Personal service assistance: Musculoskeletal disorders and injuries in consumer‐directed home care

Faucett, Julia; Kang, Tae-Ho; Newcomer, Robert

doi:10.1002/ajim.22133

Cited by 26 publications

(21 citation statements)

References 42 publications

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“…The survey included demographic and work environment questions and validated measures to assess provider health, and work injuries and musculoskeletal disorders [17] .…”

Section: Instrumentmentioning

confidence: 99%

Employment After Liver Transplantation: A Review

Huda¹,

Newcomer²,

Harrington³

et al. 2015

Transplantation Proceedings

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Personal Assistance Services (PAS) employs nearly 900,000 providers of long-term care; many are relatives hired by PAS recipients. Risk of occupational injury and musculoskeletal disorders among PAS providers is a concern and it is unknown if relatives are more vulnerable compared to non-relative providers. This paper explores whether paid relative and non-relative providers differ regarding this vulnerability, using data from a survey of PAS providers (n=855). No differences were found regarding risk of injury or musculoskeletal disorders, which suggests that PAS programs could continue offering options for recipients to hire relatives as providers, with no additional risks placed on relatives.

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“…The survey included demographic and work environment questions and validated measures to assess provider health, and work injuries and musculoskeletal disorders [17] .…”

Section: Instrumentmentioning

confidence: 99%

Employment After Liver Transplantation: A Review

Huda¹,

Newcomer²,

Harrington³

et al. 2015

Transplantation Proceedings

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“…This could contribute to risks for both patients and caregivers when visits were shortened due to concerns about abuse, physically challenging tasks (moving and handling), missing/inadequate equipment and consumables (Galinsky et al, 2010). There could also be pressure from the patient (and family) to deliver care when the caregiver did not feel that they had the appropriate knowledge, training and skills (Faucett et al, 2013;Munck et al, 2011). Caregivers could feel very isolated and unsupported, especially if the equipment and consumables needed to provide the care were missing, inadequate or had changed (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Evidence was found that identified physical risks associated with inadequate and missing equipment, e.g. lifting or bathing equipment which was the incorrect size and/or weight capacity for the patient (strong evidence: Hale & Piggot, 2005;moderate evidence: Craven et al, 2012;Faucett et al, 2013;Leiss, 2012;Pohjonen et al, 1998;Simon et al, 2008;Sims-Gould et al, 2013) and a lack of support for maintenance and training in medical devices (moderate evidence: Munck et al, 2011).…”

Section: Artefacts (Equipment and Technology)mentioning

confidence: 99%

Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings: A systematic review

Hignett

Otter

Keen

2016

International Journal of Nursing Studies

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Additional Information:• This paper was accepted for publication in the journal International Jour- Review methods:The included references (n=42) were critically appraised using a modified version of Downs and Black checklist and the Mixed Methods Appraisal Tool. Results:The risk factors are reported using the modified model of human factors of health care in the home to represent the roles of both patients and caregivers in the system. The results are grouped as environment (health policy, physical and social), artefacts (equipment and technology), tasks (procedures and work schedules) and care recipient/provider. These include permanent and temporary building design and access, communication and lone working, provision of equipment and consumables, and clinical tasks. The topics with strong evidence from at least 2 papers relate to risks associated with awkward working positions, social environment issues (additional tasks and distractions), abuse and violence, inadequate team (peer) support, problems with workload planning, needle stick injuries and physical workload (moving and handling patients). Conclusions:As home care increases, there is a need to ensure the safety of both patients and caregivers with an understanding of the physical interactions and tasks to manage safety risks and plan safer care delivery systems. KeywordsHome care services, moving and lifting patients, patient safety, occupational health, community health services HighlightsWhat is already known:• Providing care and treatment at a patient's home presents risks to both caregivers and patients whether care is delivered from one or multiple organisation(s).• There are different models of home care, including the hospital in the home, patient-centred medical home, home first policies and aging-in-place • Care tasks are categorised as basic care, including personal hygiene, mobilisation, nutrition and social company, and advanced care, including medication administration, tube feeding, and operating home care technology (e.g. ventilator, electric wheelchair) What this paper adds• Risk factors for the environment of care are associated with health policies, physical location and social environment.• The risks include permanent and temporary building design and access, communication and lone working, provision of equipment and consumables and clinical tasks.• As home care increases, there is a need to ensure the safety of both patients and caregivers with an understanding of the physical interactions and tasks to manage risks and plan safer care delivery systems.

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“…Brief induction classroom training sessions in the Australian home care sector are a common method of orientating new HCWs to their roles, conveying information such as safe manual handling, managing challenging behaviours, infection control and other important safety procedures. Classroom-based manual handling training, specifically, has been largely unsuccessful in reducing the alarming rates of musculoskeletal (predominantly back) injuries amongst these workers (Faucett, Kang & Newcomer, 2013;Markkanen et al, 2014). While larger organisations may offer more systematic, mandated training programs, smaller ones tend to provide more ad-hoc and fewer hours of training, citing financial constraints or workers "already skilled enough" as reasons why this is the case (Baldock & Mulligan, 2000).…”

Section: Working and Learning In Australian Home Carementioning

confidence: 99%

Learning Occupational Practice in the Absence of Expert Guidance: The Agentic Action of Australian Home Care Workers

Palesy

Billett

2017

Professional and Practice-Based Learning

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Learning occupational practice in the absence of expert guidance: The agentic action of Australian home care workers. In Agency at Work (pp. 271-289). Springer, Cham. Many kinds of workers need to both work and learn in socially-isolated circumstances (i.e., in the absence of others who can provide guidance and support). Such circumstances require particular kinds of agency and agentic action by these worker-learners, and they might be described as requiring particularly agentic personal epistemologies. These epistemologies are essential for workers such as home care workers (HCWs), who after a perfunctory classroom training, are expected to work alone in clients' homes providing a range of support, such as mobility and hygiene assistance. This chapter draws on a recent investigation into the work and learning of a small cohort of such HCWs and maps how they exercise agency in their work practice, work-related learning and development. These workers deployed, in different ways, their past personal experiences (e.g., work, life, education), the classroom training provided, opportunities to engage with other HCWs and support from other informed sources in learning the requirements for their role. Moreover, these workers exercised agentic action by "personalising" their scaffolding or learning supports. That is, they constructed, engaged with, and subsequently relinquished scaffolding as personally necessitated, rather than relying on "experts" to decide how and when these forms of learning support should be enacted and withdrawn. Important here is how these workers' subjectivities are found to include actions and monitoring of performance, not just ideas and dispositions. Through an account of how this particular cohort exercised agentic action, some conclusions are drawn and recommendations made for the best ways of progressing the learning and development of such socially-isolated workers.

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Personal service assistance: Musculoskeletal disorders and injuries in consumer‐directed home care

Cited by 26 publications

References 42 publications

Employment After Liver Transplantation: A Review

Employment After Liver Transplantation: A Review

Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings: A systematic review

Learning Occupational Practice in the Absence of Expert Guidance: The Agentic Action of Australian Home Care Workers

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