Outcomes of safe patient handling and mobilization programs: A meta-analysis

Teeple, Erin; Collins, Jamie E.; Shrestha, Swastina; Dennerlein, Jack T.; Losina, Elena; Katz, Jeffrey N.

doi:10.3233/wor-172608

Cited by 40 publications

(23 citation statements)

References 45 publications

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“…Musculoskeletal injury risk also showed a decreasing pattern although the finding was not significant. Many institutional‐level intervention studies have reported positive effects of SPH programs on musculoskeletal injury reduction . In our study, risk reduction was not observed for minor symptom parameters.…”

Section: Discussioncontrasting

confidence: 63%

“…Following the implementation of these standards, evaluation research is needed to assess the impact and effectiveness of the SPH law on hospital programs and practices and musculoskeletal injury prevention. While there are reports of positive outcomes of SPH programs at a single hospital or health systems level, limited data exist on the statewide impact of SPH legislation. Only Washington State evaluated the impact of SPH legislation and reported reduction of workers’ compensation claim rates from musculoskeletal disorders …”

Section: Introductionmentioning

confidence: 99%

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

Lee

Harrison

2018

American J Industrial Med

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Background This study evaluated the impact of California's safe patient handling (SPH) legislation on musculoskeletal injury prevention among hospital nurses. Methods Two serial cross‐sectional surveys were conducted using postal and online questionnaires in statewide random samples of California registered nurses in 2013 and 2016. Analysis included hospital nurses who performed patient handling (n = 254 and n = 281, respectively). Results In 2016, there were significant improvements in nurses’ knowledge of a SPH policy in their hospital (87%), receipt of annual SPH training (73%), and availability of lift equipment (80%); 33% perceived their hospital's SPH programs as excellent or very good. Significant prevalence reduction was observed for work‐related musculoskeletal symptoms (61% vs 52%; Adjusted Prevalence Ratio = 0.78, 95% CI 0.66‐0.91). Conclusions Our findings indicate the significant role of SPH legislation with positive impacts on SPH policies and programs at the hospital level and on musculoskeletal health outcomes at the worker level.

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Section: Discussioncontrasting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

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

Lee

Harrison

2018

American J Industrial Med

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“…Previous findings have suggested that participation in an SPHM training program decreased risk of patient care worker injuries. 3 Consistent with these findings, in the present study, several participants were able to immediately apply the knowledge gained from the training in their home caregiving duties to decrease risk of personal injury.…”

Section: Discussionsupporting

confidence: 86%

“…Evidence shows that SPHM programs have been highly effective in reducing patient care worker injuries. 3 Implementation of SPHM programs for in-home nonmedical and family caregivers has been more challenging. Programs designed to protect home caregivers from injury could be even more critical as these caregivers may be the patient's only resource for home care.…”

Section: Introductionmentioning

confidence: 99%

Simulation to Teach Safe Patient Handling and Mobility for Home Caregivers

Roberts

2020

Home Health Care Management & Practice

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Safe patient handling and mobility (SPHM) programs are needed in the home care environment. As patient-lifting technology and devices become more widely available for use in the home setting, caregivers need opportunities to learn how to properly use these devices. Nonmedical caregivers employed by personal support services agencies (PSSAs) and home caregivers have very limited access to opportunities for SPHM training in rural areas of Tennessee. Safe patient handling and mobility training utilizing simulation with an interprofessional approach was developed and provided to 17 nonmedical and family home caregivers. The training was evaluated utilizing Kirkpatrick’s Four-Level Training Evaluation Model. Participants completed anonymous surveys immediately following the training and 4 to 6 weeks after the training. Survey I (n = 17): Respondents indicated increased knowledge of safe patient handling (94%) and applied knowledge of safe patient handling in training (90%). Survey II (n = 6): Most respondents (67%) indicated that they had applied the knowledge and skills that they had learned in the training. Two respondents (33%) indicated that they had not yet had the opportunity to apply the knowledge and skills they learned. The survey also showed that all respondents believed that the knowledge and skills they had learned helped to decrease the risk of personal injury and injury to patients. Safe patient handling and mobility training utilizing simulation with an interprofessional approach was effective in promoting safety of nonmedical and family caregivers in the home setting. Based on the success of this program, more training opportunities should be implemented to improve patient and caregiver safety.

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“…The PubMed search strategy is available as an online supplement (see the Supplementary Materials Table S1 ). Reference lists of the included studies and key articles [ 37 , 38 , 39 , 40 , 41 , 42 ] were examined for further studies. Studies in all languages were included.…”

Section: Methodsmentioning

confidence: 99%

Do Technical Aids for Patient Handling Prevent Musculoskeletal Complaints in Health Care Workers?—A Systematic Review of Intervention Studies

Hegewald

Berge

Heinrich

et al. 2018

IJERPH

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The physical load ensuing from the repositioning and moving of patients puts health care workers at risk of musculoskeletal complaints. Technical equipment developed to aid with patient handling should reduce physical strain and workload; however, the efficacy of these aids in preventing musculoskeletal disorders and complaints is still unclear. A systematic review of controlled intervention studies was conducted to examine if the risk of musculoskeletal complaints and disorders is reduced by technical patient handling equipment. MEDLINE®/PubMed®, EMBASE®, Allied and Complementary Medicine Database (AMED), and Cumulative Index of Nursing and Allied Health Literature (CINAHL®) were searched using terms for nursing, caregiving, technical aids, musculoskeletal injuries, and complaints. Randomized controlled trials and controlled before-after studies of interventions including technical patient handling equipment were included. The titles and abstracts of 9554 publications and 97 full-texts were screened by two reviewers. The qualitative synthesis included one randomized controlled trial (RCT) and ten controlled before-after studies. A meta-analysis of four studies resulted in a pooled risk ratio for musculoskeletal injury claims (post-intervention) of 0.78 (95% confidence interval 0.68–0.90). Overall, the methodological quality of the studies was poor and the results often based on administrative injury claim data, introducing potential selection bias. Interventions with technical patient handling aids appear to prevent musculoskeletal complaints, but the certainty of the evidence according to GRADE approach ranged from low to very low.

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Outcomes of safe patient handling and mobilization programs: A meta-analysis

Cited by 40 publications

References 45 publications

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

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

Simulation to Teach Safe Patient Handling and Mobility for Home Caregivers

Do Technical Aids for Patient Handling Prevent Musculoskeletal Complaints in Health Care Workers?—A Systematic Review of Intervention Studies

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