Adverse risk: a ‘dynamic interaction model of patient moving and handling’

Abstract

Clinical governance places a responsibility on nurse managers to consider quality of care for their service users. 'Dynamic Interaction Model of Nurse-Patient Moving and Handling' provides back care advisers, clinical risk managers and occupational health managers with an alternative perspective to clinical risk and occupational risk.

Awareness of Patient Physical Handling Issues Associated with Routine Nursing Care

“…To maintain or improve quality and safety, it is necessary to regularly monitor these parameters. This is done by using audits with subsequent remedial activities—education [ 45 ], the innovation of aids and equipment for physical handling, and assessments. Undertaking prevention and increasing risk awareness is more effective than dealing with the consequences [ 40 ].…”

Effect of an educational intervention on nurses’ competence in activities of daily living support in end-of-life care using a pretest–posttest repeated measures design

“…To provide good physical care and symptom management, nurses’ competence in supporting patients in daily activities is crucial. In contrast, incompetent ADL support may result in severe negative consequences to both care-dependent persons [ 18 ] and nurses through pain and bruises and back injuries and musculoskeletal strain, respectively [ 52 ]. Therefore, it is important to ensure competence development of the nursing staff in ADL support.…”

“…Prevalence figures reported pain in the last 3–6 months as follows: 44% had lower back pain, 44% had shoulder pain, 48% had neck pain, 21% had upper extremity pain and 38% had lower extremity pain [ 17 ]. Therefore, nurses need to gain competence in moving and transferring patients to prevent endangering their own health [ 18 ].…”

A systematic review of observational instruments used to assess nurses' skills in patient mobilisation

“…A common agreement regarding best practice for patient mobilisation is a future challenge for this research area. Griffiths () suggests that, besides nurses' technical competence, a positive interpersonal relationship and attentiveness with regard to coaching and educating patients are important. If the focus shifts towards interaction rather than occupational risk assessment, the content of the instruments must be changed.…”

“…Safe and comfortable patient mobilisation, dignified for both nurses and patients, requires knowledge and competence with mobilisation techniques, equipment such as patient‐handling aids, communication, patient‐handling policies and record keeping (Pellatt , Amick et al . , Griffiths ).…”