Safe Patient Handling and Movement

Nelson, Audrey; Owen, Bernice D.; Lloyd, John D.; Fragala, Guy; Matz, Mary; Amato, Margaret; Bowers, Judith; Moss-Cureton, Susan; Ramsey, Glenn; Lentz, Karen

doi:10.1097/00000446-200303000-00016

Cited by 56 publications

(23 citation statements)

References 1 publication

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Section: Education and Training In Proper Use Of Patient Handling Equmentioning

confidence: 99%

“…New education models are needed for assuring competency in use of patient handling technology and new ongoing training practices are needed in health care settings where nurses are employed (Nelson et al, 2004; NIOSH, 2001 Clinical tools (algorithms and patient assessment tools). Clinical tools are useful for applying research to practice and reducing unnecessary variation in practice.…”

Section: Education and Training In Proper Use Of Patient Handling Equmentioning

confidence: 99%

“…In Britain, a Hazard Movement Code was developed (Hayne, 1990); in Canada, a system was developed by the Health Care Occupational Health and Safety Association in Ontario, and in Australia, a system was developed using figures and pictorial notations (Health Care Occupational Health and Safety Association, 1986). In the United States, Nelson and colleagues (Nelson, 2004) developed a patient assessment and series of algorithms for safe patient handling. Each of these tools assist nurses in selecting the safest equipment, technique, and number of staff needed to perform safe patient handling tasks based on specific patient characteristics (Nelson et al, 2003b).…”

Section: Education and Training In Proper Use Of Patient Handling Equmentioning

confidence: 99%

“…Positive results indicate that there is a need for new education models to assure competency when using patient handling equipment. Ongoing training is key in health care settings for nurses to achieve proficiency and comfort on equipment use (Nelson et al, 2004; NIOSH, 2001).Peer leaders as new education model. New education models are needed for assuring competency in use of patient handling technology and new ongoing training practices are needed in health care settings where nurses are employed (Nelson et al, 2004; NIOSH, 2001 Clinical tools (algorithms and patient assessment tools).…”

mentioning

confidence: 99%

“…Ongoing training is key in health care settings for nurses to achieve proficiency and comfort on equipment use (Nelson et al, 2004; NIOSH, 2001).…”

mentioning

confidence: 99%

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Evidence-Based Practices for Safe Patient Handling and Movement

Nelson

Baptiste

2006

BMM

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Efforts to reduce injuries associated with patient handling are often based on tradition and personal experience rather than scientific evidence. The purpose of this article is to summarize current evidence for interventions designed to reduce caregiver injuries, a significant problem for decades. Despite strong evidence, published over three decades, the most commonly used strategies have strong evidence that demonstrate they are ineffective. There is a growing body of evidence to support newer interventions that are effective or show promise in reducing musculoskeletal pain and injuries in care providers. The authors have organized potential solutions into three established ergonomic solution types: engineering based, administrative, and behavioral. For each intervention, the level of evidence to support its use is provided.Key words: work-related musculoskeletal injuries, patient handling, no lift policy, ergonomics, lifting techniques, nurse safety Strategies to prevent or minimize work-related musculoskeletal injuries associated with patient handling are often based on tradition and personal experience rather than scientific evidence. The most common patient handling approaches in the United States include manual patient lifting, classes in body mechanics, training in safe lifting techniques, and back belts. Surprisingly there is strong evidence that each of these commonly used approaches is not effective in reducing caregiver injuries. A major paradigm shift is needed away from these ineffective approaches towards the following evidence-based practices: (a) patient handling equipment/devices, (b) patient care ergonomic assessment protocols, (c) no lift policies, (d) training on proper use of patient handling equipment/devices, and (e) patient lift teams. Promising new interventions, which are still being tested, include use of unit-based peer leaders and clinical tools, such as algorithms and patient assessment protocols. Given the complexity of this high-risk, high volume, highcost problem, multifaceted programs are more likely to be effective than any single intervention. This new call for action includes systematic change in health care facilities across the continuum of care as well as a new curriculum for schools of nursing. Statement of the ProblemNursing personnel are consistently listed as one of the top ten occupations for work-related musculoskeletal disorders, with incidence rates of 8.8 per 100 in hospital settings and 13.5 per 100 in nursing home settings (Bureau of Labor Statistics, 2002). These are considered to be low estimates, since underreporting of injuries in nursing is common (U.S. Department of Health & Human Services, 1999). Aggregated data on prevalence of back injury, compiled from over 80 studies, revealed an international worldwide point prevalence of approximately 17%, an annual prevalence of 40-50% and a lifetime prevalence of 35-80% (Hignett, 1996). While there has been a steady decline in the rates of most occupational injuries starting in 1992, work-related musculos...

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Section: Education and Training In Proper Use Of Patient Handling Equmentioning

confidence: 99%

Section: Education and Training In Proper Use Of Patient Handling Equmentioning

confidence: 99%

Section: Education and Training In Proper Use Of Patient Handling Equmentioning

confidence: 99%

mentioning

confidence: 99%

“…Ongoing training is key in health care settings for nurses to achieve proficiency and comfort on equipment use (Nelson et al, 2004; NIOSH, 2001).…”

mentioning

confidence: 99%

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Evidence-Based Practices for Safe Patient Handling and Movement

Nelson

Baptiste

2006

BMM

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Skin Care

Dingwall

2010

Personal Hygiene Care

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Myths and Facts About Safe Patient Handling in Rehabilitation

Nelson

Harwood

Tracey³

et al. 2008

Rehabilitation Nursing

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As the incidence of injuries associated with patient-handling tasks remains high in the rehabilitation community, interdisciplinary discussions on optimal methods for preventing injuries and ensuring good care continue. A national task force consisting of representatives from the Association of Rehabilitation Nurses, the American Physical Therapy Association, and the Veterans Health Administration identified myths that have been promulgated on both sides of the discussion, focusing especially on rehabilitation practices. The purpose of this article is to dispel these myths by using evidence-based methods. Evidence should be applied in discussions of safe patient handling, and although concern about patient outcomes is critical, there is no evidence that the use of patient-handling technology undermines rehabilitation goals and strong evidence that these practices enhance the safety of rehabilitation care providers. Further research on the impact of safe patient-handling practices on rehabilitation goals and continued communication between rehabilitation providers are recommended.

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Safe Patient Handling and Movement

Cited by 56 publications

References 1 publication

Evidence-Based Practices for Safe Patient Handling and Movement

Evidence-Based Practices for Safe Patient Handling and Movement

Skin Care

Myths and Facts About Safe Patient Handling in Rehabilitation

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