QESTRAIN 12.2002-05.2005

Personnel Training Model for Integrated Quality – Environment – Safety Management System in Hospitals and Public Health Services
01.12.2002 - 31.05.2005

European hospitals and health care units are interested to develop quality, environmental and safety issues. The usual problem encountered is how to integrate these issues in the management and daily work. Other problems are related to the personnel training and management of hospitals, e.g. limited time resources for training, separate overlapping projects which increase work load, and problems encountered in continuous self-learning and in the development of individuals and the whole organization. There are also needs for integrating quality, environmental and safety skills in the basic vocational / professional training of nursing staff and physicians.
Training of all personnel groups is essential when implementing any management system. There is need for training models and tools tailored for hospitals and health care units supporting the planning, implementation and further development of quality-environment-safety management systems.

The objective of QESTRAIN project is to develop a personnel training model and toolkit for hospitals and health care units. The training model covers all organizational levels and personnel groups and is targeted for helping the organizations in the development and implementation of the management of quality, environmental and safety issues. The training model also helps in integration of these issues in daily management and work. The training model will be based on the approach of on-the-job-learning and life long learning.
The parallel objective of QESTRAIN project is to identify the training needs as to quality, environmental and safety issues in the vocational basic training of practical nurses and nurses in Finland and in Estonia and to make an outline for integration of these issues into the vocational curricula.

1. Due to the EU directives the requirements of waste management and occupational health for health care facilities have changed.
2. Waste management in legislative acts and in hospital objectives have very important role; especially in refuse management - reduction of waste and energy saving.
3. Due to continuous turnover of staff in hospitals it is necessary to offer and to implement a good training.
4. The training is helping to intensify the personnel participation in matters that principally are not their main tasks.
5. The need for continuous improvement as is written in the Environmental Policy of the hospital requests action to maintain and improve the environmental performance.
6. As the bigger part of the hospital personnel is in steady contact with patients and visitors, they function as perfect multiplier.

1.2 - assessment of training needs of vocational basic training of nurses and practical nurses for the integration of quality, environmental and safety issues;
- expertise of current curricula.
2.2 - exchange of information with Helsinki City College, Finland;
- discussions by mail, consultations by phone, common meetings and workshops in Tallinn and Helsinki.

Task 1.2 results:
We have to improve teaching of primary care nursing; switch into curriculum of primary care nursing and home nursing new tasks: dealing with waste problems during home visits. Agressive patients, self protection and working environment.

Pilot course 11- 12.05.2004
15 participants from different health care institutions.

• very useful lectures and package for independent work,
• more practical skills of self- protection is needed.

Analyses of pedagogical aspects of the pilot course:
• on the job learning approach;
• establishment of continious self- learning and development of individuals and the organization;
• integration of quality, environmental and safety aspects into the management and everyday working procedures.

• International conference of Tartu Medical School, May 29- 30, 2003.
• International conference of Tallinn Medical School „Health specialities on a way to Europe“, May 10- 14, 2004.

Tallinn Medical School team:
Tiina Juhansoo tiina.juhansoo@medkool.ee
Tiina Viikmann tiina.viikmann@medkool.ee
Maie Ruussaar maie.ruussaar@medkool.ee
Jaak Uibu jaak.uibu@medkool.ee
Mare Vanatoa mare.vanatoa@medkool.ee
Milvi Moks milvi.moks@medkool.ee
Marika Asberg marika.asberg@medkool.ee 

Tallinn Medical School´s product of the project QESTRAIN is available in the Tallinn Medical school´s library on the open shelves and in the TMS Internet  home page after registration to the course and receiving a password.