A systematic review of work interventions to promote safe patient handling and movement in the healthcare sector

Wåhlin, Charlotte; Stigmar, Kjerstin; Strid, Emma Nilsing

doi:10.1080/10803548.2021.2007660

Cited by 11 publications

(8 citation statements)

References 56 publications

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“…The identification of problems in the organization of work is the basis for the development of workplace health interventions and participatory ergonomics programs. These programs have been applied in different contexts, with encouraging results [ 76 , 77 ]. It is, however, evident that programs can only work with the concrete support of company management [ 78 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Quality of Work Organization on Distress and Absenteeism among Healthcare Workers

Magnavita

Chiorri

Karimi

et al. 2022

IJERPH

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The quality of work organization may be responsible not only for reduced productivity but also for an increased risk of mental and physical disorders. This study was aimed at testing this hypothesis. Workers of a local health unit in Italy were asked to fill out the Work Organization Assessment Questionnaire (WOAQ) during their periodic medical examinations in the second half of 2018. On the same occasion, they also completed the Demand/Control/Support (DCS) measure of job strain, the Effort/Reward Imbalance (ERI) questionnaire, and the General Health Questionnaire (GHQ12) to assess psychological health. A total of 345 workers (85.8%) completed the survey. Linear regression analysis showed that the quality of work organization was inversely proportional to psychological health problems (p < 0.001). Occupational stress, measured both by job strain and ERI, was a moderating factor in this relationship. The relationship between the WOAQ and psychological health, moderated by job strain or ERI, remained highly significant even after adjustment for sex, age, social support, and overcommitment. Regression models explained over 40% of the shared variance of the association between quality of work organization and psychological health. The quality of work organization significantly predicted the risk of sickness absence for musculoskeletal disorders (OR = 0.984, CI95% 0.972–0.996) and for other health problems (OR = 0.977, CI95% 0.967–0.988). A continuous improvement of work organization must consider not only the clients’ or production needs but also the well-being of workers.

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Section: Discussionmentioning

confidence: 99%

The Impact of Quality of Work Organization on Distress and Absenteeism among Healthcare Workers

Magnavita

Chiorri

Karimi

et al. 2022

IJERPH

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“…Other promising strategies for safe PHM were participatory ergonomics, joint management and HCW engagement. 14 However, further knowledge into how to develop a combination of workplace interventions, including risk assessments, is needed to further facilitate safe PHM and prevent musculoskeletal disorders. The intervention strategies that will be evaluated in this study are based on regulations for occupational safety and health, clinical guidelines and previous research into interventions that promote safe PHM.…”

Section: Introductionmentioning

confidence: 99%

“…This implies a need to further focus on combining risk assessments for patients and HCWs to prevent and eliminate risks and promote a healthy, safe and sustainable healthcare environment. The importance of performing risk assessments as a basis for choosing interventions is supported by laws and regulations as well as previous research 13 14…”

Section: Introductionmentioning

confidence: 99%

“…In a recent systematic review, interventions including the provision of work equipment and training HCWs were found to increase the HCWs’ use of equipment, and peer coaches in safe PHM were associated with fewer occupational injuries. Other promising strategies for safe PHM were participatory ergonomics, joint management and HCW engagement 14. However, further knowledge into how to develop a combination of workplace interventions, including risk assessments, is needed to further facilitate safe PHM and prevent musculoskeletal disorders.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the implementation and effectiveness of a multifactorial intervention strategy for safe patient handling and movement in the healthcare sector: a study protocol of a cluster randomised controlled trial

et al. 2023

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IntroductionHealthcare workers with physically demanding work tasks, such as patient handling and movement (PHM), are at high risk of musculoskeletal disorders. To facilitate safe PHM and prevent musculoskeletal disorders, a combination of workplace interventions, including risk assessments, is needed. The aim of this study is to implement and evaluate a multifactorial intervention strategy for safe PHM and compare it with a single intervention strategy.Methods and analysisThis cluster randomised controlled trial will compare a multifactorial intervention strategy with a single intervention strategy for safe PHM in workplaces in the Swedish regional and municipal healthcare systems. At least twelve healthcare units will be recruited. Care units belonging to arm A will receive: (1) guidelines for PHM, (2) training modules, (3) risk assessment with TilThermometer, (4) risk assessment with Downtown Fall Risk Index and (5) work environment mapping. Care units belonging to Arm B will receive interventions (1) and (5). The two strategies will be evaluated with regards to (1) the primary outcome of the applied strategies’ intervention effectiveness (safety climate in relation to aspects of PHM) and (2) the primary implementation outcome (acceptability, appropriateness and feasibility). This study will also explore the implementation process and intervention fidelity, examine the influence of contextual factors and investigate participants’ experiences of working with strategies for safe PHM. A mix of quantitative and qualitative methods will be used. The data collection is based on questionnaires, interviews and field notes of contextual factors.Ethics and disseminationThe study is approved by the Swedish national ethical board (Dnr 2021–00578). Study results will be published in peer-reviewed journals, presented at conferences and distributed on social media. A lay summary and dissemination strategy will be codesigned with a reference group and participating healthcare units.Trial registration numberNCT05276180.

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“…The effectiveness of interventions and safe patient handling programs in reducing care provider injuries in clinical care facilities, such as hospitals and nursing homes, is well studied. 16,17 However, the efficacy of these same preventative measures in the home health care setting is not well understood. 18 Research has found differences between HBHC providers and those in clinical care facilities with regard to the types of injuries suffered, injury rates, demographics and chronic health conditions.…”

Section: Introductionmentioning

confidence: 99%

An Examination of Washington State Workers’ Compensation Claims for Home-Based Health Care Workers, 2006 to 2016: Part 2. Injury Rates and Trends

Howard

Adams

Marcum

et al. 2022

Home Health Care Management & Practice

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Research of home-based health care (HBHC) has shown that care providers suffer from a high rate of injuries. Analysis of workers’ compensation records, a reliable source for injury and illness data, enables the identification of trends within a specific working population. HBHC workers’ compensation compensable claims in Washington State from 2006 to 2016 were compared to clinical health care (CHC) claims. Injury event and source attributed to HBHC claims were also analyzed, with a focus on work-related musculoskeletal disorders (WMSDs). Though CHC had 5 times the number of full-time employees during the study period, HBHC grew by 61.1%, compared to 28.7% in CHC. Claim rates for all compensable claims and WMSD claims consistently decreased year-over-year for both HBHC and CHC. WMSD claims experienced a year-over-year decline of 5.3%; for all compensable claims the decline was 4.5%. Analysis of HBHC claim rates by injury event found WMSD had the highest rates, followed by falls from the same level. However, the largest annual change was for the injury event overexertion (−10.1%, 95%CI: −13.4, −6.8). HBHC injuries attributable to the health care patient were the most common. Claims with this injury source declined annually by 6.0%. Claim rates for injuries to the back region, and specifically back WMSDs, were consistently higher year-over-year compared to other body regions and WMSD types. Claims for injuries to the back declined by an annual rate of 6.6% (95% CI: −7.9, −5.3), while back WMSD claims decreased by 6.4% (94% CI: −7.8, −4.9).

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A systematic review of work interventions to promote safe patient handling and movement in the healthcare sector

Cited by 11 publications

References 56 publications

The Impact of Quality of Work Organization on Distress and Absenteeism among Healthcare Workers

The Impact of Quality of Work Organization on Distress and Absenteeism among Healthcare Workers

Evaluation of the implementation and effectiveness of a multifactorial intervention strategy for safe patient handling and movement in the healthcare sector: a study protocol of a cluster randomised controlled trial

An Examination of Washington State Workers’ Compensation Claims for Home-Based Health Care Workers, 2006 to 2016: Part 2. Injury Rates and Trends

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