Today at 14.30 we re- visited “Ö” to meet Marianne and visit more wards.  We didn’t manage to see the entire clinic so we booked another study visit for Thursday 2 feb.

The first thing we noticed is that the staff is very flexible with their schedule and they always adjusted their time to patient’s needs and demands. This means that they can be booked for one ward in the building but then depending on the situation they have to be in another ward.  At “Ö” the different wards are located in various parts of the building unit so when we tried to map the staffs walk paths they showed very irregular patterns.

This time we had the opportunity to speak with the staff for the day shift and got lots of interesting information. Sana made an internship and worked a 8 hour shift as midwife helper, assisting a few deliveries.

Summary of today’s information:

• Staff rooms should be close to patient rooms so that the staff doesn’t have to a long way to run in case of emergency.
• Fika room can be combined with working/ computer stations. This provides the opportunity for the staff to have discussions in an unofficial and relaxed way, ETG screens need to be there.
• Some part of this room should be able to make separate for more heavy discussions .
• Staff should also have a resting room, not close to the patient’s area.

Art on walls:

• Today the “Ö” in general has very little art. Also the art has not been thought through as there is no art with nature themes.

Women are allowed to have maximum 2 people with them to the delivery ward.  Patient decide who they want to bring usually it’s their partner. The restrictions are to avid risk for infections.

• While in delivery the family is assisted by a team of three; one head midwife, one second midwife and one nurse’s aide.

Work teams:

• Staff works in three shifts.
• 9 staff members work each shift
• The coordinator for whole Göteborg city has her office at “Ö” normal delivery ward. Her job is to direct all women in delivery different hospitals, checking bed availabilities and staff.

In general:

• Staff expressed that they would prefer a solution in which one room could easily be reused for different functions. Patients could have one room dedicated to them from the beginning to the end (before delivery, during delivery and post-delivery).
• All different delivery wards should be at one floor level.
• Staff should have areas dedicated for them. The changing rooms are today in the culver in a banker.

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