Gideon Asuquo Enobong, Tighe Sylvia Murphy, Bradshaw Carmel
Catherine McAuley House Nursing Home, Old Dominic street, Limerick, Ireland.
Dept. of Nursing and Midwifery, University of Limerick, Health Research Institute (HRI) affiliated, Limerick, Ireland.
Int J Nurs Stud Adv. 2021 May 31;3:100033. doi: 10.1016/j.ijnsa.2021.100033. eCollection 2021 Nov.
BACKGROUND: : The incidence of workrelated musculoskeletal disorders have been consistently high in nursing sectors and are a significant cost to the health service due to absenteeism. Workrelated musculoskeletal disorders are more common among healthcare workers in nursing homes due to the high dependency needs of older persons which often include need for help with self-care and mobility. Therefore, staff are exposed to potential injury associated with moving and handling patients. Workrelated musculoskeletal disorders significantly impact on the quality of life of affected individuals, can cause economic hardship and affect service provision. AIM: : To identify, review, and discuss interventions that may be effective in reducing the prevalence and consequences of workrelated musculoskeletal disorders in nursing homes. DESIGN: : An integrative literature review. METHOD: : A systematic search of Embase, Science direct, Web of science and EBSCO Host was conducted and an ancestry search of the references of the reviewed articles were also reviewed. Peer reviewed primary research published between 2000 and 2020 were selected. The quality of these studies was appraised with Crowe Quality Appraisal Tool and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The components of the interventions were categorised using Burnard (2011) framework for content analysis. RESULTS: : Fifteen studies met the criteria for inclusion in the review. Interventions reported in the literature were in four categories; (i) Specialised equipment (ii) Staff training (iii) Policies and procedures to reduce work-related musculoskeletal disorders and (iv) Support and follow up. A ceiling lift is the intervention of choice to reduce workrelated musculoskeletal disorders, as it reduces the stress associated with pushing and pulling. Risk assessment is vital to determine the individual needs of clients for safe handling. Train-the-trainer roles could be used to implement training interventions where resources limit the employment of a designated lead to facilitate injury prevention. A multifaceted approach to prevent and reduce workrelated musculoskeletal disorders is recommended. Further research is required to ascertain the effectiveness of Cognitive Behavioural Therapy on injury reduction in nursing homes. CONCLUSION: : These findings have the potential to inform the development and adherence to injury prevention policies and regulations by healthcare managers and staff which could reduce injuries. Identifying the appropriate interventions to prevent and reduce workrelated musculoskeletal disorders is significant for staff wellbeing, has economic implications in terms of reduced workrelated musculoskeletal disorder absenteeism and ultimately will positively impact on the care of mobility impaired clients.
背景:护理行业中与工作相关的肌肉骨骼疾病发病率一直居高不下,由于旷工,给医疗服务带来了巨大成本。由于老年人的高度护理需求,包括在自我护理和行动方面需要帮助,与工作相关的肌肉骨骼疾病在养老院医护人员中更为常见。因此,工作人员面临与搬运患者相关的潜在伤害。与工作相关的肌肉骨骼疾病对受影响个体的生活质量有重大影响,会导致经济困难并影响服务提供。 目的:识别、综述和讨论可能有效降低养老院中与工作相关的肌肉骨骼疾病患病率及后果的干预措施。 设计:综合文献综述。 方法:对Embase、Science direct、Web of science和EBSCO Host进行系统检索,并对综述文章的参考文献进行追溯检索。选取2000年至2020年间发表的经同行评审的原发性研究。使用Crowe质量评估工具对这些研究的质量进行评估,并按照系统评价和Meta分析的首选报告项目指南进行报告。采用Burnard(2011)内容分析框架对干预措施的组成部分进行分类。 结果:15项研究符合纳入综述的标准。文献中报道的干预措施分为四类:(i)专业设备;(ii)员工培训;(iii)减少与工作相关的肌肉骨骼疾病的政策和程序;(iv)支持与跟进。天花板升降机是减少与工作相关的肌肉骨骼疾病的首选干预措施,因为它减少了推拉相关的压力。风险评估对于确定安全搬运患者的个体需求至关重要。在资源限制指定负责人雇佣以促进预防伤害的情况下,培训培训师的角色可用于实施培训干预措施。建议采用多方面方法预防和减少与工作相关的肌肉骨骼疾病。需要进一步研究以确定认知行为疗法对减少养老院伤害的有效性。 结论:这些发现有可能为医疗管理人员和工作人员制定和遵守伤害预防政策和法规提供参考,从而减少伤害。确定预防和减少与工作相关的肌肉骨骼疾病的适当干预措施对员工福祉至关重要,在减少与工作相关的肌肉骨骼疾病旷工方面具有经济意义,并最终将对行动不便患者的护理产生积极影响。
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