Preventing Musculoskeletal Disorders in Nurses

Menzel, Nancy N.; Hughes, Nancy; Waters, Thomas; Shores, Lynne S.; Nelson, Audrey

doi:10.1097/01.nne.0000270227.61414.79

Cited by 28 publications

(17 citation statements)

References 22 publications

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“…Menzel et al point out that evidence-based education and tutoring in patient-care ergonomics is important for nurses in training, and that implementing SPH training programmes into the nursing curriculum is a good investment in the future nursing workforce [11].…”

Section: Discussionmentioning

confidence: 99%

“…This has an important causal effect on healthcare systems, as anything that takes staff away from patient care (be it injury, work limitations, or other factors) creates cost issues in a system (national or private healthcare), and has the potential for reducing the overall safety of the unit, including that of the patient. Manual patient handling is considered by many to be the single greatest risk factor for overexertion injuries in healthcare workers, while growing obesity rates and the increasing age of the nursing workforce are also contributory factors [1,4,11].…”

Section: Introductionmentioning

confidence: 99%

“…Today's healthcare environment is challenging for its workers, and creating a culture of safety around minimising manual patient handling is thought to have a positive impact in diminishing the scope of this problem [1,11]. Manual handling can also be unsafe for patients, putting them at risk for injury, pain and negative health outcomes, partly due to the effects on caregivers-a caregiver under physical stress or with an injury is less likely to undertake high-risk manual patient handling tasks, and also could inadvertently cause patient injury or skin damage during a transfer [1,12].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Importance of Safe Patient Handling to Create a Culture of Safety: An Evidential Review

Humrickhouse¹,

Knibbe²

2016

Open Ergonomics. J.

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Abstract:Manual patient handling has been linked to musculoskeletal disorders (MSDs) in healthcare workers. It can expose the musculoskeletal (MS) system of nurses and other healthcare workers to stress, and may put patients at risk for injury, pain and negative health outcomes. Creating a culture of safety around minimising manual patient handling is therefore thought to have a positive impact in diminishing the scope of this problem. Patient mobility is also an important clinical issue, and safe patient handling (SPH) and mobility technology can be used to promote mobilisation, to improve patient independence and quality of life.There is evidence to suggest that multifactor interventions based on a risk assessment programme have the most likely chance of success in reducing risk factors associated with patient handling activities. The introduction of a structured SPH programme that pairs training with ergonomic intervention and mechanical aid use is now believed to be the most effective workplace intervention to prevent injuries relating to manual patient handling. The aim of this review is to investigate available evidence for the effectiveness of SPH programmes from the perspectives of healthcare worker safety, patient safety and cost. It is hoped that this will provide a broad view on the current state, significance and future potential of such programmes. Further, we consider what is missing from the available evidence, and how we can improve our understanding of SPH programme effectiveness in the healthcare setting.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Importance of Safe Patient Handling to Create a Culture of Safety: An Evidential Review

Humrickhouse¹,

Knibbe²

2016

Open Ergonomics. J.

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“…Exposure to patient handling begins in nursing school with the amount of exposure varying with the length of the program and the number of clinical hours the student is required to complete. Despite this exposure, nursing schools have been slow to require evidence-based safe patient handling policies and programs to protect their students (Kneafsey & Smallwood, 2010), with some still teaching manual handling and the ineffective technique of "proper body mechanics" (Menzel, Hughes, Waters, Shores, & Nelson, 2007;Nelson et al, 2007;Zwerdling, 2015, February 11).…”

Section: Introductionmentioning

confidence: 97%

Low Back Pain in Student Nurses: Literature Review and Prospective Cohort Study

Menzel

Doolen

2016

International Journal of Nursing Education Scholarship

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There is consensus that registered nurses worldwide have a high prevalence of work-related musculoskeletal disorders, particularly of the back. Patient handling activities such as lifting present the highest risk of injury, activities that begin in nursing school. A literature review identified 21 studies of back pain in nursing students, indicating a wide range of prevalence rates. A prospective cohort study of nursing students in a United States baccalaureate program followed 119 students who completed the Nordic Musculoskeletal Questionnaire upon beginning the 16 month upper division major and then a year later. There was no statistically significant change in low back pain prevalence over time. While nursing students have intermittent and brief exposure to patient handling activities, nursing schools must nevertheless protect them before they enter the high risk profession of nursing by teaching evidence-based safe patient handling techniques, empowering students to refuse unsafe manual lifts, and ensuring that the clinical settings with which they affiliate have adequate mechanical equipment available.

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“…Changing from patient lifting to the "no lifting" policy is described as a new way of thinking about patient transfer. [24] A new way of thinking in organizations may require cultural change, i.e., change of shared values and beliefs among people in the organization. Safety climate described as a manifestation of safety culture.…”

Section: Introductionmentioning

confidence: 99%

Patient transfer skills and safety culture

Hellesø

Nordtug

Brataas

2016

JNEP

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Background: Nursing practice includes a lot of patient handling and transfer movement, with high risk of work related back injuries. The article discusses employee perspectives on the meaning of a multi-component intervention and its impact on ergonomic patient transfer practice and safety culture. Method: This was a qualitative study using content analysis approach. Data were answers to open questions about patient transfer practice and the meaning of a multi-component intervention carried out in one Norwegian municipality. Research focus were on patient transfer skills, safety culture, and psychosocial climate at the workplace. Data gathered one and a half year after termination of the intervention. Purposive sampling included sixty-one health care personnel. All had been participating in the intervention. Results: The analysis revealed the theme "Competence, practice and health impact" with sub themes "Measures facilitates change" and "Influence over time". The intervention seemed to promote a safety climate with positive impact on employees' health. Further, the transfer movements were more comfortable and safe for the patients and they became more self-reliant. Comprehensive, educational, and technical measures facilitated for change. After intervention termination, the intervention had persistent influence over time on daily ergonomic patient transfer practices. Findings also revealed some challenges. Conclusion: The findings shed light on impact of management that focus on comprehensive educational measures for an entire staff at a local work place. The study do not provide transferability to other contexts, but nurse leaders can use study findings to inform their efforts on learning and culture change among the workforce.

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Preventing Musculoskeletal Disorders in Nurses

Cited by 28 publications

References 22 publications

The Importance of Safe Patient Handling to Create a Culture of Safety: An Evidential Review

The Importance of Safe Patient Handling to Create a Culture of Safety: An Evidential Review

Low Back Pain in Student Nurses: Literature Review and Prospective Cohort Study

Patient transfer skills and safety culture

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