It’s not about the hoist: A narrative literature review of manual handling in healthcare

Kay, Kate; Glass, Nancy; Evans, Alicia

doi:10.1177/1744987112455423

Cited by 11 publications

(4 citation statements)

References 104 publications

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“…The assessment of a behavioral intervention should include behavioral outcomes (Michie and Johnston, 2012). The H-O instrument can remedy the detected lack of instruments addressed to the assessment of the proximal effect of manual handling training on intermediate variables that link training to distal changes in employee behavior (Hogan et al, 2014; Kay et al, 2014). Moreover, the H-O instrument can contribute to the understanding of the processes in training implementation.…”

Section: Discussionmentioning

confidence: 99%

“…An area in which we consider that the SsObserWork approach could be of great interest is in training for the mobilization of patients in hospitals. The structure of the H-O instrument (combined field format and category systems) facilitates adaptations and extensions to include interaction dimensions that are essential to address the complexity of manual handling in healthcare settings (Kay et al, 2014). A second limitation has to do with the high time and material cost of the coding and sequential analysis process.…”

Section: Discussionmentioning

confidence: 99%

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Support System for the Assessment and Intervention During the Manual Material Handling Training at the Workplace: Contributions From the Systematic Observation

et al. 2019

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Efficacy of classical manual material handling (MMH) training interventions on back pain prevention at the workplace has been called into question. The way that observation (self-observation or hetero-observation) is used in other areas to create feedback addressed to modify motor activities can justify innovative components for these interventions. However, their implementation and evaluation cannot be done without tackling the methodological challenge of developing a reliable observational instrument to measure manual handling practice during the training process. The aims of this study were: (1) justify and develop an hetero-observation (H-O) instrument to assess changes in the worker behavioral patterns with a level of analysis convenient to derive a parallel version for the systematic self-observation (S-O) during training on MMH; (2) provide evidence on the inter-rater reliability of the H-O instrument; (3) provide evidence on the usability of the S-O instrument and its perceived usefulness; and (4) provide evidence on the benefits that can be derived with the use of the H-O instrument to create feedback based on T-pattern and polar coordinate analysis. A mixed method approach mainly grounded on systematic observation was used. A convenience sample composed by blue-collar workers participated in the study. Based on literature review and expert opinion, the H-O instrument proposed was composed by six dimensions (feet, knee joints, back, elbow joints, load position, and interaction between back tilt and displacement) plus a structural dimension which defined MMH phases. The inter-rater reliability of this instrument was almost perfect for all dimensions using a tolerance level of 2 s (the range of time-unit kappa was from 0.93 to 0.97 and the range of event-based kappa was from 0.82 to 0.9). The usability and usefulness of the S-O instrument was highly valued by workers. Regarding the way to use hetero-observations to create feedback, the paper shows the great potential of T-pattern and polar coordinate analysis. The observational instruments developed combined with these techniques make it possible to characterize the body positions adopted during manual handling performance, and this is crucial to create feedback on performance instead of only feedback on results.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Support System for the Assessment and Intervention During the Manual Material Handling Training at the Workplace: Contributions From the Systematic Observation

et al. 2019

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“…In addition, both patients and caregivers found the STurDi device easy to use and were satisfied with it. Despite there being numerous published surveys and industry records of compensation claims, there are few published studies on nurses’, caregivers’, and patients’ experience of using assistive devices for lifting and transferring ( 9 ). Lifting and transfer devices are now widely used in geriatric care in high-income countries with “no lifting” policies commonly found in health care settings in the developed world.…”

Section: Discussionmentioning

confidence: 99%

The Use of the Self-Standing Turning Transfer Device to Perform Bed-To-Chair Transfers Reduces Physical Stress among Caregivers of Older Patients in a Middle-Income Developing Country

Goh

Muslimah

et al. 2014

Front. Med.

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Manual transfer of elderly patients remains commonplace in many developing countries because the use of lifting equipment, such as hoists, is often considered unaffordable luxuries. The aim of this study was, therefore, to evaluate the usage and potential benefits of a low-cost, mechanical turning transfer device among elderly patients and their caregivers on a geriatric ward in a developing country in South East Asia. Fifty-six inpatients, aged 66–92 years, on a geriatric ward, and their caregivers were recruited. Participants were asked to transfer from bed-to-chair transfer with manual assistance, and the task was repeated using the Self-standing Turning Transfer Device (STurDi). The time taken to perform manual transfers and STurDi-assisted transfers was recorded. Physical strain was assessed using the perceived physical stress-rating tool for caregivers with and without the use of the device. User satisfaction was evaluated using the usefulness, satisfaction, and ease of use questionnaire. There was a significant reduction in transfer-time with manual transfers compared to STurDi-assisted transfers [mean (SD) = 48.39 (13.98) vs. 36.23 (10.96); p ≤ 0.001]. The physical stress rating was significantly lower in STurDi-aided transfers compared to manual transfers, shoulder [median (interquartile range) = 0 (1) vs. 4 (3); p = 0.001], upper back [0 (0) vs. 5 (4); p = 0.001], lower back [0 (1) vs. 5 (3), p = 0.001], whole body [1 (2) vs. 4 (3), p = 0.001], and knee [0 (1) vs. 1 (4), p = 0.001]. In addition, majority of patients and caregivers definitely or strongly agreed that the device was useful, saved time, and was easy to use. We have therefore demonstrated in a setting where manual handling was commonly performed that a low-cost mechanical transfer device reduced caregiver strain and was well received by older patients and caregivers.

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“…Injuries and musculoskeletal disorders (especially lowback pain and neck/shoulder pain) due to moving and handling of people (MHP) are a long-term concern in the healthcare sector (1)(2)(3)(4)(5)(6)(7). Providing the healthcare sector with comprehensive information on MHP in the form of guidelines is a strategy widely applied globally, with multiple state or federal MPH guidelines existing in Europe, the US, and Australasia (4,8,9).…”

mentioning

confidence: 99%

The impact of national guidelines covering moving and handling of people on injury rates and related costs

Lidegaard

Olsen²,

Legg³

et al. 2019

Scand J Work Environ Health

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The impact of national guidelines covering moving and handling of people on injury rates and related costs by Lidegaard M, Olsen KB, Legg SJ, Douwes J The study showed that the introduction of a national guideline on moving and handling of people did not lead to the expected decrease in related injuries. On the contrary, in the four years following the introduction of the guideline, moving-and handling-people-related injury claims rates and costs increased within the healthcare sector of New Zealand.

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It’s not about the hoist: A narrative literature review of manual handling in healthcare

Cited by 11 publications

References 104 publications

Support System for the Assessment and Intervention During the Manual Material Handling Training at the Workplace: Contributions From the Systematic Observation

Support System for the Assessment and Intervention During the Manual Material Handling Training at the Workplace: Contributions From the Systematic Observation

The Use of the Self-Standing Turning Transfer Device to Perform Bed-To-Chair Transfers Reduces Physical Stress among Caregivers of Older Patients in a Middle-Income Developing Country

The impact of national guidelines covering moving and handling of people on injury rates and related costs

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