredningsguide og fået spredt en opkaldsløsning, der skaber bedre rehabilitering af patienter. 

Nu er "Coaching to self-care"-projektet blevet belønnet med et Best Practice Certificate fra European Public Service Award (EPSA) 2019.

EPSA er den eneste europæiske innovationspris, der er åben for alle offentlige forvaltninger fra alle niveauer i hele Europa. Prisen bliver uddelt hver andet år til europæiske forvaltninger for løsninger, der er særligt innovative. 

Se alle modtagere af Best Practice Certificate her: https://epsa2019.eu/en/content/EPSA-2019-first-results.54/

Prøv Spredningsguiden her: https://coi.dk/spredningsguiden


Stemningsbilleder for pris overrækkelsen. den 4 november 2019.

Coaching2selfcare PP 24.10.19 final version[1110].pdf


Definition:

Formålet er, at man identificerer en specifik,målrettet og behovsorienteret sygepleje til den enkelte patient/borger baseret på en systematisk dataindsamling og observationer, anvender en sygeplejemodel og gennemfører en intervention som resultat af en klinisk beslutningstagen
                                                                                        

© Britta Hørdam, 2017


Overlæge Ole Maagaard, Forskningsleder Britta Hørdam & Oversygeplejske Lotte Christensen  


Oversættelse til Dansk er på vej

Coaching to self-care to patients with new hip  

Introduction:

Nobody wants to take too many painkillers. Nobody wants to stay in the hospital longer than strictly necessary even after orthopaedic surgery in your hips. No hospital wants patients to stay a minute longer than needed. Beds are expensive. Patients prefer the familiarity of their home to a hospital bed and hospital food. Since 1969 hip replacement has gone from being a rare surgery that involved hospitalization for 6-8 weeks followed with rehabilitation - to being pretty close to “hip today home tomorrow”. A number of 10.000 patients have a new hip in Denmark every year, and in Europe the number is more than 190.000 patients.

However, this advancement in “technology” puts a different responsibility and tasks on to the patients. The challenge becomes: How can we coach patients to self-care? How can we empower and support them to feel safe recouping and rehabilitating at home? How can we ensure that they don’t drop their medication too soon? How can we enable them to keep their health on track? How can we meet their needs?

Methods:

Coaching to self-care is a structured process of doing just this. Our ”Coaching to self-care” concept - based on three randomised clinical trials in orthopaedic departments. Research shows that caring to elderly patients 65+ after hip-replacement and early discharge were spread with use of an innovation tool. Ortopeadic Depart. in Holbek was first with full implementation and results of 100% participation and 94% patient-satisfaction.

Coaching to self-care is a four step systematic intervention and counselling concept, developed, tested and validated to support patients after early discharge. The most frequent symptoms as pain, reduced walking ability, and reduced ability to cope in activities of daily living were given individually specific counselling by health care providers.

Step 1: Before hip-replacement patients attend a multidisciplinary seminar conducted by a surgeon, an anaesthesiologist, a physiotherapist and nurses. Focus is on patients’ surgical treatment, anaesthesia, possible complications and risks, pain treatment, physical exercise  and early discharge.

Step 2: After surgery they stay for one or two days to be prepared for early discharge, after training in how to walk and continue their physical training at home, medication and activities of daily living. They are prepared to have phone-consultation follow-up by a nurse from hospital one week after discharge.

Step 3: One week after discharge patients have individual follow-up, interview and counselling meeting their needs.

Step 4: Evaluation of the concept, and update of the interview guide based on needs and answers and statistical significance. Follow-up and information to the providers.

Recommandations:

Use the “Spreading innovation tool” (coi.dk/spreadinginnovation) if you wish to implement the concept in your organisation.

The concept “Coaching to self-care” does not require any investments in IT or licenses or recruitment of new competencies. However it requires a change in organisation and a continuous focus on improving the new way of working. Thus, the concept and the same human resources working in in a more structured manner to the benefit of both employees, managers and most importantly patients’ wellbeing.

Hjemmeside © Britta Hørdam, 2019