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Original Articles

Sperimentazione di un modello interdisciplinare per sviluppare istituzioni e policy basate sul valore delle competenze

DOI 10.23753/htafocus2019.03.014

Francesca Cioffi, Marina Cerbo, Federico Spandonaro, Fabrizio Quintili, Roberto Noccioli, Silvia Buccella, Giuseppe Quintavalle, Patrizia Magrini, Carmela Matera, Marta Branca


Introduction Coaching is a personal development method that provides specific support towards acquiring a higher degree of awareness, responsibility, choice, trust and autonomy. This application in Health Care is developed in Italy by IPACS (Institutional & Public Coaching Services) within a methodology that integrates Mentoring - Individual Coaching - Team Coaching - Classroom Training, and lasts about 6 months. The aim of the study was to demonstrate how an integrated Coaching program could have an impact on the development of soft and hard skills mainly related to inter-disciplinary roles, and positively influence the achievement of System objectives set in the National Chronicity Plan by the Ministry of Health. 

Materials and Methods An integrated program of Coaching was applied to 2 Teams of Institutional professionals (18 of ASL Roma 4 and 23 of the National Institute for Infectious Diseases L. Spallanzani in Rome). In particular, the objectives shared in the action plan for ASL Roma 4 were the Reorganization of the First Intervention Point on the Territory, and the Inclusion of the Family Nurse in the Community while for the INMI L. Spallanzani were the Improvement of Retention in Care and the Multidisciplinary Management of Fragile Patients with Chronic Infectious Diseases. The improvement in the core skills (Communication, Result Orientation, Teamworking, Negotiation) was measured with an Assessment pre and post Coaching program. Capacity development was defined as effective for an increase score of at least 0.5 and excellent for at least 1.5 points. Intermediate results in skills development were monitored with an observation template. An action plan monitoring was carried out through the IPACS Empowerment platform®.

Results During the study period, from February to September 2019, the 41 professionals involved reported the most important improvements in the ability to achieve the result (71%), through a change in the effort to ensure the result even in uncertain conditions, and in the ability of Teamworking (61%), through information sharing, greater listening, understanding of the needs of others, participation and driving the team's activities. Results were considered excellent for all core capabilities selected in about half of the observed improvements. All professionals have also developed a mindset of abundance and playfulness that has influenced relational ability and strategic focus.

Conclusions The study showed the effectiveness of an integrated Coaching Program on soft and hard skills for the development of an interdisciplinary role. The efficacy was evident not only for the increase in self-awareness but also for the improvement and development of identified capabilities aimed at carrying out an action plan.

Key words: Skills, Coaching, Mentoring, Networking, Organizational, Empowerment 

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