护士预防肌肉骨骼损伤的观点：一项定性研究。
Perspectives on preventing musculoskeletal injuries in nurses: A qualitative study.
作者信息
Richardson Amy, Gurung Gagan, Derrett Sarah, Harcombe Helen
机构信息
Injury Prevention Research Unit, Department of Preventive and Social Medicine, Dunedin School of Medicine University of Otago Dunedin New Zealand.
Department of Preventive and Social Medicine, Dunedin School of Medicine University of Otago Dunedin New Zealand.
出版信息
Nurs Open. 2019 Apr 13;6(3):915-929. doi: 10.1002/nop2.272. eCollection 2019 Jul.
AIMS AND OBJECTIVES
To explore the perspectives of nursing and physiotherapy academics regarding techniques designed to prevent musculoskeletal pain and injury in nurses.
BACKGROUND
High rates of musculoskeletal injuries are evident in nurses, yet there is an absence of research identifying effective interventions to address this problem. Exploring the perspectives of individuals with specialist knowledge in the area could help identify barriers to musculoskeletal injury prevention, and innovative strategies to investigate in future studies.
DESIGN
Cross-sectional qualitative descriptive study.
METHODS
Between October-December 2017, group and individual face-to-face semi-structured interviews were used to collect data. All interviews were audio-recorded. A thematic analysis was performed, with two researchers coding audio files using NVivo software. The Consolidated Criteria for Reporting Qualitative Research Checklist was consulted to ensure complete reporting of all methods and findings.
RESULTS
Nursing and physiotherapy academics ( = 10) were aware of a range of techniques to prevent musculoskeletal injuries in nurses, including education, equipment, health and safety policy and multi-disciplinary collaboration. However, several barriers to using these techniques were identified, including age, knowledge and availability of equipment, personal and contextual factors, staffing and time pressures. Several strategies were recommended for further investigation and implementation in clinical practice, such as the sharing of personal experiences, orthopaedic assessments and changes to workplaces that foster a culture of safety.
CONCLUSIONS
Further research is required to reduce musculoskeletal pain and injury among nurses. This research should account for the barriers to current prevention strategies and consider investigating novel interventions.
RELEVANCE TO CLINICAL PRACTICE
These findings highlight strategies for preventing musculoskeletal injuries among nurses that are likely to be most effective in clinical practice.
目的与目标
探讨护理及物理治疗学界人士对旨在预防护士肌肉骨骼疼痛和损伤的技术的看法。
背景
护士中肌肉骨骼损伤的发生率很高，但缺乏确定有效干预措施来解决这一问题的研究。探索该领域具有专业知识的个人的看法有助于识别肌肉骨骼损伤预防的障碍，以及未来研究中可探讨的创新策略。
设计
横断面定性描述性研究。
方法
2017年10月至12月期间，采用小组和个人面对面半结构化访谈收集数据。所有访谈均进行了录音。进行了主题分析，两名研究人员使用NVivo软件对音频文件进行编码。参考了《定性研究报告综合标准清单》以确保全面报告所有方法和结果。
结果
护理及物理治疗学界人士（n = 10）知晓一系列预防护士肌肉骨骼损伤的技术，包括教育、设备、健康与安全政策以及多学科协作。然而，确定了使用这些技术的若干障碍，包括年龄、设备的知识和可用性、个人和背景因素、人员配备和时间压力。推荐了若干策略以供在临床实践中进一步研究和实施，例如分享个人经验、骨科评估以及改变工作场所以营造安全文化。
结论
需要进一步研究以减少护士的肌肉骨骼疼痛和损伤。该研究应考虑当前预防策略的障碍，并考虑研究新的干预措施。
与临床实践的相关性
这些发现突出了在临床实践中预防护士肌肉骨骼损伤可能最有效的策略。
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