Kay Kate, Glass Nel
School of Nursing and Midwifery, Australian Catholic University, Fitzroy, Victoria, Australia.
Int J Nurs Pract. 2011 Jun;17(3):231-7. doi: 10.1111/j.1440-172X.2011.01930.x.
Nursing care involves complex patient handling tasks. Strategies to address associated manual handling issues commonly include training programmes, despite conflicting evidence regarding training efficacy for manual handling injury reduction. Resultant knowledge acquisition and skills transfer from training programmes are prerequisites for subsequent practice changes in the clinical setting. This paper draws upon the findings from a questionnaire completed by 100 nurses in an Australian private hospital in 2008. A substantial knowledge deficit was identified, despite previous training undertaken by participants. A striking finding was that although 82% (n = 82) of nurses surveyed believed they used safe manual handling practices, only 18% (n = 15) of these nurses correctly answered items assessing manual handling knowledge. The study suggests prudence in the assumption of skills and knowledge acquisition during manual handling training. It informs the development of future implementation strategies, and provides a contributory explanation for the limited application of recommended practices after training completion.
护理工作涉及复杂的患者处理任务。解决相关体力处理问题的策略通常包括培训项目,尽管关于培训减少体力处理损伤效果的证据存在矛盾。培训项目带来的知识获取和技能转移是临床环境中后续实践改变的先决条件。本文借鉴了2008年澳大利亚一家私立医院100名护士填写的调查问卷结果。尽管参与者之前接受过培训,但仍发现存在大量知识缺陷。一个惊人的发现是,虽然82%(n = 82)接受调查的护士认为他们采用了安全的体力处理方法,但这些护士中只有18%(n = 15)正确回答了评估体力处理知识的问题。该研究表明在体力处理培训期间对技能和知识获取的假设应谨慎。它为未来实施策略的制定提供了参考,并为培训结束后推荐做法的有限应用提供了一个解释。