Study of moving and handling practices on two medical wards

Green, Christine

doi:10.12968/bjon.1996.5.5.303

Cited by 27 publications

(17 citation statements)

References 7 publications

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“…• Patient aversion of the equipment (Bell, 1987;Bewick & Gardner, 2000;Daynard et al, 2001;Evanoff et al, 2003;Garg et al, 1991a;Green, 1996;Laflin & Aja, 1994;McGuire & Dewar, 1995;Meyer, 1995;Moody et al, 1996;Nelson, 2001;Nelson, 2003a;Nelson et al, 2003b;Newman & Callaghan, 1993;Owen & Garg, 1991;Retsas & Pinikahana, 2000;Switzer & Porter, 1993;Takala & Kukkonen, 1987;Yassi et al, 2001). …”

Section: Engineering Controlsmentioning

confidence: 99%

“…These devices are placed around the patient's waist and some offer handles which are beneficial to caregivers, as they can perform the transfer more comfortably without suffering a hand or other injury. Moderate evidence indicates that one caregiver should not use a gait belt for vertical transfers of weight bearing patients (Gagnon et al, 1987a;1987b;.While there is agreement that patient handling devices are necessary for safety, (Daynard et al, 2001;Garg et al, 1991a;1991b;Smedley et al 1995), several barriers to use of equipment have been identified, including:• Patient aversion of the equipment (Bell, 1987;Bewick & Gardner, 2000;Daynard et al, 2001;Evanoff et al, 2003;Garg et al, 1991a;Green, 1996;Laflin & Aja, 1994;McGuire & Dewar, 1995;Meyer, 1995;Moody et al, 1996;Nelson, 2001;Nelson, 2003a;Nelson et al, 2003b;Newman & Callaghan, 1993;Owen & Garg, 1991;Retsas & Pinikahana, 2000;Switzer & Porter, 1993;Takala & Kukkonen, 1987;Yassi et al, 2001). …”

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confidence: 99%

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Evidence-Based Practices for Safe Patient Handling and Movement

Nelson

Baptiste

2006

BMM

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Efforts to reduce injuries associated with patient handling are often based on tradition and personal experience rather than scientific evidence. The purpose of this article is to summarize current evidence for interventions designed to reduce caregiver injuries, a significant problem for decades. Despite strong evidence, published over three decades, the most commonly used strategies have strong evidence that demonstrate they are ineffective. There is a growing body of evidence to support newer interventions that are effective or show promise in reducing musculoskeletal pain and injuries in care providers. The authors have organized potential solutions into three established ergonomic solution types: engineering based, administrative, and behavioral. For each intervention, the level of evidence to support its use is provided.Key words: work-related musculoskeletal injuries, patient handling, no lift policy, ergonomics, lifting techniques, nurse safety Strategies to prevent or minimize work-related musculoskeletal injuries associated with patient handling are often based on tradition and personal experience rather than scientific evidence. The most common patient handling approaches in the United States include manual patient lifting, classes in body mechanics, training in safe lifting techniques, and back belts. Surprisingly there is strong evidence that each of these commonly used approaches is not effective in reducing caregiver injuries. A major paradigm shift is needed away from these ineffective approaches towards the following evidence-based practices: (a) patient handling equipment/devices, (b) patient care ergonomic assessment protocols, (c) no lift policies, (d) training on proper use of patient handling equipment/devices, and (e) patient lift teams. Promising new interventions, which are still being tested, include use of unit-based peer leaders and clinical tools, such as algorithms and patient assessment protocols. Given the complexity of this high-risk, high volume, highcost problem, multifaceted programs are more likely to be effective than any single intervention. This new call for action includes systematic change in health care facilities across the continuum of care as well as a new curriculum for schools of nursing. Statement of the ProblemNursing personnel are consistently listed as one of the top ten occupations for work-related musculoskeletal disorders, with incidence rates of 8.8 per 100 in hospital settings and 13.5 per 100 in nursing home settings (Bureau of Labor Statistics, 2002). These are considered to be low estimates, since underreporting of injuries in nursing is common (U.S. Department of Health & Human Services, 1999). Aggregated data on prevalence of back injury, compiled from over 80 studies, revealed an international worldwide point prevalence of approximately 17%, an annual prevalence of 40-50% and a lifetime prevalence of 35-80% (Hignett, 1996). While there has been a steady decline in the rates of most occupational injuries starting in 1992, work-related musculos...

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Section: Engineering Controlsmentioning

confidence: 99%

mentioning

confidence: 99%

Evidence-Based Practices for Safe Patient Handling and Movement

Nelson

Baptiste

2006

BMM

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“…Although this was a small study, qualitative data collection by the use of semi‐structured interviews gleaned rich data and Green concluded that nurses had negative attitudes towards changing practice. Training in moving and handling was also deficient as qualified nurses in one ward had received no training in using a hoist (Green, 1996). In a recent Australian survey using a convenient sample of nurses ( N = 523) 40% of respondents reported injuries as a result of patient moving and handling.…”

Section: Moving and Handling Practicementioning

confidence: 99%

Towards rehabilitative handling in caring for patients following stroke: a participatory action research project

Mitchell

Conlon²,

Armstrong³

et al. 2005

Journal of Clinical Nursing

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Participatory action research creates a supportive environment, where those directly involved in moving and handling patients can investigate and direct changes in their practice. Thus it is a significant vehicle for delivering professional development in moving and handling practice. Relevance to clinical practice. Professional development initiatives in moving and handling practice must incorporate processes that enhance inter-disciplinary teamwork and value and utilize the views and experiences of the staff who move and handle patients.

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“…Research suggests that provision of equipment does not ensure its use, however, as nurses may remain reluctant to use the equipment. The reasons for this are several, including lack of space, lack of training (McGuire & Dewar, 1993; Moody et al ., 1996; Moore & Meakins, 1998), and lack of time, nurses perceiving hoists as being ‘time‐consuming’ (Green, 1996).…”

Section: Lack Of Equipmentmentioning

confidence: 99%

Do they practise what we teach? A survey of manual handling practice amongst student nurses

Swain

Pufahl

Williamson

2003

Journal of Clinical Nursing

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Experience of training students of nursing in manual handling suggested that they did not practise the techniques they had been taught. A search of the literature revealed that there was indeed a theory-practice gap. The aim of the project was to answer three questions: do students know what they should be doing, do they do what they should be doing, and if not, why not. A survey design was used, with questionnaires designed specifically for the study. Self report questionnaires were distributed to students of nursing (n = 148) on the adult branch in one higher education institution in England. One hundred and thirty-nine completed questionnaires were returned. Results showed that students' knowledge of whether particular techniques were 'recommended' was fair. They indicated however, that they were frequently unable to use recommended techniques in practice. The most frequent explanation given was the influence of other nurses. Results of this small study indicated that male students and younger students were more susceptible to socialization into poor ward practice than others. Other reasons for not using recommended techniques were unavailability of manual handling aids, lack of time and patient needs. The complexity of relationships within the nursing team emerged, with students ever aware of the impression they were making with regard to their assessment of practice, and their need to be accepted as a member of the team. Changes to training are suggested, to help reduce the theory-practice gap.

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Study of moving and handling practices on two medical wards

Cited by 27 publications

References 7 publications

Evidence-Based Practices for Safe Patient Handling and Movement

Evidence-Based Practices for Safe Patient Handling and Movement

Towards rehabilitative handling in caring for patients following stroke: a participatory action research project

Do they practise what we teach? A survey of manual handling practice amongst student nurses

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