Manipulation technics as a prevention of the innjury risk and securing safe care
Authors:
M. Trešlová; T. Svidenská; F. Dolák; L. Rolantová; A. Hudáčková; J. Maňhalová; I. Chloubová; V. Stasková; R. Belešová; D. Filausová
Authors‘ workplace:
Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta,
Ústav ošetřovatelství, porodní asistence a neodkladné péče, ředitelka prof. PhDr. Valérie Tóthová, Ph. D.
Published in:
Pracov. Lék., 72, 2020, No. 1-2, s. 5-11.
Category:
Original Papers
Overview
Introduction: The problem of physical manipulation with patients in providing nursing care represents a long-term observation of phenomenon especially abroad. In our project we paid particular attention to less published factors, specifically the safe manipulation techniques and possible risks for the nursing personnel and persons taken care of.
Material and Methods: For the information about physical manipulation in the nursing care of patients related to the components of techniques in physical manipulation the nurses provide, a quantitative method was used characteri- zed by of structured disguised yet involved observation. The sheets of record followed 10 nursing activities, where the activities included lifting, moving and rotation. The activities were followed in connection with the condition and experiencing of the patient and experiencing of the pains by nurses in the course of implementation. In the south Bohemian hospitals, a total of 131 observations were performed. Analysis of the obtained data was performed in the Microsoft Excel program.
Results: Four categories were created form the observation: Physical manipulation and involvement of the patient; Physical manipulation – comfort, safety, risks; Principals of physical manipulation; Possibilities of decreasing the physical load for the nurses in physical manipulation. The authors believe that physical manipulation is mostly provided correctly. The highest risks are apparently in the lack of effective tools, and the lack of time, which makes effective manipulation impossible, insufficiently used kinesthetic for the body of the nursing persons and communication with the patient.
Conclusion: Physical manipulation with the patient in providing nursing care has not been executed according to most recent rule. Consequently, health damage to the general nurses and patients can develop. Physical manipulation is an everyday activity at risk and higher and consistent attention should paid not only to the education and availability of tool, but it is necessary to begin with legislation. Management of medical institutions and observation of consequences of non-effective physical manipulation for health and thereby for investing financial expenses of the equipment versus work incapacity.
Keywords:
physical manipulation – general nurse – patient – load – risk – prevention
Sources
1. Alamgir, H., Drebit, S., Guiyun Li, H., Kidd, C., Tam, H., Fast, C. Peer coaching and mentoring: a new model of educational intervention for safe patient handling in health care. American Journal Of Industrial Medicine [online], 2011, 54, 8, s. 609–617. [cit. 2020/02/19]. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/21630297.
2. ANA Board of Directors. Elimination of Manual Patient Handling to Prevent Work-Related Musculoskeletal Disorders. Congress on Nursing Practice and Economics [online]. 2008, s. 1–9. [cit. 2020/02/19]. Dostupné na www: https://www.nursingworld.org/~49214e/globalassets/docs/ana/final_pos_stmnt_elimination_manual_patient_handling_031408.pdf
3. Anderson, M. P., Carlisle, S., Thomson, C., Ross, C., Reid, H. J., Hart, N. D., Clarke, A. Safe moving and handling of patients: an interprofessional approach. In: Nursing Standard. [online], 2014, 28, 46, s. 37–41. [cit. 2020/02/19]. doi: 10.7748/ns.28.46.37.e8663. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/25027922.
4. Ball, J. E., Murrells, T., Rafferty, M., Morrow, E., Griffiths, P. Care left undone‘ during nursing shifts: associations with workload and perceived quality of care. BMJ Qual Saf. [online], 2014, 23, 2, s. 116–125. [cit. 2020/01/29]. doi: 10.1136/bmjqs-2012-001767. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/23898215.
5. Baptiste-McKinney, A. Halvorson, B. The Use of Friction--Reducing Devices in a Safe Patient Handling& Mobility Program. Int J SPHM, 2018, 8, 3.
6. Biggers, L. 3 Barriers to SPHM Program Implementation. 2019, April 26. Dostupné na www: https://www.colowrap.com/blog/sphm_barriers.
7. Darragh, A. R., Shiyko, M., Margulis, H., Campo, M. Effects of a safe patient handling and mobility program on patient self-care outcomes. The American Journal Of Occupational Therapy [online], 2014, 68, 5, s. 589–596. [cit. 2020/01/29] doi: 10.5014/ajot.2014.011205 Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/25184472.
8. De Ruiter, H. P., Liashenko, J. To Lift or Not to Lift: Patient Handling Practices. AAOHN Journal [online], 2011, 59,8, s. 337–343. [cit. 2020/01/18] doi: 10.3928/08910162-20110718-02. Dostupné na www: https://journals.sagepub.com/doi/pdf/10.1177/216507991105900802.
9. Disman, M. Jak se vyrábí sociologická znalost: příručka pro uživatele. Praha : Karolinum, 2011. 290 s. ISBN 978-80-246-1966-8.
10. Engel, L., Love, R. Safe Patient Handling Education in Nepal: A Canadian Perspective in Creating and Conducting Training in a Developing Country. Journal of Palliative Medicine [online], 2013, 16,3, s. 295–300. [cit. 2020/01/18]. doi: 10.1089/jpm.2012.0419. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/23437834.
11. Felstead, I., Angrave, P. Implementing moving and handling in higher education. Nursing Standard [online], 2005, 19, 33, s. 46–50 [cit. 2020/02/18]. Dostupné na www: https://journals.rcni.com/nursing-standard/implementing-moving-and-handling-in-higher-education-ns2005.04.19.33.46.c3855.
12. Griffiths, H. Adverse risk: a dynamic interaction model of patient moving and handling. Journal of Nursing Management [online], 2012, 20, s. 713–736. [cit. 2020/02/18] Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/22967291.
13. Hignett, S., Griffiths, P. Risk factors for moving and handling bariatric patients. Nursing Standard [online], 2009, 24, 11, s. 40–48. [cit. 2020/02/01]. Dostupné na www: https://journals.rcni.com/nursing-standard/risk-factors-for-moving-and-handling-bariatric-patients-ns2009.11.24.11.40.c7390.
14. Hindson, D. The right move. Nursing Standard [online], 2016, 2, 31, s. 18–20. [cit. 2020/02/01]. Dostupné na www: http://www.gbukgroup.com/wp-content/uploads/2016/11/rcni-journal.pdf.
15. Hendl, J. Kvalitativní výzkum: základní teorie, metody a aplikace. Praha : Portál, 2008. ISBN 978-80-7367-485.
16. Huffman, G. M., Crumrine, J., Thompson, B., Mobley, V., Roth, K., Roberts, C. On SHiPs and Safety: A Journey of Safe Patient Handling in Pediatrics. Journal of Pediatric Nursing [online], 2014, 29, s. 641–650 [cit. 2020/02/01]. Dostupné na www: www.sciencedirect.com/science/article/abs/pii/S0882596314001766.
17. Kala, M., Hrenáková, E., Snopek, P., Dorková, Z. Polohování dlouhodobě imobilních a terminálních pacientů. Rehabilitace a fyzikální lékařství, 2016, 23, 2, s. 96–100.
18. Kalish, B. J., Boin, X., Dabney, B. W. Patient-Reported Missed Nursing Care Correlated With Adverse Events. American Journal of Medical Quality September [online], 2013, 4, s. 415–422. [cit. 2020/02/01] Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/24006031.
19. Kanaskie, M. L., Snyder, C. Nurses and nursing assistants decision-making regarding use of safe handling and mobility technology: A qualitative study. Applied Nursing Research [online], 2018, 39, p. 141–147 [cit. 2020/02/01]. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/29422149.
20. Krill, C., Staffileno, B. A., Raven, C. Empowering staff nurses to use research to change practice for safe patient handling. Nurs Out look [online], 2012, 60, p. 157–162 [cit. 2020/02/10]. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/21872285.
21. Krill, C., Raven, C., Staffileno, B. A. Moving from a Clinical Question To Research: The Implementation Of a Safe Patient Handling Program. Medsurg nursing, Professional issues [online], 2012, 21, p. 104–106 [cit. 2020/02/01]. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/22667003.
22. Lee, C. et al. Safe Patient Handling and Mobility: Development and Implementation of a Large-Scale Education Program. Crit Care Nurs Q [online], 2018, 41,3, p. 253–263 [cit. 2020/03/01]. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/29851674.
23. MacGregor, H. Moving and Handling Patients at a Glanc. Oxford: Wiley Blackwel, 2016. ISBN 978-1-118-85343-6.
24. Mayeda-Letourneau, J. Safe Patient Handling and Movement: A Literature Review. Association of Rehabilitation Nurses. Rehabilitation Nursing [online], 2014, 39, s. 123–129 [cit. 2020/03/01]. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/24323744.
25. Machálková, L., Mikšová, Z., Mazalová, L., Šamaj, M. Hodnocení tělesných charakteristik a fyzické zátěže všeobecných sester. Česká antropologie, 2012, 62, 1, s. 24–29.
26. Malíková, L., Ešše, M., Poušek, L., Rais, V. Pilotní studie pracovního zatížení ošetřovatelského personálu při manipulaci s pa-cientem. Prac. Lék., 2011, 63, s. 79–86.
27. Nařízení vlády č. 361/2007 Sb., nařízení vlády, kterým se stanoví podmínky ochrany zdraví při práci, 2006. Sbírka zákonů České Republiky, částka 111.
28. Nielsen, D. et al. Preventing Back Injuries in Hospital Settings: The Effects of Video Modeling on Safe Patient Lifting by Nurses. Journal of Applied Behavior Analysis [online], 2009, 42, 3, s. 551–561 [cit. 2020/03/01]. Dostupné na www: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2741060/.
29. Noble, N., Sweeney, N. Barriers to the Use of Assistive Devices in Patient Handling Workplace Health & Safety: Promoting Environments Conducive to Well-Being and Productivity. AAOHN [online], 2018, 66,1, p. 41–48 [cit. 2020/07/01]. Dostupné na www: https://journals.sagepub.com/doi/full/10.1177/2165079917697216.
30. Pirschel, Ch. Prevent Physical Injury Through Safe Patient Handling. ONS Voice [online], 2018, 33, 1, p. 53 [cit. 2020/03/01]. Dostupné na www: https://voice.ons.org/news-and-views/prevent-physical-injury-through-safe-patient-handling.
31. Rozsypalová, M. et al. Ošetřovatelství I/1. 1996, Praha: Informatorium. ISBN 80-85427-93-1.
32. Schoenfisch, A. L., Lipscomb, H. J., Pompeii, L. A., Myers, D. J., Dement, J. M. Musculoskeletal injuries among hospital patient care staff before and after implementation of patient lift and transfer equipment. Scand J Work Environ Health [online], 2013, 39, p. 27–36 [cit. 2020/03/01]. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/22396049.
33. Státní úřad inspekce práce. Roční zprávy. [online]. [cit. 2020/14/02]. Dostupné na www: http://www.suip.cz/rocni-zpravy/.
34. Šmehilová, A. Znovu břemena – problém trvá a prohlubuje se. Odborový svaz zdravotnictví a sociální péče ČR [online], 2015 [cit. 2018-08-06]. Dostupné na www: http://osz.cmkos.cz//cz/clanky/7-12-2015-znovu-bremena.aspx.
35. Švaříček, R., Šeďová, K. et al. Kvalitativní výzkum v pedagogických vědách. Praha: Portál, 2014. ISBN978-80-262-0644-6.
36. Tóthová, V. a kol. Ošetřovatelský proces a jeho realizace. 2. rozšířené vydání. Praha: Triton, 2014. ISBN-13:978-80-7387-785-9.
37. Villarroya, A., Arezes, P., Díaz-Freijo, S., Fraga, F. Comparison between five risk assessment methods of patient handling. International Journal of Industrial Ergonomics [online], 2016, 52, s. 100–108 [cit. 2020/14/02]. Dostupné na www: https://www.sciencedirect.com/science/article/abs/pii/S0169814115300408.
38. Vytejčková, R. et al. Ošetřovatelské postupy v péči o nemocné I. 2011, Praha: Grada. ISBN 978-80-247-3419-4.
39. Vollman, K. M. The right position at the right time: mobility makes a difference. Intensive and Critical Care Nursing [online], 2004, 20, 4, p. 179–182 [cit. 2020/14/02]. Dostupné na www:https://www.semanticscholar.org/paper/The-right-position-at-the-right-time%3A-mobility-a-Vollman/d153601f3e68cbedbf5982ec4f08db0eb33ae874.
40. Warren, G. Moving and handling: reducing risk through assessment. Nurs. Stand. [online], 2015, 30, 40, s. 49–58 [cit. 2020/14/02]. Dostupné na www: https://journals.rcni.com/nursing-standard/moving-and-handling-reducing-risk-through-assessment-ns.30.40.49.s45.
41. Wulff Risør, B., Casper, S. D., Andersen, L. L., Søenrsen, J. A multi-component patient-handling intervention improves attitudes and behaviors for safe patient handling and reduces aggression experienced by nursing staff: A controlled before-after study. Applied Ergonomics [online], 2017, 60, s. 74–82 [cit.2020/15/02]. Dostupné na www: https://www.ncbi.nlm.nih.gov/pubmed/28166902.
42. Zákon č. 262/2006 Sb., zákoník práce, 2006. Sbírka zákonů České Republiky, částka 84.
43. Českým sestrám chybí kompetence. Ministerstvo zdravotnictví to chce napravit, začíná domácí péčí. Zdravotnický deník, 3. 12. 2019. Dostupné na www: https://www.zdravotnickydenik.cz/2019/12/ceskym-sestram-chybi-kompetence-ministerstvo-zdravotnictvi-chce-napravit-zacina-domaci-peci/.
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Hygiene and epidemiology Hyperbaric medicine Occupational medicineArticle was published in
Occupational Medicine
2020 Issue 1-2
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