Experiences of rural nurses with emergency patient transport in a resource limited setting

Mamalelala, Tebogo T.; Holzemer, William; Seloilwe, Esther S.; Iwu, Emilia; Kamienski, Mary

doi:10.1016/j.ienj.2023.101379

Cited by 2 publications

(1 citation statement)

References 30 publications

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“…The incidence of musculoskeletal disorders in nurses increases with increasing age and increasing body mass index (BMI), although currently it is also often found in young nurses (Stanchev & Vangelova, 2022). Not all health service facilities provide transporters to help carry out the task of transferring patients, so the workload and physical burden of nurses increase (Mamalelala et al, 2023). This increase in physical load is one of the factors in the occurrence of musculoskeletal disorders related to work, where health workers, especially nurses, are the biggest risk group and need to be paid attention to (Saberipour et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Use of Patient Transfer Aids to Reduce the Risk of Musculoskeletal Disorders in Nurses in the Emergency Department: Literature Reviews

Minarko,

Dewi,

Suadnyani

2024

IJGHR

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Introduction: Nurses in emergency installations have a job that has a high risk of developing musculoskeletal disorders due to their workload. An activity that is often carried out by nurses is transferring patients, where this activity has the potential risk of increasing physical burden and musculoskeletal injuries on nurses. The effort to reduce the risk of musculoskeletal disorders in nurses is by using patient transfer aids. The aim of this study is to determine the use of patient transfer aids to reduce the risk of musculoskeletal disorders in nurses in the emergency department. Method: The method used is a literature review with six databases (Scopus, Science Direct, Web of Science, CINAHL, ProQuest, and PubMed) in January 2024. Research design inclusion criteria in this study include cohort studies, case reports, research and development, RCTs, descriptive correlational studies, and experimental studies. Articles published in 2017–2023 in English involving a population of nurses and/or health workers who carry out patient transfers. Data analysis was carried out using the researcher's critical thinking and PRISMA. Results: The use of patient transfer aids will reduce nurses' workload and reduce the risk of musculoskeletal disorders. Various types of patient transfer aids can be used, such as sliding sheets or slides, friction-reduction sheets, glide sheets, ergonomic belts, air-assisted transfer devices, lift velocities, motorized patient transfer devices, and prototype patient transfer aids. Conclusion: Patient transfer aids can significantly reduce the risk of musculoskeletal disorders in nurses in the emergency department.

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Section: Introductionmentioning

confidence: 99%

Use of Patient Transfer Aids to Reduce the Risk of Musculoskeletal Disorders in Nurses in the Emergency Department: Literature Reviews

Minarko,

Dewi,

Suadnyani

2024

IJGHR

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Development and psychometric testing of a scale to measure effective rural emergency transfer (RET)

Mamalelala,

Holzemer,

Seloilwe

et al. 2024

BMC Emerg Med

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Background The process of transferring patients from small rural primary care facilities to referral facilities impacts the quality of care and effectiveness of the referral healthcare system. The study aimed to develop and evaluate the psychometric properties of a scale measuring requirements for effective rural emergency transfer. Methods An exploratory sequential design was utilized to develop a scale designed to measure requirements for effective emergency transport. Phase one included a qualitative, interview study with 26 nursing transport providers. These transcripts were coded, and items developed for the proposed scale. Phase two included a content validity review by these 16 transport providers of the domains and items developed. Phase three included development and evaluation of psychometric properties of a scale designed to measure requirements for effective emergency transport. This scale was then tested initially with 84 items and later reduced to a final set of 58 items after completion by 302 transport nurses. The final scale demonstrated three factors (technology & tools; knowledge & skills; and organization). Each factor and the total score reported excellent scale reliability. Results The initial item pool consisted of 84 items, generated, and synthesized from an extensive literature review and the qualitative descriptive study exploring nurses’ experiences in rural emergency patient transportation. A two-round modified Delphi method with experts generated a scale consisting of 58 items. A cross-sectional study design was used with 302 nurses in rural clinics and health in four rural health districts. A categorical principal components analysis identified three components explaining 63.35% of the total variance. The three factors, technology, tools, personal knowledge and skills, and organization, accounted for 27.32%, 18.15 and 17.88% of the total variance, respectively. The reliability of the three factors, as determined by the Categorical Principal Component Analysis (CATPCA)’s default calculation of the Cronbach Alpha, was 0.960, 0.946, and 0.956, respectively. The RET Cronbach alpha was 0.980. Conclusions The study offers a three-factor scale to measure the effectiveness of emergency patient transport in rural facilities to better understand and improve care during emergency patient transport.

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Experiences of rural nurses with emergency patient transport in a resource limited setting

Cited by 2 publications

References 30 publications

Use of Patient Transfer Aids to Reduce the Risk of Musculoskeletal Disorders in Nurses in the Emergency Department: Literature Reviews

Use of Patient Transfer Aids to Reduce the Risk of Musculoskeletal Disorders in Nurses in the Emergency Department: Literature Reviews

Development and psychometric testing of a scale to measure effective rural emergency transfer (RET)

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