Innovation Showcase / Exposición de innovaciones
Wellness for All through Respect for People
Innovation Showcase Jordana Harshman
Stanford Children’s Health (SCH) may be one of the first organizations in the country to elevate wellness to a higher standard, and adopted the Stanford WellMD Center’s Professional Fulfillment (PF) Model, which targets three domains: Culture of Wellness, Personal Resilience, and Efficiency of Practice. SCH set goals for Quality, Affordability, Service, Innovation and Education, and Respect for People. SCH’s CHRO specifically drove two key initiatives through his domain, Respect for People: 1) 80% of all teams complete a Wellness Improvement Goal and 2) Administer the WellMD Center Wellness Survey to the entire hospital population. Executive leadership is now invented for fulfilling Wellness Improvement Goals. The wellness survey baseline results and PF model will guide ongoing strategic planning efforts. The current baseline was formed by administering the Wellness Survey to three groups: Stanford physicians in 2013 and 2016; Stanford Health Care (SHC) and SCH Advanced Practice Providers (APPs) in 2017; and all SCH team members in 2018. Professional Fulfillment (PF) and Burnout were the two primary outcomes assessed in the 2018 survey, which yielded a 67% response rate. 48% of SCH team members, 35% APPs, and 44% physicians reported PF. 30% of SCH team members, 36% of APPs, and 34% of physicians reported Burnout. Assessing differences between clinical and non-clinical SCH groups indicated that 46% of clinical and 52% of non-clinical team members reported PF, and 32% of clinical and 29% of non-clinical team members reported Burnout. SCH will continue to set wellness goals and refine its wellness and resilience offerings.
Toward Ending Hunger and Homelessness among College Students: Innovative Research-driven Campus-wide Food Programs and Gatekeeper Training Interventions to Support Basic Needs
Innovation Showcase Jennifer Maguire, Brian Mistler, Mira Friedman, Rashida Crutchfield
College is a gateway to economic self-sufficiency, especially for first-generation students, yet many find the total costs of college exceed their expectations and abilities, negatively impacting health, retention and persistence. Students frequently endure challenges like hunger and homelessness along with under- or un-treated physical and mental health symptoms. The CSU Study of Student Basic Needs (Crutchfield & Maguire, 2018) is the most comprehensive mixed-methods study of university students’ prevalence of unmet food and housing needs, as well as relationships with health and academic outcomes ever completed within a 4-year higher education system. 41.6% of CSU students reported food insecurity and 10.9% of CSU students reported homelessness in the last 12 months. Qualitative data illustrate students’ experiences. Students with unmet basic needs also missed more days of school or work, often connected to health. Innovative practices are needed to promote health and wellbeing among students in ways that support their long-term success, and presenters will share information on two such programs: development and operation of a campus food program including a peer-educator managed food pantry, systematic collection and redistribution of catering leftovers, and targeted fund-raising, and, the free I CAN HELP Gatekeeper program used by a number of universities to increase wellness through both a reduction in risk factors for suicide and increased awareness of and appropriate helping behaviors among faculty, staff, and students related to health and other basic needs. We share key learning outcomes data and free resources participants can immediately take back to their own campus.
Taking Control over One’s Health Habits by Increasing Self-Awareness through Health Coaching
Innovation Showcase Gail Wood Miller
Over 80% of Americans are not exercising enough to maintain physical and mental health (possibly resulting in obesity, diabetes, depression, and more): inactivity links with more deaths than smoking. Over 70% of Americans are overweight: over 30% of adults are considered obese as are about 20% of 12-19 year olds. Obesity can lead to high blood pressure, heart disease, diabetes, cancers, and other serious complications. Furthermore, U.S. physicians report insufficient patient feedback—asking questions, noting details of symptoms. A holistic health coach is neither a licensed nutritionist nor a trained physician, yet can help a client remedy these, and other, concerns through raising awareness and increasing their taking control of healthy habits. The focus is on the wholeness of each client—what they eat, how they live, what choices they make, and how satisfied they are with their lifestyle. My intent as a health coach is for clients to be able to coach themselves. This presentation’s goal is to empower participants to become integral in bettering their own health, through understanding holistic health coach practices, and learning how to apply them.
Suitable Topics for Parent Guidance on Healthy Food, Nutrition, and Lifestyle Behavior in At-risk School Communities
Paper Presentation in a Themed Session Ronel Ferreira, Karien Botha, Aliece Van Der Merwe
At-risk school communities are often characterised by unhealthy practices in terms of food intake and lifestyle habits. In this paper, we report on the needs and expectations of parents from two primary schools in poverty-stricken areas in South Africa, for guidance on nutrition and healthy food intake, physical fitness and healthy lifestyle behaviour, and effective parenting practices. Data were generated during two Participatory Reflection and Action workshops, supported by observation, audio-visual techniques, field notes and reflective journals. Findings indicate that parents in at-risk school communities are eager to support the health and well-being of their families yet require guidance on how to do this, based on their unique circumstances and structural and psychological barriers preventing them from adopting a healthy lifestyle. In terms of nutrition and healthy food practices, participants indicated the need to be informed about healthy affordable food options, suitable portion sizes, adopting a balanced diet and how to prepare healthy meals that are tasty, affordable and enjoyable. With regard to physical activity and fitness, participants indicated that they required guidance on the best forms of physical activity, as well as the appropriate intensity and duration of different exercises. For psychosocial support and effective parenting, the participants indicated a need for guidance on understanding their children’s behaviour and developmental needs, on effective communication and problem-solving skills, and on parenting styles and discipline strategies. Finally, parents identified mobile technology as a suitable way to provide parental guidance in at-risk school-communities, in combination with parent evenings and written communication.
