Clinical Education and Research Institute, Cabrini Health, Malvern, Australia.
College of Science, Health and Engineering, La Trobe University, Melbourne, Australia.
Disabil Rehabil. 2023 Mar;45(5):927-935. doi: 10.1080/09638288.2022.2048908. Epub 2022 Mar 12.
To determine if a patient manual handling training program focused on dynamic manual handling risk assessment for staff and patient safety, together with the patient's need for physical rehabilitation, can be transferred and sustained in clinical practice.
Using a pre-post design, nurses ( = 72) from acute and rehabilitation wards participated in a 4-hour training session teaching dynamic manual handling risk assessment to safely move patients. Clinical observations audits of patient transfers were conducted prior to, and at 1-month and 6-months post training. Surveys determined experiences of training. Nurse musculoskeletal injuries and patient falls were measured 6-months after training.
Program patient handling skills were competently implemented 89% of the time 1-month following training and were sustained 6-months following training. There was no change in falls rates and staff injury rates were very low pre- and post-training. Training was well received and all nurses passed the competency assessment.
The patient handling training program taught nurses to better identify factors associated with risk to themselves and their patients and gave them improved skills to help patients move. Skills were incorporated safely into clinical practice and sustained at 6-months. It is uncertain whether training impacted musculoskeletal injuries.Implications for rehabilitationA dynamic manual handling risk assessment program for safely transferring and moving patients balances staff safety with the patient's need for physical rehabilitation.Nurses can be taught risk assessment skills to better identify factors associated with risk to themselves and their patients that can be translated to clinical practice.Thorough risk assessment at the point of the nurse-patient interaction can enable a patient to move at their highest level of function thus providing patients with opportunities to progress their rehabilitation at every interaction.
确定患者手动搬运培训计划是否可以转移并持续在临床实践中，该计划侧重于员工和患者安全的动态手动搬运风险评估，以及患者对身体康复的需求。
使用前后设计，来自急性和康复病房的护士（ = 72）参加了一个 4 小时的培训课程，教授安全移动患者的动态手动搬运风险评估。在培训前、培训后 1 个月和 6 个月进行了患者转移的临床观察审核。调查确定了培训经验。在培训后 6 个月测量了护士肌肉骨骼损伤和患者跌倒的情况。
计划中的患者搬运技能在培训后 1 个月内有 89%的时间得到了熟练执行，并在培训后 6 个月内得到了维持。跌倒率没有变化，员工受伤率在培训前后都非常低。培训受到好评，所有护士都通过了能力评估。
搬运培训计划教会护士更好地识别与自身和患者风险相关的因素，并提高了帮助患者移动的技能。技能安全地融入临床实践并持续到 6 个月。培训是否影响肌肉骨骼损伤尚不确定。
安全转移和移动患者的动态手动搬运风险评估计划平衡了员工安全和患者身体康复的需求。可以教授护士风险评估技能，以更好地识别与自身和患者风险相关的因素，这些因素可以转化为临床实践。在护士与患者互动的时刻进行彻底的风险评估，可以使患者以最高的功能水平移动，从而为患者在每次互动中提供康复机会。
