1
|
Kgakge K, Chelule PK, Kahere M, Ginindza TG. Investigating the Risk of Patient Manual Handling Using the Movement and Assistance of Hospital Patients Method among Hospital Nurses in Botswana. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:399. [PMID: 38673312 PMCID: PMC11049933 DOI: 10.3390/ijerph21040399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/24/2023] [Revised: 02/22/2024] [Accepted: 02/24/2024] [Indexed: 04/28/2024]
Abstract
BACKGROUND Evidence on the prevalence of lower back pain (LBP) among nurses is widespread in the literature, with several risk factors being reported. These include manual handling of patients, repetitive bending and twisting movements, and long working hours. It is reported that LBP has negative health outcomes and causes poor work performance among healthcare workers (HCWs). The magnitude of ergonomic risks associated with these healthcare activities has not been adequately investigated in Botswana. Thus, this study aimed to investigate the ergonomic risk levels associated with the manual handling of patients and its association with the prevalence of LBP among nurses in Botswana. METHODS This was an observational cross-sectional hospital-based study conducted in a Botswana public tertiary hospital from March to April 2023. The Movement and Assistance of Hospital Patients (MAPO) tool was used to collect data on ergonomic risk levels. Data on the demographic characteristics of participants were collected using a tool adapted from the Nordic Musculoskeletal Questionnaire (NMQ). Odds ratios and 95% confidence intervals were estimated to determine the association between ergonomic risk levels and the prevalence of LBP. RESULTS A total of 256 nurses participated and completed the study. The self-reported prevalence of LBP in this study was 76.6%. The risk of acquiring LBP was high (90.5%) based on the MAPO index. Although the frequencies of self-reported LBP were high among nurses, these did not show any significant association with the MAPO index data. This could be partly due to the small sample size. CONCLUSIONS There was a high prevalence of LBP in this study, which was corroborated by the MAPO index data. This has demonstrated the value of the MAPO index in forecasting the risk of patient manual handling. The findings might help Botswana formulate policies intended to address ergonomic preventive measures, directed towards reducing the MAPO index score by addressing the single risk determinants.
Collapse
Affiliation(s)
- Kagiso Kgakge
- Discipline of Public Health Medicine, School of Nursing & Public Health, University of KwaZulu-Natal, Durban 4041, South Africa; (P.K.C.); (T.G.G.)
- Department of Health Promotion & Education, Boitekanelo College, Tlokweng, Old Naledi Kiosk, Gaborone P.O. Box 203156, Botswana
| | - Paul Kiprono Chelule
- Discipline of Public Health Medicine, School of Nursing & Public Health, University of KwaZulu-Natal, Durban 4041, South Africa; (P.K.C.); (T.G.G.)
- Department of Public Health, School of Healthcare Sciences, Sefako Makgatho Health Sciences University, Pretoria 0208, South Africa
| | - Morris Kahere
- Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4001, South Africa;
| | - Themba Geoffrey Ginindza
- Discipline of Public Health Medicine, School of Nursing & Public Health, University of KwaZulu-Natal, Durban 4041, South Africa; (P.K.C.); (T.G.G.)
- Cancer & Infectious Diseases Epidemiology Research Unit (CIDERU), College of Health Sciences, University of KwaZulu-Natal, Durban 4001, South Africa;
| |
Collapse
|
2
|
Tani N, Ichikawa F, Oda S, Menoni O, Tasso M, Iwakiri K, Kumashiro M, Ebara T, Tsutsui Y. Validity and reliability of Japanese version of the MAPO index for assessing manual patient handling in nursing homes. J Occup Health 2024; 66:uiae016. [PMID: 38604159 PMCID: PMC11131963 DOI: 10.1093/joccuh/uiae016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2023] [Revised: 02/22/2024] [Accepted: 03/18/2024] [Indexed: 04/13/2024] Open
Abstract
OBJECTIVES Low back pain (LBP) among caregivers in Japanese nursing homes has long been considered an occupational health issue. This study aimed to verify the reliability and validity of our developed Japanese version of the Movement and Assistance for Hospitalized Patients (J-MAPO) index, a risk assessment tool for LBP, in nursing homes. METHODS Two inspectors assessed 15 nursing homes using J-MAPO, and deduced 3 LBP risk levels as follows: low, moderate, and high risk. Caregivers in nursing homes responded to a self-administered questionnaire on LBP over the past 12 months. Data from 296 caregivers with no missing data were used. We further used logistic regression models to analyze the association between LBP as a dependent variable, and J-MAPO risk level as an independent variable. We used Cohen kappa coefficient to assess interrater reliability to further assess the agreement between the 2 inspectors. RESULTS The multivariate logistic regression analysis showed that the adjusted odds ratio and 95% CIs for LBP increased progressively with J-MAPO risk level (Low-risk: 1.00; Moderate-risk: 1.70 [0.74-3.91]; High-risk: 2.67 [1.28-5.56]). Furthermore, the J-MAPO risk levels assessed by the 2 inspectors were in perfect agreement (κ = 1) observed for interrater reliability using Cohen kappa coefficient. CONCLUSIONS There was high interrater reliability, and J-MAPO risk levels were associated with LBP. Therefore, our results suggest that the J-MAPO is a useful risk assessment tool for LBP in Japanese nursing homes.
Collapse
Affiliation(s)
- Naomichi Tani
- Department of Ergonomics, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Fukuoka, Kitakyushu 807-8555, Japan
- Fukuoka Occupational Health Support Center, Japan Organization of Occupational Health and Safety, 2-9-30, Hakataekiminami, Hakata-ku, Fukuoka-shi, Fukuoka 812-0016, Japan
| | - Fumiko Ichikawa
- Fukuoka Occupational Health Support Center, Japan Organization of Occupational Health and Safety, 2-9-30, Hakataekiminami, Hakata-ku, Fukuoka-shi, Fukuoka 812-0016, Japan
| | - Susumu Oda
- Fukuoka Occupational Health Support Center, Japan Organization of Occupational Health and Safety, 2-9-30, Hakataekiminami, Hakata-ku, Fukuoka-shi, Fukuoka 812-0016, Japan
| | - Olga Menoni
- Scientific Association EPMIES "Ergonomics of Posture and Movement International Ergonomics School", via Cadore 2, 20135, Milan, Italy
| | - Marco Tasso
- Department of Preventive Medicine, Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, via Francesco Sforza 28, 20122, Milan, Italy
| | - Kazuyuki Iwakiri
- National Institute of Occupational Safety and Health, Nagao 6-21-1, Tama-Ku, Kawasaki 214-8585, Japan
| | - Masaharu Kumashiro
- Fukuoka Occupational Health Support Center, Japan Organization of Occupational Health and Safety, 2-9-30, Hakataekiminami, Hakata-ku, Fukuoka-shi, Fukuoka 812-0016, Japan
| | - Takeshi Ebara
- Department of Ergonomics, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Fukuoka, Kitakyushu 807-8555, Japan
| | - Yasuhiro Tsutsui
- Fukuoka Occupational Health Support Center, Japan Organization of Occupational Health and Safety, 2-9-30, Hakataekiminami, Hakata-ku, Fukuoka-shi, Fukuoka 812-0016, Japan
| |
Collapse
|
3
|
Johnson K, Swinton P, Pavlova A, Cooper K. Manual patient handling in the healthcare setting: a scoping review. Physiotherapy 2023; 120:60-77. [PMID: 37393883 DOI: 10.1016/j.physio.2023.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 05/15/2023] [Accepted: 06/04/2023] [Indexed: 07/04/2023]
Abstract
BACKGROUND Manual patient handling is the most frequently reported risk factor for work related musculoskeletal disorders in healthcare. Patient handling tasks are routinely performed manually without assistive devices and can create awkward postures and high loads for nurses and allied health professionals (AHPs). However, AHPs, notably physiotherapists, also utilize therapeutic handling to facilitate patient movement during rehabilitation. OBJECTIVES To comprehensively map the literature surrounding manual patient handling (without assistive devices) by healthcare practitioners. METHODS AMED, CINAHL, MEDLINE, SPORTDiscus, and EMBASE databases were searched. Grey literature was sourced from Google Scholar, EThOS, Open Grey, Health and Safety Executive, National Institute for Occupational Safety and Health and Work Safe Australia. Literature published in English between 2002 and 2021 was included. RESULTS Forty-nine records were included: 36 primary research studies, 1 systematic review and 12 'other' including narrative and government reports. Primary research was predominantly observational cross-sectional (n = 21). The most common settings included laboratories (n = 13) and hospitals (n = 13). Seven research questions were identified, with patient handling practices (n = 13) the most common. Nurses formed the largest practitioner population (n = 13) and patients were often simulated (n = 12). Common outcomes included tasks performed (n = 13) and physical demands during patient handling (n = 13). CONCLUSION AND IMPLICATIONS OF KEY FINDINGS This comprehensive scoping review identified that most research was observational, investigating nurses in hospitals or laboratories. More research on manual patient handling by AHPs and investigation of the biomechanics involved in therapeutic handling is needed. Further qualitative research would allow for greater understanding of manual patient handling practices within healthcare. CONTRIBUTION OF THE PAPER.
Collapse
Affiliation(s)
- Katharine Johnson
- School of Health Sciences, Robert Gordon University, Garthdee Road, Aberdeen AB10 7QE, UK.
| | - Paul Swinton
- School of Health Sciences, Robert Gordon University, Garthdee Road, Aberdeen AB10 7QE, UK
| | - Anastasia Pavlova
- School of Health Sciences, Robert Gordon University, Garthdee Road, Aberdeen AB10 7QE, UK; Scottish Centre for Evidence-based, Multi-professional Practice: A JBI Centre of Excellence, UK
| | - Kay Cooper
- School of Health Sciences, Robert Gordon University, Garthdee Road, Aberdeen AB10 7QE, UK; Scottish Centre for Evidence-based, Multi-professional Practice: A JBI Centre of Excellence, UK
| |
Collapse
|
4
|
Coman R, Caponecchia C. Optimizing aged care environments to promote resident functional mobility and reduce staff injury risk. FRONTIERS IN AGING 2023; 4:1157829. [PMID: 37090486 PMCID: PMC10117947 DOI: 10.3389/fragi.2023.1157829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 03/24/2023] [Indexed: 04/25/2023]
Abstract
Introduction: This study aimed to evaluate the suitability and usability of the Pro-Mobility patient/person handling assessment tool (ProMob) within residential aged care. Physiological changes associated with ageing influence an older person's ability to perform functional mobility tasks such as transferring from furniture and walking. Strategies that improve capability and/or reduce the physical demands of the task have the potential to promote an older person's mobility, independence and wellbeing. Environment-related strategies in Manual Handling of People (MHP), such as optimum seated heights, in part address this challenge, as they can promote resident functional mobility while also protecting staff from injury. The ProMob tool was developed to address this issue through systematic evaluation of these environmental factors. Methods: The participants in this study were seven (7) residential aged care facilities (RACFs) operated by a not-for-profit aged care organization. A qualified assessor evaluated MHP risk management with the ProMob tool at each RACF through collection of data for a random sample of residents (n = 67) regarding their living environments and available mobility information. Data was transferred to an SPSS-22 statistical software database for analysis which involved descriptive statistics and cross tabulations. Results: Application of the ProMob tool provided effective quantification of the nature and extent of environment-related MHP interventions that may influence resident mobility. Areas for improvement with MHP risk management were identified, with variation evident across RACF's within the same organisation, which was not consistent with levels of care (e.g., lack of clear space to facilitate mobility). Low level care facilities were observed to have fewer adaptive environmental features that could potentially slow decline in independence. Discussion: Features of the aged care environment can be used to facilitate the functional mobility of aged care residents, and simultaneously reduce injury risk for staff in MHP interactions. The ProMob tool can be used for auditing care facilities, planning re-development, and continual improvement in provision of care and management of staff injury risk exposure.
Collapse
Affiliation(s)
- Robyn Coman
- Occupational Health and Safety (OHS) Academic Program, School of Health and Society, Faculty of Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia
- *Correspondence: Robyn Coman,
| | - Carlo Caponecchia
- School of Aviation, Faculty of Science, University of New South Wales, Sydney, NSW, Australia
| |
Collapse
|
5
|
Menoni O, Tasso M, Manno R, Battevi N. Application of MAPO (Movement and Assistance of Hospitalized Patients) method in hospitals and nursing homes: frequency of manual patient handling-part 2. ERGONOMICS 2022; 65:1215-1229. [PMID: 34949151 DOI: 10.1080/00140139.2021.2022768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Accepted: 12/20/2021] [Indexed: 06/14/2023]
Abstract
This study examines the evolution of MAPO method for estimating the frequency of overloading tasks in healthcare workers during different shifts. The data presented were collected from 51 in-patient wards (25 hospitals and 26 nursing homes), and 917 workers: the frequency of MPH tasks is a complementary value to the MAPO exposure level, which is useful to implement a prevention plan targeted towards the reduction of overloading tasks. Based on the frequency of manual patient handling, it appears that the afternoon shift is at greatest risk, with tasks liable to cause overloading occurring within a frequency range of 70-85 per worker. The study analyzes different pieces of equipment and their relative percentages of use, concluding that, overall, they are underutilised (especially minor aids and height-adjustable beds). Practitioner summary: The organisational data collected in hospitals and nursing homes confirms the availability of patient handling aids and equipment, but also indicates that they are underutilised with respect to the frequency of overloading tasks.
Collapse
Affiliation(s)
- O Menoni
- Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - M Tasso
- Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - R Manno
- Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - N Battevi
- Scientific Association EPMIES Ergonomics of Posture and Movement International Ergonomics School, Milan, Italy
| |
Collapse
|
6
|
Bagheri Hosseinabadi M, Zandi N, Sartavi N, Aliyari R, Sadeghian F. The Risk Assessment of Patient Handling in Hospitals of Northeast of Iran. Hosp Top 2022:1-9. [PMID: 36000707 DOI: 10.1080/00185868.2022.2114964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
The study aim was to determine the risk of Manual patient handling (MPH) in Shahroud public hospitals, Iran. A cross-sectional study was performed in Imam Hossein (IHospital) and Bahar (BHospital) with 21 wards. MPH risk assessment was performed using MAPO (Movement and Assistance of Hospital Patient) index. The ratio of operator to disabled patient (NC/Op and PC/Op), lifting, minor aid, wheelchair, environmental, and training factor are evaluated to calculate MAPO index. Among studied wards 57%, 33.3%, and 9.5%, respectively, were in the high, moderate, and low risk exposure level. The maximum MAPO score were 16.7 in CCU of IHospital. Emergency ward of BHospital had the highest score of 9.8 and PC/OP ratio 17.5. The most risk factors were minor aid (90.5%), lifting factor (71.4%), and PC/OP (66.7%). Immediate ergonomic action is recommended.
Collapse
Affiliation(s)
- Majid Bagheri Hosseinabadi
- MSC of Occupational Health Engineering, Department of occupational health, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Niloofar Zandi
- BSC of Occupational Health Engineering, Student Research Committee, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Nahideh Sartavi
- BSC of Occupational Health Engineering, Student Research Committee, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Roqayeh Aliyari
- PhD, Assistant Professor of Biostatistics, Ophthalmic Epidemiology Research Center, Shahroud University of Medical Sciences, Shahroud, Iran
| | - Farideh Sadeghian
- PhD, Assistant Professor of Occupational Health Engineering, Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
| |
Collapse
|
7
|
Jacobsen SS, Stevens ML, Karstad K, Rasmussen CDN, Kühnel AB, Holtermann A. A Simple Resident Need-for-Physical-Assistance Scale in Eldercare: Validation Using 4716 Observation Sequences of Caring Activities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10488. [PMID: 36078204 PMCID: PMC9518095 DOI: 10.3390/ijerph191710488] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 08/17/2022] [Accepted: 08/18/2022] [Indexed: 06/15/2023]
Abstract
Accurate and simple measures for classifying nursing home residents according to their care needs would be valuable for planning eldercare work. Our aim was to validate a developed classification scale of residents' need for physical assistance. Eldercare workers and managers in 20 Danish nursing homes classified 1456 residents into four categories (from light to complete need for physical assistance). We validated the resident need-for-assistance scale against 4716 workplace observation sequences of caring activities performed by eldercare workers. We found a strong correlation between the resident need-for-assistance scale and observed number of resident handlings (r = 0.71) and a moderate correlation for observed duration of care (r = 0.57). The discriminative ability of the scale was good for both number of resident handlings (ROC-AUC = 0.81) and for duration of care (ROC-AUC = 0.76). Our findings indicate that this simple scale is valid and feasible for classifying residents according to their physical assistance needs.
Collapse
|
8
|
Porta M, Porceddu S, Mura GM, Campagna M, Pau M. Continuous assessment of trunk posture in healthcare workers assigned to wards with different MAPO index. ERGONOMICS 2022:1-11. [PMID: 35972215 DOI: 10.1080/00140139.2022.2113920] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 08/08/2022] [Indexed: 06/15/2023]
Abstract
Healthcare professionals generally experience an above-average incidence of low back disorders (LBDs) compared with workers of other professions, and its level of risk is commonly assessed using observational methods such as the MAPO method (Movement and Assistance of Hospital Patients). In this study, we continuously monitored the trunk posture of 30 healthcare workers using a single inertial sensor to: (1) understand whether the MAPO classification is effective in adequately discriminating the risk associated with the time spent in non-neutral trunk postures and (2) characterise the variability of biomechanical exposure among workers employed in wards with the same MAPO index. The results substantially confirm the validity of the MAPO approach in discriminating among wards characterised by different levels of biomechanical exposure associated with the risk of developing LBDs. However, they also highlight the need to assess workers' exposure on an individual basis due to the high intra-group variability.Practitioner summary: Employing a quantitative measurement setup to monitor trunk posture along with an observational method (ie MAPO) can identify the existence of criticalities or the poor application of ergonomic recommendations given during the training of healthcare workers even in hospital wards characterised by little or no risk of developing low back disorders.
Collapse
Affiliation(s)
- Micaela Porta
- Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, Cagliari, Italy
| | - Simona Porceddu
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | - Giovanni M Mura
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | - Marcello Campagna
- Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
| | - Massimiliano Pau
- Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, Cagliari, Italy
| |
Collapse
|
9
|
Menoni O, Tasso M, Stucchi G, Manno R, Cairoli S, Galinotti L, Basilico S, Battevi N. Application of MAPO (movement and assistance of hospitalized patients) method in hospitals and nursing homes: 20 years of experience and evolution - part 1. ERGONOMICS 2022; 65:1035-1045. [PMID: 35075972 DOI: 10.1080/00140139.2021.2012272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Accepted: 11/24/2021] [Indexed: 06/14/2023]
Abstract
This article illustrates the evolution of the MAPO method for quantifying the risk of musculoskeletal disorders associated with patient handling.The main factors that have influenced MAPO risk determinants include the rising number of disabled patients (D), growing understaffing, and the increased availability of equipment and training.Hospital wards and especially nursing homes have been provided with lifting equipment since 2008; however, 73.8% of the workforce in nursing homes is exposed to a high level of MAPO risk versus only 8.1% of hospital workers. This study presents organisational data in hospital wards (no.=528) and nursing homes (no.=214) involving 14,246 caregivers: the D/Op ratio in nursing homes is significantly higher compared to the corresponding ratio in hospital wards (p-value < 0.001). Moreover, the number of healthcare workers involved in manual patient handling activities over the night shift in nursing homes is much lower than the corresponding number in hospital wards. Practitioner summary: The purpose of this article is to illustrate organisational data from hospital wards and nursing homes, gathered over 20 years of implementing the MAPO method. The protocols for adapting the method to recent changes in care delivery are also presented.
Collapse
Affiliation(s)
- Olga Menoni
- Department of Preventive Medicine, Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Marco Tasso
- Department of Preventive Medicine, Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Giulia Stucchi
- Department of Preventive Medicine, Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Rosa Manno
- Department of Preventive Medicine, Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Silvia Cairoli
- Department of Preventive Medicine, Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Luca Galinotti
- Department of Preventive Medicine, Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Stefano Basilico
- Department of Preventive Medicine, Ergonomic Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Natale Battevi
- Scientific Association EPMIES "Ergonomics of Posture and Movement International Ergonomics School", Milan, Italy
| |
Collapse
|
10
|
Zakerian SA, Afzalinejhad M, Mahmodi M, Sheibani N. Determining the Efficiency of Ergonomic Belt During Patient Handling and its Effect on Reducing Musculoskeletal Disorders in Nurses. SAGE Open Nurs 2021; 7:23779608211057939. [PMID: 34888415 PMCID: PMC8649436 DOI: 10.1177/23779608211057939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Accepted: 10/14/2021] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION Nursing personnel are always at risk for work-related musculoskeletal disorders, and patient transportation is one of the major risk factor for these disorders. OBJECTIVE The aim of this study was to evaluate the ergonomic belt to improve patient transferring conditions. METHODS The subjects included 60 health care workers (HCW) of a hospital with patient transfer experience. The ergonomic belt was examined to help move the patient from one bed to another. The prevalence of musculoskeletal disorders was assessed through the Nordic questionnaire, the degree of perceived exertion through the Borg criterion, and the patient's movement through the MAPO index before and after the intervention. RESULTS The results showed a significant decrease in Borg scale scores and MAPO index in two factors of education and auxiliary tools and overall scores of this index. We also saw a significant reduction in musculoskeletal disorders in the neck, shoulders and arms, waist, hands and wrists, thighs, knees and legs. There were no significant differences in the elbow and forearm before and after using the ergonomic belt. CONCLUSION In general, it can be concluded that the use of ergonomic belt had helped to reduce the risk of musculoskeletal disorders, as well as reducing the perceived exertion of nurses and other relevant personnel.
Collapse
Affiliation(s)
- Seyed Abolfazl Zakerian
- Department of Occupational Health, School of Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mansooreh Afzalinejhad
- Department of Occupational Health, School of Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mahmood Mahmodi
- Department of Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Niloofar Sheibani
- Department of Occupational Health, School of Health, Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|