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Qualitative, sense of coherence-based assessment of working conditions in a psychiatric in-patient unit to guide salutogenic interventions

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Abstract:

Following a joint initiation by the Salutogenic Research Center at BGU and a mental health center in southern Israel of an intervention program based on the salutogenic model (Antonovsky, 1987), the current qualitative sense of coherence-based assessment aimed at assessing the unit's needs for the purpose of developing the rationale and goals of the intervention. The intervention, subject to the assessment, aims at creating a health promoting community focusing on the advancement of the staff's individual and collective Sense of Coherence (SOC). The questions addressed during the assessment were aimed at (a) identifying key working conditions and their relation to the three dimensions of SOC; (b) characterizing the SOC grouped working conditions; and (c) deriving recommendations for interventions. Meetings with the Unit's administrative and professional management were held and fifteen unstructured interviews with the unit's staff were carried out. The three thematic axes, around which the core ten themes revealed in the interviews revolved, disclosed a salutogenic model of individual and collective SOC, as follows: (1) The comprehensibility axis, comprised of leadership of head nurse; lack of expertise in treatment of patients with mental retardation; lack of attention to the staff's and unit's concerns; (2) The
environment axis (manageability), comprised of lack of social and academic activities outside the hospital; impossible living and working conditions; patients suffering from diverse problems (retarded, psychotic and retarded and psychotic); (3) The motivation/emotion axis (meaningfulness), comprised of self- fulfillment; Occupational Self-Efficacy; professional/job satisfaction; devotion to the unit and its patients and a strong sense of belonging. Furthermore, the interviews were perceived as empowering. Consequently, the intervention, in line with the salutogenic approach, aims at supporting the three dimensions of SOC at individual as well as collective levels, enhancing the staff's communal SOC which could promote the patients' health and the well-being of their families.
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Association:
Name: ISPP 36th Annual Scientific Meeting
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http://ispp.org


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URL: http://citation.allacademic.com/meta/p658002_index.html
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MLA Citation:

Braun-Lewensohn, Orna., Sagy, Shifra. and Idan, Orly. "Qualitative, sense of coherence-based assessment of working conditions in a psychiatric in-patient unit to guide salutogenic interventions" Paper presented at the annual meeting of the ISPP 36th Annual Scientific Meeting, Lauder School of Government, Diplomacy and Strategy, IDC–Herzliya, Herzliya, Israel, <Not Available>. 2014-12-11 <http://citation.allacademic.com/meta/p658002_index.html>

APA Citation:

Braun-Lewensohn, O. , Sagy, S. and Idan, O. "Qualitative, sense of coherence-based assessment of working conditions in a psychiatric in-patient unit to guide salutogenic interventions" Paper presented at the annual meeting of the ISPP 36th Annual Scientific Meeting, Lauder School of Government, Diplomacy and Strategy, IDC–Herzliya, Herzliya, Israel <Not Available>. 2014-12-11 from http://citation.allacademic.com/meta/p658002_index.html

Publication Type: Paper (prepared oral presentation)
Abstract: Following a joint initiation by the Salutogenic Research Center at BGU and a mental health center in southern Israel of an intervention program based on the salutogenic model (Antonovsky, 1987), the current qualitative sense of coherence-based assessment aimed at assessing the unit's needs for the purpose of developing the rationale and goals of the intervention. The intervention, subject to the assessment, aims at creating a health promoting community focusing on the advancement of the staff's individual and collective Sense of Coherence (SOC). The questions addressed during the assessment were aimed at (a) identifying key working conditions and their relation to the three dimensions of SOC; (b) characterizing the SOC grouped working conditions; and (c) deriving recommendations for interventions. Meetings with the Unit's administrative and professional management were held and fifteen unstructured interviews with the unit's staff were carried out. The three thematic axes, around which the core ten themes revealed in the interviews revolved, disclosed a salutogenic model of individual and collective SOC, as follows: (1) The comprehensibility axis, comprised of leadership of head nurse; lack of expertise in treatment of patients with mental retardation; lack of attention to the staff's and unit's concerns; (2) The
environment axis (manageability), comprised of lack of social and academic activities outside the hospital; impossible living and working conditions; patients suffering from diverse problems (retarded, psychotic and retarded and psychotic); (3) The motivation/emotion axis (meaningfulness), comprised of self- fulfillment; Occupational Self-Efficacy; professional/job satisfaction; devotion to the unit and its patients and a strong sense of belonging. Furthermore, the interviews were perceived as empowering. Consequently, the intervention, in line with the salutogenic approach, aims at supporting the three dimensions of SOC at individual as well as collective levels, enhancing the staff's communal SOC which could promote the patients' health and the well-being of their families.


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