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在综合医院建立由物理治疗师主导的安全患者搬运与移动计划模型。

Establishing a physical therapist-driven model of safe patient handling and movement programs in a general hospital.

作者信息

Geiger Joan S

机构信息

Israel Institute for Occupational Safety and Hygiene, Tel Aviv, Israel.

出版信息

Work. 2013;45(2):147-60. doi: 10.3233/WOR-121526.

DOI:10.3233/WOR-121526
PMID:23324691
Abstract

OBJECTIVE

Healthcare workers are at great risk for musculoskeletal injuries related to ergonomic risk work factors. Patient handling tasks such as transfers and bed positioning pose the highest risk. This report describes the implementation of a physical therapist-driven model of ergonomic intervention in a general hospital in Israel.

PARTICIPANTS

A group of senior physical therapists undertook the lead role in implementing an ergonomics program on four hospital wards.

METHODS

After participating in an extensive ergonomics training program, the therapists were guided through the process of risk analysis and program formation tailored to four pilot wards. Four interdisciplinary ergonomic teams were established. The teams will define their ongoing role in coordinating and implementing ergonomics activities in the future.

RESULTS

Short-term outcomes include the advancement of ergonomics knowledge and awareness among therapy and nursing staffs, and recognition of therapists' role in healthcare ergonomics, as well as the establishment of four interdisciplinary ergonomics teams. The long-term outcome will be the maintenance of team activities over time, including repeated surveys of staff attitudes and practices, which have been positively correlated with reductions in musculoskeletal injury rates.

CONCLUSION

This model of intensive involvement of therapists within multidisciplinary ergonomics programs may serve as a protocol for further projects in healthcare settings.

摘要

目的

医护人员因工效学风险工作因素而面临肌肉骨骼损伤的巨大风险。诸如搬运患者和调整床位等患者处理任务风险最高。本报告描述了以色列一家综合医院实施的由物理治疗师主导的工效学干预模式。

参与者

一组资深物理治疗师在四个医院病房实施工效学计划中发挥了主导作用。

方法

在参加了广泛的工效学培训计划后,治疗师们在针对四个试点病房进行风险分析和制定计划的过程中得到指导。成立了四个跨学科工效学团队。这些团队将确定他们未来在协调和实施工效学活动中的持续作用。

结果

短期成果包括提高治疗和护理人员的工效学知识和意识,认可治疗师在医疗工效学中的作用,以及成立四个跨学科工效学团队。长期成果将是随着时间推移维持团队活动,包括对员工态度和做法的反复调查,这些与肌肉骨骼损伤率的降低呈正相关。

结论

这种治疗师深度参与多学科工效学计划的模式可作为医疗环境中进一步项目的方案。

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