QESTRAIN - Personnel training model for integrated
quality-environment-safety management system in
hospitals and public health service
Minutes of the 3rd International Meeting March 04th – 06th, 2004
University of Paderborn, Paderborn, Germany
Participants:
Mag. Christoph Holzner, Cleaner Production Center, Austria
Tiina Juhansoo, Tallinn Medical School, Estonia
Eliisa Karhumäki, Helsinki City College of Social and Health Care, Finland
Kristel Linsmann, AS West-Tallinn Central Hospital and Training Centre, Estonia
Dr. Josef Noeke, Universität Paderborn, Institut für Energie- und Verfahrenstechnk, Germany
(chairman of the meeting)
Bettina Palka, Innovakom Ltd., Germany
Ulla Raid, AS West-Tallinn Central Hospital and Training Centre, Estonia
Ulla-Maija Ranta, SYKLI – Environmental School of Finland (Coordinator)
Anne Schreyer, Universität Paderborn, Institut für Energie- und Verfahrenstechnk, Germany
André Serranho, Eco-One. Finland
Risto Tenhunen, Eco-One, Finland
Hans-Jürgen Wagener, InnovaKom Ltd
Tiina Viikmann, Tallinn Medical School, Estonia
Thursday 04th
1. Opening of the meeting
Josef Noeke opened the meeting at 09:20 am. He chaired the meeting for Thursday and
Friday’s Dissemination seminar, Ulla-Maija for Saturday. The notes of the meeting were taken
by Ulla-Maija.
Josef reviewed the agenda (Annex 2, available in Web-CT under International Meetings) and
the goals of the meeting. Before going into the actual agenda of the meeting he gave a
presentation of the University of Paderborn and of the City of Paderborn (Annex 2).
The objectives of the 2nd International Meeting were as defined in the agenda & work plan:
 Summary of the progress up to now (tasks 1 and 2) / partner presentations, Thursday
 Planned steps for the next tasks / partner presentations, Thursday
 Planning discussion and modification of the training models / curricula, Thursday and
Saturday
 Dissemination of project results, local dissemination partners  dissemination seminar
on Friday
2. Progress up to now and planned steps for the next tasks
Each partner / partner combination gave a presentation of the progress made with tasks 1 and
2 and of the plans with task 3 / task 4. The core of the presentations was based on the
instruction for progress reports and presentations sent to the partners before the meeting
(Annex 3). The purpose of this instruction was to unify the reports and thus make it easier for
all partners to compare and discuss of the national models.
687303459
(10) (
p. 1(10)
For Task 2 – Development of the training model / curricula the objectives and partners´ roles
were, as defined in the work plan:
Task 2.1 - Objectives:


Outline of the pedagogic and substance aspects of the personnel training model for quality,
environmental and safety issues
Additional vocational training (at work place)
Task 2.1 – Partners´ roles

Development of the training model

Task to be divided into subtasks between the partners; the outcomes of the subtasks to be gathered together
as the training model
The extent and the coverage of the model to be decided between the partners based on the results of the
evaluation and available resources allocated for the task
CPC, Innovakom + University of Paderborn, SYKLI + Eco-One, West-Tallinn Central Hospital and Training
Centre


Task 2.2 – Objectives


Outline of the pedagogic and substance aspects of the personnel training model for quality,
environmental and safety issues
Basic vocational training of nurses / practical nurses
Task 2.2 – Partners roles


Basic vocational training of nurses / practical nurses
The task to be divided between Tallinn Medical School and Helsinki City College of Social and
Health Care so that each works on a specific part of curriculum
As was discussed and agreed at the previous meeting in Graz for Task 2.1 the partners
worked out their national models (as the sub-tasks) since it was at that phase still too early to
clearly define the general model. A rough general model / features of the model was anyhow
figured out, see the minutes of the 2nd meeting.
For Task 3 – Testing of the training model in pilot hospitals and for Task 4 – Testing the
integration of quality-environment-safety issues to the vocational curricula of nurses / practical
nurses the objectives and partners´ roles are as defined in the work plan:
Task 3 – Objectives:


Testing of the applicability of the training model in pilot hospitals with pilot training events
targeted at different personnel groups
Gathering feedback from the personnel of the pilot hospital
Task 3 - Partner’s roles:


Implementation of the pilot training at pilot hospitals
The partners and 5 pilot hospitals/health centre in different countries will implement testing so
that only certain part of the training model or a training period for a certain personnel group will
be tested in one pilot hospital

CPC and Unfallkrankenhaus AUVA, Innovakom + University of Paderborn and St. Johannisstift Paderborn,
SYKLI + Eco-One and Lohja Health Centre + Lohja Hospital Area, West-Tallinn Central Hospital and it’s
Training Centre
Task 4 – Objectives:


Implementation of a pilot course
Feedback and suggestions for improvement
Task 4 – Partner’s roles:

Tallinn Medical School and Helsinki City College of Social and Health Care will test the
integration as a part of their existing courses
2.1. University of Paderborn, Innovakom Ltd and St Johannisstift Paderborn
Bettina presented the progress and steps made by German partners with tasks 1 and 2.
Josef continued with the requirements of the training model and Anna finished the
presentation with the overview to the practical application of the model, task 3. German
presentation and report are included as Annex 4 and 5, respectively, and are available at
WEB-CT as files Vortrag Meeting.pdf and QESTRAIN - Second Progress Report - Germany.pdf
687303459
(10) (
p. 2(10)
2.2. CPC Austria and Unfallkrankenhaus AUVA (UKH)
Christoph presented the progress and steps made with tasks 1 and 2 and the plans for pilot
training, task 3. The Austrian national model is presently concentrated in environmental
issues. Safety issues are later added to the contents of the model, and after that, the quality
issues. Austrian presentation and report are available as Annexes 6 and 7, respectively and
are available at WEB-CT as files pre-tasks2.ppt and 2nd IR CPC.pdf
2.3. SYKLI – Environmental School of Finland, Eco-One, Lohja Hospital Area and Lohja
Health Centre
Ulla-Maija and Risto presented the progress and steps made with tasks 1 and 2 and plans for
the pilot trainings, task 3. Part of the pilots has been done already, during the autumn. Finnish
presentation and report are included as Annexes 8 and 9, respectively and are available at
WEB-CT as files Report slides Sykli E-O 3S.pdf and Report 2 Sykli E-O 3S.pdf
2.4. West-Tallinn Central Hospital and the Training Centre
Ulla and Kristel presented the progress and steps made with tasks 1 and 2 and plans for the
pilot trainings, task 3. The presentation is included as Annex 10 and available at WEB-CT as
file WTCHpresentation.ppt
2.5. Tallinn Medical School
Tiinas presented the progress and steps made with tasks 1 and 2 and plans for the pilot
trainings, task 4. The presentation is included as Annex 11.
2.6. Helsinki City College of Social and Health Care (HESOTE)
Eliisa participated for the first time during the project at Qestrain international meeting and
presented herself. Hesote has cooperated with Tallinn Medical School with Tasks 1, 2 and
plans for 4 and thus Eliisa presented the common summary of progress and plans. Hesote´s
presentation material is included as Annex 12 and available at WEB-CT as files KOK SAKSA
TASKS.ppt, KOK SAKSA DEVELOPMENT.ppt, KOK SAKSA PILOT.ppt, sateenvarjo keke2.ppt,
sateenvarjo LAATU.ppt, sateenvarjo turva.ppt, sateenvarjo yht.ppt and KOK SAKSA
DISSEMINATION.ppt
2.7. Summary of the results
Task 2.1 - Even though each partner / country had worked with developing the national
models it appeared that the basic approach in all is surprisingly similar. The national models
support each other. Partners can utilize the contents of other national models in their own
models. The contents and formulation of the common model was discussed and the basic
features agreed, this discussion was continued on Saturday.
Task 2.2 - Hesote and Tallinn Medical School had worked together with the curricula model;
the common model is described as “umbrella” approach as presented in Hesote´s material
(files sateenvarjo keke2.ppt for environmental issues, sateenvarjo LAATU.ppt for quality
issues, sateenvarjo turva.ppt for safety issues, sateenvarjo yht.ppt for all three QES
issues; sateenvarjo = umbrella). In the pilots – Task 4 – Hesote will concentrate on QES
issues concerning hospital work and Tallinn Medical School on the care of out patients.
Friday 05th
687303459
(10) (
p. 3(10)
3. Dissemination Seminar
German partners InnovaKom Ltd and University of Paderborn organized the dissemination
seminar. The seminar was held at the Educational Centre of the pilot hospital St Johanisstift.
Hans-Jürgen Wagener and Josef Noeke were chairing the seminar. The language of the
dissemination seminar was German since the participants were from local and regional
hospitals and health care organizations. The agenda and corresponding presentation
materials were as follows:
 Opening and greetings, Sven Freytag, St. Johannisstift Paderborn
 Presentation of the project, Hans-Jürgen Wagener, Annex 13, available in WEB-CT
as file Dissemination_Seminar_Presentation_QESTRAIN.pdf
 Presentation of the German project, Josef Noeke, Annex 14, available in WEB-CT as
file Dissemination_Seminar_German_Procedure_and_Results.pdf
 Presentation of the Finnish projects, Tasks 2.1 and 2.2, Annex 15, Risto Tenhunen,
available in WEB-CT as file presantation tagung.ppt
 Presentation of the Austrian project, Christoph Holzner, Annex 16, available in WEBCT as file pre-dissemination_dt.ppt
 Presentation of the Estonian projects, Tasks 2.1 and 2.2, Tiina Juhansoo, Annex 17
(Present Diss Estonia.pdf),
 Presentation of the North-Westphalian working group for environmental protection in
hospitals, Gerd Schäfer, Environmental protection officer of the hospital
Bergmannsheil, Bochum, Annex 18, available in WEB-CT as file
Dissemination_Presentation_AK_Umwelt.pdf

Presentation of the pedagogical aspects of environmental education for adults, Dr.
Christa Henze, Institute for Environmental Education, University of Duisburg, Annex
19, available in WEB-CT as file
Dissemination_Seminar_Pedagogical_aspects_of_environmental_education_for_adults
.pdf

Presentation of the educational centre of the St Johannisstift Paderborn, Jurgen
Grossr and Barbara Matina, Annex 20, available in WEB-CT as file
Dissemination_Seminar_Presentation_Educational_Center.pdf

Presentation of the electronic management handbook quality, environment, safety in
the hospital: concrete structure and practical experiences, Bettina Palka, Anne
Schreyer and Hans-Jurgen Wagener, Annex 21, available in WEB-CT as file
Dissemination_Seminar_Electronical_Handbook.pdf

Final discussion
3.1. Visit at the educational centre and the hospital

After the dissemination seminar the project partners visited the educational centre and
the maternity department of the pilot hospital guided by Ms Barbara Matina
Saturday 6th
4. Planning for the tasks 3 and 4 and planning for the general models and for the final
products
The partners had already presented their plans for the their pilots, tasks 3 and 4. As to task 3,
the pilot trainings support the development of the national models on the basis of which the
general model (product 1) is put together. Ulla-Maija presented the idea and approach for the
general models; see Annex 22 (Qestrain Modell). This had been drafted on the basis of the
previous meeting and of the partner’s reports.
The planning was started by working out the ideas and structure for the general models in
three groups:
687303459
(10) (
p. 4(10)



Group 1 - Personnel training model for hospitals, Innovakom, University of Paderborn,
CPC Austria and Eco-One (Product 1)
Group 2 - Personnel training model for hospitals, West-Tallinn central Hospital, Sykli
(Product 1)
Group 3 – QES aspects in Curriculum of nurses and practical nurses, Tallinn Medical
School, Hesote (Product 2)
The groups presented their results. The results of the groups 1 and 2 are shown below, the
group 3 discussed further about details of the “umbrella” model.
687303459
(10) (
p. 5(10)
Group 1 - Qestraining in Health System, presented by Bettina
1) Basic vocational training
The basic training of the personnel working at the hospital
2) Further training ( personnel training model)
a) Identifying the needs
(1) Personnel –oriented
- questionnaire  example, questionnaire
- interviews  example, experiences
- data collection
- etc..
(2) Process –oriented
- questionnaire
- interviews
- process analysis  tool: MetaPlan
- Inspection  example / experiences
- etc…
b) Satisfying the needs
 needs overview; e.g.
Q
E
- quality motivation
- hazardous material
-…
-…
 methods
S
- ergonomics
-…
…strengths / weaknesses
 example for the contents
687303459
(10) (
p. 6(10)
Group 2 – Two approaches, presented by Ulla-Maija
- inductive
- deductive
Inductive
Deductive
Didactics: brainstorming
e-Learning
background
description
of
processes
goals
&
needs
workshops seminars
studies  questionnaires
IC
guidelines
occupational
health
work safety
legislation
training
plan
to make a good basement
general approach
PERSONNEL
&
MANAGEMENT
individual approach
 to make an individual commitment
qualification
matrix in
X department
Using the
German tool
qualification
matrix in
Y department
qualification
matrix in
Z department
Didactics:
- Developmental discussions
- Individual discussions
-
687303459
(10) (
..
p. 7(10)
5. Planning for the final product
The contents of the final products were discussed. It was suggested to have one physical
product (printed and CD/www-based), which describes:
- the project and the two project lines and products (summary)
- final products 1 and 2, general versions (in detail)
The contents could include the following:
Qestrain health care
Summary of the both educational systems (two parts):
basic vocational education (nurses, practical nurses; other ?)
further education / personnel training
Official curricula of nurses / practical nurses
Description of the different ways for the implementation of further training
- different personnel groups
- …
description of tools
- tool for writing the needs
- analysing tool
- ….
- MetaPlan tool for analysing the training afterwards
Description of the cases
Final products
- Overview of product 1
o Description of the several ways
o Description of the different tools
o Description of how to use the different tools
o ...
- Final conclusion
o What has been done in the project  product
o What are the results
- Overview of product 2
o Comments for the proposition / approach for the integration of QES issues
in the curriculum
o ….
6. Evaluation of the meeting
The evaluation of the meeting was carried out using the Meta-Plan technique. Before the
evaluation Bettina and Hans-Jurgen gave an introductory presentation of the technique and it’s
use, Annex 23 (Presentation MetaPlan). The issue asked to consider individually was which
aspects of the meeting were good (written on green papers) / bad (written on red papers):
 Structure of the contents of the meeting
 Organization and basic conditions of the meeting and around the meeting
 Utility of the meeting
 Dissemination seminar
687303459
(10) (
p. 8(10)
The green and red papers were collected, read and pinned onto the table by Bettina and
Anne. The results of the evaluation are shown in Annex 24, available in WEB-CT as file
Strengths and weaknesses.pdf.
7. Other issues
The next meeting was agreed to be on 09. – 11.09.2004 (Thursday - Saturday) in Tallinn.
West-Tallinn Central Hospital is responsible for organizing the meeting at Tallinn, Estonia. The
objectives of the 4th meeting are, as defined in the work plan:
 Discussion and modification of the training model

 Dissemination of project results / seminar and work shop / local dissemination partners
8. Closure of the meeting
The meeting was closed on Saturday 6th of March at 12:30 pm. The programme, however,
continued after lunch with the guided tour in the city centre of Paderborn
Annexes – filed in Qestrain project WEB-CT:
Annex 1
Annex 2
Annex 3
Annex 4
Annex 5
Annex 6
Annex 7
Annex 8
Annex 9
Annex 10
Annex 11
Annex 12
Annex 13
Annex 14
Annex 15
Annex 16
Annex 17
Annex 18
Annex 19
Annex 20
Annex 21
Annex 22
Annex 23
Annex 24
Agenda of the 3rd international meeting in Paderborn
Opening of the meeting, 0 Start.pdf
Instructions for the presentations, Redline.ppt
German presentation, Vortrag Meeting.pdf
German report, QESTRAIN – Second Progress Report – Germany.pdf
Austrian presentation, pre-tasks2.ppt
Austrian report, 2nd IR CPC.pdf
Sykli&Eco-One´s presentation, Report slides Sykli E-O 3S.pdf
Sykli&Eco-One´s report, Report 2 Sykli E-O 3S.pdf
West-Tallinn Central Hospital´s presentation, WTCHpresentation.ppt
Tallinn Medical School’s presentation,
4 Presentation Estonia Medschool.pdf
Hesote´s presentation, files:
KOK SAKSA TASKS.ppt, KOK SAKSA DEVELOPMENT.ppt, KOK SAKSA
PILOT.ppt, sateenvarjo keke2.ppt, sateenvarjo LAATU.ppt, sateenvarjo
turva.ppt, sateenvarjo yht.ppt and KOK SAKSA DISSEMINATION.ppt
Dissemination_Seminar_Presentation_QESTRAIN.pdf
Dissemination_Seminar_German_Procedure_and_Results.pdf
Presentation of the Finnish projects, presentation tagung.ppt
Presentation of the Austrian project, pre-dissemination_dt.ppt
Presentation of the Estonian projects, 5 Present Diss Estonia.pdf
Presentation of the North-Westphalian working group for environmental
protection in hospitals, Dissemination_Presentation_AK_Umwelt.pdf
Dissemination_Seminar_Pedagogical_aspects_of_environmental_
education for_adults.pdf
Dissemination_Seminar_Presentation_Educational_Center.pdf
Dissemination_Seminar_Electronical_Handbook.pdf
Presentation for the idea of the general models, 1 Qestrain Modell.ppt
Presentation of the MetaPlan technique, 2 Presentation MetaPlan
Results of the evaluation, Strengths and weaknesses.pdf.
Josef Noeke
1st Chair of the meeting
687303459
(10) (
Ulla-Maija Ranta
Secretary and 2nd Chair of the meeting
p. 9(10)
687303459
(10) (
p. 10(10)