Hilfsmittelausstattung und -nutzung in der stationären Altenpflege

Kromark, K.; Metzing, Sabine; Bartholomeyczik, Sabine; Liersch, A; Nienhaus, Albert

doi:10.1055/s-2005-858892

Cited by 3 publications

(2 citation statements)

References 21 publications

(25 reference statements)

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“…This is in line with the NEXT study, according to which technical lifting aids were available in 78% of nursing homes in Germany and more than 90% of the staff used the available lifters [16]. Another study found somewhat lower figures of around 80% for use of technical lifters by geriatric nurses [36]. Data for the equipment with assistive devises of home-based staff were not assessed in our study; as no data have been published yet by other authors, further research is needed in this care setting.…”

Section: Discussionsupporting

confidence: 83%

Back disorders and lumbar load in nursing staff in geriatric care: a comparison of home-based care and nursing homes

Kromark

Dulon

Beck³

et al. 2009

Journal of Occupational Medicine and Toxicology

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BackgroundBack pain is one of the most frequent complaints in the nursing profession. Thus, the 12-month prevalence of pain in the lumbar spine in nursing staff is as high as 76%. Only a few representative studies have assessed the prevalence rates of back pain and its risk factors among nursing staff in nursing homes in comparison to staff in home-based care facilities. The present study accordingly investigates the prevalence in the lumbar and cervical spine and determines the physical workload to lifting and caring in geriatric care.Methods1390 health care workers in nursing homes and home care participated in this cross sectional survey. The nursing staff members were examined by occupational physicians according to the principals of the multistep diagnosis of musculoskeletal disorders. Occupational exposure to daily care activities with patient transfers was measured by a standardised questionnaire. The lumbar load was calculated with the Mainz-Dortmund dose model. Information on ergonomic conditions were recorded from the management of the nursing homes. Comparisons of all outcome variables were made between both care settings.ResultsComplete documentation, including the findings from the occupational physicians and the questionnaire, was available for 41%. Staff in nursing homes had more often positive orthopaedic findings than staff in home care. At the same time the values calculated for lumbar load were found to be significant higher in staff in nursing homes than in home-based care: 45% vs. 6% were above the reference value. Nursing homes were well equipped with technical lifting aids, though their provision with assistive advices is unsatisfactory. Situation in home care seems worse, especially as the staff often has to get by without assistance.ConclusionsFuture interventions should focus on counteracting work-related lumbar load among staff in nursing homes. Equipment and training in handling of assistive devices should be improved especially for staff working in home care.

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Section: Discussionsupporting

confidence: 83%

Back disorders and lumbar load in nursing staff in geriatric care: a comparison of home-based care and nursing homes

Kromark

Dulon

Beck³

et al. 2009

Journal of Occupational Medicine and Toxicology

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“…A study in Germany showed that aids for patient transfer are rarely provided or used in inpatient geriatric care [ 21 ]. In addition, greater functional impairment due to pain in the back of the neck and back has been found in European geriatric nurses than in hospital or outpatient nurses [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Back College for nursing staff

Koch

Pietsch²,

Harling

et al. 2014

J Occup Med Toxicol

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BackgroundWork-related musculoskeletal pain- particularly back pain - is an important individual and socioeconomic problem. The Back College for the insurance holders of the Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW) is based on a multimodal concept and has been evaluated with respect to pain relief and continuing in the nursing profession.MethodsIn a retrospective cohort study, the participants in the Back College from 2009 to 2011 were surveyed in writing. Besides demographic data, the survey covered information on qualification, length of employment, institution, employment status, periods of inability to work, applicability of working techniques and continuation in the profession. Back pain was recorded at three time points - T1 (before the Back College), T2 (directly after the Back College) and T3 (at the time of the survey). Pain changes were submitted to tests for paired samples. Multivariate logistic analysis was applied to determine potential factors influencing unfavourable changes in pain or leaving nursing due to back pain.ResultsThe survey covered 1,282 insurance holders, with a response rate of 80%. Statistically significant reductions in pain were found for the whole group and for all subgroups. For persons who predominantly worked in old people’s homes and who did not take part in refresher services, an increased odds ratio was found for unfavourable changes in pain (OR: 1.9 or 1.4, respectively). Persons with a qualification in geriatric nursing or in intensive care/OP/anaesthesia had an increased risk of leaving nursing due to back pain (OR: 2.5 in each case). An increased risk of leaving was also found for persons who did not take part in workplace support (OR: 2.9).ConclusionWithin the context of the study design, the multimodal concept of the Back College is clearly related to relief of back pain. The Back College appears to be less successful for geriatric nurses and persons with qualifications in intensive care/OP/anaesthesia. Further studies are needed to ascertain why some participants experience less relief in stress from the working techniques they have learnt.

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