Implementing a no lift policy

Monaghan, Heather; Robinson, Lee; Steele, Yvonne

doi:10.7748/ns.12.50.35.s40

Cited by 11 publications

(5 citation statements)

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“…A no‐lift policy was reported by only 22% of hospital nurses who performed patient handling. This low prevalence might be attributable to our use of the specific term “no‐lift policy.” As the terms “no‐lift” or “zero‐lift” have been used to name hospital policies for safe patient handling (Monaghan, Robinson, & Steele, ; Nelson et al, ), we assumed that nurses would know the term if their hospitals had well‐implemented the policy; however, some hospitals might have used different names, and some nurses might not have been aware of the term.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal Symptoms in Nurses in the Early Implementation Phase of California's Safe Patient Handling Legislation

Lee

Gershon

2015

Research in Nursing & Health

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Musculoskeletal injuries and symptoms are prevalent in nurses and are largely associated with strenuous patient handling. In 2011, California enacted legislation that required acute-care hospitals to implement safe patient handling (SPH) policies and programs. To assess the early phase of this legislation, we conducted an epidemiological assessment of organizational SPH practices, musculoskeletal symptoms, and perceptions in a random sample of 396 registered nurses. Among those who worked in hospitals and had patient handling duties (n = 220), the 12 month prevalence of work-related musculoskeletal symptoms was 69% (lower back 54%, neck 41%, shoulders 34%, and hands/wrists 26%). Twenty-two percent of the nurses reported that their hospitals had a "no-lift" policy, 37% reported that their hospitals had lift teams, and 61% reported the availability of mechanical lift equipment such as floor or ceiling lifts. Nurses whose facilities employed lift teams were significantly less likely to report low back pain (OR = 0.54, 95% CI [0.30-0.97]). Nurses whose units had ceiling lifts were significantly less likely to report shoulder pain than nurses with no access to lifts (OR = 0.32, 95% CI [0.10-0.98]). Roughly 60% of respondents were aware of the SPH law, and 33% reported changes in their hospital's patient handling policies or programs since the law went into effect. Hospital SPH practices reported by the nurses in our sample were generally sub-optimal, but our findings suggest positive effects of elements required by SPH legislation. These data will serve as the baseline for future evaluation of the impact of this law in California.

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Section: Discussionmentioning

confidence: 99%

Musculoskeletal Symptoms in Nurses in the Early Implementation Phase of California's Safe Patient Handling Legislation

Lee

Gershon

2015

Research in Nursing & Health

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“…Administrative controls, such as "no lift" policies and training promoting mechanical lifting and discouraging manual lifting have reduced workers' compensation costs and lost workdays caused by nurse injuries (Lynch, 2000;Monaghan, 1998;Owen, 1999). Settings with proper lifting equipment and lifting teams were related to lower odds of nurses having an MSD (Trinkoff, 2003b).…”

Section: Discussionmentioning

confidence: 99%

Nurses' Perception of Their Work Environment, Health, and Well-Being

Geiger-Brown¹,

Trinkoff²,

Nielsen³

et al. 2004

AAOHN Journal

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The purpose of this analysis was to identify themes nurses expressed in open-ended comments at the end of a working conditions survey related to their work environment, health, and well-being. The nursing shortage, downsizing, and long working hours create challenges for nurses trying to deliver quality client care. In addition, nurses are experiencing high levels of physical injury in their work environments. Injuries on the job have led nurses to leave the workplace. Free form comments offered at the completion of a mailed survey of RNs were analyzed for content. Randomly selected nurses from two U.S. states were surveyed in 1999 and 2000 about their jobs with special reference to neck, shoulder, and back pain and disorders. Of the 1,428 respondents, 309 produced usable com

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“…+++ The evidence statement that multifactor interventions based on risk assessment are successful is supported at a moderate level by 10 studies, [13][14][15][16][17][18][19][20][21][22] and at a limited level with an additional four studies. [23][24][25][26] +++ The evidence statement that multifactor interventions (not based on risk assessment) can show improvements is supported with moderate evidence from four studies. [27][28][29][30] Additional limited evidence is available from five studies.…”

Section: Multifactor Interventionsmentioning

confidence: 99%

Intervention strategies to reduce musculoskeletal injuries associated with handling patients: a systematic review

2003

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Aims: To report, analyse, and discuss the results of a systematic review looking at intervention strategies to reduce the risk factors associated with patient handling activities. Methods: A search strategy was devised to seek out research between 1960 and 2001. Inclusion/ exclusion criteria limited the entry of papers into the review process. A checklist was selected and modified to include a wide range of study designs. Inter-rater reliability was established between six reviewers before the main review process commenced. Each paper was read by two reviewers and given a quality rating score, with any conflicts being resolved by a third reviewer. Papers were grouped by category: multifactor, single factor, and technique training based interventions. Results: A total of 2796 papers were found, of which 880 were appraised. Sixty three papers relating to interventions are reported in this paper. The results are reported as summary statements with the associated evidence level (strong, moderate, limited, or poor). Conclusion: There is strong evidence that interventions predominantly based on technique training have no impact on working practices or injury rates. Multifactor interventions, based on a risk assessment programme, are most likely to be successful in reducing risk factors related to patient handling activities. The seven most commonly used strategies are identified and it is suggested that these could be used to form the basis of a generic intervention programme, with additional local priorities identified through the risk assessment process.

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Implementing a no lift policy

Cited by 11 publications

References 0 publications

Musculoskeletal Symptoms in Nurses in the Early Implementation Phase of California's Safe Patient Handling Legislation

Musculoskeletal Symptoms in Nurses in the Early Implementation Phase of California's Safe Patient Handling Legislation

Nurses' Perception of Their Work Environment, Health, and Well-Being

Intervention strategies to reduce musculoskeletal injuries associated with handling patients: a systematic review

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