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探讨本科护理和理疗专业学生对患者搬运教育的看法。

An exploration of undergraduate nursing and physiotherapy students' views regarding education for patient handling.

机构信息

Coventry University, Faculty of Health and Life Science, Nursing and Midwifery, Coventry CV1 5SP, UK.

出版信息

J Clin Nurs. 2012 Dec;21(23-24):3493-503. doi: 10.1111/j.1365-2702.2012.04172.x. Epub 2012 Jul 27.

Abstract

AIMS AND OBJECTIVES

To ascertain the views of undergraduate student nurses and physiotherapists regarding their education in patient handling.

BACKGROUND

Musculo-skeletal injuries are an important cause of staff sickness absence and attrition from the nursing profession and are a recognised problem within the physiotherapy profession. Nurses and physiotherapists are at risk of musculo-skeletal injuries as a result of their role in assisting patients with movement.

METHODS

A questionnaire survey was undertaken of undergraduate nursing and physiotherapy students (n = 371) at one university.

RESULTS

Most students agreed that university teaching about moving and handling prepared them for clinical practice (64%). Over a third reported that they had never undertaken a written moving and handling risk assessment in clinical practice (38%). Almost half of the sample (40%) admitted undertaking unsafe moving and handling activities. Half (50%) also stated that they would rather 'fit' into the team than challenge unsafe practice. Almost a third (29%) stated that they had begun to experience pain since becoming a student. There were significant differences between nursing and physiotherapy students. Physiotherapy students were more likely to report being supervised when moving and handling and reported being more assertive about adhering to safe practice.

CONCLUSIONS

The well-being of both nursing and physiotherapy undergraduate students is threatened when students undertake work placements in clinical settings. University-based education in safe patient handling, though important, can be undermined by workplace settings where unsafe practices occur. Collaboration is needed between university educators, managers and practice-based mentors to support students to maintain safe approaches to moving and handling patients.

RELEVANCE TO CLINICAL PRACTICE

A third of students reported developing pain since becoming a healthcare student. Students entering their professions already injured may leave the workforce owing to poor physical well-being. It is vital that the clinical workplace supports safe systems of working.

摘要

目的和目标

确定本科护生和理疗师对患者搬运教育的看法。

背景

肌肉骨骼损伤是员工病假和护理职业人员流失的一个重要原因,也是理疗专业公认的问题。由于护士和理疗师在协助患者移动方面的作用,他们有肌肉骨骼损伤的风险。

方法

在一所大学对本科护理和理疗学生(n=371)进行了问卷调查。

结果

大多数学生同意大学关于移动和搬运的教学为他们的临床实践做好了准备(64%)。超过三分之一的人报告说他们从未在临床实践中进行过书面的移动和搬运风险评估(38%)。几乎一半的样本(40%)承认从事不安全的移动和搬运活动。还有一半(50%)的人表示,他们宁愿“适应”团队,也不愿挑战不安全的做法。近三分之一(29%)的人表示,自从成为学生以来,他们开始感到疼痛。护理和理疗学生之间存在显著差异。理疗学生在移动和搬运时更有可能被监督,并且更坚持遵守安全实践。

结论

当学生在临床环境中进行工作实习时,护理和理疗本科学生的健康都受到威胁。虽然大学的安全患者搬运教育很重要,但工作场所发生不安全的做法可能会破坏这种教育。大学教育者、管理者和基于实践的导师之间需要合作,以支持学生保持安全的患者搬运方法。

对临床实践的相关性

三分之一的学生报告自成为医疗保健学生以来出现疼痛。已经受伤的学生可能会因为身体不适而离开劳动力市场。至关重要的是,临床工作场所要支持安全的工作系统。

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