Department of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA, USA.
Department of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA, USA.
Int J Nurs Stud. 2017 Sep;74:53-60. doi: 10.1016/j.ijnurstu.2017.06.002. Epub 2017 Jun 11.
Patient handling is well known for the risk of musculoskeletal injury. Safe work practices are important to reduce risk of injury while performing patient handling tasks. This study investigated factors associated with safe patient handling behaviors and lift use among hospital nurses in the United States.
This study analyzed cross-sectional survey data from a statewide random sample of 221 hospital nurses in California who had patient handling duties. Safe patient handling behaviors and lift use were examined for the relationships with demographic characteristics, organizational safety practices, physical and psychosocial job factors, musculoskeletal symptoms, and perceptions about lift use and risk of injury.
In multivariable logistic regression, high safe patient handling behaviors were significantly associated with a positive organizational safety climate (Odds Ratio [OR]=2.76, 95% Confidence Interval [CI] 1.51-5.03), people-oriented culture (OR=2.59, 95% CI 1.45-4.62), and ergonomic practices (OR=1.67, 95% CI 1.04-2.67). High lift use (>50% of the time when needed) were significantly associated with high lift availability (OR=3.1, 95% CI 1.06-9.01) and positive perceptions about lift use (OR=3.48, 95% CI 1.63-7.44). In bivariate analysis, high safe patient handling behaviors were associated with shorter height, non-White race, lower physical workload, lower job strain, higher job satisfaction, and less musculoskeletal symptoms.
The study findings underscore the importance of organizational safety practices and culture to promote safe work practices for patient handling injury prevention. Also, making lift equipment readily available and improving positive perceptions and experiences about lifts can be crucial to ensure the use of lift equipment.
患者搬运工作因肌肉骨骼损伤风险而广为人知。安全的工作实践对于减少执行患者搬运任务时受伤的风险非常重要。本研究调查了与美国医院护士安全患者搬运行为和使用升降机相关的因素。
本研究分析了来自加利福尼亚州的 221 名有患者搬运职责的医院护士的全州随机抽样的横断面调查数据。检查了安全患者搬运行为和升降机使用与人口统计学特征、组织安全实践、身体和心理社会工作因素、肌肉骨骼症状以及关于升降机使用和受伤风险的看法之间的关系。
在多变量逻辑回归中，高度的安全患者搬运行为与积极的组织安全氛围（优势比 [OR]=2.76，95%置信区间 [CI] 1.51-5.03）、以人为本的文化（OR=2.59，95%CI 1.45-4.62）和人体工程学实践（OR=1.67，95%CI 1.04-2.67）显著相关。高升降机使用率（>50%需要时）与高升降机可用性（OR=3.1，95%CI 1.06-9.01）和对升降机使用的积极看法（OR=3.48，95%CI 1.63-7.44）显著相关。在双变量分析中，高度的安全患者搬运行为与身高较矮、非白种人种族、较低的体力工作负荷、较低的工作压力、较高的工作满意度和较少的肌肉骨骼症状相关。
研究结果强调了组织安全实践和文化对于促进安全工作实践以预防患者搬运受伤的重要性。此外，使升降机设备随时可用并改善对升降机的积极看法和体验对于确保使用升降机设备至关重要。
