Evaluating repeated patient handling injuries following the implementation of a multi-factor ergonomic intervention program among health care workers

Lim, Hyun J.; Black, Tim; Shah, Syed M.; Sarker, Sabuj; Metcalfe, Judy

doi:10.1016/j.jsr.2011.05.002

Cited by 29 publications

(48 citation statements)

References 35 publications

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“…Most of the studies were from developed countries; eleven studies were conducted in the USA [25–35], two were conducted in Canada [36–37], ten studies were conducted in Europe [38–47], two studies were conducted in Hong Kong [48–49] and three studies were conducted in Israel, Brazil and Iran [50–52]. Twenty studies were controlled studies [25–27,29,32,34,36–44,46,48,49,51,52], two of which were RCTs [44, 51]. The other eight studies were before/after surveys, without a control group [28, 30, 31, 33, 35, 45, 47, 50].…”

Section: Resultsmentioning

confidence: 99%

An Evaluation of the Effects of Human Factors and Ergonomics on Health Care and Patient Safety Practices: A Systematic Review

et al. 2015

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BackgroundFrom the viewpoint of human factors and ergonomics (HFE), errors often occur because of the mismatch between the system, technique and characteristics of the human body. HFE is a scientific discipline concerned with understanding interactions between human behavior, system design and safety.ObjectiveTo evaluate the effectiveness of HFE interventions in improving health care workers’ outcomes and patient safety and to assess the quality of the available evidence.MethodsWe searched databases, including MEDLINE, EMBASE, BIOSIS Previews and the CBM (Chinese BioMedical Literature Database), for articles published from 1996 to Mar.2015. The quality assessment tool was based on the risk of bias criteria developed by the Cochrane Effective Practice and Organization of Care (EPOC) Group. The interventions of the included studies were categorized into four relevant domains, as defined by the International Ergonomics Association.ResultsFor this descriptive study, we identified 8, 949 studies based on our initial search. Finally, 28 studies with 3,227 participants were included. Among the 28 included studies, 20 studies were controlled studies, two of which were randomized controlled trials. The other eight studies were before/after surveys, without controls. Most of the studies were of moderate or low quality. Five broad categories of outcomes were identified in this study: 1) medical errors or patient safety, 2) health care workers’ quality of working life (e.g. reduced fatigue, discomfort, workload, pain and injury), 3) user performance (e.g., efficiency or accuracy), 4) health care workers’ attitudes towards the interventions(e.g., satisfaction and preference), and 5) economic evaluations.ConclusionThe results showed that the interventions positively affected the outcomes of health care workers. Few studies considered the financial merits of these interventions. Most of the included studies were of moderate quality. This review highlights the need for scientific and standardized guidelines regarding how HFE should be implemented in health care.

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Section: Resultsmentioning

confidence: 99%

An Evaluation of the Effects of Human Factors and Ergonomics on Health Care and Patient Safety Practices: A Systematic Review

et al. 2015

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“…Os programas de intervenção multifactorial com uma abordagem sistémica e integrada na prevenção das LMELT têm impacto positivo na saúde dos trabalhadores (21) . Porém a efetividade das medidas preventivas de LMELT nos EESMO tem sido pouco estudada.…”

Section: Discussionunclassified

A segurança biomecânica na prática clinica dos enfermeiros especialistas em saúde materna e obstetrícia

Baixinho

Presado

Marques

et al. 2016

RBPS

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RESUMOObjetivo: Compreender as medidas preventivas das lesões músculo-esqueléticas ligadas ao trabalho integradas pelos enfermeiros especialistas de saúde materna e obstétrica, na sua prática clinica bem como as dificuldades em adotá-las ou mantê-las. Métodos: Neste estudo exploratório e descritivo de abordagem qualitativa, privilegiou-se o questionário composto por questões abertas que foram sujeitas à técnica de analise de conteúdo. Selecionou-se uma amostra por conveniência: enfermeiros com experiência profissional em salas de parto de hospitais de cuidados diferenciados perinatais. Resultados: Participaram 14 enfermeiros especialistas de saúde materna e obstétrica, maioritariamente do sexo feminino, média de idades 37,2 anos e 21,3 anos de atividade profissional. Os participantes do estudo valorizam como medidas preventivas de LMELT o controlo do ambiente físico (organização do espaço e manipulação de materiais e equipamentos), a preparação da parturiente (avaliação da capacidade de colaboração, explicitar o procedimento, antecipar movimentos e prever o comportamento da mulher), as práticas e comportamentos no período expulsivo (recurso aos princípios da biomecânica, postura estática versus postura dinâmica, segurança da parturiente e bem-estar do recém-nascido) e as práticas e comportamentos no período pós-parto (atividade/repouso; stress pós-parto e comportamento individual). Conclusão: A prevalência de lesões músculo-esqueléticas nos enfermeiros especialistas de saúde materna e obstétrica é elevada, com impacto económico no tratamento e diminuição da produtividade. Verifica-se uma maior preocupação com o conforto da parturiente/RN em detrimento da segurança profissional. A postura varia com o tipo de parto, as dificuldades em manter os princípios da biomecânica são influenciadas pelos espaço físico e equipamentos.Descritores: Enfermeiros Obstetras; Prevenção e Controle; Transtornos Traumáticos Cumulativos. ABSTRACT Objective: Understand the preventive measures of the work-related musculoskeletal disorders integrated by nurses specialists in maternal health and obstetrics, in the clinic

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“…The difficulty of evaluating ergonomics interventions in the quickly changing environments of healthcare provision has been recognised for some time (Straker et al 2004) and several reviews have indicated that multi-factorial interventions for patient handling offer the most effective approach (Amick et al 2006;Hignett et al 2003). Recent studies support the use of multifaceted ergonomic programmes to improve risk management for patient handling (Berthelette et al 2012;D'Arcy, Sasai, and Stearns 2012;Gucer et al 2013;Lim et al 2011;Szeto et al 2013). The discussion of this study is presented in sections to cover the results of the development of TROPHI, the possible limitations and actions for the future.…”

Section: Discussionmentioning

confidence: 99%

TROPHI: development of a tool to measure complex, multi-factorial patient handling interventions

Fray¹,

Hignett²

2013

Ergonomics

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Evaluating repeated patient handling injuries following the implementation of a multi-factor ergonomic intervention program among health care workers

Cited by 29 publications

References 35 publications

An Evaluation of the Effects of Human Factors and Ergonomics on Health Care and Patient Safety Practices: A Systematic Review

An Evaluation of the Effects of Human Factors and Ergonomics on Health Care and Patient Safety Practices: A Systematic Review

A segurança biomecânica na prática clinica dos enfermeiros especialistas em saúde materna e obstetrícia

TROPHI: development of a tool to measure complex, multi-factorial patient handling interventions

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