Workplace intervention and musculoskeletal disorders: the need to develop research on implementation strategy

Roquelaure, Yves

doi:10.1136/oem.2007.034900

Cited by 23 publications

(17 citation statements)

References 6 publications

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“…Thus, qualitative publications primarily focusing on barriers and facilitators in the appropriate implementation of interventions without addressing the intervention effects itself were not selected for this systematic review. Such publications may shed more light on the planning and processing of the implementation of interventions 8. It is expected, however, that the barriers and facilitators identified in this review will also be addressed to some extent in qualitative studies.…”

Section: Discussionmentioning

confidence: 95%

“…The results of interventions will depend not only on the effectiveness of the intervention itself but also on appropriate implementation in the actual work situation 8. Grol and Grimshaw have emphasised the importance of the different steps which need to be taken in the implementation stage of an intervention 9.…”

mentioning

confidence: 99%

“…Environmental factors refer to the social and physical context in which a person needs to function 11 – 13. Although several barriers to effective implementation of patient handling devices have been identified in intervention studies, there is little insight into their impact on the effectiveness of these interventions 8 14 15…”

mentioning

confidence: 99%

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Determinants of implementation of primary preventive interventions on patient handling in healthcare: a systematic review

Koppelaar

Knibbe²,

Miedema

et al. 2009

Occup Environ Med

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Objective: This systematic review aims (1) to identify barriers and facilitators during implementation of primary preventive interventions on patient handling in healthcare, and (2) to assess their influence on the effectiveness of these interventions. Methods: PubMed and Web of Science were searched from January 1988 to July 2007. Study inclusion criteria included evaluation of a primary preventive intervention on patient handling, quantitative assessment of the effect of the intervention on physical load or musculoskeletal disorders or sick leave, and information on barriers or facilitators in the implementation of the intervention. 19 studies were included, comprising engineering (n = 10), personal (n = 6) and multiple interventions (n = 3). Barriers and facilitators were classified into individual and environmental categories of factors that hampered or enhanced the appropriate implementation of the intervention. Results: 16 individual and 45 environmental barriers and facilitators were identified. The most important environmental categories were ''convenience and easy accessibility'' (56%), ''supportive management climate'' (18%) and ''patient-related factors'' (11%). An important individual category was motivation (63%). None of the studies quantified their impact on effectiveness nor on compliance and adherence to the intervention. Conclusion: Various factors may influence the appropriate implementation of primary preventive interventions, but their impact on the effectiveness of the interventions was not evaluated. Since barriers in implementation are often acknowledged as the cause of the ineffectiveness of patient handling devices, there is a clear need to quantify the influence of these barriers on the effectiveness of primary preventive interventions in healthcare.Among healthcare staff the prevalence of musculoskeletal disorders (MSDs) is higher than in most other occupations.1 Patient handling activities are a major cause of MSDs among nursing personnel. 2The high occurrence of MSDs has important consequences due to substantial health care utilisation, sickness absence and permanent disability.3 A wide range of primary preventive interventions have been developed in the past to reduce physical load related to patient handling and therefore decrease the occurrence of MSDs. Conflicting results have been found for engineering interventions such as lifting devices.4 5 There is strong evidence that personal interventions alone, such as training on preferred patient handling techniques, are not effective.6 7 Either these techniques did not reduce the risk of back injury or the training did not lead to adequate change in lifting and handling techniques.7 Administrative interventions, targeting work practices and policies, are often an integral part of a more comprehensive intervention. There is moderate evidence for the effectiveness of multidimensional interventions, which are being applied more often recently.4 6 Nelson and Baptiste described several barriers in the implementation of patient han...

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Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

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Determinants of implementation of primary preventive interventions on patient handling in healthcare: a systematic review

Koppelaar

Knibbe²,

Miedema

et al. 2009

Occup Environ Med

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“…We found that implementation of ergonomic measures was poorly reported in ergonomic intervention studies, while the effectiveness of ergonomic interventions is strongly determined by its end-users. To improve compliance, future ergonomic interventions should use an adequate implementation strategy 7. Furthermore, researchers should improve reporting on compliance.…”

mentioning

confidence: 99%

Authors' response: RCTs of ergonomic interventions

et al. 2010

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“…Some studies have addressed theories or models underlying ergonomics interventions, yet without anchoring them into a specific/concrete intervention (eg, 34,35). Others have discussed, in general terms, implementation strategies and methods (36)(37)(38)(39), intervention processes (40,41), or the necessity of combing evidence and theory when designing interventions (eg, 26). None of these studies, however, go behind the processes and strategies in an attempt to identify their theoretical basis.…”

mentioning

confidence: 99%

Explicit and implicit theories of change when designing and implementing preventive ergonomics interventions – a systematic literature review

Wijk¹,

Mathiassen²

2011

Scand J Work Environ Health

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Workplace intervention and musculoskeletal disorders: the need to develop research on implementation strategy

Cited by 23 publications

References 6 publications

Determinants of implementation of primary preventive interventions on patient handling in healthcare: a systematic review

Determinants of implementation of primary preventive interventions on patient handling in healthcare: a systematic review

Authors' response: RCTs of ergonomic interventions

Explicit and implicit theories of change when designing and implementing preventive ergonomics interventions – a systematic literature review

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