Paternoster D, Salis M, Gisser G V
Reparto di Fisioterapia, Ospedale di Bressanone, Azienda Speciale USL Nord.
Med Lav. 1999 Mar-Apr;90(2):381-92.
A check-up of the efficacy of training in the specific field of disabled patient handling was made in the Bressanone Hospital. Some members of the staff had been previously trained in this subject and afterwards they organized courses for all the staff engaged in patient assistance. Before and after this course a series of parameters were recorded on appropriate cards, that enabled a comparison to be made of the various positions assumed by the workers during patient handling, with a concise assessment made for each manoeuvre. Altogether 80 manoeuvres were studied in the medical departments, 40 before and 40 six months after the training course. The results obtained were not up to expectations even though on the whole the number of manoeuvres judged totally incorrect was reduced considerably from 43% to 15%. This was due to a lack of coordination in the action plan drawn up for improvement of this risk factor and especially to failure to purchase equipment (for raising patients, minor aids and wheelchairs). It is stressed that training of health care staff on the topic of risk factors present in hospital environments must be considered as a part of hospital management strategy and therefore developed according to well defined programmes and methods.
布雷萨诺内医院对残疾患者护理特定领域的培训效果进行了检查。部分工作人员此前已接受过该主题的培训,之后他们为所有参与患者护理的工作人员组织了课程。在该课程前后,一系列参数被记录在适当的卡片上,这使得能够对工作人员在患者护理过程中所采取的各种姿势进行比较,并对每个动作进行简要评估。在医疗部门共研究了80个动作,培训课程前40个,培训课程六个月后40个。尽管总体上被判定完全错误的动作数量从43%大幅降至15%,但所获得的结果仍未达到预期。这是由于为改善这一风险因素而制定的行动计划缺乏协调性,尤其是未能购买设备(用于抬升患者、小型辅助器具和轮椅)。强调对医护人员进行医院环境中存在的风险因素主题的培训必须被视为医院管理策略的一部分,因此应根据明确的方案和方法来开展。