2. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 2 Healthy Languages A transnational project to further professional skills in the fields of foreign languages and intercultural competences for those working in the health sector

3. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 3 The presentation will cover the following items: 1)The general situation concerning migrants in the Austrian health system 2) The aims and target groups of the project „Healthy Languages“, 3) The partnership 4) The products 5) The implementation of the project

4. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 4 1) Health situation of migrants: Low socio-economic status Poor education resulting in lack of job security Poor living conditions Low vaccination rate Unhealthy lifestyle Differences in family structure Position of women in society

5. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 5 Higher disease rate Higher mother and infant mortality rate Psychological stress – situation in the home country (war, political situation) More accidents „Doctor shopping“

6. EU-Project "Migrant-friendly hospitals", Coordinator: Ludwig Boltzmann Institute for the Sociology of Health and Medicine, University of Vienna, Austria 6 12 Pilot Hospitals Kaiser-Franz-Josef-Spital, Vienna, Austria Immanuel-Krankenhaus GmbH, Rheumaklinik Berlin-Wannsee, Berlin, Germany Kolding Hospital, Velje-Kolding, Denmark Hospital ”Spiliopoulio Agia Eleni”, Athens, Greece Hospital Punta de Europa, Algeciras-Cádiz, Spain Turku University Hospital, Turku, Finland Hôptial Avicenne, Paris, France James Connolly Memorial Hospital, Dublin, Ireland Presidio Ospedaliero della Provincia di Reggio Emilia, Reggio Emilia, Italy Academic Medical Center, Amsterdam, The Netherlands Uppsala University Hospital, Psychiatric Centre, Uppsala, Sweden Bradford Hospitals NHS Trust, Bradford, U.K.

7. EU-Project "Migrant-friendly hospitals", Coordinator: Ludwig Boltzmann Institute for the Sociology of Health and Medicine, University of Vienna, Austria 7 Results of the needs assessment Patient info + education Language and Communication Cultural competencies Family visits Culturally adequate food Number of hospitals where problem was mentioned (NA results from 12 pilot hospitals) Spirituality and social support European cross analysis: The six most important problem areas

8. EU-Project "Migrant-friendly hospitals", Coordinator: Ludwig Boltzmann Institute for the Sociology of Health and Medicine, University of Vienna, Austria 8 Intercultural contacts with patients (Interviews with health care staff) „ Contact with patients with a limited command of the local language“ 34,8% of staff say: daily 28,3% of staff say: 2-3 times a week

9. EU-Project "Migrant-friendly hospitals", Coordinator: Ludwig Boltzmann Institute for the Sociology of Health and Medicine, University of Vienna, Austria 9 Which ressources are used for communication? (always or mostly) Novak-Zezula et.al., 2004, Baselineergebnisse SPA, 9 KHs

10. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 10 Problems due to translation by children, relatives and cleaning personnel Contents are beyond the liguistic horizon of children Some topics are ignored (e.g. in obstetrics department) Right of confidentiality and privacy of patient is impinged No professional knowledge The talk is reduced, distorted and incomplete Misinterpretation of case history questions Important advice remains untranslated

11. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 11 Situation in most hospitals: Professional interpreters: only at the beginning of hospitalisation of patients or prior to operation

12. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 12 Consequences of misunderstandings longer bedridden periods due to unclear diagnosis unnecessary examinations wrong medical care risk of chronic disease lacking compliance on behalf of the patients unnecessary costs

13. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 13 2) Aims of the project: Increase the quality of communication between health care professionals and patients Promote the understanding of different cultures Develop new, practically oriented teaching models and material Increase the mobility within the health sector

14. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 14 Target groups: foreign nurses (but also medical technicians, persons working in medical practices, wellness centres, geriatric/ retirement homes, administrative staff) and indigenous nursing staff, who increasingly have to attend to foreign patients

15. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 15 Domestic partners: Hospital Barmherzige Brüder Hospital in Hallein Hospital in Oberndorf

16. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 16 Advisory board: Accident & Emergency Hospital Diakonissenkrankenhaus Trade Union Local health insurance scheme Chamber of Physicians and The local government

17. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 17 European Partners: Germany (Volkshochschule Stuttgart - a further education institute) Great Britain (Newham College of Further Education, in London, which is one of the biggest educational institutes in London) Italy (Alpha & Beta, a language school in Bolzano und Meran, which has provided language courses for nursing schools for many years) The Czech Republic (Euro Staff, Agency and Training College for qualified personnel in the social and health sector in Prague) and Slovenia (Srednja Zdravstvena Sola, a nursing school in Ljubljana ).

18. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 18 3) Products Case history questionnaire in 5 languages Teaching material in 5 languages Glossary in 5 languages (CD-ROM & internet) Glossary in 3 languages as a booklet

19. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 19 Case History Questionnaire Developed and tested by trained nursing staff in the following languages German English Italian Czech Slovenian

20. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 20 Case History Questionnaire: The patient can fill in the questionnaire in his / her mother tongue and the nurse is able to understand the answers with the aid of a duplicate in his or her own language.

21. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg

22. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 22 Teaching material Approximately 90 hours of teaching material including listening exercises German English Italian Czech Slovenian

23. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 23 Level definition The teaching material is aimed at levels A 1 and A 2 of The Common European Framework of Reference for Languages.

24. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 24 Skills ListeningSpeaking70% ReadingWriting30%

25. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 25 4 main topics Hospital Routines40 Units Case Taking20 Units Examination / Check-ups15 Units Treatment15 Units

26. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 26 Glossary 1 Includes the most important terms and phrases used in health care CD-Rom Internet In the following languages: German, English, Italian, Czech, Slovenian

27. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 27

29. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 29 Glossary 2 Includes the most important terms used in health care Printed Version German – Italian – English Italian – German - English

30. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 30 4) Implementation: Language courses in all participating countries Extension to Turkish and Croatian Download free of charge of health history questionnaire and glossary Involvement in other projects (f.ex. „Prequal“)

31. Leonardo-Project "Healthy Languages", Coordinator: BFI Salzburg 31 Thank you very much for your attention! Contact: Berufsförderungsinstitut Salzburg Sigrid Dornetshuber 0662 / 88 30 81 - 395 www.healthylanguages.com