Hignett Sue, Griffiths Paula
Department of Human Sciences, Loughborough University, Loughborough, UK.
Work. 2009;33(2):175-80. doi: 10.3233/WOR-2009-0864.
As part of a larger research project the patient pathway was mapped for an emergency admission to identify the manual handling major risks. Focus group interviews were held with 25 key stakeholders from the acute, community and ambulance healthcare sectors and social services at 3 venues across the United Kingdom (UK). A detailed qualitative iterative analysis used 'cause and effect' or fishbone (Ishikawa) diagrams to identify key issues. Five themes emerged as generic risks throughout the bariatric patient pathway, these were: patient factors including body shape, mobility, pain, co-operation, privacy, comfort and dignity; building (or vehicle) space and design, including space, clearance, floor surface, and safe working load of floor; equipment (manual handling and clinical) and furniture, including fit, maximum weight capacity, availability, suitability, compatibility, size, and effort to move; communication both within and between organisations; and organisational and staff issues, including policies, culture and staff availability and training. It was concluded that buildings, vehicles and equipment need to be designed to 'fit' a range of bariatric shapes and sizes so that bariatric patients could be accommodated in safety and comfort, and with minimal loss of dignity.
作为一个更大研究项目的一部分，绘制了急诊入院患者路径图，以识别体力处理方面的主要风险。在英国三个地点，与来自急症、社区、救护车医疗保健部门及社会服务机构的25名关键利益相关者进行了焦点小组访谈。采用详细的定性迭代分析方法，利用“因果”或鱼骨（石川）图来识别关键问题。在肥胖症患者整个就医过程中出现了五个作为一般风险的主题，分别是：患者因素，包括体型、活动能力、疼痛、合作、隐私、舒适度和尊严；建筑（或车辆）空间与设计，包括空间、净空、地面表面以及地板的安全工作负荷；设备（体力处理和临床设备）及家具，包括适用性、最大承重能力、可用性、适宜性、兼容性、尺寸以及移动难度；组织内部及组织之间的沟通；以及组织和人员问题，包括政策、文化、人员可用性和培训。得出的结论是，建筑、车辆和设备的设计应“适配”各种肥胖症患者的体型和尺寸，以便肥胖症患者能够安全舒适地得到安置，同时尊严受损最小。
