Impact of California's safe patient handling legislation on musculoskeletal injury prevention among nurses

Lee, Soo Jeong; Lee, Joung Hee; Harrison, Robert J.

doi:10.1002/ajim.22923

Cited by 20 publications

(21 citation statements)

References 16 publications

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“…For example, research by Zhang et al found a prevalence of 47.4% in nurses [32]. In this respect, many prevention programs have been implemented in the US a long time ago to prevent and reduce MSDs in nurses [33]. In addition, the conditions and working environment of nurses in the US are also better than in Vietnam [34], which can limit the exposure to hazards in the nurse's working environment.…”

Section: Prevalence Of Ms In Various Anatomicalmentioning

confidence: 99%

Prevalence and Characteristics of Multisite Musculoskeletal Symptoms among District Hospital Nurses in Haiphong, Vietnam

Nguyen

Hoang

Giang

et al. 2020

BioMed Research International

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Background. Musculoskeletal disorders (MSDs) are commonly observed among workers around the world. These diseases not only affect the health of workers, their quality of life, and their performance, but the effects of such diseases also represent a great burden for the health and social systems. These issues are even more prevalent in developing countries, and nurses are no exception. Many studies worldwide have shown a high prevalence of work-related MSDs in each body position among nurses. However, there are very few studies that have mentioned multisite musculoskeletal symptoms (MMS). Objectives. To describe the prevalence and characteristics of MMS among district hospital nurses in Haiphong, Vietnam. Material and Methods. A cross-sectional study was carried out on 1179 nurses working in all 15 district hospitals using the Modified Nordic Questionnaire at 9 anatomical sites on the body (neck, shoulder/upper arm, elbow/forearm, wrist/hand, upper back, lower back, hip/thigh, knee/lower leg, and ankle/foot). The following main indicators were calculated: the prevalence of musculoskeletal symptoms (MS) (at least 1 of 9 sites), MMS (two or more sites), and widespread musculoskeletal symptoms (WMS) (MS of the upper limb, the lower limb, and the back or the neck). Results. The prevalence of MS during the past 12 months and symptoms lasting for at least 30 days was 60.6% and 17.2% in men and 77.6% and 21.5% in women, respectively. The lower back, neck, upper back, and shoulder/upper arm were the most common sites affected. In terms of MMS, the prevalence was 37.6% in men and 57.1% in women during the past 12 months while 8.6% of men and 11.3% of women reported that symptoms lasted for at least 30 days. The prevalence of MMS tended to increase with age, seniority, having a history of musculoskeletal diseases, and in nurses working in district hospitals located in urban areas. Nearly 90% of MMS concerned two or three anatomical regions during the past 12 months, and almost 80% of MMS lasting at least 30 days involved two or three anatomical regions. The prevalence of WMS was 10.4% in men and 18.6% in women during the past 12 months and 0.9% in men and 2.1% in women lasting at least 30 days. Conclusions. This study showed the high prevalence of MMS and WMS among nursing staff. Further and more extensive research is needed to improve our understanding of multisite musculoskeletal symptoms and act as the foundation for developing preventive measures for nurses.

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Section: Prevalence Of Ms In Various Anatomicalmentioning

confidence: 99%

Prevalence and Characteristics of Multisite Musculoskeletal Symptoms among District Hospital Nurses in Haiphong, Vietnam

Nguyen

Hoang

Giang

et al. 2020

BioMed Research International

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“…As expected, our study participants reported increased provision of lift equipment and more frequent and regular training on SPH since the passage of the SPH law. A recent study of California nurses found statistically significant improvements in hospital SPH programs from 2013 to 2016 with some gaps; in 2016, 87% of hospital nurses with patient handling duties were aware of their hospital’s SPH policy, 66% reported having an SPH committee in their hospital, 80% had lift equipment on their units, and 73% received an SPH training in the previous year (Lee et al, 2018). This focus group study provides further evidence that additional changes may be necessary; for example, participants indicated the need for more nursing staff’s input in the safety committee and more effective training to ensure competency in operating lift equipment among staff across all shifts.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study assessed the impact of the California SPH legislation by comparing data from two surveys conducted in 2013 and 2016 involving California registered nurses (Lee et al, 2018). The study reported significant improvements in nurses’ awareness of their hospital’s policy on SPH, receipt of annual SPH training, and availability of lift equipment, along with significant reductions in the prevalence of work-related musculoskeletal symptoms.…”

Section: Introductionmentioning

confidence: 99%

Impact of California Safe Patient Handling Legislation: Health Care Workers’ Perspectives

Lee

Stock

Michalchuk

et al. 2021

Workplace Health Saf

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Background: Musculoskeletal injuries from patient handling are significant problems among health care workers. In California, legislation requiring hospitals to implement safe patient handling (SPH) programs was enacted in 2011. This qualitative study explored workers’ experiences and perceptions about the law, their hospital’s SPH policies and programs, patient handling practices, and work environment. Methods: Three focus groups were conducted with 21 participants (19 nurses and 2 patient handling specialists) recruited from 12 hospitals located in the San Francisco Bay Area and San Joaquin Valley. Qualitative content analysis was used for data analysis. Results: Multiple themes emerged from diverse experiences and perceptions. Positive perceptions included empowerment to advocate for safety, increased awareness of SPH policies and programs, increased provision of patient handling equipment and training, increased lift use, and improvement in safety culture. Perceived concerns included continuing barriers to safe practices and lift use such as difficulty securing assistance, limited availability of lift teams, understaffing, limited nursing employee input in the safety committee, blaming of individuals for injury, increased workload, and continuing injury concerns. Participants indicated the need for effective training, sufficient staffing, and management support for injured workers. Conclusions/Application to Practice: This study identified improvements in hospitals’ SPH programs and practices since the passage of California’s SPH law, as well as continuing challenges and barriers to safe practices and injury prevention. The findings provide useful information to understanding the positive impacts of the SPH law but also notes the potential limitations of this legislation in the view of health care workers.

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“…For instance, decision algorithms based on a patient's level of mobility, ability to cooperate, weight, and type of transfer are included in SPH recommendations for nursing homes . Research suggests that SPH guidelines are effective in reducing MSD when handling patients . However, there is some concern that SPH practices associated with decreasing back pain, may contribute to shoulder injuries …”

Section: Preventing Msdmentioning

confidence: 99%

“…10 Research suggests that SPH guidelines are effective in reducing MSD when handling patients. [12][13][14][15][16] However, there is some concern that SPH practices associated with decreasing back pain, may contribute to shoulder injuries. 1…”

mentioning

confidence: 99%

The physical demands and risks of working in healthcare simulation center

et al. 2019

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Background The purpose of this study was to describe the physical demands and risks associated with working in a simulation center. Methods The 26‐item online survey included questions about the physical nature of a simulationist's role and about what engineering and administrative controls they most commonly used. The sample consisted of 119 simulation operators and educators recruited from simulation interest groups based in the United States. Results Fifty‐five percent of participants reported that their job description did not match their work, and 59% of participants believed that they experienced a musculoskeletal disorder resulting from their work in a simulation center. Conclusion This study highlights the need to address workplace safety in simulation centers. Future research is needed to inform best practices for safe handling policies and procedures in simulation programs.

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Impact of California's safe patient handling legislation on musculoskeletal injury prevention among nurses

Cited by 20 publications

References 16 publications

Prevalence and Characteristics of Multisite Musculoskeletal Symptoms among District Hospital Nurses in Haiphong, Vietnam

Prevalence and Characteristics of Multisite Musculoskeletal Symptoms among District Hospital Nurses in Haiphong, Vietnam

Impact of California Safe Patient Handling Legislation: Health Care Workers’ Perspectives

The physical demands and risks of working in healthcare simulation center

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